The problems are already well known; what we need are solutions and health care reform
The New South Wales Government has announced another investigation into the health care system. This latest inquiry was triggered by the Deputy State Coroner, Carl Milovanovich, who called for a “full and open inquiry into the delivery of health services in NSW”.1 The stimulus for this call was his review of the case of 16-year-old Vanessa Anderson, who died after being admitted to Sydney’s Royal North Shore Hospital. Although mooted to be broader in scope, this inquiry swiftly follows an external review2 and a parliamentary inquiry3 into another patient mishap at the same hospital. In this issue of the Journal, Joseph and Hunyor, two of the Royal North Shore Hospital clinicians who gave evidence at the parliamentary inquiry, provide a first-hand account of the inquiry process and argue the case for clinicians’ active involvement in health care reform (→ The Royal North Shore Hospital inquiry: an analysis of the recommendations and the implications for quality and safety in Australian public hospitals).4
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- Centre for Clinical Governance Research in Health, Faculty of Medicine, University of New South Wales, Sydney, NSW.
- 1. Wallace N, Smith A, Brown M. Vanessa, 16, killed by a sick system. Sydney Morning Herald 2008; 25 Jan: 1.
- 2. Hughes C, Walters W. Report of inquiry into the care of a patient with threatened miscarriage at Royal North Shore Hospital on 25 September 2007. Sydney: NSW Department of Health, Oct 2007. http://www.health.nsw.gov.au/pubs/2007/pdf/inquiry_rnsh.pdf (accessed Jan 2008).
- 3. Joint Select Committee on the Royal North Shore Hospital. Report on inquiry into the Royal North Shore Hospital. Sydney: New South Wales Parliament, Dec 2007. http://www.parliament.nsw.gov.au/prod/parlment/committee.nsf/0/2067fbc90d0e6eb4ca2573b700008fbb/$FILE/071220%20Final%20Report.pdf (accessed Jan 2008).
- 4. Joseph AP, Hunyor SN. The Royal North Shore Hospital inquiry: an analysis of the recommendations and the implications for quality and safety in Australian public hospitals. Med J Aust 2008; 188: 469-472.
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- 7. Health Care Complaints Commission. Investigation report. Campbelltown and Camden Hospitals, Macarthur Health Service. Sydney: HCCC, Dec 2003. http://www.health.nsw.gov.au/pubs/i/pdf/invstign_hccc_2.pdf (accessed Jan 2008).
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- 9. Independent Commission Against Corruption. Report on investigation into various allegations relating to the former South Western Sydney Area Health Service. Sydney: ICAC, 2005. http://www.icac.nsw.gov.au/files/pdf/Jardine_Part_2_for_web.pdf (accessed Jan 2008).
- 10. Milovanovich C, Magistrate (NSW Deputy State Coroner). Inquest into the death of Vanessa Anderson. Westmead File No. 161/2007. Sydney: Westmead Coroner’s Court, 24 Jan 2008.
- 11. Hindle D, Braithwaite J, Travaglia J, Iedema R. Patient safety: a comparative analysis of eight Inquiries in six countries. Sydney: Centre for Clinical Governance Research, University of New South Wales, 2006. http://www.cec.health.nsw.gov.au/pdf/PatientSafetyreportWEB3.pdf (accessed Feb 2008).
- 12. Peay J, editor. Inquiries after homicide. London: Duckworth, 1996.
- 13. Braithwaite J, Westbrook MT, Hindle D, et al. Does restructuring hospitals result in greater efficiency? An empirical test using diachronic data. Health Serv Manage Res 2006; 19: 1-12.
- 14. Meagher R. Terms of reference finalised for Special Commission of Inquiry [media release]. Sydney: NSW Health, 29 Jan 2008. http://www.health.nsw.gov.au/news/2008/20080129_00.html (accessed Jan 2008).