Thursday, November 06, 2008

Woolworths abuses its market dominance to dictate to customers

They are even "Greener" than the politicians. Below is a letter I wrote to them followed by their reply. Note that to them it is "progressive" to deny choice to customers. That's certainly consistent with "progressive" politics generally. And in the best Fascist style they say that "our decision is in the broader best interests of the community", and stuff the individual. Clearly, even having a little power corrupts.

The fact that I much prefer the warm yellow light of a tungsten bulb to the stark and glary light of a fluorescent tube just does not matter to our Green dictators, obviously. Fluorescent lights have been around almost as long as tungsten globes but most people have always chosen the tungsten ones. So I am not alone in my preferences. And it would hurt no-one to allow people to have their preferences in the matter. So what it all shows is that the Fascist urge to dictate to other people is sadly still with us. The only difference is that it now justifies itself by a Greenie ideology which is just as crazy as the old racist one


TO: Chairman, Woolworths
17 Oct 2008

Dear Mr Strong

I have the feeling that Woolworths is departing from commercial principles in its stocking polices and as both a shareholder and a customer I would like you to talk to management about it.

I notice in particular that Woolworths seems to be pushing the twisty lightbulb barrow very hard. You do stock convenient sixpacks of the old tungsten globes but they are almost always sold out at my local Buranda branch -- while every possible iteration of the twisty globe is always available. Shouldn't the firm be stocking what people want to buy?

Please remind management that they are running a business and not a government Department.

Woolworths Limited
29th October 2008

Dear Dr Ray,

Thank you for your letter and for taking the time to write. At Woolworths we appreciate customer feedback, both positive and negative, and see it as an opportunity to improve our business.

You are right that we are actively supportive of the new 'twisty' light bulb. The reason for this is that The Federal Government announced in June 2008 that many incandescent bulbs currently on retail shelves would be banned from import in November 2008; and banned from retail sale completely in November 2009. The list of products includes the six pack bulbs you refer to in your letter. Whilst the traditional incandescent bulbs remain popular, their sales volumes have been rapidly decreasing as more customers make the switch to the Energy Efficient alternates.

Woolworths has taken a decision as a corporation to remove the banned bulbs from sale completely as of November 2008, a full year ahead of the legislative requirement.

We've undertaken this action as we fully support the Government initiative to reduce the use of inefficient energy products. The move is consistent with Woolworth's decision to pursue an ambitious carbon reduction target of 40% by 2015 across its entire business through a broad range of initiatives.

Historically the Energy Efficient alternates have carried a price premium to the incandescent globe and this has discouraged some customers from making the switch. This is now more than ever a false economy as the Energy Efficient alternates last many times longer than the incandescent bulb and use a fifth of the energy to operate. Along with this the retail price of Energy Efficient lights has decreased significantly in recent times meaning that real savings are to be made within twelve months of use. The diversity of styles and quality of the Energy Efficient product has also greatly improved at the same time.

We appreciate our progressive move to remove the older inefficient incandescent bulbs will not please everyone, but trust our decision is in the broader best interests of the community.

Naum Onikul
Director of Supermarkets





Reserve Bank member calls for halt to green scheme

A RESERVE Bank board member has called for the Federal Government to delay the proposed 2010 start to its emissions trading scheme. Warwick McKibbin, who sits on the RBA board and is a climate change economist, says Prime Minister Kevin Rudd should not act before Australia knows what commitments other countries will make to reducing carbon output. That will be discussed at the world climate change conference in Copenhagen in December next year.

"There is no way that at Copenhagen there can be a firm commitment on abatement because the US administration, whoever it is, won't have the people in place to negotiate a rules-based system," Professor McKibbin told The West Australian newspaper. "What they will negotiate in Copenhagen is a set of principles - if you're lucky - and hopefully they'll separate mitigation or cutting emissions from investment in new technologies and forestry and land use actions.

"We've got the Kyoto period to run until 2012 and whatever new system begins would begin in 2013. Now we should have something in place (by then), we need a couple of years to get it going and I think 2011 is feasible, depending on the nature of the system."

The Government, in a green paper published in July, outlined plans for a carbon pollution reduction scheme from 2010, covering 75 per cent of national greenhouse gas emissions.

Source





Public hospital turns abused boy away

A toddler was locked out of Beaudesert Hospital and his family turned away despite their fears the boy had been sexually assaulted. Queensland Health said the incident should never have happened, The Courier-Mail reports.

The boy's grandfather called Beaudesert Hospital before 5am on Monday when he suspected his three-year-old grandson had been sexually assaulted. Hospital staff told the man to bring his child to hospital immediately. But the family was not let inside the hospital when they arrived at the emergency department, but was instead spoken to outside its main entrance. The nurse then returned inside and continued the conversation over an intercom. She said the family would need to go to Logan Hospital - 45km away - where there was a child sexual assault unit.

The grandfather, who cannot be identified to protect the child, said he told the nurse he couldn't get the child to Logan because the family could not afford any more petrol. The nurse later denied knowledge of this.

On Tuesday, Queensland Health issued an apology and began an investigation. "The situation was not handled appropriately, or in accordance with Queensland Health policy," Southside Health Service district manager Dr Mark Mattiussi said. "Queensland Health takes any allegation of child sexual assault seriously and is following up these concerns in accordance with child safety laws." Under Queensland Health policy, the family should have been taken into Beaudesert Hospital for support, initial assessment and referrals.

When asked if hospital staff faced disciplinary action over the incident, Mr Mattiussi said: "Staff have been given feedback . . . and relevant Queensland Health policy has been discussed and clarified." The Beaudesert Hospital registered nurse in question has claimed the boy's grandfather "appeared angry", which was why she retreated inside to use the intercom.

But the boy's grandfather said he was just desperate to get the young child treated. "It was a terrible experience, to be so worried and to just get turned away," he said.

Child protection campaigner Hetty Johnston said the hospital should have offered preliminary care and advice to the family. "I can't imagine it being handled in a worse way," Ms Johnston said. Opposition health spokesman Mark McArdle said all cases of suspected child abuse should be reported as a matter of law: "The parents of any child should not be treated like participants in a game of pass the parcel," he said. The boy ultimately received further treatment at a GP and later attended the Logan Hospital.

Source






Hospitals hurting, say doctors

Clinicians fear the financial crisis may distract governments from the need to fix public hospitals

Even for the scandal-plagued NSW hospital system, the news two weeks ago struck a new low: that a doctor in a busy regional city hospital had to spend $700 on her personal credit card to buy a three-day supply of a chemical reagent essential for routine blood tests. The chemical's supplier, fed up with the chronic non-payment of bills by the state's Greater Western Area Health Service, had decided enough was enough. It only seemed to make it worse, not better, when it later emerged the company had all along been prepared to continue supply in essential cases, such as this. Communication was so bad that even this vital message had not been passed on by health service management. Other hospitals in the same area had already been reduced to serving meatless meals, after butchers similarly put their foot down over ballooning unpaid accounts.

Coming after a barrage of previous disasters -- ranging from a miscarriage in an emergency waiting room toilet, to the botched design of a brand-new hospital where trolleys could not fit through doors, nor ambulances into the car park -- all this seemed to be moving from the tragic to the ridiculous.

But while the doctors, nurses and other health workers are hoping for some strong medicine to be prescribed by a parliamentary inquiry, due to report within a month, there is now concern that the opportunity for a once-in-a-generation shake-up is starting to recede.

The Garling Inquiry was announced by the NSW Government in January after strong criticisms from an inquest into the death of a 16-year-old girl who died in Sydney's Royal North Shore Hospital two days after being admitted with a skull fracture. Since then the inquiry has become imbued with extra significance. As well as the clinical and organisational disasters, and tangled bureaucracy, other problems are coming to light -- such as concerns that a lack of training positions in hospitals will soon reach critical proportions as the massive increases in medical student places starts flowing through the system. At some point in the near future, critics say, these newly-minted doctors will emerge from medical school with no training places in hospitals where they can complete their training and further their careers.

That issue, which is clearly national, is slowly coming to a head, with a rally of medical students, junior doctors and medical educators being organised by the NSW Australian Medical Association at 11am this Saturday on Sydney's lower north shore. But more generally the inquiry's outcome has implications for other states, which have been experiencing some of the same problems, if usually to a lesser degree. Health experts say other state governments will be watching what happens after Garling reports almost as intently as NSW itself does.

But there's an increasing fear that the inquiry's recommendations will be buried -- either drowned out by the welter of economic bad news, or pushed out of the limelight by a state government that suddenly finds itself with more pressing political problems and a quickly souring financial position. "We are expecting quite a lot out of the Garling report," says emergency physician Clare Skinner, one of a number of doctors, nurses and others who are part of the Hospital Reform Group. "We think it's probably the last chance to help fix the NSW hospital system. Every single state in Australia has overcrowded emergency departments. Every single state is struggling to find enough doctors and nurses, and every state is watching this (inquiry) to see how we can do things smarter." However, the caution stems from the long existing list of previous health inquiries that have received little more than lip service from the government of the day, and are quickly forgotten.

Skinner puts workforce and training as the two highest priorities on the to-fix list. Both of these problems, she thinks, require taking politically unpopular decisions: a feature of NSW hospitals is that there are many more specialised units spread across many smaller hospitals, which she says disperses the available expertise.

While NSW has six to eight trauma centres across the state, Victoria has just one. The difference means that Victoria's centre has the best staff, and enough of them to ensure 24-hour cover; while in NSW, someone taken to hospital after a 2am car crash is much more likely to arrive with no specialist on duty to look after them.

Physician and immunologist Professor Brad Frankham agrees, saying for too long rosters have been run along old-fashioned lines that benefit senior doctors rather than patients. Although elderly and complex cases increasingly arrive in hospitals in the evenings and at weekends, he says these are exactly the times when senior doctors aren't around, and instead there is a skeleton staff of inadequately supervised more junior clinicians.

But despite the workforce pressures, budgets are controlled so tightly and centrally that it's usually impossible to hire an extra staff member, as the request has to go through as many as nine management levels before approval -- by which time the need, or more often the candidate, has evaporated. Often this merely ends up wasting money, as when hospitals prevented from hiring permanent staff bid against each other to secure locums at sky-high rates, costing the system far more.

Another area of waste that the Garling inquiry may sort out is in how hospitals are funded. Currently budgets tend to be based on adjustments of previous budgets, whereas reform advocates are arguing for a more comprehensive roll-out of Victoria's activity-based funding, also known as casemix, which pays for the work that hospitals do.

What Skinner, Frankham, a senior nurse who spoke to Weekend Health, and another member of the Hospital Reform Group, emeritus professor at Sydney University Kerry Goulston, all agree on is the need to give back to clinicians more say in the running of hospitals and how care is delivered. Currently doctors and nurses are kept so far from the decision-making that Frankham, even though he's an area director, says he "can't spend even $100" without getting authorisation from several rungs up the management ladder. Frankham says given a greater say, clinicians would be more innovative, working out "clinical networks" or teams of doctors, nurses and allied health workers involved in particular diseases, to ensure the best ways of dealing with those patients.

Goulston says restoring clinicians' decision-making autonomy would both restore trust between clinicians, managers and patients, and also restore clinicians' morale, which he says is currently as low as it has been for some years. "Our main concern is that the recommendations, when they are released, are implemented," Goulston says. "We think Garling and (counsel assisting the inquiry, Terence) Tobin have done a very thorough job. "My concern is that the Government and the bureaucrats will say 'We are doing all these things', when in actual fact they are not doing them."

Source

1 comment:

Anonymous said...

I'm a nurse at Cairns Base. I had reason to go to the management suite some time back. Lots of shiny slacked men and shoulder padded women strutting around, and I was looked at like an alien in my uniform, and given the "can I help you" treatment until I got the clear message that I probably had no business being there. The problems at this hospital are spiraling out of control now, largely due to incompetent people running it when it should have been planning for its future.