Cuts to funding not accepted as the reason for hospital delays

The State Government has hit back at Opposition claims that “savage cuts” to emergency departments have seen patients across the region waiting longer than the rest of NSW when presenting to hospital.

In recent weeks, Shadow Minister for Central Coast, David Harris, said that the latest Bureau of Health Information report showed that in the January to March quarter, Central Coast patients were waiting three hours and 22 minutes in the emergency department, over half an hour longer than the statewide median.

“Gosford Hospital was the worst, with one in 10 patients waiting almost eight hours in emergency,” Harris said.

“Once again, the Central Coast is being left behind.

“It is appalling that an area so close to Sydney has one of the worst waiting times in emergency across the state.”

He said the figures represented the enormous strain on the NSW public health system, even before the worst of the COVID-19 pandemic hit and elective surgeries were suspended.

“Overall, waiting lists in NSW have hit an all-time high, with 90,602 people,” he said.

“On the Central Coast, median wait times for non-urgent elective surgeries are now 309 days, with one in 10 patients waiting almost a year.

“If hospitals on the Central Coast were already under such enormous strain before the pandemic, how can we catch up with drastic investment from this government?”

Shadow Health Minister, Ryan Park, said the government must immediately reinstate critical funding to emergency departments and extend operating hours to start repairing the damage from the $252M cuts to NSW Health last year.

“These figures are damning, but what is most concerning, is that they represent the situation before the COVID-19 pandemic,” Park said.

“It shouldn’t matter where you live in Australia, people should be able to get the medical attention they need in a timely fashion.”

However, Parliamentary Secretary for Central Coast, Adam Crouch, said Central Coast Local Health District was receiving a record budget of $873M in 2019-20, a 3.8 percent increase on the previous year.

“The NSW Government is also providing an extra $388M across the state to ramp-up elective surgeries, particularly for patients who have had surgeries delayed due to COVID-19,” he said.

“We are working to make sure that Central Coast patients can have their elective surgeries fast-tracked, including having public patients treated in private hospitals.”

Central Coast Local Health District Chief Executive, Dr Andrew Montague, said activity levels in the first quarter of 2020 were consistent when compared to the same quarter in 2019, according to the report.

“Emergency department (ED) attendances remained steady,” Montague said.

“Wyong Hospital saw 18,091 patients attend ED between January and March 2020, 80 more patients than the same quarter last year.

“Wyong experienced a 36.9 percent increase in resuscitation (triage 1) presentations, an increase of of 41 patients to 152; and an 11.2 percent increase in emergency presentations (triage 2), or 199 patients to 1,974.

“Gosford Hospital saw 19,039 patients attend ED, a slight increase of 18 patients when compared to the same quarter last year.”

Montague said a 49.6 percent spike in non-urgent presentations at Gosford Hospital was consistent with the experience of the majority of the state’s hospitals, with a 27 percent rise statewide.

“This is due to the emerging COVID-19 situation at this time and the increased amount of people presenting to emergency departments for COVID-19 testing prior to specialized COVID-19 clinics being established,” he said.

Montague said a decision by the National Cabinet to pause non-urgent surgeries across the country has impacted on the number of patients on the waiting list.

“However, Central Coast District’s surgery performance remained strong, with 100 percent of 416 urgent surgeries performed on time at both Wyong and Gosford hospitals,” he said.

Montague said NSW Health would host a round table discussion with public and private health sectors and clinicians within the next month to determine if there are any additional measures the health system could employ to ensure elective surgeries and any other procedures occur as quickly and appropriately as possible.

“Surgery lists are being closely monitored and any patient whose condition changes or deteriorates should speak to their treating clinician,” he said.

Montague said the government had committed $800M in extra funding over two years on top of the 2019-20 Health Budget of $26.7B to help boost ICU capacity and purchase additional services and medical equipment, to help respond to COVID-19.

Media releases, Jun 17
Shadow Minister Central Coast, David Harris
Central Coast Local Health District
Parliamentary Secretary Central Coast, Adam Crouch
Reporter: Terry Collins