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Speaker 1: You're listening to mix one oh four point nine three

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Speaker 1: point sixty Now. Last week we learned there was another

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Speaker 1: code yellow at Royal Darwin Hospital with Category two and

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Speaker 1: three elective surgeries postpont. It is the third code yellow

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Speaker 1: this year. Joining me on the line is the Health

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Speaker 1: Minister at Tasha Files.

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Speaker 2: Good morning, Good morning Katie, good morning, list moth.

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Speaker 1: Now Minister and news which has just come to hand.

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Speaker 1: In a report by Sky News Darwin's Matt Cunningham, it

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Speaker 1: says that doctors and senior health executives discussed shutting the

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Speaker 1: emergency department, one of Greater Darwin's two hospitals, during crisis

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Speaker 1: talks overstaff shortages. The report reads, the possibility of closing

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Speaker 1: the Palmerston Regional Hospital emergency department was among the options

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Speaker 1: being discussed earlier this month, according to several independent sources

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Speaker 1: familiar with that meeting.

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Speaker 3: Minister is that the case.

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Speaker 2: So, Katie, we have seen incredible pressures on our health

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Speaker 2: system and of that has been due to staffing. That

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Speaker 2: is a very operational question that you have asked, and

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Speaker 2: I don't have that information to hand. I do know

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Speaker 2: that we have got significant staffing challenges across the territory,

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Speaker 2: some in remote clinics, and we have seen staffing a challenge.

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Speaker 2: The code yellow that was called at rod Zawen Hospital

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Speaker 2: last week, I was advised was based on a significant

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Speaker 2: number of people in the emergency department. It wasn't a

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Speaker 2: staffing issue. So I think it's important for territories to

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Speaker 2: understand we do have challenges, but we certainly make sure

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Speaker 2: that we provide the best quality care. We listen to

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Speaker 2: our clinicians and their operational decisions that they make in

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Speaker 2: terms of calling the code yellow and in terms of

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Speaker 2: the discussions that you've just pointed to.

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Speaker 1: Well. It also says that another option raised was to

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Speaker 1: significantly scale back emergency department services at the hospital, with

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Speaker 1: just a handful of beds to be made available for

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Speaker 1: walking patients and ambulances directed to go straight to Royal

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Speaker 1: Darwin Hospital. Minister, are we in a situation here where

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Speaker 1: we do not have enough staff to actually run the

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Speaker 1: Palmeston Hospital, So, Katie, we.

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Speaker 2: Didn't see any of those scenarios eventuate. I was made

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Speaker 2: aware that Palmestan and Royal Darwen, as well as our

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Speaker 2: remote clinics have had those staffing challenges. Palmersin regional Hospital

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Speaker 2: is an important hospital for the community. In his Palmerston

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Speaker 2: and Darwin Hospitals working together, we consider it one hospital system,

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Speaker 2: but across two campuses. We have continued to see an

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Speaker 2: increase in demand for health services as well as the

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Speaker 2: COVID nineteen response, Katie, So we acknowledge that their high

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Speaker 2: demand and we're looking in the longer term what we

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Speaker 2: can do to make sure that we have sustainable services,

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Speaker 2: that we provide that high quality care and there's a

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Speaker 2: number of things that are happening as a part of that.

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Speaker 1: I mean right now, not though we've obviously got a

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Speaker 1: situation where there's been three code yellows now for Royal

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Speaker 1: Darwin Hospital for this year.

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Speaker 3: We're now hearing that, you.

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Speaker 1: Know, with this situation that there was the possibility is

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Speaker 1: actually closing the Palmerston Regional Hospital's emergency department.

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Speaker 3: Are our hospitals at crisis point, So, Katie, there's.

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Speaker 2: Been a body of work done looking at this continued

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Speaker 2: high demand. We know that mental health has been one

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Speaker 2: factor and there's significant work happening in that space and

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Speaker 2: there's been measures taken to date. We've got more subercit beds,

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Speaker 2: we're building more inpatient beds, And in terms of Palmerstan

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Speaker 2: Regional Hospital, what I can stress and very much for

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Speaker 2: your listeners, but that is an important part of our

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Speaker 2: health system. It delivers high quality care. It has particular

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Speaker 2: focuses around rehabilitation and geriatric in a brand new, modern

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Speaker 2: facility that is wonderful for staff and patients. And we're

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Speaker 2: looking across the board how we can continue to provide

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Speaker 2: that best patient care and safety at all times in

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Speaker 2: the delivery of services.

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Speaker 3: Is it a full capacity?

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Speaker 1: Is the Palmerston Regional Hospital operating at full capacity?

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Speaker 2: So Katie, I understand it's at it's one hundred and

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Speaker 2: sixteen bed facility and it's operating at about one hundred

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Speaker 2: beds presently. I should say the beds that aren't online

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Speaker 2: are some surgical beds and we're working to provide those beds.

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Speaker 2: Get those beds online. It's not a straightforward process, of course,

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Speaker 2: they need to be staffed and then we work with

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Speaker 2: the Commonwealth Government who provide that activity based funding. But

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Speaker 2: I can say that the large majority of the beds

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Speaker 2: at Palmerston are online and operational.

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Speaker 1: How many beds do we think we were going to

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Speaker 1: have when this hospital was initially built so it's.

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Speaker 2: One hundred and sixteen bed hospital, Katie, that it was

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Speaker 2: built for, and we were always very open that it

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Speaker 2: would be in a staged approach that the facility would

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Speaker 2: come online. And so you saw the services, some services

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Speaker 2: transition from Royals Island Hospital and then you saw additional

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Speaker 2: services added at the hospital and the services. The beds

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Speaker 2: remaining are some surgical beds, which, as I just explained

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Speaker 2: to your listeners, when that they will come online.

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Speaker 1: So, Minister, is that renal unit at the Palmeston Hospital

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Speaker 1: which had been closed off a number of weeks due

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Speaker 1: to a plumbing issue, is it back and operational.

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Speaker 2: Yes, Katie. So the renal unit was something that wasn't

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Speaker 2: originally in the design plan for Palmerston Regional Hospital, but

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Speaker 2: tragically renal is a growing demand right across the territory.

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Speaker 2: And so yes, we've opened that renal unit. And as

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Speaker 2: we've spoken about a few times, Katie, we had those

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Speaker 2: maintenance issues and it was reopened I understand on September seven.

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Speaker 1: Now, Minister, just to go back to the main point

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Speaker 1: of this story, I mean, the possibility of closing the

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Speaker 1: Palmerston Regional Hospital emergency department being among the options discussed

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Speaker 1: earlier this month as well as you know, significantly scaling

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Speaker 1: back at the emergency department services at the hospital with

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Speaker 1: just a handful of beds to be made available for

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Speaker 1: walking patients. You know, I note that you said that

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Speaker 1: it is almost operating at full capacity, But it doesn't

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Speaker 1: sound as though we're in a situation here where, you know,

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Speaker 1: if that's happening out at the Palmeston Hospital and then

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Speaker 1: at RDH at Royal Darwin Hospital, we've gone into three

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Speaker 1: code yellows. It really doesn't sound as though we've got

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Speaker 1: much capacity should we have any kind of emergency in

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Speaker 1: the territory, let alone and outbreak.

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Speaker 2: Of COVID, so, Katie, in terms of our hospital services,

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Speaker 2: and that's what the code yellow did last week because

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Speaker 2: we acknowledged we had a peak in demand. We had

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Speaker 2: those around thirty people that were admitted in emergency that

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Speaker 2: needed a bed within our hospital system and we didn't

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Speaker 2: have those beds available. We had bed blocked. So what

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Speaker 2: a code yellow does is it's the structural system and

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Speaker 2: it defers some categories of elective surgery so that we

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Speaker 2: can focus on the patients we had to hand. And

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Speaker 2: what our dedicated staff did was they were able to

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Speaker 2: turn that around and the code yellow was listed within

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Speaker 2: about twenty four to thirty six hours because we saw

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Speaker 2: that flow through of beds resuming in the hospital. But

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Speaker 2: I acknowledged Katie, it's a huge challenge healthcare in the

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Speaker 2: Northern territories, but particularly in that acute space of hospital care.

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Speaker 2: We are looking with roh Zalen and Palmerston hospitals Katherine

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Speaker 2: and Noulham Boy are fantastic assets and Norman Boy recently

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Speaker 2: and they've got the capacity to provide additional beds into

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Speaker 2: the system. And how do we have that interface because

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Speaker 2: we need to make sure that the care that the

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Speaker 2: patient receives, their level of illness and that the type

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Speaker 2: of care they need can be matched to those hospitals.

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Speaker 2: So there's a complex body of work that continues all

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Speaker 2: the time to make sure that we grow those services.

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Speaker 2: In terms of COVID, we've done a range of contingency

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Speaker 2: and scenario testing so if we were to see and

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Speaker 2: that's why the vaccination is so important, Katie, if people

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Speaker 2: are vaccinated and we do see the virus in our community,

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Speaker 2: they won't necessarily need those hospital I see you and

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Speaker 2: ventilate their beds they can be cared for in the

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Speaker 2: community with COVID, but we do have strong plans in

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Speaker 2: place if we were to see those higher rates of

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Speaker 2: hospitalization due to COVID.

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Speaker 1: Minister, just to go back to again that main point

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Speaker 1: you know of this story that Matt Cunningham has broken

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Speaker 1: this morning about doctors and senior health executives discussing shutting

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Speaker 1: the emergency department at the Palmerston Regional Hospital. I mean, realistically,

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Speaker 1: did that happen and is that a situation that you

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Speaker 1: know that you're concerned about.

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Speaker 2: Oh, Katie, of course I'm concerned. Our health system and

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Speaker 2: our hospital system is something that we've been very focused

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Speaker 2: on since we came to government. We delivered the Palmerston Hospital.

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Speaker 2: It's an important part of the Royal Darwen Hospital system

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Speaker 2: and we certainly always look at our operations the challenges

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Speaker 2: but also the future opportunities. My understanding is that there

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Speaker 2: was no changes to the dcare at that time, but

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Speaker 2: we do acknowledge that staffing is a challenge and it's

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Speaker 2: not just the physical infrastructure, and that's why we continually

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Speaker 2: work in all of this within health.

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Speaker 3: So are we at crisis point here?

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Speaker 1: I mean, if we're looking at actually shutting the emergency

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Speaker 1: department of one of our hospitals.

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Speaker 3: It doesn't sound good, Katie.

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Speaker 2: We're not at crisis point. Yes, we've got an incredibly

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Speaker 2: busy hospital system that continues to see demand grow. But

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Speaker 2: I've also got amazing clinicians and support staff, and we

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Speaker 2: continually review our operations, the challenges, the future projections that

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Speaker 2: we have to make sure that we have a sustainable

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Speaker 2: health service and a hospital system in.

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Speaker 3: The territory Minestralia.

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Speaker 1: I'm going to continue to push along because I know

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Speaker 1: that you've got a very busy morning and a time

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Speaker 1: pour this morning. You're actually in Central Australia at the

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Speaker 1: moment where we know that vaccination rates in some of

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Speaker 1: those remote areas particularly low. Is that something that you're

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Speaker 1: going to be focusing on while you're in Central Australia.

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Speaker 2: To Katie, protecting our most vulnerable territorians is our absolute priority,

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Speaker 2: and we know the number one protection is the COVID

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Speaker 2: nineteen vaccine. We've seen some great take up rates. There's

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Speaker 2: been over two hundred and thirty thousand doses delivered in

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Speaker 2: the territory. But yes, I'm down here meeting with health

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Speaker 2: representatives both in the aboriginal medical organizations, but also within

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Speaker 2: the Department of Health and traveling to community to hear

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Speaker 2: firsthand what's working and what are the challenges and how

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Speaker 2: we can overcome that. Because the virus the figures keep

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Speaker 2: rising on the East coast, it is seeped out of

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Speaker 2: New South Wales and we must do everything to protect.

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Speaker 1: Territory in now, Minister yesterday, the Chief Minister revealed on

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Speaker 1: the show that's the only thing that's realistically going to

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Speaker 1: change once we do meet that eighty percent vaccination rate

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Speaker 1: is being able to home quarantine. Now, given the fact

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Speaker 1: that we're still going to have to go into lockdowns

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Speaker 1: even once we reach the eighty percent vaccination rate, if

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Speaker 1: there is the threat of COVID spreading in the community

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Speaker 1: and industry is still going to be forced to stop

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Speaker 1: operating if we do go into a lockdown, what kind

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Speaker 1: of impact do you think that this is going to

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Speaker 1: have on tourism.

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Speaker 2: So, Katie, we know that with the COVID nineteen pandemic,

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Speaker 2: there's been many challenges that the virus has changed. We

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Speaker 2: know that vaccinations is the best public health measure, but

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Speaker 2: there will still be other public health measures and needed

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Speaker 2: and that's being such as maybe wearing a mask to

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Speaker 2: our code check ins. And so we can't forecast what

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Speaker 2: the virus is going to do, but we can and

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Speaker 2: protect our community. We absolutely know the devastation, particularly on tourism, hospitality,

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Speaker 2: small business and the economy more broadly that COVID has caused.

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Speaker 2: And so it is finding that balance between keeping our

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Speaker 2: community safe and that the huge burden that COVID would

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Speaker 2: have on us versus you know, those continued impacts on

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Speaker 2: the businesses that I just mentioned.

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Speaker 1: And what about you know, things like the proposed flights

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Speaker 1: from London to Darwood. I mean, how would something like

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Speaker 1: that even work if people do still have to go

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Speaker 1: into quarantine.

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Speaker 2: So, Katie, I think it depends on what are the

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Speaker 2: best public health measures And the Chief Ministers said that

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Speaker 2: over the next six to eight weeks that we will

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Speaker 2: be looking at our vaccination rates. There's a Doughty modeling

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Speaker 2: that's coming back specifically for Indigenous communities. We need to

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Speaker 2: look at the spread of that vaccination rate and then

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Speaker 2: how do we open up our community. But what public

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Speaker 2: health measures do we still need so that we don't

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Speaker 2: see such a severe impact from the coronavirus?

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Speaker 3: All right?

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Speaker 1: We are going to have to leave it there. I

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Speaker 1: know your press for time as am. I thank you

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Speaker 1: very much for having a chat with us this morning.

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Speaker 1: Thank you Minister for Health and also Minister for Tourism.

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Speaker 1: There a Natasha Files that number if you are keen

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Speaker 1: to call through eight nine four one one O four

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Speaker 1: nine