Billions fail to help government health system

In Queensland as in the U.K.

A leaked memo written by Queensland Health's chief has revealed the Beattie Government has failed to substantially reduce surgical waiting lists despite an unprecedented funding boost and the Premier's claims to have turned the corner on health. The memo, by Director-General Uschi Schreiber, also warns that the integrity of Queensland Health's budget is at risk because little attention is being paid to how the billions of dollars the Government has promised to fix the sector's problems is spent. The two-page document's message is in stark contrast to the glossy brochure on health - titled "Keeping our promise" - mailed out to every Queensland household at a cost of more than $300,000.

A letter from Peter Beattie accompanying the brochure promised the funding would lead to "more hospital beds, shorter waiting times and better health care". But on surgery waiting lists, Ms Schreiber's memo states: "Despite the additional funds in 2005-06, to date, the available data indicates no substantial improvement. This is disappointing. "The effective management of elective surgery is crucial because the public health system's performance is constantly being assessed by the community by reference to this area of service delivery."

Ms Schreiber has summoned top bureaucrats to a strategy forum next week, asking them to justify their existing programs and rein in spending as "there is no further additional funding available" for the 2006-07 financial year. In the June 9 memo, leaked to The Courier-Mail yesterday, Ms Schreiber expresses frustration that a core function of Queensland Health, elective surgery, is still lagging. "It has become apparent that the recent substantial increases in funding to the Queensland public health system has led to a lack of attention to maintaining budget integrity, to the detriment of current and future service sustainability. I am also concerned that the large increases in funding have not been translated into improvements in performance, particularly in relation to elective surgery."

In a further leaked memo dated June 28, Ms Schreiber warns that the growth in employment [As in Britain, the money has gone on bureaucrats] in Queensland Health had increased "beyond the targeted levels". "Our current projections indicate this level of increase in staff may not be sustainable within our current budget allocation," wrote Ms Schreiber, who was appointed to the top job a year ago after the sacking of Dr Steve Buckland.

Ms Schreiber said yesterday she had a mandate to look after health as well as taxpayers' funds and to remind doctors, nurses and administrators that there was not a bottomless well of money. "This is about ensuring that we don't go over budget," she said. "If I'm not careful in managing the place, it will flip the other way where people think there is no reason to keep looking at budget integrity. "We are doing more surgery than the Queensland Health system has ever done in its history. It indicates ever-increasing demand. We have to find a whole lot of new reforms for elective surgery."

The Schreiber warnings come as Mr Beattie reassures Queenslanders in an expensive advertising campaign that the biggest ever reforms to the health system are paying off. An extra $9.7 billion over five years has been pledged by Mr Beattie for "more doctors, nurses and allied health professionals, more hospital beds, shorter waiting times and better health care".

Health Minister Stephen Robertson and Mr Beattie yesterday defended the cost to taxpayers of the advertising blitz. "It's really important that we produce a report card which highlights exactly where the reforms are being done. Queenslanders are entitled to know how the system is improving," Mr Beattie said. But Opposition Leader Lawrence Springborg accused Mr Beattie of "spending $8 million on propaganda trying to convince Queenslanders they have turned the corner". "Despite all the glossy taxpayer-funded advertising and the self-congratulatory claims that they have turned the corner on health, the reality is that under Labor the waiting lists have grown by a further 13 per cent under the Beattie Labor Government," Mr Springborg said. "This is devastating news for those people forced to wait to get the health care they need."

Source

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