Hurtgen Forest Daily Reports by Colonel Hurley Fuller 110AARNov44 Record Group 407
Standing Committee on Health, Ageing and … relation to: Daily Operational Reports Will you provide...
Transcript of Standing Committee on Health, Ageing and … relation to: Daily Operational Reports Will you provide...
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Standing Committee on Health, Ageing and Community Services Annual and Financial Reports 2015-2016
Questions Taken on Notice Public hearings 2 March 2017
Type of
Questions No Hearing Date Asked By Directorate / Portfolio Subject Answer due
date Answer
date QTON 1 2 March 2017 Mrs Dunne Health Daily data reports –
copy to be provided to the Committee of a one day snapshot
15/03/17 4 April
QTON 2 2 March 2017 Ms Le Couteur Health Hospital in the Home How many people in that situation if they had a functioning home could be discharged?
15/03/17 15 March
QTON 3 2 March 2017 Mrs Dunne Health Publically Funded Home Birth What is the Criteria?
15/03/17 15 March
QTON 4 2 March 2017 Mrs Dunne Health Nunngawal Bush Healing Farm Provide time line as this should have been up and running 18 months ago
15/03/17 01 May
QTON 5 2 March 2017 Mrs Dunne Health Contracts What is the whole-of-life cost of the 25 year contract
15/03/17 15 March
QTON 6 2 March 2017 Mr Steel Health Walk-in Centre (WIC) What sort of medications can be prescribed by the WIC
15/03/17 15 March
QTON 7 2 March 2017 Ms Le Couteur Health It’s Your Move When will that start and how long will the trial be for?
15/03/17 21 March
QTON 8 2 March 2017 Ms Le Couteur Health Advanced Care Plans How many patients have them
15/03/17 15 March
QTON 9 2 March 2017 Mrs Dunne Health Propofol How many incidents were there?
15/03/17 10 April
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Type of Questions No Hearing Date Asked By Directorate
/ Portfolio Subject Answer due date
Answer date
QTON 10 2 March 2017 Mr Steel Health Commonwealth Grants • Specific figures for across each of the
financial years and then with the change, what the original agreement with the commonwealth was and
• Then when they made the cuts, • they then came back with the extra
$50 million, and • what has changed since then?
15/03/17 21 March
QTON 11 2 March 2017 Mrs Dunne Health Legislative Assembly Contact List Listed on Chief Minister’s Office as Health Adviser – why is it?
15/03/17 15 March
QTON 12 2 March 2017 Mr Steel Health How many young people are referred to interstate (mental health) services currently, or during that reporting period?
15/03/17 20 March
QTON 13 2 March 2017 Ms Kikkert Health What is the incidence of Borderline Personality Disorder in the ACT?
15/03/17 29 March
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports ANSWER TO QUESTION TAKEN ON NOTICE
2 March 2017 Asked by Mrs Kikkert: In relation to: Daily Operational Reports Will you provide those daily reports to the committee? Is that possible? Minister Fitzharris: The answer to the Member’s question is as follows:– There is one operational report that is provided to me from Canberra Hospital and Health Services (CHHS) each day. An example of the daily operational report is attached.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
Destination Within 4 Hours(1)
Breaches(2)
Total Cases
% Within 4 Hours
Aug 16 Target
June 17 Target
Admitted EMU 21 11 32 65.6 % 85% 85%
Admitted Other 12 39 51 23.5 % 35% 42%
Discharged 137 33 170 80.6 % 90% 96%
Total 170 83 253 67.2 % 77% 81%
How close were we?
To reach the Goal of 81% we needed another 35 patients within 4 hours - we are aiming for a Territory target of 81% by June 2017
Ward Within 4 Hours
Admitted(3)
% Within 4 hours
Discharges (4)
Discharges by 10:00
Discharges by 12:00
Discharges 16:00 & 00:00
EMU 21 32 65.6 % 29 4 4 13
10A 3 3 100.0 % 9 1 3 2
L8B 2 4 50.0 % 4 0 3 1
11B 1 4 25.0 % 6 1 1 2
L5B 1 1 100.0 % 5 1 1 1
L9B 1 3 33.3 % 2 0 0 0
PWM 1 1 100.0 % 1 0 0 0
EDS 1 2 50.0 %
THE 1 2 50.0 %
AN 0 2 0.0 % 11 2 2 5
L6A 0 1 0.0 % 8 1 3 2
2SA 0 3 0.0 % 5 3 0 1
L9A 0 2 0.0 % 5 0 1 2
AMHU 0 3 0.0 % 4 0 0 3
CCU 0 3 0.0 % 4 0 2 2
L6B 0 1 0.0 % 4 1 0 0
L7A 0 4 0.0 % 4 0 3 0
CPE 0 1 0.0 % 3 2 0 1
PWA 0 2 0.0 % 2 0 1 1
PWH 0 4 0.0 % 2 0 1 1
L5A 0 1 0.0 % 1 0 0 0
PSS 0 2 0.0 % 1 0 1 0
PN NaN 8 0 2 3
ILU NaN 5 0 2 0
4A NaN 4 0 0 1
CH&HS NEAT Performance 28-Mar-17
Note: This report covers the period of 00:00:00 hrs – 23:59:59 hrs for the selected date. The activity and performance includes all patients that have completed their service episode within this period – ie: When they physically depart the ED to a subsequent admission ward, or are recorded as ready to depart for non-admitted patients.
Note: The report calculations are accurate at the time of report generation. Subsequent administrative changes to EDIS (in accordance with ACT Health policy) after the report is generated will not be reflected in this report.
4B NaN 3 1 0 0
L7B NaN 3 0 1 0
SCN NaN 2 0 0 1
14B NaN 1 0 0 0
CAR NaN 1 0 0 1
11C NaN
12B NaN
6SL NaN
7SU NaN
ANm NaN
BC NaN
END NaN
HLD NaN
HMB NaN
HOM NaN
ICU NaN
L7SU NaN
PNm NaN
TCHGAU
NaN
Note: This report covers the period of 00:00:00 hrs – 23:59:59 hrs for the selected date. The activity and performance includes all patients that have completed their service episode within this period – ie: When they physically depart the ED to a subsequent admission ward, or are recorded as ready to depart for non-admitted patients.
Note: The report calculations are accurate at the time of report generation. Subsequent administrative changes to EDIS (in accordance with ACT Health policy) after the report is generated will not be reflected in this report.
1. Number of patient presentations with a Length of Stay of 4 hours or less2. Number of patient presentations with a Length of Stay of more than 4 hours3. Number of patient admissions to the ward from the Emergency Department4. Number of discharges from the ward excluding Statistical Discharges & Deaths. This is not related to ED activity
Note: This report covers the period of 00:00:00 hrs – 23:59:59 hrs for the selected date. The activity and performance includes all patients that have completed their service episode within this period – ie: When they physically depart the ED to a subsequent admission ward, or are recorded as ready to depart for non-admitted patients.
Note: The report calculations are accurate at the time of report generation. Subsequent administrative changes to EDIS (in accordance with ACT Health policy) after the report is generated will not be reflected in this report.
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Ms Le Couteur: In relation to: Hospital in the Home How many people were in that situation that if they had a better functioning home they could be looked after at home. And you were saying yes we could discharge this person but they have not got a reasonably functioning home to discharge them to. Minister Fitzharris: The answer to the Member’s question is as follows: Hospital in the Home (HITH) is an inpatient service of Canberra Hospital, which provides an acute care hospital substitution for patients of the Canberra region. Patients eligible for HITH are required to: • live in Canberra or Queanbeyan; • have a telephone; • are self caring or have a suitable carer; • have a condition that is clinically appropriate for home-based care; and • have a home environment that is safe for the delivery of treatment. The HITH service operates 24/7 including public holidays and overnight on-call. The largest patient treatment group require intravenous antibiotic therapy administered by a Registered Nurse with medical governance maintained by the speciality medical team. To enable a patient that does not have a permanent residence or who are homeless to come into HITH for treatment, staff undertake the following actions to support the patient in their treatment: arrange emergency accommodation including Medi-Hotel; stay with a friend or relative whilst on treatment; or use of community transport or taxi vouchers to come into Canberra Hospital daily to receive treatment. If appropriate arrangements cannot be made, the patient will remain in hospital.
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No data is captured on people who cannot access HITH because of their out of home circumstances.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Mrs Dunne: In relation to: Home Birth Trial Program What are the criteria for getting on the program? Minister Fitzharris: The answer to the Member’s question is as follows: The ACT Health Publicly Funded Homebirth Trial is about providing more maternity choices to women in the ACT. To ensure the highest level of safety for participating women and their babies, and as the trial is a first for the ACT, women who wish to participate will need to meet the eligibility criteria (based on clinical guidelines) and also reside within a 30 minute round trip to the Centenary Hospital for Women and Children, determined by the ACT Ambulance Service. A copy of the ACT Health Publicly Funded Homebirth Trial is at Attachment A. Any woman who does not meet the eligibility criteria will be offered ongoing pregnancy and birth care at the Centenary Hospital for Women and Children or assisted to access care through another public or private healthcare provider of their choosing.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
ACT Health Homebirth Trial: Criteria To be eligible for the homebirth trial you need to:
• be aged between the ages of 18 and 40 years • live within the homebirth catchment area • have current ambulance cover, and • live in a safe working environment for birthing that has:
o adequate lighting o electricity o access to clean hot water o pets that can be secured out of the birthing area o easy access to the home for emergency vehicles o parking availability for two midwives, and o reliable phone access at all times.
• have one or more birth supporters from family/friends who:
o support your decision to have a homebirth o are available to be present throughout your labour, the birth and the recovery period to
provide support to you and your baby, and o are available to care for your other children if necessary.
• have had at least one, and not more than four, previous healthy pregnancies and uncomplicated
births and recovery periods • be healthy and have a Body Mass Index no greater than 35 at the 36 week pregnancy check • have regular antenatal care with a health professional • have a current uncomplicated pregnancy progressing normally, and be less than 8 months pregnant
at the time of enrolling in the trial • attend a ‘suitability for homebirth assessment’ appointment with your midwife on or before the 36th
completed week of this pregnancy • be more than 37 and not more than 42 weeks pregnant at the time labour begins • have a single pregnancy with the baby in a head down position before labour starts • wish to labour naturally and:
o plan to use only natural remedies for pain relief during labour. Pain relief medications including epidural and nitrous oxide will not be offered.
o understand that you will be able to labour in water if you wish i.e. a bath, but the service does not offer water birth (the baby being born under water).
o agree to receiving medication via an injection to assist with the delivery of the placenta once you have given birth.
The eligibility screening will continue right up until you go into labour. If any issues are identified you may be required to be transferred to the Centenary Hospital for Women and Children to give birth. If you meet the above criteria, please express your interest in the trial by visiting health.act.gov.au/homebirth
Accessibility If you have difficulty reading a standard printed document and would like an alternative format, please phone 13 22 81.
If English is not your first language and you need the Translating and Interpreting Service (TIS), please call 13 14 50. For further accessibility information, visit: www.health.act.gov.au/accessibility
www.health.act.gov.au | Phone: 132281 | Publication No XXXXX © Australian Capital Territory, Canberra Month Year
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports ANSWER TO QUESTION TAKEN ON NOTICE
2 March 2017 Asked by Mrs Dunne: In relation to: University of Canberra Public Hospital – Construction Contract What is the whole-of-life cost of the 25-year contract? Minister Fitzharris: The answer to the Member’s question is as follows:– The whole-of-life cost (non-indexed) of the 25 year UCPH maintenance contract, post construction, is $247 million.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Mr Steel: In relation to: Walk in Centres What sorts of medications can be prescribed by staff at the walk-in centres? Minister Fitzharris: The answer to the Member’s question is as follows:– The following medications are authorised for supply by Walk-in Centre (WiC) Advanced Practice Nurses and Nurse Practitioners to clients. The medications listed in Table 1 are endorsed by the ACT Chief Health Officer in accordance with Walk-in Centre endorsed protocols and ACT Legislation. Table 1: Medications authorised for supply by Walk-in Centre Advanced Practice Nurses and Nurse Practitioners in the WiCs
Number Medication Name
1. Adrenaline 2. Adult Diphtheria and Tetanus Booster 3. Albalon-A 4. Amethocaine 5. Amoxycillin 6. Amoxycillin and Clavulanate 7. Artificial Tears 8. Aspirin 9. Ceftriaxone 10. Cefuroxime 11. Cephalexin 12. Cephalexin - Cellulitis 13. Chloramphenicol 14. Ciprofloxacin
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15. Dermabond 16. Dexamethasone, Framycetin, Gramicidin 17. Dicloxacillin 18. Dicloxacillin - cellulitis 19. Glucagon 20. Ibuprofen 21. Levonorgestrel 22. Lignocaine 1% with Adrenaline 23. Lignocaine 1% 24. Loratadine 25. Metoclopramide 26. Mupirocin 27. Normal Human Immunoblobulin (NHIG) 28. Oral Rehydration Salts 29. Oxygen 30. Paracetamol 31. Phenoxymethylpenicillin 32. Promethazine 33. Rifampicin 34. Roxithromycin 35. Salbutamol 36. Trimethoprim
Nurse Practitioners are able to prescribe medications in addition to the list at Table 1 in accordance with their Clinical Practice Guidelines (CPG). Copies of their endorsed CPG are publically available at the following link: http://www.health.act.gov.au/professionals/nursing-and-midwifery/nurse-practitioners/nurse-practitioner-information There are three Nurse Practitioners currently employed in the two Walk-in Centres who have endorsed CPGs. The medications contained in each of their CPGs are listed in the table at Table 2. Only medications that fit the WiC Model of Care are able to be prescribed by NPs in this environment.
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Table 2: Medications able to be prescribed by Walk-in Centre Nurse Practitioners
WiC Nurse Practitioner 1 WiC Nurse Practitioner 2 WiC Nurse Practitioner 3
Aciclovir Aciclovir Aciclovir Adrenaline Adrenaline Adrenaline Amethocaine Amethocaine Amethocaine Amoxycillin Amoxycillin Amoxycillin Amoxycillin Clavulanic acid Amoxycillin Clavulanic acid Amoxycillin Clavulanic acid Anorectal products Anorectal products Atropine Anorectal products Aspirin Aspirin Atropine Aspirin Codeine Aspirin Codeine Aspirin Azithromycin Aspirin Codeine Azithromycin Beclomethasone Azithromycin Beclomethasone Betamethasone Valerate Beclomethasone Betamethasone Acetate Bisacodyl Betamethasone Acetate Betamethasone Valerate Bromhexine hydrochloride Betamethasone Valerate Budesonide Budesonide Budesonide Bupivacaine Budesonide/eformoterol fumarate dihydrate
Bupivacaine Cefaclor
Ceftriaxone Cefaclor Cefuroxime Cefuroxime Cefuroxime Celecoxib Celocoxib Celocoxib Cephalexin Cephalexin Cephalexin Chloramphenicol Chloramphenicol Chloramphenicol Clarithromycin Ciprofloxacin Ciprofloxacin Clindamycin Clarithromycin Clarithromycin Clotrimazole Clindamycin Clindamycin Colchicine Clotrimazole Clotrimazole Dexamethasone Colchicine Colchicine Dextrose 50% Dexamethasone Dexamethasone Diazepam Dextrose 50% Dextrose 50% Diclofenac Diazepam Diazepam Dicloxacillin Diclofenac Diclofenac Diphenylhydramine Dicloxacillin Dicloxacillin Docusate Diphenhydramine Diphenylhydramine Docusate Senna Docusate Docusate Domperidone Docusate Senna Docusate Senna Doxycycline Domperidone Domperidone Ear Preparations Doxycycline Ooxycycline Electrolyte Solutions Ear Preparations Ear Preparations Erythromycin Electrolyte Solutions Electrolyte Solutions Esomeprazole, Lansoprazole,
Omeprazole, Pantoprazole, Rabeprazole
Erythromycin Erythromycin Famciclovir Esomeprazole, Lansoprazole, Omeprazole, Pantoprazole, Rabeprazole
Esomeprazole, Lansoprazole, Omeprazole, Pantoprazole, Rabeprazole
Flucloxacillin
Famciclovir Famciclovir Fluconazole
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WiC Nurse Practitioner 1 WiC Nurse Practitioner 2 WiC Nurse Practitioner 3
Flucloxacillin Flucloxacillin Frusemide Fluconazole Fluconazole Flourescein Frusemide Frusemide Fluticasone Salmeterol Fluroscein Flourescein Gastrogel, Mylanta, Gaviscon Fluticasone propionate Fluticasone Salmeterol Glucagon Fluticasone Salmeterol Gastrogel, Mylanta, Gaviscon Glucocorticosteroid Gastrogel, Mylanta, Gaviscon Glucagon Glucose Glucagon Glucocorticosteroid Hydrocortisone Glucocorticosteroid Glucose Hyoscine Butylbromide
Glucose
Homatropine Hypromellose Dextran, Antazoline/ Naphazoline, Ketotifen, Acular, Diclofenac sodium
Hydrocortisone Hydrocortisone Ibuprofen Hyoscine Butylbromide Hyoscine Butylbromide Ibuprofen / Codeine Hypromellose Dextran, Antazoline/ Naphazoline, Ketotifen, Acular,
Hypromellose Dextran, Antazoline/ Naphazoline, Ketotifen, Acular, Diclofenac sodium
Indomethacin
Ibuprofen Ibuprofen Ipratropium bromide Ibuprofen / Codeine Ibuprofen/ Codeine Ivermectin Indomethacin lndomethacin Kenacomb Ipratropium bromide lpratropium bromide Ketorolac Ivermectin lvermectin Levonorgestrel Kenacomb (Triamcinolone, neomycin, gramicidin)
Kenacomb Lignocaine
Levonorgestrel Ketorolac Lignocaine adrenaline Lignocaine Levonorgestrel Lignocaine Lignocaine adrenaline Lignocaine Lignocaine chlorhexadine Lignocaine Lignocaine adrenaline Xylocaine viscous Lignocaine chlorhexadine Lignocaine Lignocaine prilocaine Xylocaine viscous Lignocaine chlorhexadine Loperamide Lignocaine prilocaine Xylocaine viscous Loratidine, desloratadine,
Cetirizine, Fexofenadine, Dexchlorpheniramine, Trimeprazine
Loperamide Lignocaine prilocaine Macrogol/ Movicol Loratidine, desloratadine, Cetirizine, Fexofenadine, Dexchlorpheniramine, Trimeprazine
Loperamide Mometasone
Macrogol/ Movicol Loratidine, desloratadine, Cetirizine, Fexofenadine, Dexchlorpheniramine, Trimeprazine
Metoclopramide
Metoclopramide Macrogol/ Movicol Midazolam
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WiC Nurse Practitioner 1 WiC Nurse Practitioner 2 WiC Nurse Practitioner 3
Metronidazole Mometasone Miconazole Mometasone Metoclopramide Morphine Miconazole Midazolam Mupirocin Montelukast Miconazole Naproxen Mupirocin Morphine Norfloxacin Naloxone Mupirocin Ondansetron Naproxen Naloxone Osteltamivir Norfloxacin Naproxen Oxygen Nystatin Norfloxacin Oxycodone Nicotene Replacement Omeprazole Paracetamol Ondansetron Ondansetron Paracetamol Codeine Osteltamivir Osteltamivir Phenoxymethylpenicillin Oxygen Oxygen Pholcodine Oxycodone Oxycodone Permethrin Paracetamol Paracetamol Prednisolone Paracetamol Codeine Paracetamol Codeine Prilocaine Phenoxymethylpenicillin Phenoxymethylpenicillin Prochlorperazine Pholcodine Pholcodine Promethazine Hydrochloride Permethrin Permethrin Pseudoephedrine Prednisolone Prednisolone Pyrantel Prilocaine Prilocaine Ranitidine Prochlorperazine Prochlorperazine Roxithromycin Promethazine Hydrochloride Promethazine Hydrochloride Salbutamol Pseudoephedrine Pseudoephedrine Silver nitrate Pyrantel Pyrantel Silver Sulphadiazine Ranitidine Ranitidine Sodium Citrotartrate Roxithromycin Roxithromycin Sodium Phosphate Salbutamol Salbutamol Sodium Picosulfate Salicylic acid Silver nitrate Terbinafine Silver nitrate Silver Sulphadiazine Trimethoprim Silver Sulphadiazine Sodium Citrotartrate Sulfamethoxazole Sodium Citrotartrate Sodium Phosphate Trimethoprim Sodium Phosphate Sodium Picosulfate Immunoglobulin (Zoster, Anti D,
NHIG, other in response to ACT public Health Advice.
Sodium Picosulfate Terbinafine Vaccines (ADT, Boostrix, MMR, other in response to ACT public Health Advice.
Terbinafine Trimethoprim Valaciclovir Terbutaline Sulphate Sulfamethoxazole Trimethoprim
Trimethoprim lmmunoglobulin (Zoster, Anti D, NHIG, other in response to ACT public Health Advice.
Sulfamethoxazole Trimethoprim
Vaccines (ADT, Boostrix, MMR, other in response to ACT public Health Advice.
Immunoglobulin (Zoster, Anti D, Valaciclovir
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WiC Nurse Practitioner 1 WiC Nurse Practitioner 2 WiC Nurse Practitioner 3
NHIG, other in response to ACT public Health Advice. Vaccines (ADT, Boostrix, MMR, other in response to ACT public Health Advice.
Valaciclovir
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Mrs Kikkert: In relation to: The ‘It’s Your Move’ Program When will that start and how long will the trial be for? Minister Fitzharris: The answer to the Member’s question is as follows:– It’s Your Move (IYM) ACT began as a two year (2012-14) obesity prevention research program in three intervention schools in the ACT, using a systems approach. A further nine schools developed IYM activities in 2015-16. The latest version of IYM is being offered from Semester 1, 2017 to the end of Semester 1, 2020. More information can be found on the ACT Health website: www.health.act.gov.au/itsyourmove.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Ms Le Couteur: In relation to: Advance Care Plans How many people in hospital have advance care plans? Minister Fitzharris: The answer to the Member’s question is as follows: On 28 February 2017, there were 28 patients admitted to Canberra Hospital who had an advance care plan in place. Any patient who requests to complete an advance care plan is supported to do so.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Mrs Dunne: In relation to: Nurse led sedation – Propofol 1) How many incidents were there? 2) What was the time frame between the specialist raising it with administration and the decision to cease
the practice? Minister Fitzharris: The answer to the Member’s question is as follows:–
1) Over the period from November 2003 to November 2012, as documented in a research study undertaken by Dr Andrew Thomson, Gastroenterology and Hepatology Unit at Canberra Hospital and Health Services, 27,989 individual patients underwent 33,539 endoscopic procedures (16,393 upper endoscopies and 17,146 colonoscopies) using Endoscopist-Directed Nurse-Administered Propofol Sedation (EDNAPS). EDNAPS is performed under the direction of an Endoscopist.
Of the 33,539 cases, there were 23 Medical Emergency Team (MET) call cases following EDNAPS procedures, 18 related to upper endoscopies and five in-patients who had undergone colonoscopies. A MET is an emergency response to a medically unstable patient.
After November 2012, there were three incidents involving patients having procedures under EDNAPS.
2) In November 2015 a hospital senior executive raised concern about the practice after an incident in 2015. There was a two month transition period from the time the decision was made to cease EDNAPS until the practice ceased completely, as this occurred over the Christmas and New Year break. There was a need to identify and obtain appropriate resourcing, including additional anaesthetist cover to allow continuity of the service.
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During this period, additional anaesthetics cover and increased anaesthetics presence in-hours was provided to the unit for patients identified as requiring anaesthetic support, and a directive was made that all after-hours endoscopy procedures were to be undertaken in the Operating Theatre, where appropriate anaesthetics cover was available. In January 2016, the practice was ceased. There were no incidents related to EDNAPS during this two month period.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Mr Steel: In relation to: Health Funding Cuts I was after the specific figures for across each of the financial years and then with the change, so what the original agreement with the commonwealth was and then when they made the cuts, they then came back with the extra $50 million, and then what has changed since then? Minister Fitzharris: The answer to the Member’s question is as follows:– Recently, the Federal Government has agreed to continue the National Health Reform Agreement for another three years from 2017-18. However, the full benefit of the original guarantees in 2013-14 has not been reinstated which impacts on the Territory position by $11 million over the same four year period (2014-15 to 2017-18).
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Megan Fitzharris MLA
Civic Square, London Circuit (GPO Box 1020) Canberra ACT 2601 T (02) 6205 0127 F (02) 6205 0432 E [email protected] W www.parliament.act.gov.au
Printed on 100% recycled paper
L E G I S L A T I V E A S S E M B L Y F O R T H E A U S T R A L I A N C A P I T A L T E R R I T O R Y STANDING COMMITTEE ON HEALTH, AGEING AND COMMUNITY SERVICES CHRIS STEEL MLA (CHAIR), ELIZABETH KIKKERT MLA (DEPUTY CHAIR), VICKI DUNNE MLA, CAROLINE LE COUTEUR MLA, MICHAEL PETTERSSON MLA
Inquiry into referred 2015–16 Annual and Financial Reports
ANSWER TO QUESTION TAKEN ON NOTICE 2 March 2017
Asked by Mrs Dunne: In relation to: Deputy Chief Minister – Phone Contact List On the Legislative Assembly contact list, there is someone listed in the Chief Minister’s office – the Deputy Chief Minister’s office as a health adviser. Is that correct? Minister Fitzharris: The answer to the Member’s question is as follows:– No it is not correct. There is no Health Adviser in the Deputy Chief Minister’s office. The phone contact list on the Legislative Assembly website was out of date and has been updated.
Approved for circulation to the Standing Committee on Health, Ageing and Community Services Signature: Date: By the Minister for Health, Meegan Fitzharris MLA