NSW hospital closures:
Nurses take public hospital issues to the streets
by Peter Mac Striking nurses from Sydney's Westmead Hospital took the issue of the deteriorating NSW public hospital system to the streets of Parramatta last Friday. This follows a recent two-hour strike by nurses from Sydney's Royal Prince Alfred Hospital during which they staged a street rally over hospital bed closures. The hospital funding cuts have been initiated by both State and Federal Governments, and have their origin in the massive transfer of funds to the private sector, in particular the $1.5 billion tax rebate for private health insurance. In NSW the hospital budget cuts have been achieved in part by the withdrawal of special funding which had been allocated to reduce hospital waiting lists. As the Guardian noted last week, cuts in public health funding are biting so deep that some hospitals are proposing to cut food standards in order to limit cuts to surgery and hospital beds. Westmead Hospital is facing a cut of $6.5 million, which will mean that it must cut 325 operating sessions. It also faces cuts to available beds and other services. Westmead's head of medicine, Professor Richard Kefford, recently said he felt he was being asked to breach his patient "duty of care" when requested to discharge patients in the hospital's overcrowded waiting room. Westmead nurses voted overwhelmingly to take part in the two-hour strike, despite assurances from the NSW Director-General of Health Mick Reid that there would be no bed closures at Westmead unless there was a "commensurate reduction in demand". Assistant General Secretary of the NSW Nurses' Association, Brett Holmes, commented: "... there is no mention there of the surgery reductions and the members thought that once the demand dropped off — as it would once the surgery levels were cut — then the beds would close anyway." The Association is planning a state-wide strike in two weeks time, if no progress is made in discussions with the Minister for Health in the meantime. Association Secretary Sandra Moait said that the Association intended to ensure that Mr Reid was "well-briefed by nurses actually working the wards" and that if the talks were unsuccessful, the union would launch a state- wide campaign for more money for public patient clinical care. "Any campaign would include rallies and industrial action", she added.