1 00:00:00,800 --> 00:00:03,640 Speaker 1: Hello, Katie Wold and three point sixty online at Mix 2 00:00:03,720 --> 00:00:05,160 Speaker 1: one O four nine dot com. 3 00:00:05,840 --> 00:00:08,920 Speaker 2: Earlier in the week, we have discussed the situation at 4 00:00:09,480 --> 00:00:12,360 Speaker 2: Royal Darwin Hospital when it comes to a bed shortage 5 00:00:12,640 --> 00:00:15,600 Speaker 2: for those mental health patients that do. 6 00:00:15,600 --> 00:00:18,400 Speaker 1: Require help out there at the. 7 00:00:18,320 --> 00:00:20,960 Speaker 2: Hospital and maybe there's not enough room at this point 8 00:00:21,000 --> 00:00:22,800 Speaker 2: in time to be able to get them at different 9 00:00:22,800 --> 00:00:26,160 Speaker 2: times I guess into the mental health ward. Now joining 10 00:00:26,239 --> 00:00:30,000 Speaker 2: us on the line is the Australian Medical Association President 11 00:00:30,120 --> 00:00:32,879 Speaker 2: for the Northern Territory, doctor Robert Parker. 12 00:00:32,920 --> 00:00:34,280 Speaker 1: Good morning to you, doctor Parker. 13 00:00:35,240 --> 00:00:36,040 Speaker 3: Morning Katie. 14 00:00:36,200 --> 00:00:37,199 Speaker 1: Now, I know that there. 15 00:00:37,000 --> 00:00:39,600 Speaker 2: Has been a lot of work really happened in this 16 00:00:39,760 --> 00:00:43,040 Speaker 2: space when it comes to mental health and the way 17 00:00:43,120 --> 00:00:47,080 Speaker 2: in which we're able to accommodate patients at Royal Darwin Hospital. 18 00:00:47,680 --> 00:00:50,040 Speaker 2: From all accounts, it seems as though there has been 19 00:00:50,080 --> 00:00:51,960 Speaker 2: a bit of a surge in recent weeks. 20 00:00:53,520 --> 00:00:55,880 Speaker 3: Well, I think this has been constant pressure, Katie, I 21 00:00:55,920 --> 00:00:58,400 Speaker 3: think for quite a while now, and I mean there's 22 00:00:58,400 --> 00:01:01,160 Speaker 3: a range of factors that are impacting on this. Is 23 00:01:01,200 --> 00:01:04,160 Speaker 3: my Ledit the Minister Hunt that points out our hospitals 24 00:01:04,160 --> 00:01:06,960 Speaker 3: are very busy, two to three times as busy as 25 00:01:06,959 --> 00:01:11,119 Speaker 3: the rest of Australia. There's been chronic underfunding of mental 26 00:01:11,160 --> 00:01:14,959 Speaker 3: health services by both sides of politics for many years, 27 00:01:16,240 --> 00:01:19,959 Speaker 3: and there's also been issues about decisions about nurse training 28 00:01:20,000 --> 00:01:22,000 Speaker 3: in the nineteen eighties that have had a significant effect 29 00:01:22,040 --> 00:01:25,000 Speaker 3: on our ability to have mental health trade mental health nurses. 30 00:01:26,000 --> 00:01:28,600 Speaker 3: But added to that, probably, I mean the other significant 31 00:01:28,640 --> 00:01:31,640 Speaker 3: factor is the amount of substance abuse around the community, 32 00:01:31,680 --> 00:01:33,480 Speaker 3: and certainly substance abuse seems to be one of the 33 00:01:33,480 --> 00:01:37,200 Speaker 3: main precipitating factors for the current surgeon in people presenting 34 00:01:37,200 --> 00:01:37,759 Speaker 3: to the hospital. 35 00:01:37,920 --> 00:01:40,760 Speaker 2: Yeah, and doctor Parker, I mean, are we sort of 36 00:01:40,800 --> 00:01:43,800 Speaker 2: always in a situation at the hospital where a lot 37 00:01:43,800 --> 00:01:46,200 Speaker 2: of the time we are having to accommodate patients in 38 00:01:46,319 --> 00:01:49,840 Speaker 2: different areas of the hospital because we don't have enough 39 00:01:49,880 --> 00:01:51,840 Speaker 2: space in the mental health board. 40 00:01:52,680 --> 00:01:55,040 Speaker 3: Well, I think the minister's pointed that out yesterday. You know, 41 00:01:55,720 --> 00:01:58,640 Speaker 3: the ministers agree with that. You know, I'm certainly having 42 00:01:58,640 --> 00:02:00,760 Speaker 3: to pay a tribute to that. As the file. She's 43 00:02:00,880 --> 00:02:02,440 Speaker 3: currently doing a lot of work to try and remedy 44 00:02:02,480 --> 00:02:05,960 Speaker 3: the situation, and I think she's come up. We really 45 00:02:05,960 --> 00:02:10,680 Speaker 3: appreciate the support she's giving us and we're developing hopefully 46 00:02:10,680 --> 00:02:14,760 Speaker 3: some innovative solutions with her support to hopefully try and 47 00:02:14,800 --> 00:02:15,679 Speaker 3: remedy the situation. 48 00:02:16,000 --> 00:02:18,240 Speaker 2: What are some of those innovative solutions that we can 49 00:02:18,320 --> 00:02:21,440 Speaker 2: hopefully come up with really to try to make sure 50 00:02:21,480 --> 00:02:25,799 Speaker 2: that those patients are able to have the support that 51 00:02:25,840 --> 00:02:26,480 Speaker 2: they require. 52 00:02:27,760 --> 00:02:30,720 Speaker 3: Well, again, we're trying to develop more bid space for 53 00:02:30,760 --> 00:02:32,360 Speaker 3: patients to be taken out of the hospital and be 54 00:02:32,400 --> 00:02:35,400 Speaker 3: treated in a situation much more appropriate to their needs. 55 00:02:36,680 --> 00:02:39,600 Speaker 3: We're trying to develop a specific team within the ED 56 00:02:39,800 --> 00:02:42,240 Speaker 3: to assist the ED collisions are often under a lot 57 00:02:42,280 --> 00:02:46,880 Speaker 3: of pressure with the current situation, and we're also very 58 00:02:46,919 --> 00:02:49,760 Speaker 3: gratified that the federal government's finally recognize the issues about 59 00:02:49,760 --> 00:02:52,120 Speaker 3: mental health nursing and is trying to develop appropriate training 60 00:02:52,120 --> 00:02:54,720 Speaker 3: for mental health nurses, which I hopefully remedy some of 61 00:02:54,800 --> 00:02:56,320 Speaker 3: our significant work positions. 62 00:02:56,400 --> 00:02:59,600 Speaker 2: That sounds interesting what you said about maybe having a 63 00:02:59,639 --> 00:03:02,639 Speaker 2: team in the actual emergency department to try and assist, 64 00:03:02,680 --> 00:03:05,280 Speaker 2: because I would imagine that at different times it is 65 00:03:05,400 --> 00:03:08,560 Speaker 2: quite a strain in the emergency ward, you know, when 66 00:03:08,600 --> 00:03:11,400 Speaker 2: you talk at all about all of the different types 67 00:03:11,440 --> 00:03:14,200 Speaker 2: of cases that come in. But then if you've got 68 00:03:14,240 --> 00:03:17,440 Speaker 2: somebody that is specifically trained in mental health to assess 69 00:03:17,520 --> 00:03:19,840 Speaker 2: those patients that come through the emergency doors. 70 00:03:20,440 --> 00:03:22,280 Speaker 1: You would think that it would make quite a difference. 71 00:03:23,240 --> 00:03:26,640 Speaker 3: That's correct, and this has been very supportive in China 72 00:03:26,680 --> 00:03:28,919 Speaker 3: developed such a team to help in the situation. 73 00:03:29,919 --> 00:03:31,760 Speaker 2: I have got a question from a listener this morning 74 00:03:31,800 --> 00:03:35,360 Speaker 2: asking what's the Has the Palmeston Hospital done much to 75 00:03:35,440 --> 00:03:36,760 Speaker 2: alleviate this pressure? 76 00:03:37,840 --> 00:03:41,960 Speaker 3: Unfortunately not metal health issues in the territory have to 77 00:03:42,000 --> 00:03:46,680 Speaker 3: be conducted within gazetted facilities, and the only gazetted facilities 78 00:03:47,280 --> 00:03:49,960 Speaker 3: in the territory are Roaldeo and then Alice Springs Hospital. 79 00:03:50,320 --> 00:03:53,400 Speaker 3: Palmerston is currently not a gazetted hospital, so it's very 80 00:03:53,400 --> 00:03:56,600 Speaker 3: difficult to actually manage people with significant mental health issues 81 00:03:56,720 --> 00:03:59,080 Speaker 3: at Palmerston and they have to be transferred to all Dale. 82 00:04:00,160 --> 00:04:02,920 Speaker 2: Last week earlier this week when we were told that 83 00:04:03,000 --> 00:04:05,840 Speaker 2: at one point last week there was up to seventeen 84 00:04:05,920 --> 00:04:09,200 Speaker 2: patients who couldn't be accommodated in the mental health board. 85 00:04:09,920 --> 00:04:13,040 Speaker 1: Dr Parker, I mean like, is that, I know you. 86 00:04:13,000 --> 00:04:15,800 Speaker 2: Can't go into real specifics with numbers, but is that 87 00:04:16,200 --> 00:04:18,560 Speaker 2: a normal thing to have happened where we do have 88 00:04:18,600 --> 00:04:20,880 Speaker 2: to have patients in other areas of the hospital. 89 00:04:22,040 --> 00:04:24,960 Speaker 3: Well, there's constant pressure. Seventeen There is a large number. 90 00:04:25,760 --> 00:04:27,720 Speaker 3: We've had constant pressure in that area for quite a 91 00:04:27,720 --> 00:04:30,520 Speaker 3: while now, but seventeen is a pretty unusual number to have. 92 00:04:30,800 --> 00:04:35,440 Speaker 2: Yeah. Just on another situation that I am keen to 93 00:04:35,480 --> 00:04:39,280 Speaker 2: ask you about, and that is the testing out there 94 00:04:39,279 --> 00:04:42,200 Speaker 2: at Howard Springs. Are you We just caught up with 95 00:04:42,279 --> 00:04:45,200 Speaker 2: Cath Hatcher from the Nursing and Midwiffree Union. She has 96 00:04:45,279 --> 00:04:48,680 Speaker 2: said that as of Friday, the staff out there are 97 00:04:48,760 --> 00:04:51,560 Speaker 2: going to have the option now with testing. 98 00:04:51,600 --> 00:04:52,520 Speaker 1: They will make sure. 99 00:04:52,320 --> 00:04:56,159 Speaker 2: That they've got those the rapid nasal swabs so that 100 00:04:56,200 --> 00:04:58,240 Speaker 2: if people want to go down that path they're able 101 00:04:58,240 --> 00:05:00,240 Speaker 2: to do. You reckon that that's going to say the 102 00:05:00,240 --> 00:05:03,440 Speaker 2: minds at ease of some of those staff. 103 00:05:03,080 --> 00:05:05,000 Speaker 1: Out there, well, hopefully. 104 00:05:05,000 --> 00:05:08,120 Speaker 3: Obviously rapid testing is really important, particularly with staff caring 105 00:05:08,160 --> 00:05:11,160 Speaker 3: for people potentially with their COVID issue. So I'm very 106 00:05:11,160 --> 00:05:13,440 Speaker 3: happy that area's being developed. Yeah, that's good. 107 00:05:13,760 --> 00:05:13,960 Speaker 1: Hey. 108 00:05:14,200 --> 00:05:16,240 Speaker 2: One other thing I was keen to quickly ask about 109 00:05:16,240 --> 00:05:19,880 Speaker 2: as well is the expansion of the COVID vaccine eligibility. 110 00:05:20,320 --> 00:05:22,599 Speaker 1: Good move, excellent move. 111 00:05:22,680 --> 00:05:25,080 Speaker 3: No, I think it was actually pointed out. You know 112 00:05:25,160 --> 00:05:27,840 Speaker 3: a lot of our guys live in families at large 113 00:05:27,839 --> 00:05:30,240 Speaker 3: family groups, and if we can get the whole family group, 114 00:05:30,320 --> 00:05:33,520 Speaker 3: you know, the set of the individuals immunized, that office 115 00:05:33,760 --> 00:05:36,120 Speaker 3: is a much better protection. So I'm very happy with 116 00:05:36,240 --> 00:05:39,159 Speaker 3: what the government's done on expanding the number of people 117 00:05:39,160 --> 00:05:39,880 Speaker 3: that can be munized. 118 00:05:40,400 --> 00:05:43,840 Speaker 2: Doctor Parker, just very briefly back on that mental health issue. 119 00:05:43,880 --> 00:05:46,080 Speaker 2: I know that that tender has now been released as 120 00:05:46,080 --> 00:05:49,080 Speaker 2: well for the Royal Darwin Hospital, the design of the 121 00:05:49,120 --> 00:05:53,159 Speaker 2: new mental health facilities, designing a new eighteen bed mental 122 00:05:53,160 --> 00:05:57,680 Speaker 2: health facility, a new stabilization and referral area and relocation 123 00:05:57,800 --> 00:06:00,480 Speaker 2: of offices displaced by the work. 124 00:06:01,240 --> 00:06:03,680 Speaker 1: I'm assuming that this can't happen soon enough. 125 00:06:05,080 --> 00:06:06,960 Speaker 3: Unfortunately, it all has to take process and there are 126 00:06:07,000 --> 00:06:12,359 Speaker 3: particularly department processes, buildings, certification processes that all need to 127 00:06:12,360 --> 00:06:15,240 Speaker 3: be developed to allow this to develop. So unfortunately does 128 00:06:15,279 --> 00:06:17,480 Speaker 3: take time, and again it's all to do with safety 129 00:06:17,760 --> 00:06:20,560 Speaker 3: to make sure people are safe. But construction insues in 130 00:06:20,600 --> 00:06:22,600 Speaker 3: the safe way and that we end up with the 131 00:06:22,600 --> 00:06:25,440 Speaker 3: best possible facility for looking after people with series mental 132 00:06:25,440 --> 00:06:26,040 Speaker 3: health issues. 133 00:06:26,400 --> 00:06:29,640 Speaker 2: Well, doctor Robert Parker, the head of the AMA here 134 00:06:29,680 --> 00:06:31,960 Speaker 2: in the Northern Territory, we always appreciate your time. 135 00:06:31,960 --> 00:06:34,080 Speaker 1: We know you're very busy. Thanks so much for chatting 136 00:06:34,120 --> 00:06:34,559 Speaker 1: this morning. 137 00:06:34,760 --> 00:06:35,680 Speaker 3: Good to talk to you, Gatty. 138 00:06:35,760 --> 00:06:36,320 Speaker 1: Thank you