http://www.facebook.com/pages/SAVE-BELLINGEN-HOSPITAL/325341765049

BELLINGEN NSW

SAVE BELLINGEN HOSPITAL's Fan Box

FACEBOOK FANS FOLLOW THE SOS PIONEERS TO SAVE BELLO HOSPITAL.

FACEBOOK FANS FOLLOW THE SOS PIONEERS TO SAVE BELLO HOSPITAL.
To those who have gone into the front lines before us on this one here we are - right behind you.
BEYOND THE OFFICIAL PARAMETERS OF OUTRAGE. GARN.

Friday, October 7, 2011

JIM BELSHAW NO 2


Bellingen organises to save hospital

Save Bellingen Hospital
While I have never lived in Bellingen, I have known the town all my life and written about it on this blog a number of times.
Bellingen now faces a threat to its hospital services and the locals have organised to try to save it. You will find the Save Bellingen Hospital web site here.
The Bellingen Hospital case is an example of the increasing conflict that has arisen between the needs of centralised service delivery on one side, local needs and indeed history on the other.
To health planners concerned about value for health dollars at a time of budget stress, the idea of rationalising services across broader areas appeals greatly and has done so for a number of years. However, there can be a fundamental conflict between this and local aspirations and needs.
To the health planner, a local hospital is a piece on a chess board to be moved or given up in the interests of the greater game. To the local, the hospital is an integral part of their life. They have worked for it, they were born there, their children were born there, family and friends have died there, they have visited it many times, they know the staff.
You can see this clearly if you look at the newly established Save Bellingen Hospital public Facebook page. Just a few quotes:
  • Marguerite: Bellingen Hospital was a very decisive factor in my sea change from Sydney to Bellingen over a decade ago. As a single mother with a young asthmatic child I needed to know that I could access an emergency service, that was close by, no matter what time of day or night. I have indeed used the service many times and wou...ld feel that the community would be robbed of this asset . Although my daughter has since grown up and moved away. I would like to see the hospital survives this senseless closure, ensuring its fantastic care for others with high health risks.
  • Briony: I broke my shoulder bone, from a horse riding accident way back when I was about 12. I was treated at Bellingen hospital, they were very good to me!!
  • Hannah: I had may major asthma attacks at Bello , they saved my life more than once, and there was never a wait x.
  • Laura: My mother and auties were born in Belligen Hospital, all my 7 brothers and
    sisters and I were born at Bellingen Hospital, 2 of my 4 children were
    born at Bellingen, For 1 i was forced to go to coffs due to bellingens
    services being down graded and just 7 months ago I gave birth at home
    because it was the only option that suited my family situation. Neither me or my husband drive and many a time we have needed to catch a taxi to make the 4minute trip to the hospital in
    the middle of the night when our little pumpkins have been ill. Catching a taxi to coffs or having to wait for a ambulance in the middle of the night is not only unnecessary but could be life
    threatening. Please keep the hospital services we have and my wish is
    that they will go back to what they were.
  • Tokana: I know that I've always gone to Bellingen Hospital, even f I needed to be transferred. I will have my children at Bellingen Hospital one day. I love and appreciate the wonderful staff who put in long hours and never complain at what they do -but they do complain about the wages not being enough for the amount of time they put into the hospital and their patients. They also make you feel welcome and important. They're always friendly to patients and each other, and they tend to your needs. SAVE BELLINGEN HOSPITAL!!!!
  • Carol: They should go back and read or listen to the The Elders from the Indiginous people of this land as a lot of our relatives use to walk the back road from Bowraville to Bellingen Hostpital to have there babies. My three grand children were born in Bellingen Hostpital and all the Doctors and Staff have always been there for me when I neeed there help SOOOOOO p[LEASE don't close our wonderful hostpital down as the whole Community needs the doors to be kept opened.
  • David: As we recently had our hospital closed down in Cowes, I feel for you. Can't these idiots get their priorities right?
If you look at these comments, you can see the way people still love and trust their local hospital at a time when distrust in health services and hospitals has been on the rise.
Over time, the inexorable centralisation of health services has weakened local hospitals. All country people know this. They have seen services withdrawn, forcing them to travel increasing distances for service if indeed they can travel. Not everyone has a car, and public transport is often poor.
This has economic and social effects and actually increases the normal dangers of life. If the Bellinger River floods as it does so often, then access to Coffs may be cut. It becomes harder to attract people to live in specific communities. It becomes harder for older people who may need care to stay in their communities.
One might accept some of these outcomes if country health services were delivering better results. However, the reality appears to be a growing gap in health outcomes between country and metro areas.
Given the fundamental disconnect between the models currently used in health planning and community needs and aspirations, the only weapon available to locals is protest. This is the reason why the Bellingen community is looking to attract as much support as possible for the preservation of the local hospital.
You can help them and also follow the cause by joining the Save Bellingen Hospital Facebook page.       

JIM BELSHAW

http://newenglandaustralia.blogspot.com/2010/02/bellingen-hospital-facebook-and-costs.html


Friday, February 12, 2010


Bellingen Hospital, Facebook and the costs to the community

Yesterday in Bellingen organises to save hospital I reported on the campaign to save services at Bellingen Hospital.
It's been very interesting watching the unofficial Facebook page formed to support the official campaign site. This was created on Tuesday 9 February. As of this morning, it had 812 fans. That's a very rapid growth in such a short time.
The first challenge in a local campaign of this type is to demonstrate local support. The Facebook provides a tangible measure of this.
The second challenge is to spell out the reasons why people want the particular result, in this case saving the hospital's facilities. The official campaign has been doing this, but the Facebook page provides lots of specific examples. It personalises the general arguments.
It also provides information that can be used directly in scoping need. Let me illustrate this by example.
  Health planners work with the statistical data they have. This includes census data and health system data including hospital admissions. They are concerned not just with the now, but also the future. Here they use projections that by their nature reflect the past.
There are several difficulties with this approach: one lies in the weaknesses of the statistics themselves; a second is the inability to identify and properly analyse the on-ground effects of decisions.
Looking at the Facebook comments, the examples might be used to draw up a table of adverse effects.
It is clear from the comments that Bellingen Hospital serves a catchment extending from Ebor in the west to Urunga in the east. This broadly but probably not exactly equates to the LGA boundary. In broad terms, the catchment boundaries are set by the travel time to Bellingen compared to the bigger hospitals in Armidale on the west, Coffs in the east.
The first effect of any reduction in services will be an increase in travel time. This will be differential across the catchment and can be mapped.
Dorrigo, for example, is roughly 29k or 26 minutes by car from Bellingen, 124k or 1hr 40 from Armidale, 66k or one hour from Coffs. So any reduction in Bellingen services means increased travel time for Dorrigo people of 1hr 14 in the case of Armidale, 74 minutes in the case of Coffs. The extra cost to patients can be calculated.
Travel times then need to be adjusted for the availability of public transport for those who do not have cars or who must travel by public transport or, alternatively, taxis. Extra time and costs here can also be roughly estimated. Another health cost may be the failure of people to seek treatment when they should, simply because its too difficult.
Travel times also need to be considered in terms of type of illness or accident. Again, the Facebook pages provides personalised examples to be considered. For example, what happens if your child has a sudden asthma attack?
The extra costs of ambulance travel can also be roughly estimated.
This analysis addresses just the direct costs. There are also broader community costs, including access to other Government services. For example, the supply of social housing may be affected because one of the key criteria here is access to services.
No doubt many of these issues have already been picked up by those fighting to save services at Bellingen Hospital. However, the new Facebook page provides extra evidence.
Finally, one of the points that I always try to make in cases like this is that Government policy focuses on the savings to Government on one side, the broad nature of services on the other. The cost shifting to local communities is rarely taken into full account simply because it is harder to measure. 

4 comments:

nellibell49 said...
Jim, once again your analysis is a great help. I am so long out of the "system " , that I don't quite know how to phrase or bring together the feedback provided. I imagine that its difficult also to factor in the nature of the travel involved; i.e. the Dorrigo Mountain itself, the bush tracks, the lack of petrol after hours.
The public transport, of course, is almost non-existent and taxi services minimal.
The subtle effects are difficult to measure as well. It looks to me like erosion of the riverbank. A wee bit goes and then another - almost unnoticed - until a tree falls into the river because it is no longer deeply rooted , the water course changes and floods break through where they haven't done so before.
I am very much startled at the response, particularly from the young people. I am most impressed.
Jim Belshaw said...
Lynne, your last linkage to erosion is well taken.

The whole thing has been quite amazing, one of those viral things.

I do not know who the leaders of the official campaign are. You might get your daughter if you haven't already done so to just check the on-ground position. I suspect that those involved may well be as surprised as the two of us and wondering how to take advantage of the whole thing. Gillian seems to have a direct link.

I may be being over-sensitive, but I wouldn't like to think that we might upset people who have done the initial hard yards.

I will do another method post early next week looking especially at some of the stats and how to use them.

In the meantime, get a few blank sheets of paper and start going through comments looking for patterns. Maternity is one, emergency another. Emergency is not just car crashs or even heart attacks. What about an asthma attack?

In this, look for cases where transfer to Coffs might have added extra strain and danger. Hope that this helps.
nellibell49 said...
Hi Jim, I have sent emails to the Bellingen Health Action Group on http://www.save-bellingen-hospital.com/ but haven't had a response. I, too, have been concerned about appearing to ride in guns blazing when people have been doing the hard work on the ground for years now. I shall ask around. I am in Bellingen each week at the moment and intending to move back in the next few months.
Thanks again for your help. Appreciate the posts and feedback and I think sensitivity is very appropriate in this situation. Yrs Lynne.
Jim Belshaw said...
Thanks, Lynne, Jim
http://bellingen.info/Local-News.php

SBH


SAVE BELLINGEN HOSPITAL I have posted most of the comments from SBH on the link below in order that the info not be lost. I have taken surnames off and the links to yr FB profile. If you want yrs changed or removed, let me know or change the details in the comment section. If its completely infradig or illegal - ditto and I shall assess the situation.
http://savebellohospital.blogspot.com/

Wednesday, July 27, 2011

Highway Taskforce and Doctors call for a meeting with NSW Ministers - Local News - News - General - Bellingen Courier Sun

Highway Taskforce and Doctors call for a meeting with NSW Ministers - Local News - News - General - Bellingen Courier Sun

NEO NATAL

Cindy Anne Fairey-Conn 
Good as in Coffs hospital at the time etc, flew me quite quickly down to john hunter hospital when suss prem labour, maybe not so, and why I agree 100% and am saddened by this news, is hospitals need more neonatel beds and more hospitals need the capability of being able to handle early/premature births. For instance coffs hsopital is not fit to deliver below think either 34 or 36 weeks, My daughter was born at 32 weeks, So more hospitals need the capability of being able to handle births from a more realistic point of like 28 weeks, In my opinion :D They also need more beds in premature babies wards cause We had to wait 2 weeks just for a space to free up in coffs hospital, that was time I was in a whole nother town away from home, family and even my partner due to work commitments...For the sake of more beds/humidicribs means most important the mother and father arent away from their home town and their support networks...:)

Friday, February 11, 2011

SBH LIONHEART'S BIRTHDAY.

Sharon.


Sharon Lee: Had two emergency visits in the last 2 weeks, what a relief to feel in safe hands, not left hanging round for hours, looked after so quickly & professionally, we have to keep this hospital, it fills such a need in this community, in such a homely, nurturing way.

ONE YEAR ON FACEBOOK , SBHers.


Don't know what we have achieved but there are 3600 of us. 3 babies have been born there this year.There is a new Local Health Network from which we have heard next to nothing - but we will see. BHAG looks like it might be getting its website up and going. And here are some of the recent comments. Bravo SBH ers. A very happy first birthday to you all. 

Sunday, November 21, 2010

NURSES' MARCH 254 NOVEMBER 2010

http://www.nswnurses.asn.au/

Annie Schmidt: Support safe nurse patient ratios in NSW! Nurses will walk through Bello from 11.30 am Wednesday, on a 2 hr strike...for patient safety! We need ratios that Victoria won 10 years ago, 1 nurse to 4 patients! Join us to inform the community.

Friday, July 16, 2010

BELLO SONG FOR RALLY ON 24 JULY 2010

[Spoken:] 
There's a Bellingen businessman, lying, dying, 
and he gets himself up on one elbow, 
and he turns to the pollies, 
who are gathered 'round him and he says: 

[Sung:]
Let me hospital be, you mob,
Let me hospital be.
We need our services here, sport,
Need our services here.

Lets keep acute care beds, Tebs,
Keep our acute care beds.
Recovery’s cheaper here, dear,
Recovery’s cheaper here.

All together now!
Let me hospital be, you mob,
Let me hospital be.
We need our services here, sport,
Need our services here.

Bello’s right for babies too, Vahid,
Right for babies too.
Coffs’ great if things complicate, mate
Great if things complicate.

All together now!
Let me hospital be, you mob,
Let me hospital be.
We need our services here, sport,
Need our services here.

We need ED all night, Haze,
Need ED all night.
Let those ambos just come, chum
Let those ambos just come.

All together now!
Let me hospital be, you mob,
Let me hospital be.
We need our services here, sport,
Need our services here.

Give our theatre more to fix, Nics
Our theatre more to fix.
And x-rays too on call, and all
Xrays too on call

All together now!
Let me hospital be, you mob,
Let me hospital be.
We need our services here, sport,
Need our services here.

Coffs’ in dire straits, Chris,
Coffs is in dire straits.
Let Bello share the weight, mate,
Let Bello share the weight

All together now!
Let me hospital be, you mob,
Let me hospital be.
We need our services here, sport,
Need our services here.

Thursday, July 1, 2010

TRACEY K

 Tracy Kimber: re  Munro : (now 4yo). The pre and post natal care I received in Bellingen was incredible (Lyn, Trev and all the team). As a single mum with no family, the support was much needed and appreciated. I was born in Bellinger R. D. Hospital and although Munro had to be born in Coffs (what a horrible experience) wespent less than 24 hours there. Couldn't wait to get back to the nurturing nurses in Bellingen.
June 15

RACHAEL N

Rachael Noble: My mum was a nurse in Bellingen for over 40 years, beginning at the age of 16 living in the nurses quaters when Bellingen was a training hospital. She has always spoken very highly of Dr Dunn, sad to hear he is not well. What a brilliant man.

DIANNE W

Dianne Wall (nee Casey) Keep up the good work saving the BRDH. I worked in the office when Mr Curtis was secretary and before I went to Wagga to nurse. Joan Knight/Radford worked with me.

Wednesday, June 9, 2010

MERVYN AND SOPHIE

COUPLE IN BELLO HOSPITAL
Carmel Daly. 
Saw this in the Saturday's paper - great consideration for a lovely married couple.
Liz Stewart. 
real people real life real love.
Shannon Wake. 
My Awesome Nan & Pop!!!! Thanks for the story Graeme, and thanks for the photo Aunty Beth!

ALISON C

 Alison Carter: have just watched Prime News and Pia with her pleasing results. Here's hoping another 4 midwives can be found very soon. one step covered, now about the EM 24/7 and xray 7 days. With the re-opening of maternity will we get another new foetal monitor? BUT don't forget to tag whatever is bought for the particular cause or it will fade along that big black highway. Well done BHAG.