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<hansard id="" tocId="" xml:lang="EN-AU" schemaVersion="1.0" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xml="http://www.w3.org/XML/1998/namespace" xmlns:xsi="http://www.w3.org/2007/XMLSchema-instance" xmlns:mml="http://www.w3.org/1998/Math/MathML" xsi:noNamespaceSchemaLocation="hansard_1_0.xsd">
  <name>House of Assembly</name>
  <date date="2018-11-07" />
  <sessionName>Fifty-Fourth Parliament, First Session (54-1)</sessionName>
  <parliamentNum>54</parliamentNum>
  <sessionNum>1</sessionNum>
  <parliamentName>Parliament of South Australia</parliamentName>
  <house>House of Assembly</house>
  <venue></venue>
  <reviewStage>published</reviewStage>
  <startPage num="3349" />
  <endPage num="3444" />
  <dateModified time="2022-08-06T14:30:00+00:00" />
  <proceeding continued="true">
    <name>Question Time</name>
    <subject>
      <name>SA Health</name>
      <text id="20181107aaaa2807d8b04d9fb0000586">
        <heading>SA Health</heading>
      </text>
      <talker role="member" id="4841" kind="question">
        <name>Mr PICTON</name>
        <house>House of Assembly</house>
        <electorate id="">Kaurna</electorate>
        <questions>
          <question date="2018-11-07">
            <name>SA Health</name>
          </question>
        </questions>
        <startTime time="2018-11-07T14:35:32" />
        <text id="20181107aaaa2807d8b04d9fb0000587">
          <timeStamp time="2018-11-07T14:35:32" />
          <by role="member" id="4841">Mr PICTON (Kaurna) (14:35):</by>  Thank you, Mr Speaker. My—</text>
      </talker>
      <talker role="member" id="3124" kind="interjection">
        <name>The Hon. D.G. Pisoni</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000588">
          <by role="member" id="3124">The Hon. D.G. Pisoni:</by>  Ask him what does page 5 say.</text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000589">
          <by role="office">The SPEAKER:</by>  The Minister for Industry is warned.</text>
        <text id="20181107aaaa2807d8b04d9fb0000590">
          <event kind="interjection" role="member" id="4842">The Hon. S.C. Mullighan interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000591">
          <by role="office">The SPEAKER:</by>  The member for Lee is warned.</text>
      </talker>
      <talker role="member" id="4841" kind="question" continued="true">
        <name>Mr PICTON</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000592">
          <by role="member" id="4841">Mr PICTON:</by>  My question is to the Premier. How many of the budgeted 880 SA Health doctors, nurses and other staff to be let go this financial year have so far been let go?</text>
        <text id="20181107aaaa2807d8b04d9fb0000593">
          <event kind="interjection" role="member" id="3117">The Hon. L.W.K. Bignell interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000594">
          <by role="office">The SPEAKER:</by>  The member for Mawson is called to order. The minister has the call.</text>
      </talker>
      <talker role="member" id="4338" kind="interjection">
        <name>The Hon. S.S. Marshall</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000595">
          <by role="member" id="4338">The Hon. S.S. Marshall:</by>  More scaremongering.</text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000596">
          <by role="office">The SPEAKER:</by>  The Premier is warned.</text>
        <text id="20181107aaaa2807d8b04d9fb0000597">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000598">
          <by role="office">The SPEAKER:</by>  Members on my left will not interject. The minister has the call.</text>
        <text id="20181107aaaa2807d8b04d9fb0000599">
          <event kind="interjection" role="member" id="4841">Mr Picton interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000600">
          <by role="office">The SPEAKER:</by>  The member for Kaurna is warned for a second and final time. The minister has the call.</text>
      </talker>
      <talker role="member" id="4342" kind="answer">
        <name>The Hon. D.C. VAN HOLST PELLEKAAN</name>
        <house>House of Assembly</house>
        <electorate id="">Stuart</electorate>
        <portfolios>
          <portfolio id="">
            <name>Minister for Energy and Mining</name>
          </portfolio>
        </portfolios>
        <startTime time="2018-11-07T14:36:22" />
        <text id="20181107aaaa2807d8b04d9fb0000601">
          <timeStamp time="2018-11-07T14:36:22" />
          <by role="member" id="4342">The Hon. D.C. VAN HOLST PELLEKAAN (Stuart—Minister for Energy and Mining) (14:36):</by>  I am happy to take this question on behalf of the Minister for Health in the other place, but let me just put these questions in some context. Let me just put some very specific and necessary context that answers, hopefully, a few of these questions about the tender documents. The Auditor-General's Report into health budget performance in the last financial year—</text>
      </talker>
      <talker role="member" id="4623" kind="interjection">
        <name>The Hon. Z.L. Bettison</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000602">
          <by role="member" id="4623">The Hon. Z.L. Bettison:</by>  That has nothing to do with this question.</text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000603">
          <by role="office">The SPEAKER:</by>  The member for Ramsay is called to order.</text>
      </talker>
      <talker role="member" id="4342" kind="answer" continued="true">
        <name>The Hon. D.C. VAN HOLST PELLEKAAN</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000604">
          <by role="member" id="4342">The Hon. D.C. VAN HOLST PELLEKAAN:</by>  Mr Speaker, you know that I almost never respond to interjections, but to say that this has nothing to do with the question is plainly wrong. The Auditor-General states—</text>
      </talker>
      <talker role="member" id="633">
        <name>The Hon. A. KOUTSANTONIS</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000605">
          <by role="member" id="633">The Hon. A. KOUTSANTONIS:</by>  Point of order: yesterday, the manager of government business moved a motion to have a debate of the Auditor-General's Report, and the minister is now canvassing that report here in question time.</text>
      </talker>
      <talker role="member" id="4343">
        <name>The Hon. J.A.W. GARDNER</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000606">
          <by role="member" id="4343">The Hon. J.A.W. GARDNER:</by>  Point of order.</text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000607">
          <by role="office">The SPEAKER:</by>  Point of order on the point of order.</text>
      </talker>
      <talker role="member" id="4343">
        <name>The Hon. J.A.W. GARDNER</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000608">
          <by role="member" id="4343">The Hon. J.A.W. GARDNER:</by>  The manager of opposition business would do well to read the standing orders. There is no point of order; it is not a bill before the house.</text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000609">
          <by role="office">The SPEAKER:</by>  I will listen to the minister's answer.</text>
        <text id="20181107aaaa2807d8b04d9fb0000610">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000611">
          <by role="office">The SPEAKER:</by>  Members on my right, that is not an excuse for argument or debate. I will listen to the minister's answer.</text>
      </talker>
      <talker role="member" id="4342" kind="answer" continued="true">
        <name>The Hon. D.C. VAN HOLST PELLEKAAN</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000612">
          <by role="member" id="4342">The Hon. D.C. VAN HOLST PELLEKAAN:</by>  Mr Speaker, the information I am about to share with you and the house goes directly to cost. You know that we are focused on patient care first and foremost, but budgets are very important, and that's what the opposition is trying to get at. On the very first page of the Auditor-General's Report, it says, and I quote:</text>
        <page num="3389" />
        <text id="20181107aaaa2807d8b04d9fb0000613">
          <inserted>The strategies employed in the public health system to consistently achieve [Local Health Network] and [South Australian Ambulance Service] budget targets have not worked over many years.</inserted>
        </text>
        <text continued="true" id="20181107aaaa2807d8b04d9fb0000614">There are three short points, and No. 2 states:</text>
        <text id="20181107aaaa2807d8b04d9fb0000615">
          <inserted>Based on [Department of Health and Wellbeing] forecasting as at May 2018, [Local Health Networks] and SAAS were estimated to exceed their combined 2017-18 budgets by $467 million.</inserted>
        </text>
        <text continued="true" id="20181107aaaa2807d8b04d9fb0000616">Lastly:</text>
        <text id="20181107aaaa2807d8b04d9fb0000617">
          <inserted>There was no long-term financial plan that drew together all strategies across the Health portfolio and described how it intended to meet budget forward estimates and savings expectations.</inserted>
        </text>
        <text continued="true" id="20181107aaaa2807d8b04d9fb0000618">So, as I said, patient care is number one for us—absolutely patient care—but you cannot care for patients if you—</text>
        <text id="20181107aaaa2807d8b04d9fb0000619">
          <event kind="interjection">An honourable member interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000620">
          <by role="office">The SPEAKER:</by>  Mr Clerk, please adjust the clock—about a minute.</text>
        <text id="20181107aaaa2807d8b04d9fb0000621">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000622">
          <by role="office">The SPEAKER:</by>  Thank you.</text>
      </talker>
      <talker role="member" id="4342" kind="answer" continued="true">
        <name>The Hon. D.C. VAN HOLST PELLEKAAN</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000623">
          <by role="member" id="4342">The Hon. D.C. VAN HOLST PELLEKAAN:</by>  So patient care is first and foremost for us, absolutely, but you cannot care for patients if you don't do your budgeting and your strategy and your policy sensibly. That is what was missing. Don't believe me; believe the Auditor-General. That is why we are doing everything under the guidance of the Minister for Health, the Hon. Mr Stephen Wade in the other place, who is an outstanding health minister. For anybody on the other side to suggest that we should not be pursuing this course of action is disgraceful. They wrecked it and now they don't want us to fix it. That's what it is about.</text>
        <text id="20181107aaaa2807d8b04d9fb0000624">We await the advice that we receive. We want to get that advice. We are determined to get the health system right for all South Australians. We are determined to make sure that doctors, nurses and other health workers, everybody who works in the health system, have good, strong, stable, rewarding, productive, secure employment. That is our focus so that we can—</text>
        <text id="20181107aaaa2807d8b04d9fb0000625">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000626">
          <by role="office">The SPEAKER:</by>  Member for Lee! Member for Kaurna! Members will not interject. The minister has the call.</text>
      </talker>
      <talker role="member" id="4342" kind="answer" continued="true">
        <name>The Hon. D.C. VAN HOLST PELLEKAAN</name>
        <house>House of Assembly</house>
        <text id="20181107aaaa2807d8b04d9fb0000627">
          <by role="member" id="4342">The Hon. D.C. VAN HOLST PELLEKAAN:</by>  That is our focus. We are seeking advice. We are working incredibly hard. People in the health system are doing the best they can. The Minister for Health is doing the best that he can. We are going to fix the mess left behind by the previous government.</text>
      </talker>
    </subject>
  </proceeding>
</hansard>