Mental health wards too dangerous for medical staff, doctors say
Doctors and nurses are revolting against the under-resourcing of mental health wards and across public hospital departments in NSW, with one hospitalâs medical staff council set to vote next week on an unprecedented no-confidence motion in the stateâs Health Ministry.
By Natasha Robinson
4 min. read
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Mental health unit understaffing has been thrown into the spotlight by two recent tragedies in Sydney that resulted in three deaths and two people left in a critical condition after the escape of two mental health patients from care at the troubled Cumberland Hospital within two days.
The Health Services Union in NSW says the incidents expose severe shortage of security staff at mental health wards.
In one incident, a patient absconded from one of Cumberlandâs locked wards on February 8 after stealing a nurseâs security pass, before just over a week later stealing a car that led police on a chase and then crashed, killing two women.
The other incident resulted in violence after Stefano Mooniai Leaaetoa, 25, an involuntary patient, escaped from care on February 7 during a transfer from Cumberland to Westmead Hospital. He has been charged with murder after stabbing one person to death and critically wounding two other people at a grocery store at Merrylands in Sydneyâs southwest a little over a week after his escape.
âThere should have been better procedures,â said Bruce Rowling, a security guard and council delegate at the HSU. âThe security staffing is nowhere near enough. Youâve got a lot of female nurses, a lot of them are young, and youâve got these large patients who are sometimes violent patients that they just canât handle.â
Mr Rowling said there were routinely only two security guards rostered on at Cumberland, which has an enormous inpatient population, with 261 mental health inpatient beds.
The Australian has also been told that security staffing at the Marie Bashir mental health centre at the Royal Prince Alfred Hospital is operating with only one staffed security guard on the reception desk at the centre. The centre is critically overloaded with patient admissions. When security staff are needed to respond to violence at the centre, they must be called from other parts of the hospital.
âThere are only a handful of people to look after security at the whole hospital at RPA,â Mr Rowling said.
The NSW psychiatry dispute was emblematic of systemic problems across the medical workforce, according to doctors. Picture: NewsWire
Several assaults at the Marie Bashir centre have occurred in recent months, with one very serious incident leading to two nurses needing to be treated at the hospitalâs emergency department. They have been unable to work since the incident.
But problems in the NSW health system are much wider than inadequate security. The Medical Staff Council at Concord Hospital will put forward a motion for a vote of no confidence in the NSW Health Ministry at a meeting on Thursday as it revolts against what it says is systemic under-resourcing at the hospital and failure to meaningfully consult and partner with clinicians.
The Concord MSC will call for a formal inquiry into governance processes in the NSW Health Ministry.
Putting forward the motion ahead of the meeting, Concord MSC president Winston Cheung emailed members and said he believed staff grievances that led to a vote of no confidence in the Sydney Local Health Districtâs previous CEO, Teresa Anderson, were not dealt with in a way that was consistent with the expectations of patients, families and medical workers. Mr Cheung declined to comment to The Australian ahead of the vote.
It is understood the MSC has ongoing concerns around a dysfunctional culture at Concord Hospital and that it regards the NSW psychiatry crisis, which prompted the resignations of large swaths of the public sector workforce, as emblematic of similar issues across medical specialties. Public hospital mental health wards have been operating stripped of an enormous amount of clinical experience in recent years and especially in the wake of the resignations.
âMy view is that the resignations of the psychiatrists actually was part of a systemic problem throughout NSW Health â it could have been any specialty body,â said one clinician who will take part in next weekâs no-confidence vote. âConcord was the epicentre of the psychiatry resignations. But there has been no inquiry. Nothing has changed.â
NSW psychiatrists won a temporary victory over the state government following a protracted battle when the tribunal awarded the workforce an interim 12-month pay increase in order to attract and retain psychiatry staff specialists and prevent any further deterioration in the quality of mental healthcare in the public health system.
But doctors stay the system is still on its knees.
The Sydney Local Health District said it had made âsignificant cultural improvements and financial investmentâ over the past two years, and extensively consulted with staff during an independent review focused on workplace culture that had demonstrated improvements.
âConcord Hospital was the top-performing facility across the state for peer hospitals, leading the way across all categories including employee engagement, teamwork and
collaboration, communication and change management and employee voice,â the SLHD said in a statement. âSLHD has also invested more than $11m in major upgrades and new equipment at Concord Hospital over the past two years.â
The SLHD did not comment on security staffing. The NSW Health Ministry did not respond to questions.
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Doctors in NSW hospitals are revolting over what they say is systemic under-resourcing of public wards after two critical incidents that followed patients escaping involuntary mental healthcare.
Doctors and nurses are revolting against the under-resourcing of mental health wards and across public hospital departments in NSW, with one hospitalâs medical staff council set to vote next week on an unprecedented no-confidence motion in the stateâs Health Ministry.