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Cancer chief resigns after advice ‘repeatedly ignored’

Photo: Darrin Zammit Lupi

Photo: Darrin Zammit Lupi

The head of Mater Dei Hospital’s oncology department, Stephen Brincat, has resigned saying the government repeatedly ignored his advice on various important issues, making his position untenable.

As a result, decisions were taken that wasted “hundreds of thousands or euro”, Prof. Brincat told The Times.

“The duties of a clinical chairman of a hospital department are not just to lead the service provision of that department but also to advise the government on matters pertaining to that speciality, cancer in this case.

“When that advice is repeatedly ignored, the position becomes untenable,” he said.

Prof. Brincat’s resignation was raised by Labour Party health spokesman Marie Louise Coleiro Preca, who said he resigned because of clashes over policy and disorganisation at the Sir Paul Boffa cancer hospital in Floriana.

A Health Ministry spokesman said Prof. Brincat was resisting plans to merge the oncology and haematology departments, which deal with cancer and blood disease respectively, and also objected to extending chemotherapy services to Gozo.

“His resignation was accepted, providing the opportunity for these new, exciting changes to occur and for all the developments that have long been planned to finally be rolled out, also in order to bring this department to acceptable international standards, in preparation for the new cancer centre,” the spokesman said.

The Health Ministry said merging the departments was in line with common clinical practices.

“This new configuration reflects the aggregation of services that are being planned for the new Oncology Centre where a number of specialities would be working and housed together,” the spokesman said.

In a detailed reply to questions sent by The Times, Prof. Brincat listed more than two reasons for his resignation.

He disagreed with the policy to deliberately keep the National Cancer Plan a secret from the professionals that were meant to execute it until the day it was published.

He said that when he was asked whether he thought it was best to move oncology from Boffa to Mater Dei seven years ago, his answer “was a clear, though reluctant one, in favour of Mater Dei to join the other specialities”.

“Without the slightest bit of planning we were ordered to go to Zammit Clapp. After three years of useless planning we were then told we’d be going to Mater Dei.

“Apart from the hundreds of thousands of euro wasted, we wasted three precious years during which the life span of our single old linear accelerator (a machine) for treating cancer patients was fast running out,” he said.

He repeatedly warned the Health Department about the danger to the service, “but I was told that the political decision had been taken and that I should therefore shut up”.

Eventually, after the machine broke down several times, a new wing was built at Boffa to house a machine that had to eventually be moved to Mater Dei at a great expense. “As always, no one is accountable,” he said.

Recently, he said, he was ordered to provide chemotherapy services in Gozo.

“The oncology department has never been in favour of this as it would have meant offering a poorer quality service in Gozo due to a lack of trained and experienced staff.

“Notwithstanding, I did as ordered and gave the department a plan that would have allowed us to deliver a limited service safely and to a reasonably high standard.

“Rather than accept this, the Health Department opted for a rush job to be set up in under a month, together with nonsensical clinical instructions on how to implement this,” he said.

The last straw was the decision to amalgamate two specialities, oncology and haematology, under one chairman.

He felt that accepting this would be “presumptuous” as he was not an expert in both fields and the administration would leave him no time for patients.

“When it was made clear last week that this advice was not being accepted I resigned with immediate effect,” he said, adding that he will continue in his post as a consultant oncologist.

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Leo Said

Aug 31st 2012, 17:23

@ Barney

A "governing party" (in a democratic country) always has a (democratically delivered) "superiority scope to run" the respective (democratic) country.

Moreover, Dr. Stephen Brincat, as I understand, has only said "I quit" with respect to an administrative office. The gentleman says, as quoted in the newspaper article, that "he will continue in his post as a consultant oncologist". I would be inclined to believe that the latter post is more lucrative than an administrative office.

Ramon Casha

Aug 31st 2012, 12:52

The conservatives are against health care because they were told to be. They actually believe that a commercial company which exists only to make money cares more about their well being than the government.

Janet Pullicino

Aug 31st 2012, 12:57

@ Charles Sammut

no the republicans are against obamacare because they could not care less about those who cannot afford to take out insurance. as far as they are concerned the poor can die in the gutter.

Chris Gatt

Aug 31st 2012, 13:17

This comment would be funny if it weren't so sad. The Health system in the States is great if you can afford it. It is definitely NOT the best in the world (see teh WHO for more info), especially if you can't afford insurance. Europe's state run health system is not only more equitable but is in many ways superior.
Mr Sammut is obviously also totally misinformed about Obamacare. But then again Mr Sammut probably also believes the tosh Paul Ryan said at the GOP conference a few days ago. It is the Ryan voucher system which does not bode well for the American man in the strett

Francis Bonello

Aug 31st 2012, 14:01

.........I think that might is right, they why the government bulldozes everything.

Chris Gatt

Aug 31st 2012, 13:26

Perhaps Mr Borg should explain how Dr Brincat's decision is an irresponsible one. He is not withdrawing his services as a doctor/consultant but as an administrator who has been asked to effect a policy he does not agree with. If anything Dr Brincat should be praised for manning up and stepping aside. Why do I suspect that Mr Borg has got the wrong end of the stick and is seeing things through blue-tinted glasses?

J Martinelli

Aug 31st 2012, 14:28

Governing by crisis?

Reminds me of the seven year doctors lockout! No crisis there!

We welcome an early election so we can rid ourselves of trouble makers who would probably be most welcome at the Labour Party which is full of them, anyway, old and new(er).

Leo Said

Aug 31st 2012, 14:59

Mr. Privitera,

How would Mr. Franco Mercieca react, if there were no facilities for chemotherapy service in Gozo?

Josephine Borg

Aug 31st 2012, 11:57

I suspect that the Minister is allowing himself to be led - and then he has to carry the can. Wake up Dr Cassar.

TONY FORMOSA

Aug 31st 2012, 11:08


This guy Vella who seems to be an expert on every single matter under heaven continously shows his love

for GonziPN. It is a pity that Mr. Know-all never seem to grow up. What a way!

TONY FORMOSA
TONY FORMOSA

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