Tasmania's Labor and Greens have declared the health system in "crisis" after the second death this month of a patient whose ambulance was delayed.
On Saturday, a man in the west coast town of Zeehan called Triple Zero complaining of chest pain and breathing difficulties. The call was categorised as a "priority 1" case requiring immediate assistance, but the local ambulance station was not staffed because of unfilled leave. Paramedics in nearby Queenstown and Strahan were already attending other cases, so a Burnie crew was assigned. It arrived 78 minutes later, but the man had died.
About two weeks earlier, a Hobart family made two calls to Triple Zero over 25 minutes. The first was triaged as non-urgent, but the man's condition deteriorated. By the second call the case was escalated to priority 1, yet it took a further 25 minutes to dispatch an ambulance because none were available. According to a union, paramedics were either responding to other cases or were ramped at the Royal Hobart Hospital because the emergency department was at capacity. The family drove the man to hospital, but he went into cardiac arrest and later died.
Both deaths are being investigated by the Health Department to identify any immediate improvements.
"The Tasmanian health system is no longer at breaking point, it's broken," Greens health spokesperson Cecily Rosol said. "Medical professionals have been warning for far too long that Tasmanians would lose their lives because of the worsening state of the health system."
Ambulance Tasmania operates 51 stations, some staffed entirely by paramedics and others relying partly or fully on volunteers. The Zeehan station, unstaffed on Saturday, normally has a single paramedic rostered on day shift and on call out-of-hours with volunteer support. The Health Department said attempts were made to backfill the vacant shift, including overtime and volunteers, and that recruitment to the region was challenged by its remoteness.
During a budget estimates hearing in June, Health Department secretary Dale Webster told the Greens that about 11 per cent of paramedic shifts had been unfilled since July last year.
Labor and the Greens have urged the government not to proceed with plans to find $700 million in savings from the health budget. "Our health system is in crisis," Labor leader Josh Willie said. "It cannot withstand further cuts. Things will only get worse." He said the government needed to ensure enough staff in regional areas, noting that paramedics were unavailable when emergencies struck.
Premier Jeremy Rockliff said the investigations would "identify any issues that need to be addressed" and that all health professionals "do their very best to respond to the needs and care of Tasmanians". He pointed to the government's transfer of care policy, which he said had cut the time ambulances spend stuck at hospitals by 30,000 hours, and said the government was open to further changes.
The Australian Medical Association last week called for an independent commission of inquiry into what it described as a "perpetual crisis". Health Minister Bridget Archer dismissed the call, saying it would cost more than $30 million and not help patients.
