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health workforce « Previous | |Next »
June 5, 2008

I was at a Health workforce forum in Sydney yesterday. It was early start late finish cos of planes and battling Sydney's gridlocked traffic in the wet.

The forum was run by reform minded bureaucrats under the auspices of CoAG. The political problem faced is this: the new investment in health workforce will not be enough to replace the baby boomer health workers. This shortage in supply is made worse by the increased demand on health services by an ageing population. Crunch time. State and federal budget budgets blow out from health care.

NSWtacky.jpg

So what is to be done.That's what the various committees have been set up to future out and advise state and federal ministers. The forum was the bureaucrats reporting back to the various stakeholders on what had been achieved by them and obtaining feed back to what they were up to.

Public health services are in a very bad way in NSW because the previous Carr/Egan regime was obsessed by debt reduction and so they did not invest in health care --along with a lot of other infrastructure--for far too long. Now the Iemma/Costa regime is trying to buy its way out of trouble and they will go into debt to fund the infrastructure spending.

Hence the talk about co-operative federalism. How far Iemma + co support structural change iand system reform in the health system is unclear. The Health MInister talks in terms of innovation in service delivery and traditional responsibilities not being allowed to stand in the way but it is unclear what this means at a political level in NSW.

| Posted by Gary Sauer-Thompson at 1:05 AM | | Comments (1)
Comments

Comments

I know I'm simple minded. Less bureaucrats in the hospital system, more teachers and places to train doctors and nurses, oh and less bureaucrats in the universities would also help. But it aren't going to happen.