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November 5, 2025 • 13 mins

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Speaker 1 (00:00):
Now joining us live on the line to talk about
this and plenty more, is doctor John Zorbis, the head
of the Australian Medical Association here in the Northern Territory.

Speaker 2 (00:10):
Good morning to you, doctors.

Speaker 3 (00:11):
Orbis, Morning Katie, morning to listeners.

Speaker 1 (00:14):
Lovely to have you on the show now, Doctors orbis
that breaking news that just came through from the Health Minister.
He's anticipating it's going to be ten million dollars additional
provided by the Federal government for maternity services here in
the Northern Territory, not the thirty five million which had
been requested.

Speaker 2 (00:32):
What do you make of that?

Speaker 3 (00:35):
Yeah, look, the minister said he was extremely disappointed. I'm
angry and the potential mothers of dow and should be ropable.
You mentioned that we don't want to be ungrateful, and
ten million is ten million, But ultimately, when it comes
to fixing health facilities, ten million doesn't go very far.
It won't fix our capacity issues, it won't be enough,

(00:56):
it won't be what we need. This is a recurring
problem in healthcare and Australia. You don't really our funding
systems aren't very good at pointing the fire hose of
money where the problems are so if you take heart disease,
we've got the highest rates of heart disease in the
country and yet we're the only capital city in Australia
that doesn't have a full time cardiothoracic surgical service for

(01:16):
bypass surgery, and people are constantly having to be flowing
out of the territory for that. We're not really you
know that. We can look at how they work it
out and per capita and the beds and the safe
and territories can argue with each other, but at the
end of the day, the money need is to go
to where the sickness and people who need the resources are. Yeah.

Speaker 1 (01:34):
I couldn't agree with you more and it's something you
and I have spoken about before.

Speaker 2 (01:38):
But yeah, I think you're right.

Speaker 1 (01:39):
I think the women of the Northern Territory, the future mums,
people planning to have families, you know, ten million dollars.
When you think about that and think about what it's
actually going to do, I don't think it's going to
be much.

Speaker 3 (01:52):
It won't be enough. Even if it does increase any
sort of the clinical spaces that we've got, it won't
be enough. Part of that is because our facilities are
getting older, so Royal dalinting it's an age facility now
and we don't need a new hospital and that is
on the horizon, but that's not something you get done overnight.
So the refurbishment work you need in a building like

(02:13):
Royal Dale Hospital costs a lot more than on a
new build or a greenfield site.

Speaker 1 (02:17):
Yeah, John, let's talk more generally about how things are
going at the moment.

Speaker 2 (02:21):
We know that Code yellow was called for Royal.

Speaker 1 (02:23):
Darwin and Palmerston Hospital earlier in the week, the Minister
confirming it's still in place. From your perspective, you know,
on the ground inside the hospital, how are things going.

Speaker 3 (02:34):
Yeah, look, doctors are coming to us, I might say.
You know, firstly start by saying thanks to the doctors
and the nurses and all the patients, you know, people
heeding the public messaging. It's been a huge help when
things are strained like this. We need to not make
this political and you know, extending that thanks to the
Health Department and the Minister. This wasn't a political decision
and we appreciate that code yellow should be clinical decisions.

(02:57):
In terms of how things are going, it's still very,
very busy all the leavers a been pulled. The doctors
are telling us that they're still still pumping at DH Unsurprisingly.
It's not just about the hospital though. For every patient
that can't be flown in from our communities, you know,
they've got to stay in clinic in Raming, Guinning or
Manam Greta or wherever they might be, and that means
sicker people are sitting outside the system. Any delayter care,

(03:19):
you know, this is a circuit breaker, but that the
latter care will lead to a bit of a surge
down the track. So it's only a temporary fix and
it's not fixed yet. We're still not where we need
to be to roll back.

Speaker 1 (03:31):
And I mean you and I again, we've spoken on
numerous occasions about the funding model, about the fact that
we need more funding when it comes to our hospital.
John just talk us through, you know, the funding and
the Minister had spoken about it just a few minutes
ago as well. I mean he's saying I think he said,
we're two hundred billion dollars short just in that operational
funding each year. What's your take on this funding? And

(03:54):
you know, I guess so it's really clear in everybody's minds.
You know for for the federal government and what we
actually need from them.

Speaker 3 (04:04):
Yep, so the figures that the Health Department spreaking are correct.
So we come out to roughly the same sort of
just north of four hundred million in terms of the
amount that we're talking about that's missing from the federal contribution,
and that covers hospital services. So the NHIRA agreement is
how we pay for hospitals around Australia, aged care, retrieval,

(04:26):
medicine and primary care, especially in the remote and rural regions.
So if you just look at hospital services that two
hundred mili. That figure comes from the fact that when
you look at every state and territory we get about
seven to eight percent less than the average. That makes
no sense. There is absolutely no reason we pay the
same tax. We've got longer distances to travel and we've
got sicker people up here. It does not make sense

(04:47):
that we're not even at the starting line. And I
know there was a post from Luke Goslin's office yesterday
about the fact that you know that's projected there's going
to be a thirty percent increase and if you break
those numbers down, it comes out to what we've been
asking for to be brought back up to the average.
So you know, some of that is new money, and
we appreciate that, but that still only gets us to
the starting line. We're not even at the starting line

(05:09):
at the moment, so I'm not exactly jumping for joy.
The other areas, you know, we're talking about tens of
millions of dollars in age care, retrieval, primary care. Yeah,
these are areas that we need to perform better in.
There is a fifth area, though, and that's the top
up funding. So every state and territory has you know,
the states and territories run those health services. NT Health
runs our hospitals. Every state territory is different. They've got

(05:32):
their priorities, you know, they've got to choose where to
put that extra money. And for every dollar we spend
outside of health, that's a dollar I can't spend in health.
I'm not one of those people who's going to say,
build ten new hospitals, and we don't get things like
stadiums and schools and other things that are really important
to how we live up here. But we're definitely definitely
short on the health fire of the equation. And there

(05:53):
are some conversations we need to have about what our
priority is going to be for the next couple of
years and where that money is going to come from.

Speaker 1 (06:00):
Know that, you know, at the moment, there does seem
to be a bit of a tit for tat between
the federal government and the territory government about who's responsible
for funding the funding shortfall that we're experiencing, and you know,
what we need funding for and justification for how much
money we have gotten all the rest of it, you know,
to everyday territory. And so I guess we've all reached

(06:22):
a point where we're like, Okay, let's just sort this
out so that we can try to make sure we've
got the funding that we actually need for our hospitals
and for healthcare more generally.

Speaker 3 (06:32):
Yeah, Look, the beauty of working in healthcare is you're
a user of the system too. So I can I
can count on two hands how many times my family
has needed health services in the NT. We're part of
the consumer group, and nobody, nobody is interested in whose responsibility.
This is what they're interested in is the problem being fixed,

(06:52):
and that's that's you know, that's a shot across the
bow for our government for our opposition for the federal
government and federal opposition living in the territory right now
airs about which section of the constitution says who's responsible
for what little armor of the health service they want.
And what we're asking for is what's fair. So I
don't expect that we're going to get ten times as

(07:13):
much money as New South Wales to build a brand
spanking new hospital. Not silly, but we should get what's fair,
and right now we're not even there.

Speaker 2 (07:23):
Doctor's orbis.

Speaker 1 (07:24):
You know, we talk often, obviously about the pressures on
Royal dal and Hospital. I mean, we've spoken a lot
recently about maternity services. But I also note that the AMA,
the Australian Medical Association, has released a statement on patients
with mental health conditions and the fact that they're continuing
to spend an average of seven hours waiting for care

(07:45):
in public hospital emergency departments in conditions will that exacerbate
symptoms and lead to attacks on hospital staff? I mean,
that is that's concerning for a number of reasons.

Speaker 3 (08:00):
Yeah, there is no good news in any part of that.
So the AMA routinely releases hospital scorecards or scorecards looking
at primary care or mental health or our hospitals. They're
publicly available side encourage any of your listeners to go
to AMA dot com dot au and they can find
all this info and all the data that we've pulled
from public and government sources. If you look at the staff,

(08:23):
mental health, access to emergency services and mental health is
not improving in Australia. If anything, it's getting worse. We
hold the unenviable title of having the least number of
mental health beds per one hundred thousand. Now the caveat
there is we are about to, you know, in the
middle of constructing a new eighteen bed mental health ward
and that's welcomely. You know, we really want to see

(08:44):
that up and running and the government have also committed
to funding it operationally. No point having the building, you
need the money for the staff as well, so we
need that online. But you know we needed that online
five ten years ago. The number of beds for mental
health patients in the territory hasn't increased since twenty sixteen,
but the workload certainly has. It's also outside the hospital
as well. It's these wrap around services and community so

(09:07):
early access to your GP, early access to psychologists and
services that help you deal with things in the early
stages and so we can nip them in the bud
because the absolute workplace to deal with mental health is
the ambulance at the bottom of the cliff. We need
the fence at the top of the cliff. When you're
in the emergency department completely psychotic, it's dangerous for you,

(09:28):
it's dangerous for staff. It's so much harder to treat
than if we've just gone back and addressed the root
cause five ten years ago.

Speaker 2 (09:35):
Yeah, Doctor's orbust before I let you go.

Speaker 1 (09:38):
I mean, how big an impact do you think that
this new ward that's going to be complete by I
believe it's mid or early next year. The thirty two
beads I believe it is out there at Royal daal
And Hospital.

Speaker 2 (09:50):
How big an impact is that going to.

Speaker 3 (09:51):
Have depends how it's used, Katie. So we need to
see that it's going to be fully funded and fully operational.
So that's thirty two actual beds twenty four to seven.
We need to make sure that that bedstock's used by
the services that need to be inside Royal Dale In Hospital.
If we just fill this ward up with more patients
who need to be somewhere else, like age care patients

(10:13):
or mental health patients, you know, where they're not getting
the care they need. And also this is about them
getting the care they need too. We need our age
care patients and age care beds so they get age
care services. If we do that, then this ward won't
help it. It's just expanding the size of a system
that's not doing what we needed to do. If we
fund it, if we resource it, if we operate it properly,

(10:33):
it's going to be a welcome increase to our bedstock.
We still need more, but you know, thirty two beds
will be a welcome increase.

Speaker 1 (10:40):
Yeah, Doctor's orbist just ducking back to you know, to
the Australian Medical Association's pressure lace that came out, you
know about the mental health conditions. Can I just ask,
you know, how are our staff going at the hospital?
You know when you talk about this kind of thing,
and I know that we're talking about people with mental
health conditions, but part of that that really bothered me

(11:01):
is the fact that it does lead to attacks on
hospital staff. I know, you know, I may be slightly biased.
My mum's a nurse. She hasn't worked in an emergency
department for a long long time. But you know, I
always think of those staff, and I think of the doctors,
the nurses, all of the support staff there, and how
difficult it must be at different times, particularly when you

(11:22):
go through a week like we have where we've got
a cod yellow. I know you guys are busy all
the time, but how are people going.

Speaker 3 (11:29):
Look, I'll share a story with you, Kady. I've been
assaulted twice by patients in the emergency department, and I
mean physically assaulted. It's not good for our staff at all.
Healthcare workers normalize this. We don't do a good job
across Australia of how we manage this. We just say
it's part of the job. There's an ad campaign by
the South Australian Paramedics at the moment that sort of

(11:51):
highlights this. And nobody providing a healthcare service should be
subject to abuse, and I'd extend that to every other
government service. Our teacher shouldn't face it, our police shouldn't
face you know, this is not something that you should.
Nobody deserves to rock up to work and get assaulted.
That's not on the problem is if you took you
or me and you put us in an emergency department

(12:11):
in a room you sometimes a locked room with fluorescent
lines that don't get switched off, with noise that's running
twenty four to seven, with all the chaos that comes
in an emergency department, I'd say we'd be pretty on
edge too, you know, like we have to recognize that
the system and the environment is the main driver here.
These are people in crisis. These are people seeking help.

(12:31):
So they don't look at me and think you're in
a way I'm going to punch you in the face.
That's not how this goes. The end result is that
we're seeing an increase in assaults on staff. Patients aren't
getting the treatment they need. This is a solvable problem,
and that problem is our bed capacity. If we look
at the cause of this, this is a fixable problem.

(12:52):
It's an expensive one and it's a hard one, but
it's fixable. And so the question we have to ask
ourselves is how seriously do we take these commitments that
we have towards You're a tolerance for our staff.

Speaker 2 (13:01):
Very very good point.

Speaker 1 (13:03):
Doctor John's orbis I always appreciate your time, Like I
always say, I know you're a very busy man, so
I appreciate you taking the time to have a chat
with us this morning. And a big thanks to all
the staff at Royal dah And Hospital Palmerston Hospital. I
know everybody's working really hard.

Speaker 3 (13:18):
They're superstars. I work with some of the best people
in the country. I really mean that.

Speaker 1 (13:22):
Yeah, oh good on you. Thank you, Doctors Orbis. I
really appreciate you chatting with us today.

Speaker 2 (13:27):
Thanks Ga, thank you, Thanks so much.
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