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Australia

Community events cancelled, emergency services stretched as volunteer numbers fall

From the Dragon Boat Regatta in Broome to the Orange Mardi Gras festival on the other side of the country, community events are being canceled and emergency services are struggling to cope as the number of volunteers plummets.

The trend has triggered soul-searching among community groups and charities — is it a temporary blip linked to the COVID pandemic, or have Australians become more selfish?

“What we’ve seen is a longer-term decline in volunteering rates, and that’s been amplified by the COVID pandemic,” Volunteering Australia CEO Mark Pearce says.

Paramedics gather around a person on the ground in a park with an ambulance parked nearby
Emergency service crews are staffed mainly by volunteers in many parts of regional Australia.(Supplied)

“There are also changes in how people want to volunteer and participate — there’s increasing demand for flexibility that doesn’t necessarily correlate with the structure of formal volunteering programs.”

The 2021 census data recorded a 19 per cent drop in volunteering since the last snapshot in 2016. The finding is backed up by more regular, in-depth social surveys done by the ABS.

A graph showing a reduction in numbers of a decade period
The number of Australians volunteering has reduced significantly in recent years.

The biggest decline has been recorded in the 15-24 year old age group, the same age group posting an increasing number of controversial ‘good deed’ stunts on social media.

The depletion of the volunteer brigade is affecting sports clubs, emergency services and long-established organizations like Rotary and Lions, that help run events and raise funds for local charities.

Country towns suffering

The impact is most noticeable in regional areas, where event organizers and first-responders are more likely to be unpaid.

As a result, some events are being cancelled, such as the annual Dragon Boat Regatta in Broome.

A wide shot of stalls, people and dragon boats lined up along turquoise waters of a bay.
The Dragon Boat Regatta sees dozens of teams race in Broome’s Roebuck Bay.(Supplied: Abby Murray Photography)

It has been a popular fixture in the town for almost 20 years, and raises tens of thousands of dollars for charity. But this year there weren’t enough people to organize or run it.

“The practical impact in regional and remote Australia is that social activities and the cohesion that takes place by community coming together is lost or significantly reduced,” Mr Pearce says.

“And that has implications for the livability of these communities in which people choose to spend their lives.”

The Dragon Boat Regatta is usually organized by the local Rotary chapter, which currently has only a handful of members.

It is hoping to find enough local people to help with the nine-month organizing process to revive the regatta in 2023.

A group of drag queens blows kisses and laughs.
The Drags on Boats team debuted at the 2015 Dragon Boat Regatta, where most ended up in the water.(ABC News: Erin Parke)

Events fighting across the country

Meanwhile in Alice Springs, organizers are struggling to pull together enough volunteers to hold the beloved Henley-on-Todd Regatta, which raises money for local Rotary Club projects.

Every August, teams of people race on the dry Todd River in boats without bottoms in front of a crowd of about 4,000 people.

Secretary Ron Saint said getting the right number of volunteers had been “tenuous.”

“We would like to have 130 but we’ve got about a hundred. So we’re at that point where we’d like to have 12 people doing a certain role but we’ll have nine or eight,” he said.

Three men stand in a home-made cardboard boat ready to race down a dry riverbed.
Organizers are hoping more locals will get involved to ensure the future of the Henley-on-Todd river race.(ABC News: Alexandra Fisher)

“It’s not going to stop the event … but you’d want a few more [people] in case someone can’t make it.”

Mr Saint believed some people who might volunteer were now trying to make up for paid work lost during COVID lockdowns.

“People are time poor and as we try to get the economy kick started again it’s difficult to commit the discretionary time for volunteer work,” he said.

In March, a proposed inaugural Mardi Gras celebration in Orange, in central west New South Wales, was canceled for the third year in a row when the small team of people organizing the Rainbow City Festival event became “exhausted” from repeatedly having to postpone it .

A scene from a mardi gras event.
The Rainbow City Festival will focus on providing more smaller-scale events in the future. (ABC News: Kevin Nguyen)

What’s causing the decline?

Australian Bureau of Statistics data shows that people aged 40 to 54 are most likely to volunteer.

Women and men participate at a similar rate, with the greatest number of people volunteering with sporting clubs and religious groups.

People living in remote areas are most likely to volunteer, but the rates in regional and urban areas are almost identical.

Social researcher Hugh Mackay has been monitoring Australian attitudes and lifestyle habits for six decades.

“This is a weird period we are in at the moment, that helps explain the decline of volunteering,” he says.

“We’ve been changing in ways that have made us more individualistic, much more concerned about ‘me and my rights and my entitlements and my identity’.

An elderly man leaning against a tree and smiling.
Ever the optimist, social researcher Hugh Mackay sees a silver lining in the COVID cloud.(Supplied)

“And that’s all working against our natural proclivities to be kind and compassionate and cooperative and help each other out.

“But it’s also worth noting that organizations that want volunteers have probably not been quite nimble enough, and not understanding all these societal shifts and the changing culture.”

dr mackay says the main change has been a withdrawal from community involvement.

This has been caused by an increase in the use of social media to stay “connected’; people living alone; and the trend for having fewer children, resulting in fewer opportunities to develop local friendships through schools and kids’ sporting clubs.

“We’ve also become too ‘busy’, and being ‘busy’ is a kind of hiding place, a barrier between us and others,” he says.

“It’s the enemy of social cohesion and the enemy of volunteering, because as long as we can convince ourselves we’re too busy to help other people, we can get away with it – we have made being busy a virtue.”

Are young people the problem?

Dr Mackay rejects the notion that young people are too selfish to volunteer, saying a more nuanced shift has occurred.

“Millennials have grown up with a deep sense of impermanence and have adopted a mantra of ‘let’s keep our options open’,” he says.

A large Chinese dragon performs for a crowd of people with palm trees in background
Every year dozens of volunteers are needed to be the ‘legs’ of Sammy the Dragon, as part of Broome’s Shinju Matsuri.(Supplied: Abby Murray Photography)

“Committing to anything long-term runs against the ethos of this generation, so they will be happy to help out, but reluctant to join up to anything that requires a weekly meeting or a long-term program.

“One of the favorite occupations of older people through history has been to bash younger people and complain about them.

“But it’s worth remembering that the rise of individualism is not a generational phenomenon, it’s happening right across the age ranges.”

All at sea as volunteers jump ship

Some organizations are adapting by asking people to help out with one-off events, or ramping up social media recruitment campaigns.

But sometimes the challenge is retaining the volunteer recruits who do sign up.

In the waters off Broome, it is a matter of life or death — every few weeks the volunteer Sea Rescue team is called out to save a sinking or stranded vessel.

A group of men in fluro shirts sit in a boat.
Volunteer skipper Gareth Owen briefs crew on a planned training exercise.(ABC News: Erin Parke)

Skipper Gareth Owen says cyclones, crocodiles and big tides make it a hazardous job.

“It’s vital we’re able to crew the vessel, because the calls can come at any time,” he says.

“It’s always very close as to whether we have enough people.

“It’s a major problem, because we’re low on numbers and the commitment to training is quite high, so it can be difficult to maintain people’s enthusiasm.”

Mr Owen, who originally signed up to learn marine skills with his young sons, says he’s not surprised the latest census data shows a drop in volunteer numbers.

“I think we’ve seen over the past few years that some people have become a bit more self-centered and they don’t go out as much because of COVID,” he says.

“So I guess a lot of people have prioritized families, and that has put pressure on volunteer groups like us.”

Annie Stephenson has been volunteering with the group for two years, and coordinates recruitment.

A woman in a fluro short stands smiling in front of a boat.
Annie Stephenson says she benefited from volunteer organizations as a child, so is keen to contribute.(ABC News: Erin Parke )

Ms Stephenson says a recent advertising campaign attracted more than 20 people, but the numbers dropped away as they realized the commitment involved.

“It’s one thing to recruit people, but retaining them can be hard,” she says.

“Because there’s so much training involved, we’re looking for people who can commit for two years minimum, but people’s circumstances change, they’ll get a new job or have family commitments, which is totally understandable.

“The key thing for us is to have a big enough pool of qualified crew to share the load and fatigue management, and to make sure people don’t get burned out.”

One of the new recruits is 18-year-old Byron Schaffer.

He says he doesn’t know many people his age who volunteer regularly.

Two men in fluro shirts on a boat at sunset
Byron Schaffer (left) is training as a Sea Rescue volunteer in Broome.(ABC News: Erin Parke)

“I think some teenagers see it as something that ‘adults’ do, people who are a bit more settled down,” he says.

“I really enjoy it, it’s something to do in your free time that makes you feel good.”

What does the future hold?

Volunteering Australia says there has been a small increase in participation rates this year, following the easing of COVID restrictions.

But they are still well short of the volunteer numbers of five years ago.

Volunteer skipper Gareth Owen hopes recent natural disasters might prompt Australians to sign up and offer their time and expertise.

Volunteer Qld firefighter from the Rural Fire Brigade
Thousands of Australians volunteered during recent bushfires and floods.(Supplied: Queensland Department of Community Safety )

“With the floods and the firefighters you see so many awesome volunteers doing things, and I think people forget they are volunteers because they’re doing such an excellent job and they’re at it for so long,” he says.

“Sometimes people might think it’s part of the service we get for being Australian, and not realize we need to put our hand up and look out for each other by volunteering.”

Dr Mackay, now aged 83, remains optimistic.

“I think this rise of individualism marks a really weird, aberrant period in human history, and it’s not actually who we are,” he reflects.

“I think our true nature as communitarians, cooperators, and kind and compassionate people who look out for each other will re-emerge.”

“The pendulum is going to swing back, I am sure of it.”

Additional reporting Steven Schubert

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Categories
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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Categories
Australia

Locum doctor fee rises lead charity to withdraw financial support in five NSW towns

A year or two ago it used to cost just over $1,000 a day for a locum GP to cover while a town’s permanent doctor was on leave. That has now tripled to close to $4,000.

It is this “eye watering” increase that is being blamed on a medical charity withdrawing its financial support to pay for fly-in fly-out doctors in five New South Wales towns.

“It’s a dramatic change, we’re moving from GP locum rates of $1,200 a day up to anywhere between $2,500, $3,500, $3,750 a day,” Rural and Remote Medical Services (RARMS) CEO Mark Burdack said.

“We’re looking in some instances, in some towns, locum rates more than tripling in the last year.”

RARMS has announced that since September 30 it will no longer help pay for locums in Gilgandra, Warren, Bingara, Tenterfield and Braidwood.

The practices in these towns will remain open, but the charity’s decision means they will be saddled with the locum bills.

“We can’t afford to pay locum costs moving forward.

“That means each of the towns, if they lose a general practitioner, if they decide to go, they will potentially be up for anywhere between $2,500 and $3,500 a day to get a locum in.”

The main street of a small town
Bingara in north-west NSW is one of five towns affected by RARMS’s withdrawal.(Supplied: Lisa Herbert)

‘Not in a position to subsidise’

Mr Burdack said the organization had managed to weather the costs for the past few years because of the federal government’s JobKeeper payments.

He said a request for this to be extended was knocked back.

“Unfortunately that’s not something that has been taken up and as a result without that JobKeeper money we’re simply not in a position to subsidize locum coverage in those communities when there’s not a permanent doctor,” he said.

a man looking ahead
RARMS CEO Mark Burdack says negotiations are taking place to help fill the gap left by the charity.(Supplied)

RARMS said permanent doctors in Tenterfield and Braidwood have agreed to take over the full management of those practices.

Mr Burdack said at Bingara, north-west of Tamworth, the local council had stepped in.

decision no surprise

But Gwydir Shire Council Mayor John Coulton said the council was not taking over the Bingara health service and the decision of RARMS came as no surprise.

“We were very suspicious of this happening,” he said.

“We spoke to Mark Burdack in May, he couldn’t give any guarantees they could stay open under the present set-up.

“This is not a function of local government, we are going to do everything we can to facilitate another arrangement.

“We’ve been speaking to different sources that we may be able to use at this stage we have nothing.”

“We had a hook-up yesterday with Gilgandra and Warren, two other councils in the same position, and we’ve been bouncing off each other.”

RARMS says it is negotiating with the Western NSW Local Health District and Western Primary Health Network on future arrangements at Gilgandra and Warren.

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