<!--The Official Report of Parliamentary Debates (Hansard) of the Legislative Council and the House of Assembly of the Parliament of South Australia are covered by parliamentary privilege. Republication by others is not afforded the same protection and may result in exposure to legal liability if the material is defamatory. You may copy and make use of excerpts of proceedings where (1) you attribute the Parliament as the source, (2) you assume the risk of liability if the manner of your use is defamatory, (3) you do not use the material for the purpose of advertising, satire or ridicule, or to misrepresent members of Parliament, and (4) your use of the extracts is fair, accurate and not misleading. Copyright in the Official Report of Parliamentary Debates is held by the Attorney-General of South Australia.-->
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  <name>House of Assembly</name>
  <date date="2022-05-03" />
  <sessionName>Fifty-Fifth Parliament Parliament, First Session (55-1)</sessionName>
  <parliamentNum>55</parliamentNum>
  <sessionNum>1</sessionNum>
  <parliamentName>Parliament of South Australia</parliamentName>
  <house>House of Assembly</house>
  <venue></venue>
  <reviewStage>published</reviewStage>
  <startPage num="1" />
  <endPage num="38" />
  <dateModified time="2022-08-06T14:30:00+00:00" />
  <proceeding continued="true">
    <name>Question Time</name>
    <subject>
      <name>Ambulance Ramping</name>
      <text id="202205034e57d792862e421c90000439">
        <heading>Ambulance Ramping</heading>
      </text>
      <talker role="member" id="4848" kind="question">
        <name>Ms WORTLEY</name>
        <house>House of Assembly</house>
        <electorate id="">Torrens</electorate>
        <questions>
          <question date="2022-05-03">
            <name>Ambulance Ramping</name>
          </question>
        </questions>
        <startTime time="2022-05-03T16:53:17" />
        <text id="202205034e57d792862e421c90000440">
          <timeStamp time="2022-05-03T16:53:17" />
          <by role="member" id="4848">Ms WORTLEY (Torrens) (16:53):</by>  My question is to the Minister for Health and Wellbeing. Can the minister inform the house of the Malinauskas Labor government's plan to address ambulance ramping at our hospitals?</text>
      </talker>
      <talker role="member" id="4841" kind="answer">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <electorate id="">Kaurna</electorate>
        <portfolios>
          <portfolio id="">
            <name>Minister for Health and Wellbeing</name>
          </portfolio>
        </portfolios>
        <questions>
          <question date="2022-05-03">
            <name>Ambulance Ramping</name>
          </question>
        </questions>
        <startTime time="2022-05-03T16:53:31" />
        <text id="202205034e57d792862e421c90000441">
          <timeStamp time="2022-05-03T16:53:31" />
          <by role="member" id="4841">The Hon. C.J. PICTON (Kaurna—Minister for Health and Wellbeing) (16:53):</by>  I thank the member for Torrens and congratulate her on her re-election and thank her for her passionate advocacy on behalf of health in the north-eastern suburbs, in particular at Modbury Hospital.</text>
        <text id="202205034e57d792862e421c90000442">Everyone on our side of the house has spent a significant amount of time over the past year meeting with our frontline healthcare workers, whether it's ambulance officers, doctors, nurses, allied health professionals, admin people, cleaners, you name it: people who work in our health system who are overstretched, who have clearly reached the end of their tether in terms of the pressure on the system. We have also spent a lot of time speaking to patients, speaking to patients about the waits that they have in emergency departments, the waits that they have on the ambulance ramp and, very worryingly, the waits that they have calling 000 when they need an ambulance.</text>
        <text id="202205034e57d792862e421c90000443">You can't come away from those conversations, from those sometimes heart-wrenching stories, without deciding that you need to do something about it, and that's exactly what we did. That's why we committed to a very significant health policy at the past election, which I am very delighted the people of South Australia have endorsed, and now we are getting on with the job of delivering it. That is a very significant investment—</text>
        <text id="202205034e57d792862e421c90000444">
          <event kind="interjection" role="member" id="4840">Mr Tarzia interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000445">
          <by role="office">The SPEAKER:</by>  Order, member for Hartley!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000446">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  That's a very—</text>
        <text id="202205034e57d792862e421c90000447">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000448">
          <by role="office">The SPEAKER</by>:  Order!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000449">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —significant investment.</text>
        <text id="202205034e57d792862e421c90000450">
          <event kind="interjection" role="member" id="4840">Mr Tarzia interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <page num="19" />
        <text id="202205034e57d792862e421c90000451">
          <by role="office">The SPEAKER:</by>  The acting leader is called to order.</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000452">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  It is a very significant investment in making sure that we open 300 extra beds—</text>
        <text id="202205034e57d792862e421c90000453">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000454">
          <by role="office">The SPEAKER</by>:  Order!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000455">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —in our hospital system, that we hire 350—</text>
        <text id="202205034e57d792862e421c90000456">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000457">
          <by role="office">The SPEAKER</by>:  Order!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000458">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —extra paramedics, that we—</text>
        <text id="202205034e57d792862e421c90000459">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000460">
          <by role="office">The SPEAKER:</by>  The member for Hartley is warned.</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000461">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —hire—</text>
        <text id="202205034e57d792862e421c90000462">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000463">
          <by role="office">The SPEAKER:</by>  The member for Wright!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000464">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —300 extra nurses in our health system—</text>
        <text id="202205034e57d792862e421c90000465">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000466">
          <by role="office">The SPEAKER:</by>  Order, member for Wright!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000467">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —that we hire and recruit 100 extra doctors in a health system. They don't want to hear this—</text>
        <text id="202205034e57d792862e421c90000468">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000469">
          <by role="office">The SPEAKER:</by>  The member for Hurtle Vale!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000470">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —because they were not doing this plan. We saw ambulance ramping under their watch—</text>
        <text id="202205034e57d792862e421c90000471">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000472">
          <by role="office">The SPEAKER:</by>  Order, member for Hartley!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000473">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —increase by 485 per cent. Under the leadership of the member for Dunstan, ambulance ramping increased from 2017 to 2021 by 485 per cent. We had to scratch and scrape to get those figures, but it painted a bleak picture of how bad the situation was for patients across South Australia.</text>
        <text id="202205034e57d792862e421c90000474">So, very importantly, we are now getting on with the job. Importantly, not only did we know the pressure the health system was under before the election but upon forming government we were clearly briefed by the health department, by the Chief Public Health Officer, of what the modelling was showing in terms of the increasing number of COVID hospitalisations over coming weeks, so we immediately took action to increase the number of beds over the past few weeks as well.</text>
        <text id="202205034e57d792862e421c90000475">We have now made available to the system over 150 extra beds: extra beds at Modbury Hospital, extra beds in the Royal Adelaide Hospital, extra beds in The QEH, extra beds at Lyell McEwin, extra beds at the Women's and Children's Hospital. Very clearly, we are now making those very rapid investments to make sure that the health system has the capacity it needs.</text>
        <text id="202205034e57d792862e421c90000476">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000477">
          <by role="office">The SPEAKER:</by>  Order, member for Hartley!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <page num="20" />
        <text id="202205034e57d792862e421c90000478">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  Importantly, a very critical element, though, is that we need to increase the mental health capacity of our health system. Day after day, what we have seen under the previous government is people with mental health conditions stuck not for hours but for days in our emergency departments, waiting for a bed elsewhere in the health system. That is absolutely unacceptable.</text>
        <text id="202205034e57d792862e421c90000479">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000480">
          <by role="office">The SPEAKER</by>:  Order!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000481">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  We have a plan to invest 120 additional beds—</text>
        <text id="202205034e57d792862e421c90000482">
          <event kind="interjection" role="member" id="5389">The Hon. B.I. Boyer interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000483">
          <by role="office">The SPEAKER:</by>  The member for Wright!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000484">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  —across the mental health system.</text>
        <text id="202205034e57d792862e421c90000485">
          <event kind="interjection" role="member" id="5389">The Hon. B.I. Boyer interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000486">
          <by role="office">The SPEAKER:</by>  The member for Wright!</text>
      </talker>
      <talker role="member" id="4841" kind="answer" continued="true">
        <name>The Hon. C.J. PICTON</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000487">
          <by role="member" id="4841">The Hon. C.J. PICTON:</by>  This is a generational investment in mental health, to make sure that those patients can get the care that they need because being stuck in an emergency department for those patients is the worst place they can be. It leads to ramping, it leads to the delays in people getting a 000 case and, ultimately, that puts lives at risk across South Australia.</text>
        <text id="202205034e57d792862e421c90000488">
          <event kind="interjection">Members interjecting:</event>
        </text>
      </talker>
      <talker kind="speech" role="office">
        <name>The Speaker</name>
        <house>House of Assembly</house>
        <text id="202205034e57d792862e421c90000489">
          <by role="office">The SPEAKER:</by>  Order!</text>
      </talker>
    </subject>
  </proceeding>
</hansard>