aged care – Michmutters
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Australia

Fixing weekend discharge key to improving capacity at South Australia’s hospitals

A senior doctor at Adelaide’s biggest hospital says the health system is under “siege” and pinpoints Mondays as the busiest day.

SA’s struggling health system was again in focus this week due to the death of a 47-year-old man while he waited for an ambulance in suburban Adelaide on Monday.

Problems around ramped ambulances, overcrowded emergency departments and full inpatient hospital beds, trouble doctors and nurses on any day of the week.

But each Monday a perfect storm of complications aligns, cranking up pressure on health staff and patients.

So, what makes Monday the busiest day in SA’s hospitals, and what can be done about it?

Headshot of Dr Peter Subramaniam at an Adelaide hospital
Dr Peter Subramaniam says having fewer doctors working and community services unavailable on weekends leads to lower discharge rates.(ABC News: Ethan Rix)

A weekend hangover

As medical lead of the surgery program at the Royal Adelaide Hospital and chair of the Australian Medical Association Council, Peter Subramaniam knows South Australia’s health system well.

He says it is under “siege”.

“The system is under pressure and there is a significant demand and our capacity to meet that demand is not working,” Dr Subramaniam said.

The qualified vascular surgeon pinpointed Mondays as the busiest days for hospitals.

“You can see from the data we have that ours are lower on the weekend compared to weekdays,” he discharge said.

“So that contributes to the log jam that occurs on a Monday.”

A masked nurse adjusts their blue plastic glove in an operation room.
Experts say more resources are needed every day of the week, including weekends.(Rawpixel: Chanikarn Thongsupa)

Dr Subramaniam said fewer doctors working to patients over the weekend had an impact discharge.

“Most acute care hospitals operate on reduced staffing,” he said.

But that’s not the only thing bringing down discharge numbers.

“We rely heavily on community services to be available and accessible over weekends and often that’s difficult to organize,” Dr Subramaniam said.

“You might need a rehab bed or a step-down bed or a community nursing service to be able to manage the patient once they’re discharged.

“Once we’ve discharged the patients, they need to go somewhere.”

Elizabeth Dabars stands outside a hospital in Adelaide
Elizabeth Dabars says a criteria-led discharge policy was never fully implemented.(ABC News: Michael Clements)

monday blues

Chief executive of the Australian Nursing and Midwifery Association’s SA branch Elizabeth Dabars said the “absence of senior clinicians” on the weekend was driving up ramping times.

Professor Dabars wants to see nurses, allied health professionals and junior doctors able to discharge more acute patients under something called criteria-led discharge (CLD).

“It’s a win for the people wanting to go home and it’s a win for the broader community who would have better access to hospital beds,” the qualified nurse said.

CLD has been hotly debated for decades and was a policy directive issued by SA Health in 2019.

A car drives past an emergency department building
The state’s emergency departments have been under extreme pressure.(ABCNews)

Professor Dabars said it was never fully implemented.

“That has not really seriously been put in place and that is a blocker to people being discharged,” she said.

“It doesn’t actually make sense for it not to be enabled.”

But the former president of the South Australian Salaried Medical Officers Association, Dr David Pope, said the number of patients that would fit the CLD criteria was small.

“Item [CLD] works quite well in some areas but I defy anyone to go around and find patients sitting around in the hospital for want of a doctor to come in on a Monday morning,” Dr Pope said.

“That just doesn’t happen.”

Headshot of Doctor David Pope
David Pope says elective surgery admissions make Mondays busier than other days.(ABC News: Ethan Rix)

He said a crowded start to the week was a side effect of elective surgery.

“That worse effect on a Monday is purely a function of when elective surgery patients arrive,” he said.

The doctor said the idea that senior clinicians were unwilling to provide care on weekends was damaging to an already stretched workforce.

“Doctors are in the hospitals 24/7, so if there’s a need for a doctor to be in the hospital they will be there if they exist,” he said.

What will change?

The state government said it was looking to make criteria-led discharge “a regular part of hospital operations.”

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Australia

A grieving family says South Australia’s health system is broken after man’s death while waiting for ambulance

The family of a South Australian man who died while waiting for an ambulance on Monday night says the state’s health system is ‘broken’.

The 47-year-old father of two, Andrew, died from cardiac arrest on Monday evening in a Plympton car park, where he had pulled over and called an ambulance after experiencing chest pain.

At the request of the family, the ABC has decided not to publish a picture of him or use his last name.

His family remembers Andrew as a “much-loved” partner, friend, family man and colleague.

Nathan Hutchison, the brother of Andrew’s partner, read a statement on his behalf.

“My partner Andrew was my soul mate and loving father to our children, my heart has been torn in two and I feel broken,” the statement said.

man standing in vest with checkered shirt and glasses
Nathan Hutchison says the health system needs to be fixed. (ABCNews )

“He’s going to be deeply missed, but will always be remembered and very much loved.

“We are devastated he’s been taken so soon.”

Mr Hutchison said that the system needed to be fixed.

“It’s just devastating for us,” he said.

“It’s very hard to put it in words, clearly there’s a system that’s broken and needs to be fixed.

A divided road with palm trees in the median strip, along with directional signs.  Only one car is visible and its parked
The man suffering chest pain called triple-0 after pulling over on Anzac Highway at Plympton. (ABC NewsEvelyn Manfield )

“It’s tearing up my family. Fix the system.

“We do appreciate the work the first responders did when they arrived, and the community members did when they were there.”

Central Adelaide Local Health Network chief executive Lesley Dwyer described the “awful” incident as “an absolutely tragic outcome” and said a full investigation would take place.

TAFE SA chief executive David Coltman said Andrew had been a well-loved member of staff.

“[He] was a highly regarded manager at TAFE SA and we are deeply saddened by his sudden passing,” he said.

“TAFE SA is providing support to [his] colleagues during this difficult time and we extend our heartfelt condolences to [his] Familia.”

A woman with short brown hair wearing a beige scarf and a black top
Lesley Dwyer says discharging NDIS and aged care patients to free up hospital beds remains a priority.(ABCNews)

Acting Health Minister Tom Koutsantonis said the man’s death was “horrific” and said he would also want his elderly father to call him if he had a medical episode.

“I’ve got an elderly father and I say to him, ‘if something happens, call an ambulance and call me’,” he said.

“But that’s not the solution you’d expect in a first-world country.

“In a first-world country, we expect an ambulance to come on time when it’s [a] life-threatening situation.”

A man in a suit standing behind microphones with a road overpass behind him
Tom Koutsantonis urges the public to still call triple-0 in an emergency. (ABC News: Shari Hams)

Mr Koutsantonis said there had been a “whole-of-government” approach to address the health crisis, which included hiring more doctors and nurses, opening private beds, and moving aged care and NDIS patients out of hospital and into care.

“You gotta have faith. We still want people calling triple-0,” he said.

“In three months we’ve done a lot but in three months you can’t fix it.

“Right now there’s no-one in South Australia who’s thinking about this in political terms, they are thinking about in terms of ‘if I call an ambulance will it come in time to save my father, my mother, my child?'”

‘extreme pressure’

Ms Dwyer said the health system was “under extreme pressure on Monday afternoon with large numbers of triple-0 calls.”

“The hospitals themselves had come off a weekend where we’d been extremely busy,” she told ABC Radio Adelaide.

A white hospital building with blue and green windows, with green trees in front of it
Ambulance crews were ramped up at the Royal Adelaide Hospital for three hours on Monday, the union says.(ABC News: Che Chorley)

“And so you had two of the major metropolitan hospitals, being Flinders and the Royal Adelaide, that were really struggling to get people into the emergency department in a timely way to free up ambulances.”

SA Best MLC Frank Pangallo said he was unsure what a government inquiry would achieve “because we all know where it’s going wrong.”

“The system is broken and more people are likely to die unless something happens,” he said.

Mr Pangallo said Andrew’s death was a “tragedy, and most likely was an avoidable one”.

“We’re likely to see instances like this again,” he said.

“Waiting times have blown out to unacceptable levels.”

A man sitting behind a microphone points.  There is a bottle of water next to him and a name tag
Frank Pangallo wrote to Health Minister Chris Picton last week about a different patient.(ABC News: Lincoln Rothall)

Mr Pangallo said he wrote to Health Minister Chris Picton last week about a different patient who had waited two hours for an ambulance after suffering a heart attack.

“There was another tragedy that was averted,” he said.

Mr Pangallo said his office had been told by a member of the public yesterday that a taxi had been dispatched when a triple-0 call was made.

“A family member had called for an ambulance and it wasn’t considered a high priority so a taxi was dispatched,” he said.

“I’ve heard of this happening previously as well.”

Plan alternative options, says union

SA Ambulance Employees Association secretary Leah Watkins said yesterday that South Australians should consider planning alternative options in the event of lengthy ambulance delays.

SA Ambulance Employees Association secretary Leah Watkins.
Leah Watkins says South Australians should prepare a plan for what to do in the event of a lengthy ambulance delay.(ABCNews)

“In the vast majority, people are calling triple-0 because they’re in a point of crisis and they have no other option and they should still do that if they do feel the need,” she said.

“But the ambulance service and the health system is completely overwhelmed at the moment and so if they are concerned that there is going to be a delay for them, to get help early.

“If you’re home alone, call a neighbor or a friend just to let them know what’s going on so that there’s perhaps someone that could come over and wait with you or someone that can drive you to hospital yourself.

Lesley Dwyer said while “there was nothing wrong” with Ms Watkins’ advice, “people should not be frightened of ringing” triple-0, and it should be the “first port of call” in an emergency.

“We’d certainly not advocate people hopping in a car or a taxi if they thought they had a life-threatening condition or one that was going to deteriorate on the way,” she said.

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Australia

CEO of Warrnambool aged care home takes leave following bullying, intimidation claims

An aged care home that failed numerous safety standards and raised the ire of the community is recruiting an interim CEO.

Warrnambool’s Lyndoch Living today confirmed it was actively recruiting while current CEO, Doreen Power, takes leave.

It comes amid a WorkSafe inquiry that is underway after allegations of bullying and intimidation of staff and residents were leveled against Ms Power.

Last week south-west MP Roma Britnell used parliamentary privilege to accuse Ms Power of acting with “subterfuge and arrogance”.

Ms Britnell told the Legislative Assembly the aged care provider’s board should remove her.

“The aged care provider has had more than 200 staff leave over the past couple of years amid claims of bullying and intimidation from the upper management that’s created a toxic workplace,” Ms Britnell said.

“I believe Ms Powell is the source of many of these problems, especially the toxic workplace environment.

“I fear residents’ wellbeing is now at risk.”

Woman with brown hair speaks to crowd with microphone.
Liberal MP Roma Britnell speaks at a community rally against Lyndoch earlier this year.(Supplied: Roma Britnell)

Community unrest has been growing since Ms Power’s tenure began in Warrnambool in 2015.

In recent years, a community action group called “Keep Lyndoch Living” was formed and amassed over 700 members.

According to its Facebook site, the page was created to “give people in the Warrnambool region a space where they can safely discuss the future prosperity of our primary community-based aged care facility, Lyndoch Living.”

Group member Jim Burke said the situation had continued to deteriorate.

The group wants the federal government to remove the board and chief executive and appoint an administrator.

“They need to sort out a more representative board that is accountable to the community. At the moment they elect themselves.”

More than 100 local applications for membership from community members were denied in 2021 with no explanation.

Letter in black and white denying Lyndoch membership to Mr Burke.
More than 100 applications for membership to Lyndoch from community members have been denied.(Supplied: Jim Burke)

Prior to her seven-year Warrnambool stint, Ms Power was CEO of Plenty Valley Community Health for two years between 2012 and 2014, and CEO of Seymour Health from 2007 to 2014.

Ms Power has been contacted by the ABC for comment.

Lyndoch Living board president Susan Cassidy said Julie Bertram — the current director of innovation and organizational development — would lead the executive team until an interim CEO was appointed.

“We assure the Lyndoch and broader communities that our priority is the care and safety of our residents and staff, as we face continued challenges caused by workforce shortages in our region,” she said.

“We thank each and every one of our staff members for their dedicated service.”

Audit finds non-compliance

Lyndoch Living has failed numerous safety standards in three consecutive aged care commission audits.

The Aged Care Quality and Safety Commission told the ABC an unannounced audit in April this year at Lyndoch’s hostel and nursing home found the hostel non-compliant in seven areas, and the nursing home non-compliant in five areas.

Areas of noncompliance included falls, choking and unexplained weight loss.

From July 19 to 22 the commission conducted a second unannounced site visit to Lyndoch’s May Noonan Center and is compiling a report now.

“The Commission is closely monitoring the services,” a spokesman for the Aged Care Quality and Safety Commission said.

“If we assess at any point that consumers are being placed at immediate and severe risk of harm, we will not hesitate to act urgently and without delay to protect consumers.”

Ms Britnell’s federal counterpart, Liberal MP Dan Tehan, said the commission had received 43 complaints about Lyndoch since July last year.

Minister for Disability, Aging and Carers Colin Brooks told the ABC he has written to the Aged Care Quality and Safety Commission about Lyndoch Living.

“I am aware of the community’s concerns regarding Lyndoch and have written to the commission to ask for their continued support in working with Lyndoch,” Mr Brooks said.

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Australia

Federal government promises to fund potential pay rise for aged care workers

The Federal Government has promised to pick up the bill for any potential pay rise for aged care workers in a submission to the Fair Work Commission (FWC).

The independent wages umpire is considering a case brought forward by the unions, calling for a 25-per-cent pay increase for 200,000 residential and home care workers.

While stopping short of nominating how much wages should rise, the Commonwealth argued in its submission that the existing award rates do not reflect the value and skills of the sector.

Minister for Employment and Workplace Relations Tony Burke said the COVID pandemic had exacerbated pressures on the workforce and underlined the case for a pay increase.

“Right now, there is no doubt their work is undervalued. We need to change that,” he said.

“Our government is prioritizing these workers as we fight to get wages moving again.”

Unions celebrate commitment

The Health Services Union welcomed the government’s submission, arguing the aging population and changing expectations had made the roles more complex.

National president Gerard Hayes said the government’s submission was a shot in the arm for the sector.

“Older Australians will not get the care they deserve until we can attract and retain a workforce to look after them,” he said.

“The Government has understood this and taken action.

“We are hopeful the Fair Work Commission will make a decision that recognizes the work value of aged care.

“A decent pay rise is beyond overdue.”

A man in a black shirt and glasses sits at a desk
Health Services Union president Gerard Hayes says Australia has allowed aged care workers to be exploited and overworked for too long.(ABC News: Laura Brierley Newton)

The Interim CEO of employer group Aged and Community Care Providers Association Paul Sadler said the case for a pay rise was strongest for registered and enrolled nurses and personal care workers.

“It would not surprise me to see that the increase for these key workers will be certainly up towards that 25 per cent level,” he said.

“The sooner this decision is made the better, but we do support a staged implementation of the increase.”

An election promise

Lifting the pay of aged care workers was a key recommendation of the Royal Commission into Aged Care Quality and Safety’s final report last year.

During the election campaign, Labor promised if it won the government it would make a submission to the FWC in support of a pay rise for the workforce.

The commitment was criticized by then-prime minister Scott Morrison, who questioned how Labor would fund any increase, instead opting to give aged care workers across the country two standalone payments of $400.

Workforce shortages

Unions and industry groups have argued pay increases are needed to attract and retain skilled workers for the sector.

Aged Care Minister Anika Wells said a pay rise was the first step to addressing workforce shortages.

“We need more staff in aged care and a pay rise is the start of ensuring workers are rewarded for the crucial roles they play,” she said.

“One of the main causes of the gender pay gap is low pay and poor conditions in care sectors like aged care, where the majority of workers are women.

“Increasing wages in aged care is essential to ensuring that men and women are paid equally.”

Wells is sitting next to some out-of-focus colleagues.  She has her hand under her chin.
The Albanian government has committed to funding any proposed wage increase.(ABC News: Matt Roberts)

If the unions’ case is successful, the FWC would vary the aged care award, the document outlining minimum pay rates and conditions for the sector.

That change could see the minimum wage for aged care workers rise by at least $5 an hour.

The minimum wage of a qualified personal carer would be bumped up from $23.09 to $28.86 an hour, dependent on salaries when the application was lodged.

Under the union’s proposal a level 1 aged care worker could see their weekly pay increased from just over $800 to more than $1,000.

The case has been before the FWC since 2020.

It is due to hear from the government and unions when it holds hearings this month.

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Australia

Fair Work Ombudsman announces a record $532 million in unpaid wages were recovered in 2021-22

The Fair Work Ombudsman has announced that a record $532 million in unpaid wages and entitlements was recovered for more than 384,000 workers in 2021-22.

The amount is more than three times that of last year’s figure.

“It’s clearly a problem,” AMP senior economist Diana Mousina said.

Deputy Fair Work Ombudsman Kristen Hannah announced the figures in a speech to the Policy-Influence-Reform (PIR) conference in Canberra this afternoon and said they were good news for workers and compliant businesses.

“The Fair Work Ombudsman’s strengthened compliance and enforcement approach has seen another record amount of back-paid wages for Australian workers in the last financial year,” Ms Hannah said.

On the other hand, it’s also an indication of how large the problem of worker underpayment has become.

More than half of the recoveries – almost $279 million – came from large corporate employers.

In June, the Fair Work Ombudsman (FWO) took Woolworths to court in relation to “major underpayments” of its salaried managers.

But Woolworths is just one of a long list of major employers that have underpaid their workers, including Wesfarmers, Qantas, the Commonwealth Bank, Super Retail Group, Michael Hill Jewelers and the Australian Broadcasting Corporation.

AMP Capital senior economist Diana Mousina sitting in a chair smiling at the camera.
Diana Mousina says wage underpayments are “clearly a problem.”(ABC News: Billy Cooper)

The Fair Work Ombudsman currently has about 50 investigations underway into large corporations that have self-reported underpayments, including some of Australia’s largest companies.

“I don’t know how much longer it will take to resolve,” Ms Mousina said.

“[But] I don’t think it’s part of the normal part of working in Australia.”

In 2021-22, the federal workplace regulator filed a record 137 litigations.

This was close to a doubling of the number of new matters put into court the year before.

Workers’ pay has become a crucial economic issue.

Today Labor made a submission to Fair Work asking for a “significant” increase to the pay of aged care workers, who make up roughly 2.6 per cent of the workforce.

Earlier this year, Fair Work raised the minimum wage by 5.2 per cent and raised award wages by 4.6 per cent.

Larger wage increases have become vital for economic growth as inflation threatens to push over 7 per cent.

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Australia

Vitamin B6 found in over-the-counter vitamins can cause toxicity, peripheral neuropathy in rare cases

When Alison Taylor’s father lost the ability to walk she had no idea an over-the-counter vitamin was to blame.

Ms Taylor told ABC Radio Melbourne her father was diagnosed with vitamin B6 toxicity — a condition that can cause peripheral neuropathy, or nerve damage — after he was unknowingly consuming about 70 times the recommended daily intake for a man his age.

The 86-year-old was active and living independently until last year when Ms Taylor noticed the strength in her legs declining.

He was eventually admitted to hospital after losing the ability to walk.

“We took him to all sorts of different specialists. He’s had a number of consulting neurologists, he’s had MRIs, he’s had CT scans, everything you could think of to investigate why he was losing his mobility,” Ms Taylor said.

After a nine-week stint in hospital, Ms Taylor said one final test was carried out.

“They checked his B6 levels and to quote the doctor, ‘they were off the charts’,” she said.

double dose

Ms Taylor said about four years ago her father went to his GP where routine blood tests revealed he was deficient in B vitamins.

“[The GP] suggested he takes a mega-B supplement, so dad kept taking that,” Ms Taylor said.

“In his mega-B there were 50mg [of B6] and in his multivitamin there was also 50mg.”

Her father was also taking a magnesium supplement, which contained B6.

“Two of the breakfast cereals that Dad was eating everyday were fortified with B6,” she said.

Vitamin pills of different colors scattered on a bench.
The recommended daily intake of B6 is 1.7mg for men aged over 51.(ABC Health: Tegan Osborne)

Ms Taylor said it had been difficult watching her father decline.

“Twelve months ago he was driving. He’s now in aged care and in a wheelchair,” she said.

Her father has been in care for about six weeks to receive additional support and intensive physiotherapy to help rebuild his strength.

Ms Taylor said she was hopeful her father would start to regain his mobility in about six months’ time as his B6 levels returned to normal.

“There’s no suggestion he’ll start to walk as independently as he was before but potentially he won’t have to be in the wheelchair,” she said.

Condition rare but dangerous

RMIT University nutritional scientist and dietician Jessica Danaher said vitamin B6 toxicity was rare as excess B vitamins were generally flushed out by the body in the form of urine.

“However a toxic level could occur from taking too much B6 from supplements over the long-term,” Dr Danaher said.

“In rare cases, having a reduced kidney function as well as taking too much vitamin B6 may contribute to it gradually building up in the body.”

Dr Danaher said people generally received enough B6 through a “healthy and varied diet”.

“[It’s] found in a wide range of foods including meat, poultry, fish, eggs, beans and lentils, seeds and nuts, whole grains, vegetables — especially green and leafy types — and fruits,” she said.

Those who consumed high levels of alcohol, had an overactive thyroid, or were taking contraindicated medications could be more likely to develop a deficiency.

Mix of brightly colored vegetables
A good diet should provide adequate B6 requirements.(Flickr: Jeremy Keith)

“If you are concerned about the levels of nutrients in your blood speak with your GP,” Dr Danaher said.

The Therapeutic Goods Association (TGA) said it was aware of reports in Australia and overseas indicating peripheral neuropathy due to high levels of B6 consumption.

Products that contain more than 50mg are required to display a warning.

In 2020, the TGA said they were reviewing the problem, and the outcome might result in changes to the requirements for medication that contain B6.

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Australia

Calls for clarity around registered nurse staffing for rural aged care

An aged care advocate wants the federal government to support facilities in rural and remote areas to have registered nurses, rather than giving them an exemption to the requirement.

Labor’s aged care reforms include a requirement for there to be a registered nurse (RN) on-site at aged care facilities at all times, but there will be exemptions for rural facilities that are unable to find staff.

Charles Sturt University academic Maree Bernoth acknowledged the regional workforce shortages but said the government was taking an “easy” option.

“Our older people in rural areas deserve the same standards of care as everywhere else,” Dr Bernoth said.

A woman with gray hair and wearing glasses and a yellow shirt standing in front of trees
Maree Bernoth wants a long-term strategy to recruit and retain nurses in aged care.(ABC Riverina: Emily Doak)

“We shouldn’t be looking for a lesser standard or a lesser qualification of people working with our rural older people than is available in metropolitan areas.”

A Senate committee is considering the proposed legislation for 24-7 registered nursing in aged care and will report back at the end of August.

Paul Sadler of the Aged and Community Care Association said exemptions were necessary, particularly for facilities in rural and regional areas.

man in suit with silver tie and pink shirt smiles at the camera
Paul Sadler from the Aged and Community Care Providers Association is lobbying for clarity around exemptions.(Source: Paul Sadler Twitter)

“In particular we don’t want the process of making it mandatory to have a registered nurse 24-7 mean at the end of the day that small aged care homes in country towns have to close because they fail to do that,” Mr Sadler said.

RNs ‘like hen’s teeth’

At Hillston in south western NSW, the community-run aged care facility has first-hand experience of the challenges in recruiting a registered nurse.

Board member John McKeon said the first registered nurse for the 18-bed facility was employed last year after but finding her somewhere to live was also a problem.

“It’s very hard to get accommodation for people, especially out of town people,” Mr McKeon said.

“The manager we have now has to live in a caravan park which is far from satisfactory.

“It’s almost double the cost to have a nurse on your staff as it is a standard care worker, if we need to have more than one nurse it’s going to cost a lot more money and we would struggle without government assistance.”

It is a similar story at Coleambally, also in southern NSW, where the not-for-profit aged care home provides 18 beds for full-time residents and one for respite service.

A woman in a brown jacket stands in the hallway of an aged care home
Manager of Cypress View Lodge at Coleambally, Karen Hodgson is calling for more detail about the aged care reforms.(Supplied: Karen Hodgson)

Manager Karen Hodgson said she was lucky to have two part-time registered nurses.

“Registered nurses are just like hen’s teeth, they’re just not out there, they’re certainly not in our community but they are not even the wider community,” she said.

Concern for the future

Ms Hodgson said there had been no detail about how the proposed exemptions to the aged care reforms would be applied.

“We just want to keep providing the excellent care that we do but I worry about these 19 people; what’s going to happen to them,” she said.

“We run here so that the elderly in our community can stay here, so that they don’t have to go to the nearest town, which is 50 minutes away… My concern is where do they go if we shut our doors? “

Dr Bernoth said long-term strategies were needed to tackle the underlying problem of workforce shortages.

“In our smaller centers we need to think about reliability and certainty of employment, accommodation once they’re there, and a career pathway for them,” Dr Bernoth said.

“I would suggest we think of a another model … where a team of registered nurses might be able to move around a number of smaller facilities.”

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Government passes first bill on aged care reform

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Australia

Managers of St Basil’s Aged Care Home compelled to give evidence at coronial inquest

The managers of a Melbourne aged care home where 50 people died in a COVID-19 outbreak will be compelled to give evidence at a coronial inquiry.

Kon Kontis and Vicky Kos were in charge of the St Basil’s Aged Care Home in Fawkner when the virus swept through the facility in July and August 2020.

They were initially called to give evidence at a coronial inquest last year but refused on the grounds they might incriminate themselves.

State Coroner John Cain then made a ruling compelling them to appear, but Mr Kontis and Ms Kos took the matter to the Supreme Court.

Today Justice Stephen O’Meara ruled against the pair, finding the coroner had acted lawfully.

A blue and white sign that reads 'St Basils Victoria' in front of a building
A COVID outbreak claimed the lives of 50 residents of the St Basil’s aged care facility.(ABC News: Danielle Bonica )

Klery Loutas, who lost her 77-year-old mother Filia Xynidakis in the disaster, has welcomed the decision.

“They [Mr Kontis and Ms Kos] have got vital pieces of the puzzle that they need to share with us so we know exactly what happened, how it happened, so governments and legislators can take action so that it doesn’t happen again,” Ms Loutas said.

Ms Loutas said the delay caused by the Supreme Court action had been difficult for families.

“We’ve all been very anxious, we all want to get through this and survive the stress and the torment and the anguish and the trauma we have faced having gone through this and the process being delayed, it just adds stress to our lives, she said.

“We’ve buried our loved ones, but we haven’t laid them to rest and until we find out exactly what happened to them and why it happened none of us will be at peace, none of us will ever be at ease or start to properly mourn and grieve.”

The inquest last year heard care for residents dropped off dramatically when the virus took hold in mid-July 2020.

After Victoria’s Chief Health Officer ruled that all staff had to be considered close contacts, the federal government struggled to find a replacement workforce.

The inquest heard residents were left malnourished and dehydrated and within six weeks, 50 had died.

The inquest was added while Mr Kontis and Ms Kos’ battle to stay silent continued.

It is unclear when the hearing will resume.

St Basil’s operators facing charges

Today’s Supreme Court decision comes as the operators of the nursing home also appeared in the Melbourne Magistrates’ Court where they are accused of breaching the Occupational Health and Safety Act.

A sign on the fence outside St Basil's Homes for the Aged has olive branches and blue and white ribbons tied to its sides.
WorkSafe alleges the nursing home operator did not make sure workers wore protective equipment.(ABC News: Joseph Dunstan)

St Basil’s is facing nine charges which include failing to provide and maintain a safe working environment, failing to provide information and supervision, and failing to make sure that people other than staff members were not exposed to health and safety risks.

WorkSafe investigators allege the nursing home operator did not make sure workers wore protective equipment and did not train workers in how to use it.

They also allege St Basil’s failed to tell workers when protective equipment should be used, failed to supervise them using the equipment or verify that they were able to competently don and doff the gear.

If convicted, the nursing home provider is facing ends of just under $1.49 million.

St Basil’s will return to court in December for an administrative hearing.

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