COMMUNITY ENGAGEMENT SUMMARY 01/02/2021 - Better ...
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COMMUNITY ENGAGEMENT SUMMARY 01/02/2021
TODAY’S AGENDA 01 WHERE WE’VE BEEN 02 COMMUNITY ENGAGEMENT 03 COMMUNITY SURVEY 04 WHAT’S NEXT
WHERE WE’VE BEEN
• December 2019 • New Melton Hospital confirmed to be part of Western Health network • Decision to explore possible voluntary amalgamation • January – March 2020 • Round one community engagement: face-to-face meetings with staff, community representatives • Better Health For The West website and other online communication • April – October 2020 • Community engagement on-hold through COVID-19 constraints • November – December 2020 • Round two community engagement. Included virtual meetings, community updates and survey • February – March 2021 • Final report in preparation for Western board, Djerriwarrh Administrator • Includes review and analysis of community engagement
COMMUNITY ENGAGEMENT
FIRST ROUND FEEDBACK • Potential impact at Bacchus Marsh, including Grant Lodge • Possible investment in new or expanded services, extended hours at Bacchus Marsh • Benefits from centralised clinical information • Waiting list times under amalgamation scenario • Local access to outpatient appointments • Local leadership presence • Aboriginal and Torres Strait Islander programs • Retaining the name ‘Djerriwarrh Health Services’ • Transparency
SECOND ROUND FEEDBACK • Grant Lodge future • Possible loss of jobs, clinical services, experienced doctors • Waiting list times under amalgamation scenario • Local service levels, fundraising, representation, third party suppliers • Building on existing quality of care; staff rotation/development • Opportunity for better relationships between GPs and hospitals • Centralised Electronic Medical Records system • Addressing population growth • Input into transition process if amalgamation proceeds
COMMUNITY SURVEY
COMMUNITY SURVEY • Survey at Better Health For The West, Moorabool Online and Moorabool News • Available to complete 24 November–8 December 2020 • 217 responses, almost all online • Results independently collated and analysed • Seven key themes identified from open text responses
Other (list) Maternity services
VITAL CLINICAL 11% 10%
HEALTH SERVICES Residential aged care
6%
• Urgent care, local surgical
theatres are priorities
Local surgical theatres
18%
Urgent care
31%
Allied Health
9%
Community Health
15%UNPROMPTED: IMPORTANT SPECIALTY SERVICES • Paediatric development • Behaviour outpatient services • Oncology • Haematology • Emergency • Dialysis • Onsite pathology laboratory • Specialist clinics and diagnostic testing
MOST IMPORTANT FAMILY HEALTH SERVICES
Emergency treatment
Access to specialist doctors
Access to allied health professionals
Access to elective surgery
Access to General Practitioners
Children’s health services
Mental Health
Wellness promotion and disease prevention
Palliative care services
Aboriginal health
Other
0 20 40 60 80 100 120 140 160 180UNPROMPTED: IMPORTANT FAMILY SERVICES • Access to chronic health nurse • Residential aged care (including dementia care) • Dialysis • Surgery • Community-based Rehabilitation • Endocrinology
MOST IMPORTANT POTENTIAL BENEFITS
4.2
4.1
Weighted average
4
3.9
3.8
3.7
3.6
3.5
Better coordination of local More cohesive planning for the Staff development and career Operational and financial Upgraded and unified IT systems
services Western growth corridor opportunities sustainability
Potential benefitMOST COMMON CONCERNS
4.2
4.1
4
Weighted average
3.9
3.8
3.7
3.6
3.5
3.4
Provision of local maternity, Community health services Loss of staff and expertise Choice and care pathways Local ownership and Continued provision of
theatre, urgent care and other that are close to home accountability residential aged care
hospital services
Most common concernsOPEN TEXT Transparency
7%
Greater specialisation
9%
RESPONSES Management structure
8%
Waiting lists
4%
Better services, quality in
the west
25%
Loss of existing services
34%
Job losses or changes
13%THEME 1: LOSS OF EXISTING SERVICES
• I want amalgamation to provide more services not less
• There are a lot of excellent services running at DJHS (e.g.
Autism Assessment Clinic, Neonatal OPD clinic), it would
be important that these continue and not be shut down
• This is purely a cost-cutting measure that will
disadvantage more people than it will benefit. We are not
Western Melbourne. We deserve a health service that
reflects our community's own unique demographics and Loss of existing
services
needs. 34%THEME 2: BETTER SERVICES, QUALITY IN THE WEST
• The amalgamation would be good for a more cohesive
approach for the communities that are becoming more
combined. The varying levels of experience and expertise
when shared would benefit the community
Better services,
quality in the
west
• As long as it is managed with community needs in mind I 25%
feel it is a wise use of already available services
• The West is now a big growth area and it would benefit
from the extra services amalgamating would hopefully
achieve. My biggest concern is the loss of experienced
staffTHEME 3: JOB LOSSES OR CHANGES
• I would like to ensure no one's job is put at risk if the two
services amalgamate
• One of the biggest concerns is loss of jobs. The west is
growing, we need more services and more allied health
practitioners. This is essential if we want to see the
improvements in care coordination that are being promised
• The importance of smooth transition where staff are
amalgamating into growing teams
Job losses or
changes
13%THEME 4: GREATER SPECIALISATION
• Pediatric services are vital in this area due to the increased
Greater
birth rate and large number of families moving into the specialisation
Western corridor 9%
• This may provide an opportunity to expand on NDIS
services - currently there is a gap in the West and the
potential to support those in the community with disabilities
• We desperately need endocrinologists in Bacchus Marsh,
and the maternity section needs to be doubled in size to
cater for the booming population. We also need a proper
Emergency Department.THEME 5: MANAGEMENT STRUCTURE
• This provides a unique opportunity to expand services and
care for both community areas, enables sharing of sometimes Management
structure
scarce resources for better outcomes and opportunities for
8%
our employees. It can only bring positive outcomes for all.
• I think the expertise of current staff and consumer reps at
each health service should be utilised. Creation of layers of
clinical governance and ideal service planning will be
important - for example, experienced clinicians put in senior
project/service plan roles
• Melbourne (metro) systems and services simply do not work
in regional areas. Keeping locals in local health services is
the key to rural. Don't destroy the good work of the local
systems through introduction of metropolitan idealsTHEME 6: TRANSPARENCY
• Communication and transparency are extremely
important and highly valued Transparency
7%
• Clear and transparent communication with all parties
involved will help ease any anxieties any staff or the
community may have
• Clearer understanding of how it would benefit the
community. A lot of people are not happy with the
merger as they believe it will hurt the Moorabool
communityTHEME 7: WAITING LISTS
• The wait list for surgeries would became greater for
Bacchus Marsh and other rural areas
Waiting lists
4%
• If it goes ahead Bacchus Marsh will have longer waiting
times for services and will be competing with western
suburbs residents for access to services
• Currently surgical patients have access to high quality
care with relatively short waiting lists compared to the
bigger metropolitan public hospitalsWHAT’S NEXT
CLEAR COMMITMENTS • Hospital at Bacchus Marsh • Grant Lodge remains • No net job losses as a consequence of amalgamation • Local fundraising for local services • Bacchus Marsh voice, representation in service design
NEXT STEPS • Final analysis, report prepared • Health Services review report independently • If voluntary amalgamation proposal is recommended, and meets the requirements of Health Services Act 1988, the report is provided to Department of Health Secretary for review • If voluntary amalgamation is agreed to be in the public interest, report and recommendation go to the Health Minister
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