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Health Minister admits hospital workplace culture needs improving

Queensland’s health minister says all of the state’s hospitals should review their processes after an inquiry found “negative workplace culture” could be compromising safety at Caboolture Hospital.

Nov 04, 2021, updated Nov 04, 2021

A review of the facility, north of Brisbane, found at least one preventable death occurred there due to surgical negligence between 2015 and 2020.

The report, handed down on Wednesday, also said a “negative workplace culture and destabilised governance structure” could be putting safety at risk.

Health Minister Yvette D’Ath accepted the report’s 19 recommendations and said all state hospitals must learn from the Caboolture Hospital inquiry.

“There is definitely improvements that have to be made around governance, around the culture of the hospital, and particular areas within the hospital,” she told reporters in Cairns on Thursday.

“Even though this is a review into the Caboolture Hospital, I would expect every hospital and health service in Queensland to be looking at this report, looking at their own processes.”

She plans to speak with all health board chairs and chief executives in the state about the report to ensure they are meeting community expectations.

Premier Annastacia Palaszczuk later denied the health minister – who has not attended a press conference in Brisbane since the report was released – was avoiding scrutiny.

“I know how you guys work and it doesn’t matter where I am in the state, you send me questions from Brisbane,” the premier told reporters in Logan.

She said it was not concerning that details of the 37 clinical deaths reviewed by the inquiry were not made public.

Ms Palaszczuk said it was up to the review panel, led by South Australian surgeon James Sweeney, to decide what information was released.

The premier said issues like inadequate patient safety and quality reports would be dealt with by the recommendations.

“That report, it was independent, it was handed down,” the premier said.

“The recommendations have been accepted, they’ll be implemented, and that is exactly what the public would expect to happen.”

The review panel identified only one preventable clinical management issue, a ‘decision to operate’ that caused the death of a patient who otherwise would have been expected to survive.

It said 21 of the deaths did not meet the criteria for review, while 15 cases had been admitted as emergencies with a life-threatening condition.

Metro North chair Jim McGowan said no one would be sacked at the hospital because the inquiry found no evidence of malpractice.

“There are accidents that occur in hospitals every day. Surgery is a complex issue,” he said on Wednesday.

“There are 5000 operations in Caboolture a year, and the number of people who are affected is relatively small, but each one is important.”

Mr McGowan did, however, allude to changes in the governance structure at the facility to remedy the “negative workplace culture”.

“The management structure at Caboolture has had some changes which are now imminent and we will be recruiting new people into some of those critical roles,” he said.

But Liberal National Party leader David Crisafulli labelled the report a ‘dud’, and said the details are the type of which you’d find when not looking for the truth.

Mr Crisafulli and LNP health spokeswoman Ros Bates said the inquiry had spent only three days at the hospital and failed to probe historical cases.

“This isn’t a genuine review and the terms of reference were so narrow patients weren’t given a voice, it was designed to get the result they (the government) wanted,” Crisafulli reporters on Thursday.

“And that result was to say, we’ve done a review and sorry, but nobody’s accountable.”

“This is a review designed to get a result to keep a minister on life support rather than allowing somebody to be held accountable. And we feel that’s wrong.”

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