MORE than 30,000 hospital beds including about a third of Australia’s intensive care capacity will be brought over from the private health system to boost the nation’s coronavirus response in an unprecedented partnership.
NSW is in the process of finalising a deal with local private hospitals, but an agreement between the sector, federal and state governments announced on Tuesday means the public health system will have significantly more resources at its disposal.
In exchange for being able to use the resources of 657 private hospitals into its coronavirus response plan, the Commonwealth will provide a guarantee of at least $1.3 billion to ensure the viability of the sector.
The cost has not been capped, however with Health Minister Greg Hunt confirming if more money was required, it would be available.
“While we're not taking ownership, we have struck a partnership, where in return for the state agreements and the Commonwealth guarantee, they will be fully integrated within the public hospital system,” he said.
Mr Hunt said the agreement would bring over about 105,000 full and part-time hospital staff, including 57,000 nurses and midwives.
“The activities are broad and they will work together, the hospitals have committed to be fully flexible,” he said.
“(Private hospitals) may be taking public hospital services, they will be making their ICUs available, they may see an exchange of staff or equipment in either direction.
“They have committed to be flexible in a way that has been beyond conception.”
It comes as Deputy chief medical officer Dr Nick Coatsworth said using private hospitals and repurposing existing supplies in Australia, the country could expand to 4400 ventilators to treat critical COVID-19 patients as needed, and was aiming to have a capacity of 7,500.
“We are working round the clock to procure ventilators,” he said.
“Locally, we will have 500 intensive care ventilators fabricated by ResMed, backed up by 5,000 non-invasive ventilators, with full delivery expected by the end of April.”
Mr Hunt said the National Cabinet made up of Commonwealth, state and territory leaders that had enabled to integration plan to occur would be looked back on as a historic moment in Australia.
“In 50 and 100 years' time, I suspect people will look back on this National Cabinet as being one of the most amazing achievements of the Federation in Australia's first 200 years. That's my honest view,” he said.
“It's a unique arrangement in Australian history, and it's been done at a time when everybody has been dealing with massive pressures on their economic, social and health systems, all at the same time.”
So far Victoria was the only state close to a final agreement, which would include the provision of a retention payment to keep private hospital staff employed, and an activity payment as they undertake COVID-19 response work.
Mr Hunt said he expected other states would follow the model.
“It does it in such a way that the hospitals will be available, and their staff will be available, to participate fully in our national response and to be able to bounce out and to support the needs of the population after we emerge from the period of coronavirus,” he said.
Australian Private Hospitals Association chief Michael Roff said the reduction in elective surgeries meant there would have been no revenue for many hospitals without the government guarantee.
“(This) means it was very difficult for us to pay our nurses, maintain buildings and maintain that capacity,” he said.
“We've heard the word ‘unprecedented’ a lot this year, but this is absolutely unprecedented in terms of the integration of the capacity of the private hospital system, including those 57,000 nurses and the third of all, intensive care beds into one health system to deal with this pandemic.”
Mr Roff said a lot of services that are normally provided in private hospitals won't be available in the next six months.
“So, there is going to be a big backlog when we’re on the other side of this pandemic, and this arrangement from the Commonwealth and the States means that private hospitals will be there to help with that backlog on the other side,” he said.