❓ Question regarding the downgrading of services at Joondalup Health Campus as proposed in the Western Australian Health Clinical Services Framework reports. The answer confirms some downgrades and provides details on service level changes.
AnsweredQoN 2437Legislative Council
QuestionView source ↗
I refer to the Western Australian Health Clinical Services Framework reports for 2005-2015 and 2010-2020, and ask -
(1) Can the Minister confirm that the 2020 report has proposed that the level at which the following services are delivered at Joondalup Health Campus, will be downgraded from the level proposed in the 2015 report, -
(a) surgical services, -
(i) general;
(ii) ENT;
(iii) ophthalmology;
(iv) orthopaedics;
(v) urology;
(vi) cardiothoracic;
(vii) vascular surgery;
(viii) plastics; and
(ix) burns;
(b) emergency/trauma services;
(c) rehabilitation services;
(d) child and adolescents mental health services, -
(i) emergency services (hospital based); and
(ii) inpatient services;
(e) adult mental health services - emergency services (hospital based);
(f) older persons mental health services - emergency services (hospital based);
(g) clinical support services;
(i) pathology;
(ii) radiology;
(iii) pharmacy;
(iv) ICU/HDU;
(v) CCU;
(vi) anaesthetics;
(vii) operating theatres; and
(viii) training and research?
(2) Does the Minister agree that tertiary hospitals provide services, requiring highly specialised skills, technology and support and that typically a tertiary hospital may include centres of excellence, research and development; and will provide a leadership role for integrated clinical services?
(3) Does the Minister agree that the service levels outlined in the Clinical Services framework, describe the range of service complexity covered for each specialty group, classifying these as levels one through six, with level one services are the least complex and level six services are the most complex?
(1) Can the Minister confirm that the 2020 report has proposed that the level at which the following services are delivered at Joondalup Health Campus, will be downgraded from the level proposed in the 2015 report, -
(a) surgical services, -
(i) general;
(ii) ENT;
(iii) ophthalmology;
(iv) orthopaedics;
(v) urology;
(vi) cardiothoracic;
(vii) vascular surgery;
(viii) plastics; and
(ix) burns;
(b) emergency/trauma services;
(c) rehabilitation services;
(d) child and adolescents mental health services, -
(i) emergency services (hospital based); and
(ii) inpatient services;
(e) adult mental health services - emergency services (hospital based);
(f) older persons mental health services - emergency services (hospital based);
(g) clinical support services;
(i) pathology;
(ii) radiology;
(iii) pharmacy;
(iv) ICU/HDU;
(v) CCU;
(vi) anaesthetics;
(vii) operating theatres; and
(viii) training and research?
(2) Does the Minister agree that tertiary hospitals provide services, requiring highly specialised skills, technology and support and that typically a tertiary hospital may include centres of excellence, research and development; and will provide a leadership role for integrated clinical services?
(3) Does the Minister agree that the service levels outlined in the Clinical Services framework, describe the range of service complexity covered for each specialty group, classifying these as levels one through six, with level one services are the least complex and level six services are the most complex?
AnswerView source ↗
Answered
24 June 2010
Responded by
Minister for Transport representing the Minister for Health
Response time
35 days
(1) The Clinical Services Framework (CSF) is reviewed and updated periodically to ensure it remains responsive to the principles of health reform and reflects changes in the health care environment.
Joondalup Health Campus will remain a general hospital within the scope of the 2010-2020 CSF. It will provide services that focus on the broader health needs of the community it serves and should meet most of the health needs of its population.
The proposed level of service has changed from level 5/6 (in CSF 2005?2015) to level 5 (in CSF 2010-2020) for the following specialties.
(a) surgical services
(ii) ENT
(iii) ophthalmology
(iv) orthopaedics
(v) urology
(vii) vascular surgery
(b) emergency / trauma services
(c) rehabilitation services
(g) clinical support services
(i) pathology
(ii) radiology
(iii) pharmacy
(iv) ICU / HDU
(v) CCU
(vi) anaesthetics
(vii) operating theatres
(viii) training and research
Although there will be specialty-specific differences, the following can generally be said to characterise a level 5 service in the following areas:
Surgical Service
Would include
· general surgeon availability.
· some visiting subspecialists and junior medical staff.
· diagnostic services.
· access to specialised allied health.
Would not include
statewide referral role.
expanded teaching and research capacity.
Emergency / Trauma Service
A surgeon available in all specialties commensurate with level 6.
High level ICU trauma team response and access to CCU facilities.
Onsite helicopter landing site.
Ability to accept transfers from other hospitals in the region.
Access to specialised allied health services.
Rehabilitation Services
Both inpatient and outpatient rehabilitation programs.
A rehabilitation specialist service.
Clinical Support Services
It is difficult to characterise the key elements of the level 5 clinical support services mentioned as they are predominantly service-specific. However, at level 6 a hospital can in general be said to offer a more specialised services, with expanded teaching and research capacity.
The CSF 2010-2020 proposes that the following services will not be available at JHC:
(a) Surgical services.
(vi) cardiothoracic.
Please refer to Legislative Council Question on Notice 2439.
(d) Child and adolescent mental health services.
(ii) inpatient services.
Please refer to Legislative Council Question on Notice 2435.
The CSF 2010-2020 proposes that the following services change as follows:
(a) Surgical services
(i) General
CSF 2005-2015 level 6 by 2015/16
- Full range of surgical sub-specialists Type I and II.
- Statewide referral role.
- Undergraduate and post graduate teaching role.
- Research role.
- Undertakes emergency surgery.
- May include kidney and liver transplantation in selected sites.
CSF 2010-2020 level 5 by 2014/15
- General surgeons.
- Some/all Type I sub-specialists.
- May have visiting Type II sub-specialists.
- Registrar/RMO.
- ICU.
- May have some teaching and research role.
- Undertakes most emergency surgery.
- Access to specialised allied health services.
(viii) Plastics
CSF 2005-2015 level 5 by 2015/16
- Diagnostic services and surgery on low, moderate and high risk patents by on call plastic surgeons.
- Link with level 5 rehabilitation services.
- May have some teaching and training role.
- Visiting burns L6 specialist.
CSF 2010-2020 level 4 by 2014-15
- Selected minor procedures on low and moderate risk patients by visiting plastic surgeons.
- Access to designated allied health services.
- Some allied health undergraduate education.
(ix) Burns
CSF 2005-2015 level 4 by 2015/16
- General surgeon providing services for minor/moderate burns to small parts of body.
- Access to specialist SNR.
- Links to level 4 rehabilitation services.
CSF 2010-2020 level 3 by 2014/15
- General surgeon able to provide services for minor/moderate burns to small areas of body.
- Access to some allied health services.
(d) Child and adolescents mental health services
(i) Emergency services
CSF 2005-2015 level 6 by 2015/16
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
- Acute admission unit service.
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
CSF 2010-2020 level 4 by 2014/15
- Mental Health professionals on call.
(e) Adult mental health services - emergency services (hospital based)
CSF 2005-2015 level 6 by 2015/16
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
- Acute admission unit service.
CSF 2010-2020 level 5 by 2014/15
- Mental health professionals on duty 24/7.
(f) older persons mental health services - emergency services (hospital based)
CSF 2005-2015 level 6 by 2015/16
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
- Acute admission unit service.
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
CSF 2010-2020 level 4 by 2014/15
- Mental Health professionals on call.
(2) Yes.
(3) The service levels outlined in the Clinical Services Framework describe the
planned
range of service complexity covered for each specialty group, level six being the maximum level of service.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
http://www.rtlib.com
Joondalup Health Campus will remain a general hospital within the scope of the 2010-2020 CSF. It will provide services that focus on the broader health needs of the community it serves and should meet most of the health needs of its population.
The proposed level of service has changed from level 5/6 (in CSF 2005?2015) to level 5 (in CSF 2010-2020) for the following specialties.
(a) surgical services
(ii) ENT
(iii) ophthalmology
(iv) orthopaedics
(v) urology
(vii) vascular surgery
(b) emergency / trauma services
(c) rehabilitation services
(g) clinical support services
(i) pathology
(ii) radiology
(iii) pharmacy
(iv) ICU / HDU
(v) CCU
(vi) anaesthetics
(vii) operating theatres
(viii) training and research
Although there will be specialty-specific differences, the following can generally be said to characterise a level 5 service in the following areas:
Surgical Service
Would include
· general surgeon availability.
· some visiting subspecialists and junior medical staff.
· diagnostic services.
· access to specialised allied health.
Would not include
statewide referral role.
expanded teaching and research capacity.
Emergency / Trauma Service
A surgeon available in all specialties commensurate with level 6.
High level ICU trauma team response and access to CCU facilities.
Onsite helicopter landing site.
Ability to accept transfers from other hospitals in the region.
Access to specialised allied health services.
Rehabilitation Services
Both inpatient and outpatient rehabilitation programs.
A rehabilitation specialist service.
Clinical Support Services
It is difficult to characterise the key elements of the level 5 clinical support services mentioned as they are predominantly service-specific. However, at level 6 a hospital can in general be said to offer a more specialised services, with expanded teaching and research capacity.
The CSF 2010-2020 proposes that the following services will not be available at JHC:
(a) Surgical services.
(vi) cardiothoracic.
Please refer to Legislative Council Question on Notice 2439.
(d) Child and adolescent mental health services.
(ii) inpatient services.
Please refer to Legislative Council Question on Notice 2435.
The CSF 2010-2020 proposes that the following services change as follows:
(a) Surgical services
(i) General
CSF 2005-2015 level 6 by 2015/16
- Full range of surgical sub-specialists Type I and II.
- Statewide referral role.
- Undergraduate and post graduate teaching role.
- Research role.
- Undertakes emergency surgery.
- May include kidney and liver transplantation in selected sites.
CSF 2010-2020 level 5 by 2014/15
- General surgeons.
- Some/all Type I sub-specialists.
- May have visiting Type II sub-specialists.
- Registrar/RMO.
- ICU.
- May have some teaching and research role.
- Undertakes most emergency surgery.
- Access to specialised allied health services.
(viii) Plastics
CSF 2005-2015 level 5 by 2015/16
- Diagnostic services and surgery on low, moderate and high risk patents by on call plastic surgeons.
- Link with level 5 rehabilitation services.
- May have some teaching and training role.
- Visiting burns L6 specialist.
CSF 2010-2020 level 4 by 2014-15
- Selected minor procedures on low and moderate risk patients by visiting plastic surgeons.
- Access to designated allied health services.
- Some allied health undergraduate education.
(ix) Burns
CSF 2005-2015 level 4 by 2015/16
- General surgeon providing services for minor/moderate burns to small parts of body.
- Access to specialist SNR.
- Links to level 4 rehabilitation services.
CSF 2010-2020 level 3 by 2014/15
- General surgeon able to provide services for minor/moderate burns to small areas of body.
- Access to some allied health services.
(d) Child and adolescents mental health services
(i) Emergency services
CSF 2005-2015 level 6 by 2015/16
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
- Acute admission unit service.
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
CSF 2010-2020 level 4 by 2014/15
- Mental Health professionals on call.
(e) Adult mental health services - emergency services (hospital based)
CSF 2005-2015 level 6 by 2015/16
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
- Acute admission unit service.
CSF 2010-2020 level 5 by 2014/15
- Mental health professionals on duty 24/7.
(f) older persons mental health services - emergency services (hospital based)
CSF 2005-2015 level 6 by 2015/16
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
- Acute admission unit service.
- On duty ED mental health liaison nursing service.
- On duty psychiatrist medical service.
CSF 2010-2020 level 4 by 2014/15
- Mental Health professionals on call.
(2) Yes.
(3) The service levels outlined in the Clinical Services Framework describe the
planned
range of service complexity covered for each specialty group, level six being the maximum level of service.
Notice: This document is created or edited using unregistered or evaluation copy of rtLib valid for testing or development purposes only. To use it for productive or any other purposes please register it. You may purchase the license on
http://www.rtlib.com
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