Page 4026 - Week 13 - Wednesday, 26 November 2014
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(e) ACT Health advised the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) about these concerns prior to their scheduled accreditation review of the training program in September 2014;
(f) RANZCOG has provided ACT Health with a report which included a number of commendations, including good obstetric experience, excellent after hours consultant support, training supervisors who provide ongoing support and feedback to the registrars, a well-planned new building with impressive facilities, commitment to quality control and audit, research opportunities and a consultant coordinating the weekly teaching sessions, but identified areas for improvement required for accreditation for RANZCOG training to be retained; and
(g) ACT Health is working with RANZCOG and the staff of the unit to address these areas for improvement;
(2) calls on the Government to table by no later than 5 December 2014:
(a) a summary of actions taken to address concerns raised in the O&G unit in 2010; and
(b) a summary of ACT Health’s work with the staff of the unit to address the areas for improvement raised by RANZCOG in 2014;
(3) acknowledges the need to let the action plan be implemented and that management must be given scope to manage the issues in the unit; and
(4) thanks the staff of the unit—senior doctors, junior doctors, midwives, allied health, management, administrative and other staff who provide excellent care and services to the women and babies across the region.”.
To recap some of the issues that have been raised in the previous speaker’s speech, in 2010 there was an independent review undertaken to address some of the issues that had been raised by staff, and from that 2010 review a number of actions were undertaken. These included the establishment of the ACT maternity services network; the appointment of an O&G deputy clinical director; ongoing monitoring of clinical outcomes through Women’s Health Australasia and the AHCS; consumer representation at the department’s leadership and quality meetings; the implementation of the continuity at Centenary Hospital (CatCH) program, which provides continuity of midwifery care, including care for women who may have an obstetric or medical complication; the implementation of a shared morbidity and mortality meeting with Calvary Hospital; an organisational wide culture survey in 2012; an O&G specific cultural pulse survey in 2014; a review of the quality and safety framework within maternity services; the recruitment of a new O&G clinical director, with specific allocation of admin time for that clinical director; changes to the on-call roster to one in 10 for consultants, which means they are rostered on every tenth weekend; clerical support implemented for the clinical director; and three additional VMOs recruited to the service.
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