❓ Question regarding the potential closure of the cardiothoracic unit at Fremantle Hospital, despite previous assurances it would remain open until Fiona Stanley Hospital was operational. The Minister's response outlines planning for cardiac services and the Reid report recommendations, but doesn't explicitly reconfirm the original commitment.
AnsweredQoN 418Legislative Assembly
QuestionView source ↗
FREMANTLE HOSPITAL - CARDIOTHORACIC UNIT
In 2004 the minister stated that Fremantle Hospital was our most efficient tertiary hospital. In the same year he stated - . . . the cardiothoracic surgery unit at the Fremantle Hospital will remain operational until a new cardiothoracic surgery unit is opened at the new southern tertiary campus. At a meeting last week between the chief executive officers - Linda Smith and John De Campo - and the tertiary hospital heads of department, the head of the department of cardiothoracic surgery at Fremantle Hospital was told that a decision would be made within four weeks that the cardiothoracic unit at Fremantle Hospital be closed. (1) Will the minister explain this? (2) Will the minister reconfirm the commitment that he gave to patients in the southern area that he would ensure that the cardiothoracic unit at Fremantle Hospital would remain operational until those services were transferred to the Fiona Stanley hospital? Mr J.A. McGINTY
In 2004 the minister stated that Fremantle Hospital was our most efficient tertiary hospital. In the same year he stated - . . . the cardiothoracic surgery unit at the Fremantle Hospital will remain operational until a new cardiothoracic surgery unit is opened at the new southern tertiary campus. At a meeting last week between the chief executive officers - Linda Smith and John De Campo - and the tertiary hospital heads of department, the head of the department of cardiothoracic surgery at Fremantle Hospital was told that a decision would be made within four weeks that the cardiothoracic unit at Fremantle Hospital be closed. (1) Will the minister explain this? (2) Will the minister reconfirm the commitment that he gave to patients in the southern area that he would ensure that the cardiothoracic unit at Fremantle Hospital would remain operational until those services were transferred to the Fiona Stanley hospital? Mr J.A. McGINTY
AnswerView source ↗
I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
(1) Will the minister explain this? (2) Will the minister reconfirm the commitment that he gave to patients in the southern area that he would ensure that the cardiothoracic unit at Fremantle Hospital would remain operational until those services were transferred to the Fiona Stanley hospital? Mr J.A. McGINTY replied: I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
(2) Will the minister reconfirm the commitment that he gave to patients in the southern area that he would ensure that the cardiothoracic unit at Fremantle Hospital would remain operational until those services were transferred to the Fiona Stanley hospital? Mr J.A. McGINTY replied: I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
Mr J.A. McGINTY replied: I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
(1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue.
(1) Will the minister explain this? (2) Will the minister reconfirm the commitment that he gave to patients in the southern area that he would ensure that the cardiothoracic unit at Fremantle Hospital would remain operational until those services were transferred to the Fiona Stanley hospital? Mr J.A. McGINTY replied: I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
(2) Will the minister reconfirm the commitment that he gave to patients in the southern area that he would ensure that the cardiothoracic unit at Fremantle Hospital would remain operational until those services were transferred to the Fiona Stanley hospital? Mr J.A. McGINTY replied: I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
Mr J.A. McGINTY replied: I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
I thank the member for Alfred Cove for some notice of the question, which has enabled me to gather this response. (1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
(1)-(2) The purpose of the meeting that was held last Wednesday was to discuss the status of cardiothoracic surgery and to broadly discuss the other issues that are part of the service, such as on-call rosters. It was agreed at the meeting that information would be gathered over the next four weeks for the planning and provision of cardiothoracic services for the metropolitan area. This is a flow-on effect from north metropolitan clinical services planning and the current clinical services planning and resource allocation being undertaken in the South Metropolitan Area Health Service. Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
Recommendation 34 of the Reid report, which is the blueprint for the delivery of health services, which was accepted by the government, states - Cardiothoracic services should operate as an integrated service, reporting to a single head of department with common management and audit protocols and integrated on-call rosters. This approach should be reviewed once the new Southern Tertiary Hospital is operational. The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue. There is considerable debate on the issue of surgical volume as it relates to patient outcome. Ten years ago WA public hospitals were doing over 1 200 cases. Currently the three units do less than 300 cases per annum: Royal Perth Hospital, 280; Sir Charles Gairdner Hospital, 260; and Fremantle Hospital, 170. Ten years ago the medical literature called for units to do a minimum of 300 cases. The implementation of the Reid recommendation and the clinical services framework recommendation needs to take into consideration the safety and quality of the service, the cost to maintain too many units, the ability to staff those units and the duplication of other on-call rosters. No decision has been made on the unit at the Fremantle Hospital. The planning for the provision of cardiac services for the metropolitan area is ongoing. I am able to confirm that the clinical services framework, which is the guide to what will be provided in each of the hospitals in the future, includes cardiothoracic surgical services in the north and also in the south at Fiona Stanley hospital.
The statewide Paediatric Cardiac Surgical Unit at Princess Margaret Hospital should continue.
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