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Christine Lassen, Nurse Manager - Staff Management, from Tweed Byron Health Service delivered this presentation at the 2012 Elective Surgery Redesign Conference. For more information about our wide range of medical and health events covering a broad range of industry issues, please visit www.healthcareconferences.com.au
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Christine Lassen
Network Manager
Institute of Trauma Injury Management
Agency for Clinical Innovation NSW
November 2012
The Rural Surgery Futures Project
NSW Surgery Futures Projects
The demand for surgery is increasing
A growing and ageing population
Our workforce is changing
Economic and health technology impacts
Wide dispersion of surgical services across NSW
Significant demographic changes
Metropolitan
Sydney
NSW Surgery Futures Projects
AIM:
To provide a framework for public sector surgery
(both elective and emergency)
in NSW for the next 5 -10 years.
Port Macquarie Base Hospital
NSW Surgery Futures Projects
2010 Surgery Futures Project – Sydney, Central
Coast & Illawarra
2011 Rural Surgery Futures – Non-metro NSW
2011 Newcastle Surgery Futures – Greater
Newcastle
Bathurst Hospital
Background Information
92 non-metropolitan hospitals provide surgical
services
80% of surgical activity is provided by 20 of these
hospitals
There are 33 hospitals in rural NSW that provide
less than 100 procedures per year
Broken Hill Hospital
Land Mass Sq Km
850,000
550,000
510,000
350,000
268,000
NSW
France
Thailand
Germany
New Zealand
http://world.bymap.org/LandArea.html
The Plan Insights Paper
Steering Committee
Consultation Forums
External Consultation
Survey
Newsletters
Web page (ARCHI)
Email address
Consultation Forums
Rural Surgery Futures Project
Consulted with around 200 clinicians & hospital
managers & Rural Organisations
200 clinician responses from an online survey
Visited 26 non metropolitan hospitals
Steering Committee – chaired by Dr Austin Curtin
The Newsletters
The Rural Surgery Futures Report
33 recommendations
Recommendations
Networking
Workforce
Education & Training
Infrastructure
Clinical Service Planning
Networking
Regional resource centre that networks with
surrounding district hospitals
Effective sharing & deployment of resources
Technological
Physical
Financial
Human – for Periop Nurses?
Workforce
Targeted incentives needed to attract and retain a
high quality of diverse workforce
Network recruitment not site appointment
LHD Perioperative CNCs supported by CNEs
Goulburn Base Hospital
Education & Training
Access to dedicated education for staff seen as
advantageous to improving staff retention and the
quality of patient care
That LHDs ensure that perioperative staff have
internet access for educational purposes
Network model – experience in range of specialities
across LHD
The Tweed Hospital
Infrastructure
Ensure clinicians are engaged in the prioritisation of
equipment purchase and replacement
Maintain & determine the useful life of and replace
key surgical assets
Adoption and dissemination of new clinical practices
and surgical technologies within the regional surgical
network
Clinical Services Planning
Needs to be updated regularly, strengthened and
consultative
Includes:
Requirements for new technology
Future workforce
Community expectations
Maitland Hospital
Challenges for Theatre Managers
Ageing infrastructure
Frequent turnover of hospital executives
Keeping workforce skilled and resources for training
new staff
Ageing equipment – gifted to smaller hospitals
Networking across the LHD
Locum medical staff
LHD network model?
LHD Perioperative NE,CNC,CNE?
Internet access on site?
Available courses?
Input into equipment purchasing and new clinical
practices?
Involvement in Clinical Services Planning?
Getting Theatre Managers Thinking
Implementation
Equipment and instrumentation to assist surgery in
the rural hospitals ($375K each rural LHD)
Surgical Fellowship positions in each rural LHD
Emergency Surgery Redesign (Wagga, Tweed,
Maitland & Orange) funding for model $500k
recurrent
Additional nursing FTE positions for Theatres
Wagga Wagga Base Hospital
Further Information
The RSF Survey: http://www.archi.net.au/documents/resources/hsd/rural/rural-
futures/rural-surgery-survey.pdf
The RSF Report: http://www.archi.net.au/resources/delivery/rural/rural-futures
The RSF Insights Paper: http:www.archi.net.au/documents/resources/hsd/rural-
futures/rural-insights.pdf
The Surgery Futures Report:
http://www.archi.net.au/documents/resources/hsd/surgery/futures/surgery-plan.pdf
