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Speaker 1: Well, the Health Minister is here and the number to

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Speaker 1: call him on eight double two to three double O.

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Speaker 1: Chris Pickton, good mining, Good morning, Matthew. We haven't talked

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Speaker 1: as much about ramping in recent times. You'd be touching

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Speaker 1: wood somewhere that the numbers stay down.

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Speaker 2: Well, look, you know, we are very welcoming of the

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Speaker 2: fact that we've had significant improvement in the past couple

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Speaker 2: of months. We're now over forty percent down from where

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Speaker 2: we were. There's still a lot more improvement that needs

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Speaker 2: to happen. Obviously, we're not popping champagne corks. We're certainly

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Speaker 2: not saying that the job is done. But to see

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Speaker 2: that level of improvement is obviously better for patients to

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Speaker 2: get through the system in a timely way, but also

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Speaker 2: to make sure that we can improve our ambulance response

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Speaker 2: times for the community as well. And you know, you

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Speaker 2: and I a number of times over the past couple

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Speaker 2: of years have talked about how important extra beds have

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Speaker 2: been and building those extra beds across the system. And

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Speaker 2: you know, through the course of this year and next year,

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Speaker 2: bringing on the equivalent of a whole new q EH

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Speaker 2: number of beds into the system. And we've seen over

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Speaker 2: the last couple of months a number of those come

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Speaker 2: into the system and it has made a material impact

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Speaker 2: in terms of helping to improve those delays that we're

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Speaker 2: facing for ambulances and ultimately improve response times for people.

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Speaker 3: So certainly very welcoming of that.

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Speaker 1: The beds coming on stream and some have has that

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Speaker 1: made a difference, So it's only been a relatively small number.

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Speaker 3: It definitely has made a difference.

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Speaker 2: I mean particularly the ones that have made the biggest

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Speaker 2: difference forty eight extra beds that we fast tracked at

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Speaker 2: Lymaqwan Hospital, So we've built essentially another level of the

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Speaker 2: hospital in terms of two extra twenty four bed wards.

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Speaker 2: And that is a hospital that certainly runs very efficiently,

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Speaker 2: but has a lot less beds than.

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Speaker 3: Elsewhere across the system.

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Speaker 2: And it's meant a crunch in terms of what we

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Speaker 2: see as patients who have been treated in the emergency department,

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Speaker 2: who have seen the emergency department doctors and nurses but

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Speaker 2: need to go at a ward bed, just haven't had

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Speaker 2: the ward beds to go to. That leads to that

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Speaker 2: emergency department bed being taken out up and then the

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Speaker 2: next patient who seeds to come in hasn't got it

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Speaker 2: where they need to go. So those forty eight beds

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Speaker 2: have made a big difference. There's extra beds that are

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Speaker 2: coming online pretty much right across the system as well,

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Speaker 2: no longer Flinders que H Hampstead, Moudbrey Hospital as well.

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Speaker 2: Very importantly next year, there's going to be a lot

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Speaker 2: of extra mental health beds that will be coming into

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Speaker 2: the system towards the end of next year. And that's

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Speaker 2: another area where we see that blockage where patients have

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Speaker 2: been treated in the emergency department, we just can't get

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Speaker 2: them into a mental health bed fast enough because we

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Speaker 2: don't have enough of them, and that's another area where

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Speaker 2: we need those extra beds to happen.

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Speaker 1: All right, Western Hospital has been on the agenda of laders,

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Speaker 1: you'd be very well aware. And although the Treasure has

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Speaker 1: been handling the media on that because it does involve

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Speaker 1: state government money along the way, But I had a

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Speaker 1: caller yesterday just make the very good point about the

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Speaker 1: extra revenue we're raising now from the mobile phone detection

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Speaker 1: cameras revenue the government didn't have. Why don't we take

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Speaker 1: that and put it into keeping that hospital and the

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Speaker 1: oncology particularly that's been in the news this week open

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Speaker 1: for a while.

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Speaker 2: Well, look, we have been working with the administrators of

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Speaker 2: Western Hospital for the past few months, and as you say,

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Speaker 2: the treasure has been leading this because it's been a

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Speaker 2: company in administration. This is a private hospital. This is

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Speaker 2: a company that really got into trouble in terms of

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Speaker 2: their financial management and have had to gone into administration,

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Speaker 2: and so trying to work with them to make sure

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Speaker 2: that that hospital can get onto a stable footing into

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Speaker 2: the future. And I think as the Treasurer is said

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Speaker 2: to you and the other the breakfast program, we're very

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Speaker 2: hopeful that that is going to be a situation that

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Speaker 2: there will be a transfer to a new owner for

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Speaker 2: Western Hospital and there'll be a continuation of those important

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Speaker 2: private operations for people in the Western suburbs. But as

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Speaker 2: you say, unfortunately what has happened is one part of

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Speaker 2: the hospital, which is the people who get chemo treatment

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Speaker 2: at the hospital, that was going to be sold separately.

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Speaker 2: The administrators Ernst and Young, had seen that as a

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Speaker 2: more actually profitable area of the hospital. They are looking

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Speaker 2: to sell that separately, and that's just fallen through unfortunately

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Speaker 2: in the past couple of days. And so the administrators

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Speaker 2: of the hospital are working very hard, and I spoke

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Speaker 2: to them in fact, just yesterday about this to try

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Speaker 2: to make sure that those patients can be appropriately transferred

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Speaker 2: to other private hospitals in Adelaide if any of those

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Speaker 2: patients want to transfer to become a public patient, and

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Speaker 2: our public hospital system spoke to Central Adelaide Local Health

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Speaker 2: Network CEO yesterday as well that we've got capacity for

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Speaker 2: that to happen as well. So I do have hope

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Speaker 2: that that transfer will happen. I think everybody's focused on

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Speaker 2: how we can make sure that those patients get the

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Speaker 2: care that they need, and certainly the state governor is

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Speaker 2: willing to assist if we need to. But I am

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Speaker 2: confident that there will be capacity in the private system

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Speaker 2: for those private patients to be looked after.

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Speaker 1: What about the staff working there? Again, somebody called through

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Speaker 1: earlier this week saying, well, I'm going to have to

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Speaker 1: take early retirement as a result of this. Have to

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Speaker 1: look at that as an option. Now, should they be

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Speaker 1: retained somewhere in the system. Is there room for that? Well?

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Speaker 2: I think the vast majority of the staff at Western

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Speaker 2: Hospital will hopefully transfer to the new owner. If there's

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Speaker 2: staff that haven't been able to do that through the

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Speaker 2: chemotherapy area, then certainly I think that you know, we've

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Speaker 2: got such a strong market obviously for staff across the system,

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Speaker 2: then they will be picked up either through another private

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Speaker 2: hospital or certainly we're in the market quite aggressively for

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Speaker 2: new staff as well, and I've asked our Health Department

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Speaker 2: to make sure that we are offering jobs to those people,

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Speaker 2: to make sure that if they want to work for

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Speaker 2: say health, then the opportunity for them to do so.

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Speaker 1: Okay, Chris Pickton, the Health Minister is here, Minister for

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Speaker 1: Health and Well Being, any questions in that capacity eight

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Speaker 1: double two to three double O double ow. You are

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Speaker 1: making an announcement today on further tackling elicit tobacco on

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Speaker 1: the vape trade. What's the change there?

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Speaker 2: Yeah, last night through the Parliament, we got through both

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Speaker 2: houses of Parliament now new legislation which really brings into place,

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Speaker 2: you know, some of the equal toughest legislation across the

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Speaker 2: country in terms of taking on both illegal vaping and tobacco.

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Speaker 2: We've significantly increased the penalties. You know, some of these

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Speaker 2: have gone from twenty forty thousand dollars up to now

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Speaker 2: one point five million dollars for breaches of people selling

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Speaker 2: without licenses, selling to minors, etc. We've given new powers

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Speaker 2: to the government to be able to take on this

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Speaker 2: trade as well. And it's on a number of fronts.

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Speaker 3: You know.

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Speaker 2: Obviously any smoking is a huge impact on a health

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Speaker 2: system and on people's health. But also we're seeing this

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Speaker 2: emerging threat of vaping as well, and the past year

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Speaker 2: we've seen the number of young people vaping double in

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Speaker 2: South Australia, and so taking action on that is equally

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Speaker 2: important and making sure that we can get a handle

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Speaker 2: on that before that explodes as an issue as well.

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Speaker 1: Okay, interesting these big fines and sale of elicit tobacco

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Speaker 1: or possession of it for sale up from fifty thousand

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Speaker 1: to seven hundred and fifty thousand dollars for the first offense,

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Speaker 1: one point one million for subsequent offenses. I see in

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Speaker 1: Victoria they're looking at a million dollar penalties over there

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Speaker 1: as well. They announced yesterday. Why don't we have such

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Speaker 1: high penalties for illicit cocaine, elicit marijuana, illicit heroine, meth whatever,

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Speaker 1: it's all illicit. It's just government's missing out on revenue,

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Speaker 1: isn't it. As far as tobacco guys.

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Speaker 2: Look, I mean, you know, there's there's very significant penalties

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Speaker 2: in terms of those illicit drugs as well, and obviously

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Speaker 2: you know, pretty high jail time involved in selling those

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Speaker 2: drugs as well. Look, I think we've sort of tried

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Speaker 2: to get the balance right in terms of you know,

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Speaker 2: some really high financial penalties for people who involved in

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Speaker 2: this trade. I mean, one thing that you know is

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Speaker 2: sometimes said to us is, oh, you're just trying to

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Speaker 2: protect your tax revenue. We actually get no tax revenue

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Speaker 2: as a state government from the sale of cigarettes. Get

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Speaker 2: it back through GST though well you know, in the

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Speaker 2: same way anything's sold through GST, but the the excise

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Speaker 2: goes to the federal government and so all of that,

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Speaker 2: you know, all of that money goes to the federal government.

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Speaker 2: Our interests is a state government, is what we can

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Speaker 2: do to make sure that we protect the health people

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Speaker 2: of the population. So this is not a trying to

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Speaker 2: keep state government tax revenue proposal here, We're really trying

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Speaker 2: to do what was in the best public health interest.

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Speaker 1: Okay. The Greens moved in Parliament last night yesterday amendments

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Speaker 1: to protect children under eighteen who were used in sting operations.

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Speaker 1: There's a job if you can get it as a kid.

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Speaker 1: So what you support this amendment? The government supports it.

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Speaker 1: So what does that mean now for kids?

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Speaker 2: Yeah, Look, one of the bits of the bill that

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Speaker 2: we wanted to bring in place was to make sure

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Speaker 2: that people who are selling to kids vapes or cigarettes

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Speaker 2: that we've got the ability to catch them in the act.

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Speaker 2: So for consumer and business services, working with health and

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Speaker 2: police to be able to put in place operations where

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Speaker 2: we can effectively, as you say, do a STIA operation

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Speaker 2: where you know, people go in do that purchase, they're filmed,

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Speaker 2: it's recorded, and then we're able to use that as

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Speaker 2: evidence before the courts. And so I think Robert Simms raised,

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Speaker 2: you know, whether he was concerned in terms of the

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Speaker 2: age that people might be involved, where the parents would approve,

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Speaker 2: whether there'd be the right protections in place. So we're

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Speaker 2: happy to work with Robert in terms of clarifying that

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Speaker 2: area of the law. And so you will have to

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Speaker 2: be over the age of sixteen, you'll have to be

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Speaker 2: have parents who've approved of it, and they will have

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Speaker 2: to be procedures in place to make sure that the

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Speaker 2: safety of those sixteen and seventeen year olds are protected.

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Speaker 2: But we know this is other states and other countries

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Speaker 2: have this in place. We need to be able to

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Speaker 2: make sure that if people are selling to minors, which

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Speaker 2: is obviously a very serious thing to do, then we've

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Speaker 2: got the ability to take action on that.

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Speaker 1: Face called in from windsor Gardens morning Fae.

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Speaker 4: Yes, good morning to the both of you. Who's just

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Speaker 4: a quick question. Well, the that you were talking about

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Speaker 4: that are coming on into the system, I want to

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Speaker 4: know about the mental health side of things. Is the

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Speaker 4: mental health ward going to be separated from them from

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Speaker 4: the general public wards or is it going to be

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Speaker 4: an inclusive one like like we've paid in the past,

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Speaker 4: especially in the case of when you get mental health

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Speaker 4: patients that are violent and that sort of thing. I

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Speaker 4: just wondered whether I can remember when my father was

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Speaker 4: my late father was alive at the time at different

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Speaker 4: times obviously, but mental health was more separated from the

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Speaker 4: general public back in those days. But I just want

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Speaker 4: to know whether that's going to be the case now.

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Speaker 2: Well, look, thank you very much, Faith for your question,

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Speaker 2: and certainly they'll be connected, but separate, I guess is

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Speaker 2: the way to say it. So, for instance, at the

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Speaker 2: q H. This new mental health area that we're building

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Speaker 2: is across the road from the hospital, so it's got

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Speaker 2: the ability to escalate to the hospital if somebody has

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Speaker 2: a physical issue that they need that hospital care, but

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Speaker 2: it'll be based in a separate area with appropriate safety

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Speaker 2: and security for the public but also people inside that

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Speaker 2: area as well. And what we're trying to do in

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Speaker 2: particularly the three new big wards that we're building at

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Speaker 2: the q EH Modbury and No Longer is these are

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Speaker 2: going to be areas where people will be able to

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Speaker 2: stay longer because one of the concerns it's been raised

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Speaker 2: for mental health for a long time is that, you know,

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Speaker 2: the pressure for beds is such that people get in

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Speaker 2: and out very quickly and it becomes a bit of

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Speaker 2: a revolving door going back to the emergency department then

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Speaker 2: back out. This is going to have a longer length

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Speaker 2: of stay by design, so people have got more time

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Speaker 2: to get properly treated, get more time to get rehabilitated,

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Speaker 2: and then ultimately hopefully you know, less presentations to hospital

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Speaker 2: in the future.

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Speaker 1: All faith, Thank you, Gay at West Croydon. Morning Gay, Good.

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Speaker 5: Morning Chris and Matthew. I've actually had a very positive

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Speaker 5: story about the sat shown his healthcare, which is still ongoing.

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Speaker 5: So I was going in for a I want to

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Speaker 5: tell you all the glory details, but I was going

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Speaker 5: in for a overnight stay at Moudrey Hospital, which went

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Speaker 5: to hell and a handbag. And I'm now at the RAH.

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Speaker 4: So that was.

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Speaker 5: Thirteen days ago and I'll probably be here until the

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Speaker 5: middle of November. Well, I can't stay enough. I've had

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Speaker 5: a lot of hospital stays over my life. And from

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Speaker 5: the cleaning, which is like five star hotel cleaning, beautiful star,

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Speaker 5: beautiful cleaners, nurses, but not just that, it's also the

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Speaker 5: actual system, you know, because a lot of times, you know,

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Speaker 5: as you fully a week yere things get off to

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Speaker 5: the system. You know, someone wasn't supposed to tell someone that,

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Speaker 5: or we're supposed to tell someone I needed this. So

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Speaker 5: I was having a really down down time and I

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Speaker 5: mentioned it to the surgeon. Well, within a day, I

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Speaker 5: had a visit from a psychologist, I had a visit

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Speaker 5: from the spiritual Care. We came up with a couple

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Speaker 5: of different schedules so that I could get more sleep,

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Speaker 5: and they just turned it all around. And I'm feeling

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Speaker 5: so much more positive about my hospital to day, and

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Speaker 5: I cannot rave enough about about the hospital. And besides that,

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Speaker 5: the hospital is just beautiful. You know, every room he's

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Speaker 5: got a bathroom, which I really appreciate. And yeah, I

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Speaker 5: think they just keept knocked so much. It must be

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Speaker 5: so you know, delivered to debilitating when they hear nothing

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Speaker 5: but negative coming.

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Speaker 1: I don't know about waking up for an operation and

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Speaker 1: having the spiritual care person hovering overhead. But you know,

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Speaker 1: apart from apart from and I'm sure the Minister's glad

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Speaker 1: to hear the positive report too.

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Speaker 2: And thank you Gay for calling in. I mean, you're right.

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Speaker 2: You know, there's obviously, you know, a lot of commentary

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Speaker 2: in terms of you know, issues in the healthcare system,

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Speaker 2: but I also hear a lot of positive comments from

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Speaker 2: people like you about the great care that they receive,

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Speaker 2: and I thank you for sharing that. I think it

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Speaker 2: certainly means a lot for the staff to hear that

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Speaker 2: positive feedback as well.

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Speaker 1: Thank you, Gay. Minissa. I want to ask you about

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Speaker 1: COVID and the report out yesterday and I think most people,

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Speaker 1: I'm sure in South Australia would think we handled it

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Speaker 1: here reasonably well, particularly when you see what happened in

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Speaker 1: Victoria and their long lockdowns, but the report overly on

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Speaker 1: the whole critical of the way the country managed it.

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Speaker 1: Do you think we've set up to learn from that

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Speaker 1: to it does? And I read reports today if we

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Speaker 1: had another similar situation, we'd be nowhere near ready.

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Speaker 2: Well, I think that this is a really important report,

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Speaker 2: as you say, because we need to you know, there

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Speaker 2: will be future pandemics and we need to be as

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Speaker 2: best prepared as we possibly can be. So later today

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Speaker 2: we've in fact got a special meeting being held of

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Speaker 2: all state and territory and Mark Butler health ministers around

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Speaker 2: the country to focus on a meeting with the reviewers

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Speaker 2: who have done this, to hear directly from them, but

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Speaker 2: also work on how we can implement the recommendations of

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Speaker 2: this really important report. There's a lot more that we

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Speaker 2: need to do to better prepare for the future. I

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Speaker 2: think there's clearly some things that happened during the course

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Speaker 2: of COVID that would be hard to do again, given

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Speaker 2: the sort of shift in public mood of a number

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Speaker 2: of things. But clearly you know there's also some long

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Speaker 2: term impacts that we're still facing as well. I think

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Speaker 2: impact on kids' mental health is one of those that

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Speaker 2: the report highlights that we need, you know, to do

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Speaker 2: more on. We're doing more at a state level, but

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Speaker 2: hopefully this will lead to more federal government action as well.

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Speaker 2: But ultimately we need to better prepare our plans so

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Speaker 2: that when the next of these incidents was to occur,

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Speaker 2: that we're as prepared as possible. And as you know,

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Speaker 2: you know, we're in opposition at the time for the

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Speaker 2: majority of the COVID pandemic, and we didn't seek to

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Speaker 2: sort of, you know, question each decision as it was

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Speaker 2: being raised. And I think on the whole in South Australia,

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Speaker 2: you know, and the decisions were being made by Grant

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Speaker 2: Stevens as advised by Nicolas Spirier, and I think, you know,

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Speaker 2: they did a great job in making some difficult decisions,

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Speaker 2: and I don't think it's necessarily useful to second guess

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Speaker 2: all of those now. But we should be looking at

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Speaker 2: how we can best prepare, how we can have the

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Speaker 2: best evidence for making decisions in the future. Part of

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Speaker 2: that is going to be having the CDC, which Mark

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Speaker 2: Butler will be setting up and working with the states on,

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Speaker 2: so that we've got that level of evidence to prepare

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Speaker 2: for the future.

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Speaker 1: Should national cabinet moving forward if we get another pandemic

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Speaker 1: in a let's hope we don't in a month, a year.

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Speaker 1: Whenever that national cabinet makes the decisions, the states abide

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Speaker 1: by those rather than have individual premiers beating their chests

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Speaker 1: and saying, look, how tough were you being? Is isn't

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Speaker 1: that a better way to go to approach this nationally

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Speaker 1: rather than state by state?

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Speaker 2: Look, you know, I think that there will always be

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Speaker 2: variances on a state by state basis, you know, I think.

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Speaker 1: Should there be though, I mean, if it's a national pandemic,

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Speaker 1: it doesn't stop at borders state borders. Sure back to

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Speaker 1: colony days for goodness sake.

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Speaker 3: You know.

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Speaker 2: I mean you started this conversation by saying, well, actually

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Speaker 2: we did quite.

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Speaker 1: Well here in South Australia. Well we should be the model.

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Speaker 3: Yeah, but you know you don't.

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Speaker 2: You want to make sure that if there's going to

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Speaker 2: be consistency, that it raises everyone up to the vice level,

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Speaker 2: not takes everyone down to the.

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Speaker 3: Lowest possible levels.

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Speaker 2: So so that's the thing that I would be nervous

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Speaker 2: about that we, you know, having had a good response

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Speaker 2: in South Australia that we don't want to, you know,

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Speaker 2: follow where there were less good responses that took place.

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Speaker 2: So so I mean, I think we've got a federation

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Speaker 2: for a reason. There's pluses and minuses about that, but

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Speaker 2: it has allowed I think, you know, through the course

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Speaker 2: of that pandemic, you know, good decisions to be made

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Speaker 2: in South a good response to be made in South Australia.

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Speaker 2: I think national coordination and where we can have national

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Speaker 2: consistent decision making, that's really important. I mean, certainly since

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Speaker 2: I came in as a Health Minister and Peter came

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Speaker 2: in as the Premier, we've tried to you know, really

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Speaker 2: drive national consistency as much as possible, and we're really

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Speaker 2: involved in a lot of those easing of restrictions and

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Speaker 2: we sought to do that on a nationally consistent basis.

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Speaker 2: So I think that that should be an objective. But

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Speaker 2: I think that there's always got to be a power

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Speaker 2: to reserve for states to be able to make some

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Speaker 2: specific decisions for their own public.

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Speaker 1: All right, Chris Pichton have to leave it. They appreciate

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Speaker 1: your time this morning. Thanks mattin the Health Minister Chris

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Speaker 1: Picton in the studio this morning,