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Parliamentary Questions


Question Without Notice No. 668 asked in the Legislative Assembly on 15 September 2020 by Mr Z.R.F. Kirkup

Parliament: 40 Session: 1

CORONAVIRUS — MENTAL HEALTH

668. Mr Z.R.F. KIRKUP to the Minister for Mental Health:

I have a supplementary question. Has there been a significant increase in the number of mental health patients presenting to our state's emergency departments as a result of COVID-19; and is that one of the reasons that we are experiencing record high ambulance ramping levels, especially considering that there is virtually no flu or respiratory illness in Western Australia?

Mr R.H. COOK replied:

I can confirm for the house that presentations to our emergency departments for mental health issues dipped significantly during our early experience of the COVID-19 pandemic, but they have moved back to pre-COVID levels. People presenting with mental health issues to our emergency departments continue to be a challenge for us. That is why we have continued to upgrade our EDs by including mental health observation areas, expanding the EDs in Peel Health Campus and Joondalup Health Campus, introducing a short-stay unit at Armadale Health Service to make sure that that ED gets the support that it needs, and introducing an urgent behavioural assessment unit at Sir Charles Gairdner Hospital. These are great investments that will make sure that our EDs continue to get the investment they need to meet the demand for their services.

It is perhaps due to some of that investment, but definitely due to the great work of our doctors and nurses, that our emergency departments are the best in the country. For the January to March quarter, Western Australia had the best emergency access target numbers of any ED system in Australia, with 76 per cent of all people being admitted, transferred or discharged within four hours. Queensland and Western Australia are, by a country mile, the best in the country, and Western Australia is better even than Queensland. We have every reason to be confident and proud of our emergency departments and the great people who work within them. The member for Dawesville has made some commentary about ramping. I can confirm that we are no longer focused on ramping because we are not concerned about ambulances —

Mr Z.R.F. Kirkup: You're not focused on it? That's evident! You have the worst ramping record in history.

The SPEAKER: Member for Dawesville, it is not a shouting match. I call you to order for the second time.

Mr R.H. COOK: I am not so much concerned about the welfare of ambulances; I am concerned about the welfare of the patients inside them! It is about outcomes and how quickly we transfer those patients into emergency departments and into the great care of our consultants and nurses. Our transfer-of-care performance has improved on last year. Our transfer-of-care median wait time has been 22 minutes right across this year. Last year, 69 per cent of all patients were transferred to the ED in under 30 minutes. This year it is almost 72 per cent, so the situation is continuing to improve. We can always do better but we know that transfer of care is the best measure of how well our EDs are performing. It is how quickly we get the patient out of the ambulance and into the hands of our medical practitioners.

Mr Z.R.F. Kirkup interjected.

The SPEAKER: Do you want to go home early, member for Dawesville?

Mr R.H. COOK: It is not how quickly we get ambulances back on the road. That is the job of St John Ambulance, which is why we focus on transfer of care. The McGowan government puts patients first. We have the best EDs in the country and are continuing to improve on how quickly we get patients into those EDs.