Update 3: Hospital bed shortage - new ward planned
The Health Department this afternoon revealed plans for a new 16-bed ward adjacent to the Emergency Ward to ease the bed shortage at Mater Dei.
The department was referring to statements issued earlier in the day by the UHM, the MAM and the UHM.
It said it wanted to reassure the public that all decisions that were taken over the past days and weeks to deal with the extraordinary influx of patients at Mater Dei Hospital have been aimed to safeguard patients.
The Department said it was preferable to accommodate two patients in a single room rather than leaving patients waiting for a bed in a hospital corridor. This position was made clear with MUMN and UHM who separately voiced their concerns with the Department.
"The Department of Health wishes to clarify that no patients are going to be moved out of their rooms to be placed in a corridor. Given that over the past few days there have not been any patients in the emergency corridor, the Department was able to agree to keep only one extra bed in the wards. The department tries to ensure that the additional workload is fairly distributed across the hospital.
"Should the situation change, the Department may have to reconsider accordingly. The Department of Health will continue to engage with all stakeholders to find longer term solutions such as a new 16 bedded ward adjacent to the Emergency Department," the department said.
MAM STATEMENT
The Medical Association of Malta said this morning that up to 50 patients may end up being treated in hospital corridors because of a 'scandalous' agreement between the Health Department and the MUMN, the nurses' union.
The association said implementation of the agreement may lead to 'serious danger' to patients, and it would continue to oppose it.
The MAM said it had been decided between the Health Department and the MUMN to add only one extra bed to hospital wards, rather than two or three, and as a result other seriously ill medical patients would be treated in dangerous corridors rather than in hospital single rooms, when it is possible to accommodate more patients on the wards.
"MAM cannot understand why the MUMN insists on making its members, particularly those in accident and emergency take care of patients in corridors under such difficult conditions for nurses," the association said.
The association said the health authorities should stand up for patients' rights and not give in to claims by an 'insensitive and unrepresentative' minority who make patients lose out to militant trade unionism.
MUMN REACTION
The Malta Union of Midwives and Nurses in a reaction said it was surprised by the MAM comments.
It said that the rooms where extra beds had been added were not equipped with facilities for additional patients and the situation had led to several complaints by the patients, who asked to be treated elsewhere.
The only organisation which had been in favour of patients being admitted to rooms which were not equipped for them was the MAM, so that the consultants could find their patients grouped in one place, the MUMN said.
It said that if the doctors' association was really concerned about patients in corridors, it should instruct its members to go in on Sundays so that patients could be discharged and beds would not be occupied needlessly, forcing other patients to be treated in the corridor.
Furthermore, the doctors could better coordinate with the authorities before transferring patients from private facilities to Mater Dei, so that the hospital could be better allocated.
The MUMN pointed out that it was only the nurses who tended the patients round the clock and they were therefore the best placed to know what patients were going through.
MAM DENIES SUNDAY ROSTER CLAIMS
In a reply to the MUMN, the MAM said Consultants in the Department of Medicine, despite being under no obligation to do so, visit hospital on Sunday, their only day off in 14 days, to assist patients who were admitted on Saturdays. To date none of these doctors have been remunerated for this work.
"MAM denies the statement with regards to Sunday attendance. Doctors in the grades or Foundation year, Basic Specialist trainee, Higher specialist trainee, and Resident specialist have rosters which include Sunday cover," the MAM said.
UHM CALLS FOR HOSPITAL TASK FORCE
The UHM said that while the hospital building had changed, work practices and staff shortages had not.
It said workers should not be put under more pressure because of the bed shortage, and no patients should be placed in corridors.
The UHM urged the Minister of Health to appoint a task force including the health department and all unions to discuss the hospital's problems and their solution.
51 Comments
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J Degabriele
Feb 26th, 10:08
While in no way am I upholding certain practices carried out at our hospital, especially at the emergency ward, where I suffered myself a few months back, I thank God that the service provided once you're inside a proper ward is excellent. Watch the Italian news and note the scandals that surface in hospitals in Italy from time to time!
Charles Alamango
Feb 26th, 07:51
Through experiencing discomfort myself when I took my 85 year old father (via the Floriana polyclinic first) I agree that the Mater Dei emergency ward should be enlarged, managed better and made more efficient. I strongly suggest that patients who call at the emergency department with minor ailments instead of going through polyclinics should be refused treatment or made to pay accordingly. I also suggest that patients should be treated at any polyclinic they call at as long as an ID card is presented. The policy of refusing treatment at polyclinics to patients who are not from the particular region is contributing to the chaos at the Emergency Hall at Mater Dei. I salute and thank the hospital staff for their efforts and dedication in a very difficult environment.
Joe Fenech
Feb 25th, 23:10
An extension already? Why don't they demolish it and rebuild?
Claire Busuttil
Feb 25th, 22:36
mismanagement kbir!
Jay Oatmon
Feb 25th, 20:57
Why not plans for a new 50 bed ward - this is what is really needed!
All I see is this stop gap 'bungle through' approach with no proper planning - God help us if there is a major emergency and 100 plus people need to be treated in hospital.
Amanda Zarb
Feb 25th, 19:51
What a shame!
j brincat
Feb 25th, 18:21
"The Health Department this afternoon revealed plans for a new 16-bed ward adjacent to the Emergency Ward to ease the bed shortage at Mater Dei"
Management by crisis has become the order of the day with this government!
(jb)
j brincat
Feb 25th, 18:18
@Angus Black
"Mater Dei has been hailed as one of the best in Europe and provides excellent service to its patients"
Are you for real? Have you ever been to the Emergency Department lately? Go there and witness the agony and trepidation of the poor patients waiting hours on end in the corridors just to be seen to!
If this is excellent for you then you have very poor tastes, I'm afraid!
(jb)
Karl Consiglio
Feb 25th, 18:13
New ward planned, by the Nationalists of course.
Pia Attard
Feb 25th, 23:38
yes, the same people who built a brand new hospital with the same number of beds as the old one.
A Tonna
Feb 26th, 10:16
@ Pia Attard
Maybe 200 beds less than the old one! Dawn x'hasbu ??
vella m
Feb 25th, 18:01
Is any body responsible? any resignations? We need foreign ministers to solve Malta’s problems,ghax "Ic-Cwiec Maltin" m'ghandhomx hila.state-of-the-art Ministerial salary increases! State-of-the art Ministers state of the art hospital LOL,unbelievable.
Joe Fenech
Feb 26th, 07:23
And state of the art hospital !
cesco di luigi
Feb 25th, 17:44
I was once in hospital on a long weekend. 21st september happened to be a friday. i had the misfortune of suffering from a haemhorrage from behind if you know what i mean. I called for a doctor and when one actually came (reluctantly) she said she wouldn't do anything until the consultant came in on monday because i was "the consultants " patient and she did not want to interfere. Seems like these consultants own the place themselves. I lost a lot of blood as a consqeuqnce. Bad planning bad managemnt was and still is in maltese hospital.
And by the way all you thousandss of maltese who have been to foreign hospitals around the world...did you ever wonder why its only malta's hospital that needs so many security staff??? whilst foreign hospitals seem to manage quite well without them???
John Azzopoardi
Feb 25th, 17:36
Of course we have hospital nurse shortages. What do you expect when Malta tries to act as the nurse of the mediterranean with it's limited resources. Could the Minister telll us how much of limited maltese resources are devoted to caring for all the influx of illegal migrants and war victims from Libya. Maltese taxpayers should not be putting their lives at stake. Although the hospitals in Malta are free, they are paid for by citizens taxes not the government money. Always remember, the government is only their to SERVE THE PEOPLE, not hte other way around.
Joseph Grech Attard
Feb 25th, 20:51
Dear Mr. Williams - Divide to rule is the motto. The state of the art hospital is only true when it comes to building. When it comes to management, nothing has changed. Il-huta minn rasha tinten. I feel sorry for the present minister of Health who inherited such a mess, whilst the persons who have advised the Government, remain behind the scenes!! Another HUGE failure (Arriva, Air Malta, Sea Malta, Erasmus, etc, and soon City Gate Project) of the present administration. How far is it able to go? When shall our spring start??
VINCENT WILLIAMS
Feb 25th, 17:14
A great number of Mater Dei patients and their families are suffering because of the many wrong decisions that PN Governments took in the past.
The situation is very dangerous but instead of the unions of the doctors and the nurses join forces and face the present administration if need with an ultimatum. They are arguing with each other.
The blame is on GonziPartitNegattiv as it is also clear that it is another failure from the PN Government.
Dr Franco Debono now it is your turn to motion a 'no confidence vote' in the government to end the present dangerous situation in Mater Dei.
Joseph E Briffa
Feb 25th, 18:35
Vincent Williams - sorry I am not using caps; Don't you realise that your comments are simply pathetic?. You go on like a robot programmed to denigrate PN. You write comments on anything under the sun and your comments are always negative, no wonder you call PN GonziPartitNegattiv. Why don't you join the party?
VINCENT WILLIAMS
Feb 25th, 21:13
Dear Mr Joseph Briffa.
Thank you so much for not denying or even contradicting that a great number of Mater Dei patients and their families are suffering because of the many wrong decisions that PN Governments took in the past!!!!!!!!
For not denying or even contradicting that the blame is on GonziPN and that the situation regarding patients in the corridors is another failure from the PN Government.
And as you did not contradict my request regarding a 'no confidence vote' by Dr Franco Debono to end the present dangerous situation in Mater Dei. I also thank you for that.
By the way, if my comments are simply pathetic than it should have been very easy for you to contradict. But in your deep heart you know, as many ex-PN supporters know that my comments are the truth.
The great number of Nationalists supporters that are leaving the PN clearly shows the situation that GonziPartitNegattiv is in!!!!!!!!
Mr Joe Micallef
Feb 25th, 23:31
Williams. One thing is certain! You do not have the faintest idea of the value of shame! Good thing you vote PL.
Ġ. Agius
Feb 25th, 17:04
A thing the government should do but probably can't is to impose a 3-5 year contract on new professionals. It is quite unfair that newly graduated professionals (doctors and nurses, in this case) are allowed to emigrate immediately after graduation after being possibly educated from their toddler years to their adult years for free, or almost free.
R. Cilia
Feb 25th, 17:53
What you suggested is not possible since we are in the EU G.Agius
Adrian P. Cassar
Feb 25th, 19:24
First of all the govenment doesn't force teacher, lawyers or architects to work for him. Secondly, ther is no problem with doctors leaving, since this was well solved with the foundation programme and local specialist training. And thirdly, people who leave do so for their training and the great majority want to come back....the problem is that if they are consultants in the UK, they don't want to come to Malta at a lower rank.
Charles Galea
Feb 25th, 16:42
The problem is that proper ward rounds are not done on sundays or public holidays.The consultant is off-he has a right to rest.the HST may also not be duty and even the other junior doctors.The coverage is only done if the patient has a complaint and the doctor is called in this case can be any junior doctor but the point remains that discharges on sundays are minimal in every ward.The major problem is that when comparing St Luke`s (including corsiji) when compared to MDH there is a shortages of approx.200 beds and that is where the problem lies.
Ganshida Soldado
Feb 25th, 16:18
I am going to pray to my body to never let me down and force me to seek hospital treatment..
Mr James Rizzo
Feb 25th, 16:06
it tobba ahjar jghidu ghalfejn qed izommu blk-gholi wara il 5pm !!! JEW ghalfejn ma ssibhomx fil weekend...u ddahkux..man nurses tridu taghmlu l-arja ?? Uzgur inthom tigu tard u tmorru kmieni..u n-nurse ikun mal pazjent.
It tobba jaghmlu il-hin kollu tax-xoghol taghhom fl-isptar ? jew jaghmlu inqas minn hekk ?
tas-sieghat li ma jaghmlux l-isptar xorta jithalsu?? ghax JIEN jekk ma nmurx ix-xoghol jaqtaghhieli leave u jekk naqbad u nitlaq nista ma nmurx lura..imma jien minx tabib..dawk specjali.
Maria Caruana
Feb 25th, 17:21
Sur Rizzo, da zgur li t-tobba jaghmlu l-hin kollu tax-xoghol taghhom fl-isptar! Mela min qed jaghmilha d-dijanjozi tal-pazjenti li jidhlu l-isptar? In nurses? Min qed jaghmilhom l-operazzjonijiet? In-nurses? Min qed ikompli jsegwi s-sahha tal-pazjent kemm idum l-isptar? Dan ix-xoghol mhux kollu t-tobba jaghmluh? Paroli bla bazi, hafna hsara jista' jaghmel u mhux gid. Filwaqt li napprezzaw li n-nurses jaghmlu xoghol siewi hafna, wiehed m'ghandux jaqbez ghall-konkluzjonijiet li m'humiex minnhom
joe vella
Feb 25th, 13:07
the MAM is stating that consultants have only one sunday off per 14days
Incredulous, so how come they manage to find so much time to attend private clinics all over the island and carry out duties and operations etc in the private hospitals?
If I am not mistaken the grades mentioned by MAM as being incorporated in a Sunday roster do not have the authority to discharge, so if this is so, the MUMN is correct
Adrian P. Cassar
Feb 25th, 19:36
First of all, most consultants work till 2pm....so that leaves them ample time to do private work.
If you know anyone working privately while he should be at Mater Dei.....please do everyone a big favour and REPORT him!!!
Yes you are correct consultants don't work on Sundays....unlike other European countries....where they don't work on SATURDAY and SUNDAY. So we have 6 discharge days as opposed to 5 days elsewhere!!! Are you suggesting that consultants should not have a day off a week? Other grades have the authority to discharge...but don't because only a skeleton staff is present on Sundays
Mr R.E. Saliba
Feb 26th, 12:18
Lol Adrian P. Cassar, joke of the year.
Report a consultant????
That'll make you a favourite, the next time you need him/her.
Did you know for instance that a consultant has COMPLETE prerogative on who to operate and when?
Malta is not a medical utopia dear.
Joseph E Briffa
Feb 25th, 12:44
What are patients going through? May I ask MUMN to spell out their allegations? MUMN has been all out to cause trouble for management ever since Mater Dei opened its doors. No sooner do they resolve an issue withe the Health Authorities then they bring up some other issue; with the flimsy excuse that they are trying to make life easier for nurses. They must be aware that nursing is not a cushy job; it is indeed strenuous, and should only attract people who are dedicated to their profession. Whenever I had relatives hospitalised at Mater Dei I have always observed the calm atmosphere that reigns on the wards. Patients and nurses were satisfied with the conditions and I never had the occasion to notice any complaints from either side.. Nurses went about their work in an exemplary fashion, giving love and care to patients. All this was done in a calm manner and all patients were satisfied with the way they were being looked after. So what are patients going through, MUMN?
R. Cilia
Feb 25th, 17:59
Go t o MDH and see for yourself JE Briffa..Remove your blue blinkers before you enter MDH or you might get an eyesore.
T Cassar
Feb 25th, 18:40
Let us put aside what everyone is saying and ask you sir 'Have you been to the Energency Department in the last 3 months? If your comment is not meant to mislead, perhaps you would care to visit in the next week and in a gentlemanly manner write in again?'
Perhaps the methods used my most of the parties leave much to be desired, but saying that there is no need for action is an odious stance and reminiscent of an ostrich putting hits head to the ground. Of course the curse of everyone seeing things through blue or red coloured glasses prevails. The fact that we insist that a problem is equal to failure and the only thing we do about it is dish out blame does not help. I repeat, see for yourself and THEN comment whether there is need for imporvement!
Adrian P. Cassar
Feb 25th, 19:41
Nahseb li ma fhimt xejn Joseph....there is no problem for patients in the wards. The problem is for patients NOT in a ward. Patients crammed on stretchers in the corridor of casualty waiting for days for a bed in the ward.
Please do yourself a favour and head to mater dei....go to the casualty department and have a look at the poor patients on stretchers waiting for a bed. Then come back and tell us how blissfuly happy they look!
mario gellel
Feb 25th, 11:58
NEW NAME>>>"STATE OF DISASTER"
Jonathan Zammit Lapira
Feb 25th, 11:55
Ben detto Sig. Di Luigi. Ghogobni wkoll kumment tal-Union tan-nurses:
"if the doctors' association was really concerned about patients in corridors, it should instruct its members to go in on Sundays so that patients could be discharged and beds would not be occupied needlessly, forcing other patients to be treated in the corridor."
If on Sundays patients can go home, why are they kept for another day until the consultants/doctors discharge the patients on Mondays??????
Answers please!!!!!!!!!!!!!
Mr Albert Borg
Feb 25th, 14:06
please note that the crisis doesn't resolve itself on mondays when patients are discharged (not that large masses are discharged at one go).
However i'd like to point out that first and foremost - everybody works and everybody has a right to rest. This applies to both nurses, junior doctors, health care professionals AND consultants. Why in your opinion they should forego this right is beyond me. If anything the issue here is why does the consultant need to be present for a discharge and an improvement of the current system used should be sought.
Also this idea that patients are being thrown at will into corridors and ridiculed is not the case. Yes, it is not an easy and far from the ideal environment, however all professionals alike work round the clock (except when on leave :P ) to give them the best care this hospital can afford.
Once more i repeat - instead of pointing fingers its high time people sat down and analysed what is really wrong and try and come up with PROPER, LASTING solutions, and not just band-aid fixes.
Joey Tribbiani
Feb 25th, 15:18
Work on Sundays?? Remember John Dalli's famous assertion of MDH - a part time hospital. Go and collect the list of serving consultants from St james hospital and you will notice that the absolute majority of govt hospital consultant/specialists serve also at this private hospital/s during the afternoons. Some even perform surgery in the mornings over there.
Adrian P. Cassar
Feb 25th, 19:51
Mela Mr Zammit Lapira, can you please tell me what profession you have?
Are you a teacher? If children have a problem with their maths why don't you go to school on sunday, surely you don't take Sundays off knowing that the kids can learn more on that day?
Maybe you're a lawyer....with this slow justice system, the court should open on Sunday
Maybe you are a cashier at a supermarket....surely your employer would earn more if customers can shop on Sunday.
Well....maybe you're a street sweeper....how dare you let our streets dirty on Sundays!!!
What is your proposal Jonathan? How many days a week do you work..6? I hope that you don't have a 5 day week and then have the gall to ask doctors to work 7 days a week?
I eagerly await your ANSWER PLEASE!!!!!!!!
david debattista
Feb 25th, 11:46
Why did it go so wrong !!!!!!
Joey Tribbiani
Feb 25th, 11:28
The most scandalous thing was the agreement that the Govt signed with MAM before the last elections giving very high salaries to consultants (€60K+) in order, supposedly, to give more of their time, to cut down on the waiting lists. What is more scandlous that these salaries are being paid also to those consultants who are going a desk job!
Mr Albert Borg
Feb 25th, 14:01
Sir, the salaries are not the issue here, which by the way are by far inferior to the amounts made in private practice or in other countries. Some respect. The issue at hand is that there's a growing demand for medical services within MDH and this is not able to cope. Quick fixes won't do the trick and the corridors will eventually fill up also. Useless pointing fingers and accusing unless we come up with a real solution. Personally i believe that the hospital requires expansion by adding extra floors.
Joe Grech
Feb 25th, 10:54
A lot of dirty linen is being exposed....
The crunch is that this administration is not really attending to the needs - and rights - of patients at Mater Dei. It has let taxpayers down; it keep acting irresponsibly, trying all the time to escape justified criticism.
Minister Cassar has been caught in this issue. It is true that it is certainly not his fault that Mater Dei was built the way it has been built - large corridors and restricted wards....But it is his fault that he has not find solutions to the problem of overcrowding and lack of hospital bed space.
He should be made to resign.
alfred seguna
Feb 25th, 12:42
Don't ever try to find whose fault this disaster is.By the time the tax payers starts to feel the effects of the disaster of any national project those responsible would have moved out of the way and the taxpayer is left stranded.We have the e.g. of the AVRO JETS of Air Malta.We have the Cirkewwa project etc etc.Projects which take years on end and never get finished and when they get finished we discover that the cost is ten times the original.And the story goes on that no one is RESPONSIBLE and no one is ACCOUNTABLE.The people will only pay the taxes to make up for all this WASTE of money
Angus Black
Feb 25th, 13:10
Familiar comments harken back to the days when Mater Dei was still under construction. The fact remains that people with an agenda never accept what the government does and constantly talk about 'patient rights', which, in other days were totally ignored, doctors were locked out and every patient was in danger every time he/she was looked after by a non-English speaking doctor who sometimes did not even understand what the patient's complaint was. Talk about 'patient rights'!
Needless to say, for some, MD is too small but had it been larger, it would have been too large. We all know how militant the MUMN is and how they seem to always have a bone to pick. This is a time of restraint and budget cuts, so spending millions more is not in the works for now.
Mater Dei has been hailed as one of the best in Europe and provides excellent service to its patients but Mr Grech whose comments mirror those we used to hear from the LP, thinks that the corridors are too wide! If design comes to question, how about the design of the LPHQ gallarija which resembles an old fashioned hoist used to lift stone slabs to levels above first floor? One wonders what the architect had in mind and how much he was paid for his services. Maybe (s)he did it pro bono, but still it lacks appeal and imagination.
" He should be made to resign" has the familiar Mile End ring to it..
Joseph Calleja
Feb 25th, 17:00
To be honest Mater Dei Hospital was planned years and years ago and it was Ok to accommodate all the citizens at the time. The planners of this state of the art hospital did not think enough far ahead. When we joined the EU the number of people coming into this country grew tremendously, then the Illegal Immigration Invasion happened and the bucket got filled pretty fast to the point of overflow, and one last thing, don't forget people are living a lot longer these days and require medical attention.
william cauchi
Feb 25th, 17:55
@Joseph Calleja ''Mater Dei Hospital was planned years and years ago to accommodate all the citizens at the time''
I am sorry this completely away from the truth. Mater Dei was never planned accommodate everybody but only as an addition to St. Lukes. Originally it was planned to be half of what it is today but then Alfred Sant decided to increase the capacity drastically.
But still not enough. Yes, Mater Dei is a state of art hospital but in fact it accommodates less patients than St. Lukes did. That is the problem, and with the increase in population, the situation is getting much worse.
Adrian P. Cassar
Feb 25th, 20:00
Dear Joseph calleja, what a load of bull!!!!
Do you really honestly think that people in the health dept are idiots!!
The planner in the deprtment know one or two things about our demographics. Our population now is what was predicted many decades ago. Nobody is surprised. And no, there is virtually no big problems with illegal immigrants or other immigrants. If you go to MDH, the only immigrants you will see will be the ones working hard keeping it spick and span. The odd foreign patient here and there is usually an old tourist or old resident.
The planners planned everything to perfection....the only snag was that they built a hospital that would suite us fine if work practices and long term care of the elderly was done appropriately. While the planner kept their end of the bargain and built good hospital...the government ignored the problems plaguing our health care system completely. If you take out all social cases....our hospital would not be in this state.
j brincat
Feb 25th, 10:46
And all this is taking place at our state of the art hospital which cost us much more than the original costings and which was inaugurated with much fanfare before the last election!
Meanwhile, the poor patient looks on subdued and in bewilderment!
(jb)
Franco Farrugia
Feb 25th, 09:03
Both medical unions should work together for the improvement of the patients' lot. Patients need BOTH doctors AS WELL AS nurses - the two professions complement each other and one must not lose sight of this very important characteristic which makes medical care what it is. The Health authorities must endeavour to do their UTMOST to bring these two 'sides' together.
cesco di luigi
Feb 25th, 08:53
imbasta spatar state of the art..kullhadd ihawwad kullhadd jikkmanda kullhad ipappiha hlief il povru taxpayer