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Fighting for Manly Hospital
Thursday, 22 April 2010

Mr MIKE BAIRD (Manly) [6.55 p.m.]: I draw to the attention of the House the persistent downgrade of Manly Hospital and Mona Vale Hospital by this State Labor Government. While the Premier is popping champagne corks at the moment over her deal with the Prime Minister to give up the State's GST, the morale of health staff on the Northern Beaches is at rock bottom and I strongly believe that patients are suffering.
 
The latest service to go from Manly Hospital is its aged care rehabilitation ward. That means another 10 beds will be lost. All aged care will now be at Mona Vale Hospital.
 
Michelle Franks, chair of Manly Hospital's medical staff council, said staff were given almost no warning before the announcement was made—they were not consulted, they were sidelined. That is an insight into the culture at present. Staff deserve so much more. Today's Manly Daily reported that Dr Franks said:
      We have a lot of aged care patients who need rehabilitation services and it's a resource that has always been used.
Since last year, Manly Hospital has been caring for all mums on the Northern Beaches after the Mona Vale maternity unit was closed. That means, women up and down the Northern Beaches travel an hour in some instances during labour to give birth in a unit that is already stretched beyond its capacity. It is doing a great job but it is certainly stretched.
 
Last week my office was inundated with stories from passionate midwives determined to do everything they could to stem the loss of services from their hospitals. They feel unbelievably passionate about this matter. Within five days an online petition had received almost 700 signatures from midwives and patients who felt they had been left out in the cold in relation to some of these decisions.
 
The words of midwives tell a story. A local midwife who was uncomfortable with disclosing her name for fear of retribution wrote to me: 
      Time and time again we are the forgotten ones. Many midwives are leaving. The challenges faced by all every day are growing rapidly.
Another midwife said:
      The situation at Manly is quite unsustainable. The uncertainty of the future plan for Northern Beaches maternity services and the lack of a clear direction on whether we will remain as one unit or not, and if so where that will be located means that many of us are considering leaving the public sector—
That is a tragedy—
    some are thinking about early retirement and several staff have already left their jobs due to dissatisfaction with the situation.
And another said:
      We are truly concerned for the current and future welfare of the women and their families in our community.
I feel particularly strongly about midwives. In my inaugural speech I spoke about two wonderful midwives. Following the birth of my second daughter Cate, my wife suffered a post-partum haemorrhage and I nearly lost her but for the two midwives, angels they were, who intervened and saved her. I made a commitment in my inaugural speech that I would support the cause of midwives. I do not want to forget the service that they provided. Today I am sure they would share the concerns of their colleagues.

A first-time mum from Church Point wrote to me in despair. Two weeks before her due date she received a letter saying she could not deliver at Mona Vale as planned. Her labour was quick and in the 45-minute drive to Manly Hospital she almost ended up delivering by the roadside. She said:
      It is unacceptable and far too dangerous for all involved to be allowing women like me to drive past a fantastic hospital with maternity facilities in an attempt to get to another hospital—the unit is far too small to be coping with the influx of women from all areas of the beaches.
Despite the Premier's rhetoric about Health reform, the Government has an appalling track record—there is no other way to describe it. Manly and Mona Vale hospitals have been subjected to consistent downgrades and it has to stop. The hydrotherapy pool at Manly Hospital closed early last year. The medical air system that supplies oxygen for caesarean births recently broke down while mums were in labour. Staff from the Phoenix Unit were made redundant before a tender was even issued for the new operator. That drug and rehabilitation centre has operated for 18 years and has a two-month waiting list. This cannot continue. What is the solution? What does the Government do? I call on the Minister for Health to act below the glamour of trying to establish a health reform process that requires many answers to some of the questions.

Since 2006 the State Government has been promising to build the new northern beaches hospital. People of the Northern Beaches are sick of empty promises and know that the only way this hospital will be built is by a government that is committed to delivering on the health needs of this community. I strongly say that that is an O'Farrell Government. The Premier and the Minister for Health have a chance to address this matter in the remaining time before the next election. I call on the Keneally Government to stop draining our hospitals dry. Patients and staff of northern beaches hospitals deserve more.

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Comments (13)
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Manly Hospital
Mike, 
One positive aspect of the Rudd plan is the move to payment for services (case mix). There are two parts of the health system that work well - the Pharmaceutical Benefits Scheme (PBS) and Medicare (provision of GP and Specialist services). Both are publicly funded (by the Commonwealth) and the services are provided by the private sector. Over the years the Commonwealth has exercised efficient control of costs by the fees it pays for these services. My view is that hospital payments based on fee for service will open the door for the establishment of privately run "public access" hospitals that can compete with the current Government run public hospitals. It is clear that the current private hospitals make a profit for there shareholders and are run on a much more efficient basis than the "public " hospitals. I believe that Manly and Mona Vale would be prime candidates to be upgraded and run privately if a fee for service system is introduced.  
 
Regards 
 
Jacob Guenther
Posted by: Jacob Guenther at 23-04-2010 17:26
Manly Hospital
I was recently taken by ambulance to Manly Hospital. The care was second to none but the hospital seemed to be falling apart. There was peeling paint , very worn lino, sad and sorry pillows, well everything but the incredible care I was given seemed in desperate need of improvement. I could only think that the lifesaving equipment could be in the same sorry state of repair. Not a comforting thought. 
Manly hospital is vital to the wellbeing of the local residents. We all pay our taxes. Why does the NSW government treat the needy public of this shire so poorly? They throw millions of dollars away on frivolous programs yet cannot spare a few million dollars to upgrade such an essential and worthy cause as Manly hospital and the general public who rely so much on this life saving facility. 
Valerie Taylor, Knight of the Order of the Golden Ark
Posted by: Valerie Taylor at 23-04-2010 18:02
hospitals
A passionate, correct and honest plea. Thanks Miike
Posted by: Adam Wells at 23-04-2010 18:24
health care on peninsular
As you may have seen my letter in Manly Daily today that I am very cross with the whole mess that health care and our hospitals are in. Death by a Thousand Cuts. You have conveyed my thoughts exactly, Aged CAre shunted off to Mona Vale, Maternity to Manly with no thought to how either consumers cope with these radical changes. 
We need to lobby for our hospital now the lovely Kristina has squeezed so much money out of the Feds, no excuse now. 
Will your Liberal government PROMISE to upgrade services to peninsular or will it be a case of "sorry no money, can't do it after all" we are expecting better from you Mike.
Posted by: Eira Battaglia at 23-04-2010 18:37
Hospitals
Thank you for your excellent speech to Parliament. It is galling that, with the multiplied millions of dollars being wasted on the Commonewelath Govertnment credit card wtih BER and insulation , that they could not throw a few million dollars our way to build something that is acutally needed..a new hosptial. 
Labor seems to think it is acceptable to do nothing but increase taxes and charges and pour our pour this money down the toilet.
Posted by: Jeanine Treharne at 24-04-2010 12:36
Northern Beaches Hospital (NBH)
Thank you for supporting the NBH. The medical staff Council of Manly Hospital have been calling for a new large hospital to replace the inadequate facilities at Manly and Mona Vale since 1993. I thought that the NSW Government had finally decided to heed our advice in March 2006 when they announced the new hospital a Frenchs Forest. But no, they quietly stopped the planning process in 2008, which has had two unfortunate effects; firstly they were then unprepared at he end of 2008 to put forward a credible proposal to the Commonwealth when "shovel ready" projects were called for by the PM as part of the Commonwealth's response to the GFC. Which robbed us of the chance to obtain a federally funded new hospital. Secondly it has imposed a long delay in the process of progressing the hospital construction, which has meant that, instead of having one Maternity Unit, one Rehab unit one ICU etc in a modern facility with a critical mass of staff, patients and equipment to serve the people of the Northern Beaches, we have to endure several more years of substandard facilities and patient care in two decrepit facilities!
Posted by: Keith Burgess at 24-04-2010 13:30
Mona Vale Maternity
I was one of the midwives working in Mona Vale Maternity when without warning, women began ringing the hospital for answers as to why they could not deliver their babies at Mona Vale as planned. Until that time, we as a staff had no clue that the Unit was about to close and move to an already overcrowded Manly hospital, a location far from most of our homes. I was employed at Mona Vale for only six months before that time and so made the decision to return to the hospital from whence I came. During my employment at Mona Vale hospital, I met the most amazingly passionate and dedicated midwives whose primary aim was always to give their best care to the women and babies of their local area. I did not meet a birthing woman who wasn't ectatsic about the standard of care they received at Mona Vale. In my humble opinion, it is unthinkable that the government would seriously consider the removal of this vital sevice. Can they be so inconsiderate of labouring women that they would expect them to travel so far to a hospital that is already bursting at the seams, especially at the most vulnerable times of their lives?
Posted by: Linda MOSEY at 24-04-2010 17:09
Mona Vale Maternity
THANK YOU MR BAIRD, for giving all the mothers and unborn babies of the northern beaches a voice, THANK YOU.
Posted by: anon at 24-04-2010 19:39
Mona Vale
Can someone find out why the Birthing Unit hasn't been touched with regard to work being carried out? It's SO disappointing. What is to become of our Maternity Unit at Mona Vale?  
Will Rehab be moving in there? Come on, someone must know the master plan! Sign our petition to bring Maternity back to Mona Vale --http://www.gopetition.com.au/online/35447.html
Posted by: Anonymous at 26-04-2010 19:59
Northern Beaches Maternity Services
The community of the Northern Beaches has been waiting for years for the promised Northern Beaches Hospital at Frenchs Forest. When the decision was made to build it there after much money was spent on community consultation, we were also promised that no downgrading of Mona Vale and Manly hospitals would occur until Frenchs Forest was built. And yet here we are with all maternity services crowded into an ancient run-down building 15 to 30 kilometres away from the northern peninsula suburbs and apparently no guarantee that it will be returned to Mona Vale. Just what is going on here? Is the community consultation and the resultant promise just going to be completely ignored by the government?
Posted by: Anonymous at 26-04-2010 20:20
Northern beaches Hospitals
I recently visited family and friends in three public hospital in the inner west and western suburbs and found that the facilities in these hospitals are 'all state of the art', ie electric beds, large nurses stations ,intact floor covering, air conditioning, the list goes on. My question is why are the patients and the medical and nursing staff of the Northern Beaches expected to put up with these shocking conditions???
Posted by: Bernadette Vogel at 27-04-2010 08:23
Parliamentary speech
Can someone explain why Mike Baird's parliamentary speech-delivered last week- regarding the two local hospital Maternity Units hasn't had a mention in the Manly Daily? It is the MANLY Daily, after all, and concerns the population which the newspaper serves. It's strange that it was ignored, surely they have a parliamentary correspondent? Maybe the petition which has attracted nearly 1400 signatures is also being ignored, yet hundreds of the Manly Daily readers have signed it and chosen to comment.
Posted by: Anonymous at 27-04-2010 11:54
hospitals
I applaud your comments on the pathetic hospital situation on the peninsular. There was only Manly hospital when I came to the Manly area over 50 years ago, and it served us well, but we needed Mona Vale as well. With the peninsular's population burgeoning, this is no time to be closing down much needed facilities. Keep biting at their heels. 
In this area we are paying for the fact that we are not a Labor stronghold. I hope your lot won't take it out on the Westies when you get in. It would be so good to see even-handed governance for a change.  
And on the subject of governance ... the Lottery sale fiasco explains why NSW is the laughing stock of other states. If they can't conduct the sale of a prize piece of NSW property (a cash cow which should never have been sold) with honour and transparency, how can we expect to trust them in anything else? Keep hammering them, Mike, The rot has set in with Labor NSW and it won't go away. 
PS You're in a safe Liberal seat and you don't need me, but your energy and good sense has just won over a long-time Labor voter. Stay like that, and you'll end up at the top -- federally.
Posted by: Helen at 27-04-2010 14:39