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Nurses’ union wants new 500-bed hospital

More beds are needed for patients and the elderly, says the MUMN.

More beds are needed for patients and the elderly, says the MUMN.

The nurses’ union has fleshed out its calls for more hospital beds and called for a post-election government to start planning to build a 500-bed hospital for acute care.

The 500 hypothetical beds would complement the 825 beds at Mater Dei Hospital, which the Malta Union of Midwives and Nurses has repeatedly insisted is too small for Malta’s needs.

That claim had previously been rejected by Health Minister Joe Cassar, who has said that Mater Dei was deemed big enough by consultants from Johns Hopkins University.

MUMN’s call for a new hospital was the most eye-catching point in a 13-point list of proposals it made to political parties yesterday.

And according to the union, the 500 hospital beds will need to be buttressed by a further 500 beds for the elderly in residential hospitals over the next five years.

The union also wants greater emphasis to be placed on patient rights, with an independent body tasked with investigating complaints and patients being afforded freer access to their own medical records and to a second medical opinion. The MUMN’s proposals suggest staggering outpatients’ appointments and introducing quotas on the number of patients consultants see on any given day.

They also call for waiting lists for elective surgeries to be managed by a central office, rather than left up to individual consultants’ diaries. This, the MUMN suggested, would cut down on waiting times and stop consultants from bumping frequent private clients up their waiting lists.

Some parts of the proposal document are unlikely to go down well with the Health Ministry.

“The development of health centres was literally nonexistent” in this legislature, the document argues, before going on to suggest all health centres should remain open and offer a GP service.

MUMN’s document also criticises the government’s Pharmacy of Your Choice scheme – through which patients who are entitled to free medicine can collect it at their local pharmacy – and lambasts it for encouraging medicine hoarding and drug wastage.

Private doctors and GPs should be empowered to modify or stop medical treatment freely available to patients, the MUMN has proposed.

Currently, only consultants can alter such prescriptions.

Moreover, according to the union, further infrastructural investment is needed at Mount Carmel hospital to be accompanied by “drastic changes” in the entire system of community mental care.

The MUMN document also suggests modifying the tendering process for government purchases of medicines as well as bringing Gozitan health services within the Health Ministry’s remit, rather than the Gozo ministry as was presently the case.

Questions sent to the Health Ministry seeking a reaction to the MUMN’s proposals remained unanswered at the time of writing.

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Francis Sammut

Aug 15th 2012, 15:28

Mr. T. Bone, I'm sorry but of course you can determine when planning a hospital how many beds one would need. Didn't we already know that there were already a shortage of beds at St. Lukes hospital? Of course we knew, but the government thought that the new hospital is to have less not more beds! Go figiure that out! I ask, was that wise? If it wasn't for the 1996/98 government ( and no I'm no apologist) which increased the number of beds today we will be in a much worse situation.
You said we simply do not have the money to build another hospital - agree to a point. The government didn't have the money not even on the eve when work started on the city gate project, aka new Parliament, but it still thought that Malta should go ahead! With reference to bad planning, I agree !00%.

J Cauchi

Aug 15th 2012, 17:45

Mr Tonio Bo0ne had asked me how can I determine rthe number of beds when planning a hospital. The answer is quite simple. You consider the problems you had with the old hospital and plan for them. St Luke's Hospital catered for 1000 patients and still there was the same problem,not as acute as this, but it existed. So how on earth can you build a new hospital with less than half of the beds at St Luke's Hospital? That is not called planning; it's called madness.

Tonio Bone

Aug 15th 2012, 18:07

Francis, I was always of the view that St.Luke's should have been revamped. There was no need to have a hospital with a massive footprint like Mater Dei. We could have got more beds and spent less.
I reiterate that we did not have the money then, and we do not have the money now, Parliament Project included. Massive infrastructural projects should be the burden of the private sector not the government, we just do NOT have the financial resource to undertake them. We already struggle with our recurrent expenditure never mind building a Euro 500 million hospital, and perhaps spend another similar some (with today's valuation) for a second.
Frankly, I do not know how competent the consultants our administration engages are. We have a hospital that is not meeting the demand, and we have a power generation system that is not meeting demand as well. Those are two fundamental pillars of our everyday lives and we are struggling!

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