Showing posts with label nsw health hospital rns "reba meagher" "tony abbott". Show all posts
Showing posts with label nsw health hospital rns "reba meagher" "tony abbott". Show all posts

Wednesday, November 28, 2007

Difficult Choices for Libs

Today, the contest for the Liberal Party leadership narrowed after Tony Abbott withdrew because he would not get enough votes. The leadership will be contested by Malcolm Turnbull and Brendan Nelson.

Turnbull seems to have won a number of vox populi polls in the media. Whether that is reflected in the party room is another matter. Of the two, Malcolm Turnbull is the better speaker, and more words of substance seem to come from him than ever came from Brendan Nelson.

Of the contenders for the Deputy Leader, SA's Chris Pyne and WA's Julie Bishop are the most discussed in the media. While he is a qualified in Law, Chris Pyne seems to only ever have worked for the Liberal Party, both before entereing Parliament in 1993, and as a Member of Parliament. This almost total lack of real-world work might well hinder his ambitionis. Julie Bishop has worked as a solicitor and barrister for almost 20 years, had experience on the board of SBS and in an institute for managers.


Andrew Robb, the former Federal Party Director, has less experience in Parliament, but more political nous that Chris Pyne or Julie Bishop, and might well have a steadying influence on Malcolm Turnbull.

The Liberal Party will elect its new leaders tomorrow (Thursday). My prediction, based on CV's and Ministerial & political competence is: Malcolm Turnbull & Andrew Robb.

What I think the Liberal Party will do? I think they will elect Malcolm Turnbull as Leader, with Andrew Robb as Deputy; Chris Pyne and Julie Bishop might withdraw, leaving Robb unopposed. They'll be rewarded with shadow Ministries with increased standing in the Party Room.

John

Post Script - Thursday
Today the Federal Liberal Party elected Brendan Nelson as its leader; Julie Bishop as Deputy Leader. Given Brendan Nelson's somewhat taciturn manner, Julie Bishop will provide some "personality" to the leadership. She should be able to hold her own in Parliament, given her prior performances.
John

Friday, October 05, 2007

Hospitals Can't Heal Themselves

Assertions about Hospital funding, emergency department procedures, ministerial competence, a promised inquiry and changes of minds, and much finger-pointing have been the result of a recent traumatic miscarriage at Royal North Shore (RNS) Hospital in Sydney.

Since 1995-96, the proportion of Federal Government funding towards public hospitals in NSW has fallen from 45% to 41% (2005-06) of the the total funding. The States increased their proportion from 55%-59%. Many will also find unsurprising that the proportion, and dollar amounts, going to private hospitals has increased. Much of that probably comes through the 30% Health Insurance rebate given to taxpayers who then use private hospitals. Still, in NSW 30o people per 1000 people will visit an emergency department - that's a number equivalent to 30% of the population.

Education, transport, universities, TAFE, health. The Federal Government's agenda is to provide more taxpayer support for "private", rather than "public". (The same is true for NSW roads.)

"The time has come", the Walrus said, "to talk of many things ..."
  • We taxpayers might need to pay more tax to fund the public services, such as hospitals, that we want.
  • Or, since State Governments are severely hamstrung in raising revenue by taxes, the Federal Government needs to increase its spending on these.
  • The Federal Government has restricted the number of doctors that can be trained by our universities. It is time they went, with a plan to increase the number of graduating doctors. The plan might also involve lower degree costs for doctors who work in public hospitals after completing their training. Similarly, for nurses.
  • The proposal for local hospital boards is simply about divide, conquer and control by the Federal Government. Let's put that plan to rest.
  • NSW Health Minister Reba Meagher needs to be more productive in her office, and spend more time understanding her portfolio, and less on holidays.
  • Federal Health Minister Tony Abbott must spend less time trying to snipe at, and blame, others (states) and look for ways to work for the people of Australia.
  • NSW Area Health Services need to find failures in all their procedures, staffing levels, staff training, staffing needs (in terms of experience) and infrastructure needs. Then, they can be brutally honest with their departmental and political masters. Only through such a traumatic and cathartic evaluation will a viable 5-10 year plan be possible. We will need that long to fix the systemic and political errors of the last 10 years.
All of these will require a radical change in perspective from all participants.. Economically, we cannot just pump more money in: it needs to be redistributed from elsewhere. As a society we need to set the agenda. We also need politicians and governments who will act in the public interest, not the party interests. Instead of being belligerent, controlling, and blackmailing, governments must actually consider the public good in how they deal with each other.

John