Join the discussion on the draft State Public Health Plan 2019-2024

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helen tedesco

02 Oct 2018

The Health Plan fails to recognise the work needed in the first 1000 days of life. Education of our community and appropriate resourcing of health services ante/postnatally is required in order to provide adequate primary and preventative healthcare. More mental health workers and allied health workers are required at all Tiers of the system for meaningful and sustainable change to occur in the first 1000 days of life. Focusing on the first 1000 days + rightsizing the workforce will reduce the demand on the system (health and other) that ensue when a child or 'in need' family not be adequately supported. Suitable inpatient + outpatient allied health staffing must be provided and planned for in any service change.

Tony Glasson

26 Sep 2018

Plans and proposals are fine but we need people.....the right people, fully trained, guided and backed to make any proposal work properly. As an employee of SA Health I feel the system is broken...and repair from within needs to occur first if staff are to provide these new / extra services needed in the draft.
A large majority of staff here in Country Health (Community Health) in my work discipline are feeling extreme pressure...we are drastically understaffed and feel unsupported and misguided by our management. Add in the confusion of NDIS and My Aged Care to make the situation worse.
We have suffered badly from the disastrous Transforming Health Sheme and now we are dealing with more changes to regional areas and governing boards.
PLEASE just focus on providing an effective health service to our community with adequate and appropriate staffing, policy, training and management. For every useless manager/ administrator one can employ 2 staff at "the coal front". Don't just change SA Health....fix SA Health !

Geoffrey Bloor

19 Sep 2018

Public Health and especially preventative health extends to public hospitals as well. The spread of drugs resistant diseases often occurs in hospitals because staff are too busy to adequately follow guidelines regarding hand-washing between patients, use of protective gowns, gloves etc. This was a problem in the organisational culture ol the old RAH and from what I have been told by patients who have been to the new RAH the old culture of ignoring these matters has been transferred there, This must be addressed by more staff, more staff training and legislation to hold managers to account for he poor culture. This is not an issue for the RAH alone but all health facilities (both public and private) and private health providers such as GP's, RDNS, allied heath providers, etc. A public health campaign to teach the community to ask providers whether they have washed between consultations an procedures would be useful in establishing a better preventative culture.

Andrew Miller

16 Sep 2018

I am a member of Rural Doctor’s Association of South Australia (RDASA) and am also the South Australian representative on the National Council of the Australian College of Rural & Remote Medicine (ACRRM). I have worked in over 50 country towns in SA and know their hospitals, general practitioners and communities.
It is clearly identified in the draft State Public Health Plan that the 23% of South Australians who live in rural and regional SA have worse health status than those who live in metropolitan settings.
It is also stated that it is outside the scope of the draft plan to address improving access to doctors, nurses and allied health health professionals in regional communities across SA.
It does not need to be argued that these health professionals through the rural SA are ‘in the front line’ of delivering health care including chronic disease prevention to their communities.
I am disappointed that the critical role of health practitioners in contributing to public health in rural and remote Australia has not been specifically recognised.
Feeling safe within a community is proposed to be a part of public health. I have observed the effect on rural communities that have lost or is threatened with loosing their doctor; these communities are profoundly unsettled. They feel less safe and fear for the ongoing survival of their communities.
I believe that the critical role health professionals have in public health in rural and remote SA should be specifically identified and that the draft plan should include support for these health professionals whose work is critical in reducing the burden of chronic organic and mental health disease.

Jane Johnston

10 Sep 2018

Reactivating the Repat - My husband is an amputee as a result of a malignant angio-sarcoma. He had his left leg amputated at the hip. The Repat Rehabilitation Centre was pivotal to his recovery and the use of the gymnasium and pool essential for his post surgery recovery. This remains the case. He now swims at the Flinders Medical Centre twice a week but there is no gymnasium facility available to him as the Repat gym equipment has all been relocated to FMC and is for use for inpatients only. My husband cannot use a normal gym as he requires a physiotherapist to be present to monitor his exercise program and work it in with his physical limitations. His overall strength and capabilities are disadvantaged because of this. There are other amputees and stroke, brain trauma patients who would greatly benefit from a rehabilitation gym facility. There has been no mention of the amputees being able to access the pool again at the Repat which we understand is again being used by some groups namely those women recovering from breast cancer surgery and treatment. The advantage of the Repat is that it is all on one level and well suited to wheelchair users, easy for taxi access and enable both swimming and gymnasium rehabilitation for those in need. Not just amputees but also stroke patients, road accident victims with brain injury who require physical programs to aid in their recovery and ability to be independent in the everyday world. Also plays an important social role in getting people with similar needs and recovery issues together.

Gabrielle Smith

27 Aug 2018

Thank you for asking for the community’s input.
24 hour services are urgently needed, at regional hospitals.
e.g. Radiology and Ultrasound..
This would make the world of difference, both to the rural patients and to the Adelaide hospitals, which many rural patients are forced to drive to, to be able to utilise the 24 hour services.
The infrastructure for Radiology and Ultrasound is already in most regional hospitals, but the service is only available during weekday business hours, which is very impractical, as injuries and illnesses occur anytime within a 24 hour period, not just during weekday business hours.