Chief defends hospital operations

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  • SERIOUSLY ill children are being turned away and surgeries cancelled at the new $1.5 billion Lady Cilento Children’s Hospital.

The no vacancy sign has gone up and staff told that Queensland’s showpiece hospital in South Brisbane is “absolutely full”.

Doctors have warned there are not enough general overnight beds as the winter flu danger period approaches when admissions are expected to soar.

Nurses and doctors broke their silence last week after serious “bed block” prevented a child from Caboolture Hospital requiring tertiary care from being admitted.

And a child from Nambour requiring specialist treatment had to be diverted to the Gold Coast because Lady Cilento was full.

The Sunday Mail was told other children en route to Lady Cilento have been diverted to the Gold Coast Hospital, Prince Charles Hospital at Chermside and the Royal Women’s Hospital at Herston.

Some doctors are exploring the possibility of flying acute patients interstate for emergency surgeries.

An email to staff on May 8 from the divisional director at Lady Cilento warned of trouble ahead: “As has been the case all week — and to be expected in the foreseeable future — the hospital is at absolute capacity. In the absence of early discharges, major surgery will need to be cancelled.”

Doctors and nurses were urged to attempt to discharge any patients they could before 10am each day. “This should be ‘usual practice’ now given the ongoing bed pressures,’’ the email said.

The crisis escalated last week when the Paediatric Intensive Care Unit became overloaded yet again.

Doctors said the crisis was due to a shortage of general overnight beds, a shortage of nurses and a lack of funding. Nurses have told their union they believe there is a shortage of up to 40 nurses in the operating theatres alone.

And some doctors have queried the arrival of student nurses who have not completed their training.

“There are simply insufficient beds to meet demand,’’ said one Queensland Health chief. “And the operating budget is inadequate.”

The hospital now has one less overnight bed than the total number of beds in the two children’s hospitals it replaced — the Royal and the Mater. Hospital planners say Lady Cilento has 92 fewer overnight beds than required to meet current demand.

Health Minister Cameron Dick referred The Sunday Mail to Fionnagh Dougan, the chief of the Children’s Health Queensland Hospital and Health Service.

Ms Dougan declined to be interviewed but said in a statement: “Elective and urgent elective surgical cases are scheduled and booked for the PICU every day but priority must be given to the emergency cases from around the state. Additional emergency and acute theatre capacity has already been developed but despite this, there will always be days or occasions when acute demand will exceed planned or expected levels.

“We understand how distressing and disruptive it can be for parents when an elective surgery is cancelled.”