Reforming New South Wales public hospitals: an assessment of the Garling inquiry

The final report of the Special Commission of Inquiry into Acute Care Services in NSW Public Hospitals was published on 27 November 2008. The report acknowledges the challenges facing the New South Wales health system, including increasing numbers of patients, rising treatment costs, workforce press...

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Bibliographic Details
Published in:Medical journal of Australia Vol. 190; no. 2; pp. 78 - 79
Main Authors: Skinner, Clare A, Braithwaite, Jeffrey, Frankum, Brad, Kerridge, Ross K, Goulston, Kerry J
Format: Journal Article
Language:English
Published: Sydney Australasian Medical Publishing Company 19.01.2009
Subjects:
Biological and medical sciences
Committees and inquiries
Evaluation
Garling P. Final Report of the Special Commission of Inquiry: Acute Care Services in NSW Public Hospitals
General aspects
Health Care Reform
Health services administration
Hospital Administration
Hospitals
Hospitals, Public - organization & administration
Humans
Interprofessional Relations
Medical Audit
Medical sciences
New South Wales
Organizational Culture
Physician's Role
Quality of Health Care - organization & administration
Recommendations
Reform
Australia
New South Wales
Oceania
Survey
Hospital
ISSN:0025-729X, 1326-5377, 1326-5377
Online Access:Get full text
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Summary:The final report of the Special Commission of Inquiry into Acute Care Services in NSW Public Hospitals was published on 27 November 2008. The report acknowledges the challenges facing the New South Wales health system, including increasing numbers of patients, rising treatment costs, workforce pressures, and the breakdown of working relations between clinicians and management. Many of Commissioner Garling's 139 recommendations formalise aspects of clinical care that should and could be happening now if the system were better managed, including better supervision and training of junior staff. Commissioner Garling recommends that change should be driven by clinicians “from the bottom up”, but does not adequately describe how this should happen. Implementation of the report's recommendations that will require strong leadership and continuing consultation with clinicians and the community.
Bibliography:Medical Journal of Australia, v.190, no.2, 19 Jan 2009: 78-79
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ISSN:0025-729X
1326-5377
1326-5377
DOI:10.5694/j.1326-5377.2009.tb02282.x