More than 60 mental health beds in Public Hospital of New South Wales are temporarily closed because some hospitals are accepting Instructions that limit spiritual assessment due to large -scale resignation.

A senior psychiatrist told the Australian Guardian that the emergency plan of managing mental patients will mean that the decision to discharge or needs further care will be postponed, which will cause the bed to block the entire sanitary system. The doctor was unwilling to disclose his name.

More than 200 psychiatrists in the public system said that after the government refused to agree to 25% of the salary increase within one year, they would resign. They said that this was necessary to attract new doctors and retain doctors who are currently working in the public system. The New South Wales State Labor Relations Committee will hear the dispute from March 17th to 21st.

State Minister of Hygiene Rose Jackson said on Thursday that 43 psychiatrists have resigned, and it is expected that this number will "rise in the next few days." She said 99 doctors postponed their resignation.

Jackson said that the government has identified 23 temporary agents to fill the vacancies, and the other eight are still being dealt with. "Therefore, we did not see that local mental health services were severely damaged."

However, the Australian Guardian -seeing various leak documents, outlined the emergency plan of the state's major hospitals -understanding psychiatrists' concerns about the reserve plan.

DEB WillCox, CEO of the Sydney Local Health Region, wrote a letter to the psychological health supervisor and emergency manager of the Royal Prince Alverd Hospital on Monday to outline the "upgrade path for psychiatric problems", which is limited to from 10 pm to 8 am. Call a mental doctor. A memorandum of the Australian Guardian evaluated the patient.

Under normal circumstances, when psychiatric patients go to work after get off work or on weekends, they will see the doctor (intern) for mental illness (intern). The registers can contact the psychiatrist on duty to discuss whether the patient needs to be admitted to the hospital.

In order to reduce the burden on the limited number of psychiatrists in the system, the memorandum pointed out that the emergency department needs to contact the administrative personnel to "ensure that you use other choices before you contact the psychiatric registered personnel who are linked to be on the standby." The administrative staff on duty is usually not a doctor.

The description outlines one of the following two emergency situations, the administrative staff will be asked to sign a decision to contact the psychiatric registrar: for non -voluntary patients who are "drunk or sedative, and then improve their condition", this will enable them to from the emergency room Dis -hospital; or those who are "already on the orbit and have a bed available".

A psychiatrist who is unwilling to disclose the name told the Australian Heb that they expressed concern about this arrangement, especially considering that "those who usually have no clinical medical experience will now make a decision to be related to health. People are working normally. Most of the situations appearing outside time are because of things ".

A spokesman for the Sydney Local Health Zone said that "the plan has been in place to ensure the best quality care. They said: "The standby administrative staff will act as the upgrade contact point for the emergency room staff and will not participate in the clinical decision of any patient."

The Australian Guardian saw that Graeme Loy, CEO of the Western Sydney Local Health Area, wrote to colleagues in the "Administrative Broadcast" on Tuesday Detailed explanation "changes in stages will be implemented in stages this week, including temporarily reducing the number of beds in the Department of Psychiatric and Elderly's Psychological Health Department of WestMead Hospital.

WestMead's maternal and baby ward will be temporarily closed, but the beds in the women's health ward will be adjusted. Roy wrote: "The proposed extra bed will be obtained through the private supplier contract of the professional model."

The Australian Guardian revealed last week that although experts are worried about whether it is suitable for high -risk patients, it is considering signing contracts with the private sector.

Roy also said, "We have confirmed the opportunity with private medical service providers to replace the temporary reduction capacity of the Campland Hospital." Close temporarily.

Roy's letter pointed out that other wards in Westmid Hospital will operate under the "mental consultant consultation mode". This means that patients will be managed by other teams. Psychiators will be asked to consult, but they are not responsible for their care. In order to make up for the impact of the closure of the psychiatric bed closure of WESTMEAD Hospital, the endocrine department will provide additional beds for patients with dietary disorders, and provide additional beds for psychiatric patients in neurology.

Roy's letter pointed out that Blackton Hospital will also use a psychiatric consultant contact mode under the management of the drug and alcoholic department.

The Australian Guardian learned that the RiverView unit was closed by 20 beds, the Willow Cottage unit had 20 beds, and WestMead maternal and infant units had 8 beds. However, the government emphasized that care is being transferred, and the number of closes of beds is "flowing", and it cannot be confirmed according to the daily opening and closing of the bed.

A email sent to all staff members of the local sanitary zone in northern New South Wales pointed out that the large -scale resignation of psychiatrists "means that we will temporarily extend the mental health hospitalization services that were initially launched during Christmas and New Year. change".

The Australian Guardian email said that they would continue to reduce the beds of Lismore Tallowwood Adult Acute Spiritual Sanitary Department by 24 to 18 and reduce the beds of Kurrajong's adult acute spiritual sanitation by 25 to 23.

The Australian Guardian also saw a draft of the "crisis plan" from St. George Hospital, which pointed out: "The plan is a temporary, worst case, and unsustainable guidelines for serious shortage in psychiatrists. Continue to provide services during the period. "

It acknowledges that in the psychological department, "face -to -face censorship of psychiatrists will decrease." The draft said that they planned to "re -deploy 6 PECC (Psychiatric First Aid Center) beds", and the Australian Australian News learned that this meant to close the beds of some high -risk suicide patients.

For mental health patients in the emergency department, the document pointed out that psychiatrists will not "treat any treatment", unless "(emergency doctor) thinks that the real situation of experts' suggestions of psychiatrists".

At the press conference of Jackson Thursday, when asked about the problem of the bed closure, she said: "There is no closure of the ward yet. I learned that the state (Prince of Wales) has reduced eight beds." Australia The Guardian learned that as of Friday, Prince Wales Hospital had 18 beds closed.

Matthew Day, Deputy Minister of Health, New South Wales, said: "Each hospital will re -configure it."

When asked about West Sydney's closure of the bed further, Dali said, "As far as the bed is available in the emergency room, the bed does not decrease."

Supplementary reports of Rafqa Touma.