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Northern Rivers Local News

Palliative care needs to be part of 24/7 RN plan for aged care

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Palliative care needs to be part of 24/7 RN plan for aged care

“People are always surprised to learn that palliative care is not an embedded practice in aged care,” says Camilla Rowland, CEO, Palliative Care Australia (PCA).

With the introduction of aged care reform bills to Parliament, Palliative Care Australia (PCA) is hoping to deepen plans to have Registered Nurses (RN) 24/7 in residential aged care.

These recent parliamentary processes coincide with the delivery of PCA’s October 2022 Budget Submission to the Minister for Health and Minister for Aged Care. PCA has laid out a modest plan to have aged care nurses trained in palliative care.

“People are always surprised to learn that palliative care is not an embedded practice in aged care,” says Camilla Rowland, CEO, Palliative Care Australia (PCA).

“Currently, over one third of all deaths in Australia occur in residential aged care, and it’s a real post code lottery as to whether those people receive palliative care.

“PCA congratulates the Government on its 24/7 RNs commitment but has also highlighted the opportunity this presents to make ground on the growing need for palliative care and indeed the recommendations of the Aged Care Royal Commission.”

The Royal Commission into Aged Care Quality and Safety recognised the significant role palliative care can play in aged care and the need for it to be core business for aged care providers.

Recommendation 80 from the Royal Commission points to the need for compulsory palliative care training for aged care workers.

“It’s heartening to hear of the Minister’s commitment to aged care reform and see progress in this sitting of Parliament – the whole community has been inspired, and we are hoping to be a partner in this work and incorporate palliative care training early in the reform agenda,” Ms Rowland says.

PCA has detailed a three stage roll out of palliative care training to the aged care workforce, designed to complement other upskilling initiatives flagged by the Royal Commission.

“Death is an important part of life, the need we see is there every day, but looking at the longer-term picture, demand for palliative care is expected to increase by 50% between now and 2035 and double by 2050, let’s starting making ground on that need now and provide that end-of-life care we all want,” Ms Rowland says.

“Our Budget Submission also includes the need to fund and develop a National Palliative Care Workforce Strategy, so that we have the people and skills needed for the future, not just in aged care but in all care settings from community health to paediatrics to hospitals.”

The total cost of Palliative Care Australia’s October Budget Submission:

  • Palliative care training for RNs in residential aged care – $36 million over 4 years
  • National Palliative Care Workforce Strategy – $2.5 million over 2 years
  • Palliative care sector peak body funding – $400,000 per year

The full detail of can be viewed on the PCA website.

“We understand there is enormous pressure on the Commonwealth Budget, but we have shown that greater investment in palliative care services reduces costs in the wider health system through reduced hospitalisations and a better allocation of resources,” Ms Rowland says.

“We stand ready to work with the Government not just to improve and grow palliative care services but also play our role in budget repair.”
Palliative Care Australia’s October 2022 Budget Submission was delivered in July 2022, and should be considered alongside PCAs 2022-23 Pre-Budget Submission delivered in early 2022 prior to the 2022 Federal Election.

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Ballina News

“Australian lightweight champion from lil ol’ Swan Bay”

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Sunny McLean with his coach, Scott Smith. Boxing Northern Rivers News
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“Australian lightweight champion from lil ol’ Swan Bay”

 

By Samantha Elley

Maddog boxing’s Sunny McLean has been going from strength to strength this past year, grabbing titles from each of the events he has been fighting in.

Sunny McLean and his coach, Scott Smith, who runs Maddox Boxing, were recently picked to represent Queensland as the fighter and coach team to compete in the national titles in Gosford.

Sunny won all his elimination bouts and beat the NSW champion in the gold medal fight, to become the newly crowned Australian champion in the lightweight division.

They were surprised with a visit from Jason and Andrew Moloney, world champion professional boxers.

“Every state in Australia was there with all the best fighters and the (Moloney brothers) came to support us, so we felt so special,” said Scott.

“They came to help me prepare Sunny for his last two fights in this event.”

Sunny was competing for Queensland as he already holds the title of QLD/NSW interstate champion.

“His first opponent, the referee stopped the fight in the 3rd round,” said Scott.

“His second opponent was the favourite from Tasmania and Sunny won that fight to go through for the gold medal against the NSW champion.

“Andy (co-trainer) and I worked out a plan to beat him and Sunny did exactly what he was asked and never last control of the situation.

“He is now the Australian lightweight champion from lil ol Swan Bay.”

 

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Clarence Valley News

New councillor on GM performance panel

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Cr Greg Clancy performance panel
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New councillor on GM performance panel

 

By Tim Howard

Who would have thought picking a panel to assess a general manager’s performance could be so difficult.

Last week Clarence Valley Council turned a formality into performance art as it looked to appoint a panel to for its annual inspection of general manager Laura Black’s performance.

The council policy is the mayor and deputy mayor are automatic picks. Council selects one of its number and the general manager picks another.

The panel of four, with an independent chair, go through set criteria and assess how well the GM has met the targets set.

It looks straight forward in theory, but in practice it has proved anything but.

A year ago the mayor at the time, Cr Peter Johnstone, deputy Jeff Smith, the council’s pick Karen Toms and GM pick Cr Debrah Novak met.

They measured her performance against targets set and agreed she had exceeded them in a number of cases.

But when the results came back to council in a mayoral minute to an extraordinary council meeting in February this year, they included a recommendation of a 2% pay rise for the GM on top of her $342,696.93 annual salary.

Clarence Valley Council general manager performance panel Laura Black.

Clarence Valley Council general manager Laura Black has yet to reveal which councillor she would like to see on the panel evaluating her performance.

Unsurprisingly, in a cost of living crisis, this ruling sparked some protest and led eventually to some spectacular debate, including an allegation of a group of councillors, “out to get” the general manager during an ultimately unsuccessful rescission motion to overturn the pay rise.

And in 2023 when the panel met, deputy mayor Greg Clancy made headlines when he walked out of a panel meeting, unhappy with the process involved.

So it came as no surprise last Thursday when the item kicked off with a motion from Cr Debrah Novak seeking to ditch the deputy mayor, Cr Clancy, from this year’s panel to give councillors the opportunity to elect two councillors to go on the panel.

There was a question over the legality of the motion, but Ms Black said it was lawful, although it needed to identify itself as a departure from council policy.

Cr Novak adjusted her motion accordingly and also pointed out that the council’s gender equity guidelines also dictated at least one of those selected should be a woman.

While the councillors were deadly serious in their debate, people looking on from the gallery could see the funny side, prompting Cr Whaites to call on the mayor for help.

“Can you please ask the public to not mention, not laugh and not giggle at us, please,” she asked of Cr Smith.

Cr Novak said the council policy was just a guideline and to allow council to pick two members in addition to the general manager’s pick was “fit for purpose”.

Cr Clancy did not agree.

Tongue in cheek, he thanked Cr Novak for “sparing him the stress” of sitting on the panel, but thought that her motion was a “direct attack on me”.

Cr Novak called a point of order and Mayor Smith ruled in her favour.

Cr Greg Clancy performance panel

Cr Greg Clancy survived an attempt to change council policy to have him dropped as an automatic pick on the general manager’s performance review panel. He has been a critic of the way the panel operates.

Cr Clancy tried again, claiming he had been targeted.

Again Cr Novak called a point of order, claiming an implication that Cr Clancy was “reading her mind”.

Again the mayor upheld the point of order.

Cr Clancy said Cr Novak needed to explain her reasons for bringing the motion, because it was easy to interpret it as targeting him.

Another point of order.

Unable to pursue this line, Cr Clancy agreed to withdraw his claim of being targeted, but said it created a “very bad precedent” and council should stick to its policies.

Cr Johnstone agreed, pointing out the policies had been developed to cover all eventualities and take the heat out of situations.

Cr Toms was also against making changes, but could “understand where it came from” considering Cr Clancy’s criticism of the performance review panel in the past.

She was concerned Cr Clancy had described being on the panel as “a poison chalice” and that he had “stormed out” of a panel meeting when he was deputy mayor.

This sparked another point of order, this time from Cr Clancy.

Cr Alison Whaites backed Cr Novak’s motion.

She was disappointed with the way the panel had been handled before and didn’t want a repeat of what happened last term in this term.

She said it was important to throw open the opportunity to be on the performance review panel to more councillors.

Cr Cristie Yager performance panel

One of the newly-elected councillors, Cr Cristie Yager, will be the councillors’ pick on the Clarence Valley Council general manager’s performance review panel.

Cr Johnstone asked if Cr Clancy was happy to be on the panel.

He replied he was but it was difficult, but it was his duty as deputy mayor to sit on the panel, even if it was a “poison chalice”.

In her right of reply Cr Novak raised an issue that breached the privacy of a councillor and quickly apologised for her mistake after a point of order was called.

She said her motivation was to give more councillors the opportunity to get onto the performance review panel.

The council did not agree and voted it down.

Councillors voted on a foreshadowed motion from Cr Johnstone, to revert to the usual selection process, which was adopted.

Then came the nominations for the panel.

Cr Johnstone picked Cr Cristie Yager.

Cr Shane Causley nominated Cr Karen Toms and Cr Novak nominated Cr Whaites.

During debate on Cr Yager’s nomination Cr Whaites said while Cr Yager would be  an “asset” to the panel, she did not possess the experience of either Cr Toms or herself.

“I’ve done multiple performance reviews, and I think I probably am the most, the best one here actually, out of all us councillors, and second would be Cr Toms,” she said.

Cr Yager spoke “for myself” and said she would maintain an open mind.

“I think I’m very good at being open minded to all information given to me, and I’m always open to persuasion given the facts,” she said.

Mayor Smith put her nomination to the vote and she was elected five votes to four.

The general manager has yet to name the councillor she would like on the panel.

 

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Clarence Valley News

Conduct submission waved through

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Clarence Valley council conduct Mayor Ray Smith
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Conduct submission waved through

 

By Tim Howard

The Clarence Valley Council’s input into a discussion paper aimed at improving behaviour in local government has been waved through, despite concerns some of its suggestions might be a “bit too 1984”.

At last Thursday’s council meeting the councillors endorsed the council’s submission Code of Conduct and Meeting Practice Framework Discussion Paper, but voted against some changes suggested by deputy mayor Cr Greg Clancy.

While happy overall with the document, he was concerned some of the suggestions included in the Mayoral Minute went too far and sought to amend the document by omitting some sentences.

Cr Clancy was concerned the submission should take a tougher stance to prevent lobby groups entering local government and including former general managers on privilege committee to investigate councillors was not a good idea.

He also said mandating attendance at Office of Local Government training sessions for would-be councillors went too far.

Cr Clancy was also concerned with attempts to control dissemination of misinformation.

He said while he had concerns about disinformation in public forums, care was needed.

“I certainly don’t support dissemination of misinformation, because the problem is, who’s going to define what that is,” he said.

But other councillors were not so worried.

Cr Peter Johnstone said while there could be objections on minor points, the submission was strong overall.

Cr Cristie Yager said the training she received as a new councillor had been excellent and would benefit all councillors.

Cr Lynne Cairns, who seconded Cr Clancy’s proposed amendment, questioned the mayor about a section of the submission about community dissatisfaction with the time taken and costs incurred to deal with complaints.

Cr Smith said that on many occasions the process to ensure compliance was unnecessarily complicated.

“To enforce compliance council must issue an order, he said.

“Following the issue of the order, if there’s still non-compliance, council then has to issue another notice.

“And then if there’s still non-compliance, we have to take it through the court system.

It makes it a very long, arduous and costly process.

“And all we’re suggesting here is that councils be given more authority to enforce compliance in a much more effective manner.”

Councillors voted 7-2 against the amendment and then debated a foreshadowed motion from Cr Johnstone to endorse the submission.

Cr Clancy continued his opposition to it.

“I think some of these statements that are in that mayoral minute are a real concern, and I think councillors need to think about it, if they want to put their name to some of those statements,” he said.

“I think that it’s suggesting that lobby groups going to become an increased issue. It’s talking about misinformation.

“Who’s going to decide what that is? To me, this sounds like 1984.”

The motivation for the submission came from Minister for Local Government Ron Hoenig described the current system as “fundamentally broken”.

“It is too open to weaponisation, with tit-for-tat complaints diverting critical council resources and ratepayer money from the things that matter most to communities,” Mr Hoenig said.

“The sheer volume of vexatious complaints being made is preventing the Office of Local Government from focussing its attention on getting crooks out of the local government sector.

Mr Hoenig said the options in the discussion paper put the onus onto councils to address and resolve councillor misbehaviour rather than send matters to the state government or private investigators to fix.

“It also puts forward options to strengthen the role of the Office of Local Government as the sector regulator, including expanded investigation powers for serious conflict of interest breaches and the ability to issue penalty infringement notices,” he said.

“For far too long the system has been abused. It’s time to restore public confidence in councils and ensure the dignity of this vital third tier of government is upheld.”

The discussion paper can be viewed here.

Public submissions closed on November 15, but the council was granted a deadline extension until November 29.

 

For more local news, click here.

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