Hospitals tally record-high visits straining the Australian healthcare system

As we age, health inevitably becomes a more central part of our lives, and we all depend on the reliability of our healthcare system.

However, a recent update raised alarm bells for many, particularly for those who may require more frequent medical attention.


New South Wales (NSW) health reports stated that the state's public hospitals are facing an unprecedented crisis, with emergency departments and ambulance services stretched to their limits.

During the first quarter of the year, about 810,201 people attended NSW emergency departments, a significant increase of over five per cent compared to last year.

The Australian Medical Association described this surge in visits as a 'catastrophe waiting to happen' and called for substantial investment to rectify the system.


compressed-emergency.jpeg
Hospitals saw a surge of patients in the Emergency Department over the past few months, stressing healthcare professionals. Image Credit: Pexels/Pixabay


The Bureau of Health Information, which began reporting in 2010, recorded a sobering attendance at emergency departments.

Only two-thirds of patients had their treatments start on time, and about 55.9 per cent left within the targeted four-hour period, setting a new record low for patient turnover.

The situation is dire—one out of 10 people spend nearly 11 hours in emergency departments.

More than 74,000 patients were left without complete treatment or without being treated at all, an increase of almost 17 per cent from the previous year.


Health Minister Ryan Park acknowledged the pressure on public hospitals, attributing it to past underfunding.

'We are undertaking the structural reforms to our health system to ensure our community receives the care they need and deserve—by delivering the single largest boost to our workforce in the history of our health system and creating more pathways to treatment and care outside the hospital,' Park shared.

Additional urgent-care services were introduced in July last year to divert those with mild conditions away from emergency departments to alleviate some of the pressure.

Furthermore, there's a call for expanding the 'hospital in the home' clinical model, which allows patients to receive care for common conditions, such as infections, in the comfort of their own homes.

'The clear potential for expanding this model of care presents an opportunity for patients, as well as NSW health services, to benefit from increased hospital bed capacity,' Bureau of Health Information Chief Executive Diane Watson shared.

Despite these efforts, public hospital admissions have risen to 481,335 patients, 2.7 per cent higher than last year.

Ambulance responses also hit a record high, with over 383,341 call-outs, including a 57 per cent increase in the highest-priority cases.

While the median response time remains within an acceptable benchmark, demand remains a cause for concern.


Elective surgeries have declined, dropping by more than six percent to 51,149.

However, those that are being performed are increasingly done on time, suggesting some efficiency gains amidst the chaos.

The NSW Nurses and Midwives Association voiced concerns about the impact on patients and workers.

'This reflects the sheer volume of patients presenting to public hospitals, coupled with bed blocks, and the challenging conditions our members work in, often while chronically understaffed,' General Secretary Shaye Candish said.

Compounding the issue is the decline in the number of general practitioners in NSW, which has dropped by more than 500 full-time equivalent GPs within a year.

This decrease in primary care availability may drive more people to seek help in emergency departments, further exacerbating the problem.


In recent news, hospitals also warned over a surge of cases caused by a triple-threat of viruses: flu, COVID-19, and the RSV.

These developments are particularly troubling for our community.

Many people rely on timely and effective healthcare, and the thought of our local hospitals being unable to cope is deeply concerning.

A multifaceted approach can address the crisis, including investment in hospital infrastructure, workforce expansion, and innovative care models like 'hospital in the home'.

As we navigate these challenging times, it's more important than ever to stay informed about the state of our healthcare system and advocate for the necessary changes to ensure we can all receive the care we deserve.
Key Takeaways

  • NSW emergency departments have seen a record high in visits, with over 810,000 people attending from January to March, marking an increase from the previous year.
  • The Australian Medical Association has labelled the situation a 'catastrophe waiting to happen,' highlighting the need for significant investment to rectify the strain on the system.
  • More than 74,000 patients left emergency departments without complete treatment or any treatment, and less than 56 per cent left within the targeted four-hour period.
  • Ambulance call-outs have also risen to a record 383,341 responses, while public hospital admissions have increased slightly, suggesting a broader issue of strain on healthcare services in NSW.
Have you or a loved one experienced long wait times or other issues at your local hospital? Please share your stories with us in the comments below.
 
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My daughter who is a severe asthmatic and myself have spent many nights in casuality.
Usually we don't wait long but the last time ( 8 weeks ago) absolutely no one was being called in and the nurses were treating people in the waiting room or triage room then sending them back out into the waiting room.

One lady was doubled over in pain and looked really sick. After a couple of hours the nurse came out with an injection and gave it to her and said hopefully it would help but 30 min later she was still the same.

The same with my daughter the nurse came out every 20 min , gave my daughter 12 puffs of ventolin through the spacer and 8 of atrovent. My daughter needed prednisone and we would have already started it but she was already on along dose of low 5mg prednisone and we didn't know if to take 55mg or 50mg.

After 5 hours my daughter said she needed to go home, she said she couldn't sit anymore and needed to sleep.

We went home, started a 50 mg course of prednisone and kept on doing 12 puffs of ventolin. 8 of atrovent. Then went at 10 am to our doctor, who was shocked by what we told her.

When we left the hospital at 3am that Lady was still doubled over in pain. It sounded like gallstones.
 
A friend of ours who is 62 had a heart attack Sunday week ago. He was taken to Canterbury Hospital. Monday morning he was transferred to Concord hospital. An angiogram was performed and they found 3 or 4 blocked arteries . The confirmed he needed a triple by pass . They said he would be transferred to RPA but surgery would be 7 to 10 days away. That they had him on medication to try and stop another heart attack.
When hus family asked why surgery couldn't happen sooner they were told it could have happened the next day if he was in a medical fund.

He had surgery on Tuesday ( 9 days later)
 
Past underfunding; a convenient excuse for lack of action now! Albury/Wodonga a classic case in point! This border hospital is apparently controlled by Victoria, apparently sitting on government funding during the horrific Andrews era and still holding the people of the region to medical and emotional ransom! We need a bigger, better hospital YESTERDAY, and political bickering is the only action evident. Patients and staff at high risk and urgent regional need , appears incidental to bureaucratic chest puffing and verbal point scoring 😡Now there’s talk of regional service sharing . If these idiots were in private enterprise they would be SACKED… totally inept leaders bungling service delivery, jeopardising patient care & lives, and destroying staff morale 😡
 
Lack of doctors and nurses and over population is the problem here. 😡
Instead of investing taxpayers' money on this amongst many other things of a like manner. They seem to move a lot quicker when comes to any remuneration of political pay scales with remarkable alacrity.
 
I have noticed over the last 40+ years that there has been a general change in our diets. We have relied on governments and other vested interests to tell us what to eat. Now we have a ballooning health crisis and with the recent removal of bulk billing by many medical centres this is putting an extra burden on hospitals. Hospitals should be for accident victims and those who are really ill and need emergency services. I paid $100 extra for a Sunday consolation and I am now up for almost $300 to see a specialist next week. All this and we live on the pension. I would hate to be someone with an illness that needs regular visits to the doctor. We also need to teach ourselves and our kids to ignore the junk food promoters and start eating real food. Ultra processed junk food is all over the supermarkets and kids love it. I saw on poor lady in a shop with her daughter. Daughter was putting on a paddy like I hadn't seen in years. What did she do. Give her a concentrated fruit pouch (sugar bomb) and a chocolate bar (sugar bomb) Poor kid mum has no idea she is setting her child up for diabetes and other health issues and it has been proven time and time again sugar is the big boogie man in this situation. Sadly most will ignore the issue and just keep going the way they are. This is why we have a screwed health system
 
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The mint spends millions of dollars producing coins with the King face on them despite cash is on it's way out. Albo wastes millions on useless campaigns that nobody wants. Gives himself a pay increase for ruining the country, spends money on his international holiday but the things like medical and housing, the cost of living crisis and increase of teen crime are overlooked. Labor voters are just as much at fault as the Prime Wanker Albo himself. When will people learn ?
 
Thanks goodness the Liberal State Government in Tasmania has promised the AFL $750 000 000 of taxpayers' money for a new footie stadium on public recreational land when there are two suitable already in Tasmania. And that a local urban Council has promised us a $70 000 000 ( yes $70 000 000, just checked the web-site) AFL training centre on additional recreational public land in the local city centre when there is already available a suitable "world-class" sports oval nearby.

Something to die for, to use an Australian idiom.

Meanwhile one principal hospital in the central part of the State appears to be running on locum doctors; it costs $210 for a 20-minute consultation at the local medical centre; and Hobart's major (sorry ONLY public hospital in the south of the State) public hospital runs on the edge of chaos with 6-hour waiting times in the ED triage room.

And just don't have a heart attack on Hobart's eastern shore between 8am and 9am and between 4.30pm and 6pm as the ambulance service will have to fight its way through the commuter jam of SUVs to get to you. Still, our Australian suburban sprawl is also something to die for, is it not?

Public health in Australia; who cares? It's the "footie" , mate.
 
Australia's public health crisis didn't just happen overnight, It's been building since the 1990s.

Any of our idiot politicians who has promised us tax cuts as their election bribe has been responsible and that is the whole damnable caboodle of them since Paul Keating, the best little Tory Treasurer in the world. And that means, fellow Australians of whatever ethnicity, that we are stupid as we are the ones who elect our politicians.

If a country bankrupted by WW2 can in 1948 bring in the world's best public health system that lasted until 1979 when it started to be destroyed by the Tory mentality of successive British governments, then surely little ol' mineral-rich Australia can do as well, if not better? No? Ok. Back to my box.
 
Past underfunding; a convenient excuse for lack of action now! Albury/Wodonga a classic case in point! This border hospital is apparently controlled by Victoria, apparently sitting on government funding during the horrific Andrews era and still holding the people of the region to medical and emotional ransom! We need a bigger, better hospital YESTERDAY, and political bickering is the only action evident. Patients and staff at high risk and urgent regional need , appears incidental to bureaucratic chest puffing and verbal point scoring 😡Now there’s talk of regional service sharing . If these idiots were in private enterprise they would be SACKED… totally inept leaders bungling service delivery, jeopardising patient care & lives, and destroying staff morale 😡
Instead of investing taxpayers money on this amongst many other things of a like manner. They seem to move a lot quicker when comes to any remuneration of political pay scales
And we love our tax cuts, don't we?
 
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A friend of ours who is 62 had a heart attack Sunday week ago. He was taken to Canterbury Hospital. Monday morning he was transferred to Concord hospital. An angiogram was performed and they found 3 or 4 blocked arteries . The confirmed he needed a triple by pass . They said he would be transferred to RPA but surgery would be 7 to 10 days away. That they had him on medication to try and stop another heart attack.
When hus family asked why surgery couldn't happen sooner they were told it could have happened the next day if he was in a medical fund.

He had surgery on Tuesday ( 9 days later)
with what i pay for my health fund i expect to be ahead of someone who doesn't.
 
with what i pay for my health fund i expect to be ahead of someone who doesn't.
Which describes Australia's chaotic health system admirably. There is nothing , simply nothing quite like Australian "mateship", mate.
 
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My 83 year old husband has heart problems and been in emergency several times, each waiting over 10 hours in uncomfortable chairs where nurses are run off their feet trying to cope with masses of patients. Some patients on drugs are abusive and often disruptive but the nurses still have to cope as though everything is normal. What has happened to the money we used to spend on health? No doubt what David567 points out plus whatever we don't know about lurking in the background. Are we being directed to an American style health system only for the rich?
 
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My daughter who is a severe asthmatic and myself have spent many nights in casuality.
Usually we don't wait long but the last time ( 8 weeks ago) absolutely no one was being called in and the nurses were treating people in the waiting room or triage room then sending them back out into the waiting room.

One lady was doubled over in pain and looked really sick. After a couple of hours the nurse came out with an injection and gave it to her and said hopefully it would help but 30 min later she was still the same.

The same with my daughter the nurse came out every 20 min , gave my daughter 12 puffs of ventolin through the spacer and 8 of atrovent. My daughter needed prednisone and we would have already started it but she was already on along dose of low 5mg prednisone and we didn't know if to take 55mg or 50mg.

After 5 hours my daughter said she needed to go home, she said she couldn't sit anymore and needed to sleep.

We went home, started a 50 mg course of prednisone and kept on doing 12 puffs of ventolin. 8 of atrovent. Then went at 10 am to our doctor, who was shocked by what we told her.

When we left the hospital at 3am that Lady was still doubled over in pain. It sounded like gallstones.
Suzanne rose, that is a dreadful story.

I have severe asthma like your daughter, and for a while I was in and of hospital having with uncontrolled asthma even tho I followed my plan and was on and off Predisolone all the time, I could not walk more than a few steps and was housebound for months unable to do much at all. It was very scary as I live alone. However after tests the Royal Melbourne found it was not 'normal' asthma but 'ESONPHILLAC' ASTHMA (not sure if I spelt it right) too many easonphil white cells blocking lungs. So I now have a monthly injection, similar to an epipen I do myself and find it has improved my quality of life soooo much.

Apparently it is hard to diagnose so I am so grateful the doctors at RMH found it.

Perhaps your daughter has the same form of asthma?
Worth asking her doctor to test for it, it has made a huge diffence for me. I no longer have the constant cough 24/7, can now do my shopping, go out with friends etc. which I thought would never happen again. My friends are amazed at the change in me.

Just have to stick to my daily meds on the asthma plan and pace myself, do what I can then rest a bit.

Hope this is helpful for you.
 

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