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NSW health minister Brad Hazzard outside a hospital.
NSW health minister Brad Hazzard says it is ‘ridiculous’ to describe the state’s public hospitals as having ‘third world’ conditions. Photograph: James Gourley/AAP
NSW health minister Brad Hazzard says it is ‘ridiculous’ to describe the state’s public hospitals as having ‘third world’ conditions. Photograph: James Gourley/AAP

Brad Hazzard rejects emergency doctors’ claim NSW health system is ‘third-world’

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State health minister says evidence given to inquiry that patients wait up to 36 hours to see a doctor are ‘rubbish’

The New South Wales health minister has rejected criticism of the state’s healthcare system as “third-world” by doctors speaking at a parliamentary inquiry.

Brad Hazzard dismissed some of the comments made by emergency medical experts on Wednesday. The doctors had been quizzed at an inquiry hearing about “war zone” conditions in public hospitals that remain under pandemic stress.

“Well, they want to go and work in the third world then,” Hazzard said.

“That’s a ridiculous proposition.

“Those doctors who spoke are very good in their own areas … but it doesn’t necessarily mean they’re good at managing an entire health system.

Emergency doctors Pramod Chandru and James Tadros had told an upper house probe into ambulance ramping and emergency departments about their frustrations working in the “disheartening” setting of public hospitals in western Sydney.

“It was not our goal when we started out our training in medical school to find ourselves in circumstances that see us failing the needs of our patients on a daily basis,” Tadros said.

“But this is the truth of our current working environment … it’s not equitable, equal or fair.”

He said medical staff were saving lives “in spite of the system rather than because of it”.

Tadros read a text exchange between him and his colleague that described the system as “basically third-world”.

The pair were discussing an 88-year-old woman with terminal cancer who was left for 12 hours in an ED before getting a bed.

But Hazzard said claims of patients waiting up to 36 hours to see a doctor in emergency departments were “rubbish”.

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The Australasian College for Emergency Medicine’s president, Dr Clare Skinner, cited the figure at the inquiry on Wednesday.

“There is no record anywhere of that assertion,” he said, adding that Skinner’s group only represents “about a quarter” of the country’s emergency doctors.

Hazzard said NSW Health led “the entire country” and patient offloading rates across NSW were in the high 90s within the first 30 minutes of presenting at a hospital, compared with other states that lagged behind.

The health minister made the comments while visiting construction of a $100m HealthOne centre in Green Square, which he said was designed to alleviate the strain of patient buildup at the nearby Royal Prince Alfred hospital by providing access to primary healthcare doctors, specialists and medical research facilities.

The new facility will “actually act to enable physicians, clinicians and medical staff and allied health staff, support staff to be here and to provide those services for a range of conditions for example, diabetes, chronic cardiac issues”.

“It will be a connection between primary healthcare GP-type service but also the services of hospitals. Bringing the hospital to the community”.

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