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Esky of meth allegedly found at Christmas Island Airport, Perth man arrested

Esky of meth allegedly found at Christmas Island Airport, Perth man arrested

News.com.au3 days ago

Police have uncovered an Esky allegedly packed with methamphetamine sent from Perth to Christmas Island.
The discovery was made in November, and two Christmas Island men faced court earlier this year. On Friday, a Perth man was scheduled to front the Perth Magistrates Court.
The 28g of meth were allegedly concealed in a bag of mince inside a large Esky.
'Methamphetamine is a devastating drug that causes immeasurable harm to users and their families, especially in smaller communities,' Australian Federal Police Inspector Dave Reis said.
'The criminals who push these substances are driven by greed and profit and have zero regard for the lives they ruin.'
Police alleged the two Christmas Island men paid the Perth man to buy and send the drugs.
The parcel was flagged at Christmas Island airport in November.
A man aged 24 and another aged 30 were arrested in February. They have been charged with attempting to traffic drugs, a crime that carries a maximum penalty of 10 years in prison.
In May, police stopped and searched a 50-year-old Perth man at Perth airport as he returned from regional Western Australia. Officers searched his home in the suburb of Cannington as well, and a phone and clothing were seized. He is charged with trafficking a controlled drug, a crime that also carries a 10-year maximum sentence.
Australian Border Force Superintendent Shaun Senior said officers would hunt down any drug shipments.
'Regardless of the size of the facility or how the packages are concealed, we remain highly vigilant to those who attempt to circumvent our border controls, and our officers are ready to swiftly intercept and seize any illicit substances,' Superintendent Senior said.
As an external territory of Australia, the laws of Christmas Island are officially decided in Canberra, and the island follows almost all Australian laws (with exceptions for laws such as the Corporations Act).

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Whistleblowers say warnings about patient safety at Northern Beaches Hospital were ignored
Whistleblowers say warnings about patient safety at Northern Beaches Hospital were ignored

ABC News

time36 minutes ago

  • ABC News

Whistleblowers say warnings about patient safety at Northern Beaches Hospital were ignored

Whistleblowers from Sydney's Northern Beaches Hospital say repeated warnings about unsafe conditions have been ignored for years, as internal documents reveal a system in crisis. Senior doctors have raised alarms about dangerously low levels of junior medical doctors, inadequate equipment, and failing technology since 2018. They say many of those warnings were ignored, with internal documents revealing direct harm to patients. A senior anaesthetist wrote that after hours there was no capacity within their team to deal with a third patient, whether that be an emergency caesarean or epidural, and that essential equipment was often left broken, with staff told to "steal one from another theatre". In late 2023, 18 emergency department specialists formally warned Healthscope management that patient safety and staff wellbeing was at risk due to dangerously low night staffing, and severe access block with very sick patients being left in the waiting room and other unmonitored environments due to a lack of beds. "We have all seen direct harm to patients from these occurrences and will expect further major harm if these issues are not resolved promptly," the group wrote. Dr Patrick Coleman, a nephrologist who has worked at the hospital since its opening, said the crisis was predictable. "It was never going to work. "We were ignored. But that's exactly what happened." Northern Beaches Hospital is run by private operator Healthscope, which collapsed into receivership last month. The 37 hospitals they run across Australia are now for sale. Northern Beaches Hospital delivers public hospital services under a controversial public-private partnership. NSW Health Minister Ryan Park told 7.30 the government was negotiating to bring the hospital into public hands, but warned it would not be cheap. "There will be significant costs, without a doubt. We'll probably have to change the way in which it's staffed, there's likely to be issues with their IT system that we have to address – those two things alone are likely to be significant, we understand that," Mr Park said. Healthscope CEO Tino La Spina welcomed the NSW government's plan to take over the hospital but warned the hospital system across Australia was in trouble, saying there was a "chronic underfunding of the private hospital sector by the private health insurers". He says he is proud of Northern Beaches Hospital's overall performance record. "We continue to operate a safe hospital there," he said. "All of the key performance measures suggest that we are a safe hospital and safer than others in New South Wales." Sydney's Northern Beaches were once served by two smaller public hospitals at Manly and Mona Vale. But as the region's population grew, frontline staff said they were running on fumes. "Manly and Mona Vale were getting death by 1,000 cuts," respiratory physician Keith Burgess said. In 2014 the NSW Liberal government announced the two hospitals would be shut and replaced with a single, more modern facility, delivered through a public-private partnership (PPP). It was a model with a troubled past. Previous PPP hospitals nationally had failed, including in Mildura, Victoria and Port Macquarie in New South Wales. But Professor Burgess said he was willing to give it a go. His colleague Dr Coleman was optimistic at first. "I thought, 'Hallelujah, finally we're going to have a new hospital,'" Dr Coleman said. He joined the new hospital's medical advisory committee, eager to help shape the way the hospital would run. But in the months leading up to the hospital opening, Dr Coleman raised urgent concerns. He warned management their plan to hire too few junior doctors was dangerous for a facility expected to treat large numbers of older, more complex patients. "It was patently obvious that the model that was proposed was utterly absurd," he told 7.30. But he says his warnings were dismissed. "I wasn't getting a response. I felt that I was wasting my time," he said. Frustrated, he resigned from the medical advisory committee but kept raising the alarm. "I said it verbally. I said it at meetings and I said it in writing. It didn't make any difference." The hospital finally opened on October 30, 2018. The early days were rocky. Within 48 hours the CEO quit. The anaesthetics department threatened a walkout and, according to Professor Burgess, conditions on the wards were chaotic. 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"The cardiac anaesthetists have taken to stealing and deliberately hiding the ultrasound machines 'in case' they need it," he said. The only other ultrasound technology available to their department is critically outdated. The anaesthetist wrote that a sales representative once confessed to him that Northern Beaches Hospital bought the cheapest model and that "it is the only hospital in the world to buy this model". Staff have raised concerns about inadequate technology since before the hospital opened its doors in October 2018. However 7.30 can reveal that many of those issues persist, even seven years on. In the medical staff council's submission to the auditor-general inquiry, it said that Riskman — the technology used to monitor adverse events — is grossly underused due to being excessively time-consuming and that the data obtained and used by Healthscope to reflect safety records may not be accurate. 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Get in touch with 7.30 here.

Calls for changes to mental health funding as Toowong Private Hospital announces closure after nearly 50 years
Calls for changes to mental health funding as Toowong Private Hospital announces closure after nearly 50 years

ABC News

time36 minutes ago

  • ABC News

Calls for changes to mental health funding as Toowong Private Hospital announces closure after nearly 50 years

The financially strapped Toowong Private Hospital in Brisbane will close this week amid concerns seven other private mental health hospitals across the country are at "imminent" risk of collapse. Australian Private Hospitals Association chief executive Brett Heffernan blamed "rapacious profiteering" by health funds over three years as the over-arching reason for the 58-bed hospital's closure and the potential loss of more private psychiatric facilities. But Rachel David, Private Healthcare Australia's CEO, who represents health insurers, rejected the accusation. She's calling for a new model of funding for mental health care, saying psychiatrists were not admitting as many of their patients to hospitals. "Even if we were to double what we paid hospitals it still wouldn't stop the closure of more stand-alone mental health facilities," Dr David said. "There is a strong preference … only to treat the most severely unwell patients in hospital." For Toowong Private Hospital patients, such as Rebecca Kuenstner, who has been going to the facility in Brisbane's west for almost nine years, it has been a place of healing. "This has probably been the best thing that's ever happened to me," she said through tears. "It gave me a family pretty much. It's given me that sense of belonging really. "Especially when you live alone, it's quite difficult not having that support." Ms Kuenstner, 37, a former member of the Australian Defence Force who was medically discharged in 2014, has benefited from being an inpatient at Toowong Private Hospital, as well as completing courses there designed for people with post-traumatic stress disorder (PTSD). "I do come here quite regularly," she said. "You can come back and it's a very open space where you don't feel judged at all so you can go back and enjoy a cup of tea and chat to them. "That connection is probably the most important one after you're discharged so you're not left on your own. That was a very important part of my journey." She said she was barely able to leave home when she first started attending the hospital in 2016. The Toowong hospital, which treated 3,000 patients annually and would have celebrated half a century of operation in May next year, was expected to close on Wednesday. Its administrators said in a statement they were still investigating the reasons for its failure but "it is understood that the hospital was operating at a loss for several years". Mr Heffernan, who represents more than 600 private hospitals across Australia, said one major health fund had refused to renegotiate an annual contract with the hospital for 13 months. Another group had "simply refused point blank to contract with the hospital at all". The Toowong hospital closure comes as a cloud also hangs over 37 private hospitals run by Healthscope, which went into receivership late last month after its lenders withdrew support. However, Mr Heffernan said it was important to differentiate the Healthscope financial woes from the rest of the sector. "It's fair to say that Healthscope has had its own unique problems over a number of years in terms of its financial position and its financial management," he said. "What the rest of the sector is facing is a rampant health insurance industry." Mr Heffernan described Toowong Private's closure as "a massive loss to mental health". "We have a mental health crisis in this country and for an exemplar hospital to be forced out of business due to purely and simply the greed of the health insurers and the negligence of a federal government, that has known about this for two-and-a-half years but refused to act, is unfathomable," Mr Heffernan said. "Toowong is just the tip of the iceberg moving forward. We've been advised by eight of our members, in addition to Toowong, that they are in a similar situation facing imminent closure, seven of those are mental health facilities. Mr Heffernan did not want to name the hospitals publicly for fear of distressing patients and staff. He said the Toowong hospital had opened its books to Federal Health Minister Mark Butler more than two years ago to explain a shortfall in its funding. "Two months ago, the federal health minister laid down the gauntlet to the insurance industry saying you need to fix your house, you need to pay more of what you are taking to the actual providers of health care, being the hospitals," Mr Heffernan said. "We're two months down the track, nothing has changed. Our expectation at this point is that the federal government has no choice but to act, to intervene and to regulate the private health insurers to ensure that the traditional ratio of at least 88 cents in the dollar from premiums flows through to the actual providers of health care rather than just filling health insurers' coffers." In a statement, Mr Butler said he had called on insurers to "urgently increase the amount they pay out for hospital services and restore funding equilibrium across the sector". He said the federal government would continue to work on "long-term reforms to support the sustainability of the private health sector". "Ultimately, the solutions lie with insurers and hospitals working together," Mr Butler said. He has created a forum of private hospital and health fund CEOs with the Australian Medical Association and some patient groups to discuss potential solutions. "I've put a range of ideas that I want them to consider seriously about changes, particularly to mental health services," Mr Butler said. Dr David, who has represented health funds including big insurers such as Bupa, Medibank Private and NIB since 2016, would like to see them able to fund some of the costs of outpatient specialist appointments. She said some consumers were avoiding seeing a private psychiatrist in their consulting rooms because of fees of up to $988 for a first consultation. "We need a funding model that takes account of the fact that because of improvements in medication and techniques and medical understanding, a lot more mental health treatment is taking place in the community now than it did in the 1980s and 1990s," Dr David said. "I think that health funds do need the opportunity to be more flexible in how they fund mental health care, given we are in … a mental health crisis." While she's "still shocked" at the hospital's pending closure, Rebecca Kuenstner said she was yet to feel anger, adding with a laugh: "I've had a lot of therapy". "Moving forward, I haven't found where I'm going to be going to or where my support's going to be in the future … if I need help," she said.

Thousands of Australians are receiving ECT without consent every year
Thousands of Australians are receiving ECT without consent every year

ABC News

timean hour ago

  • ABC News

Thousands of Australians are receiving ECT without consent every year

Rebecca* remembers fighting her clinical team all the way to the theatre, shouting the electroconvulsive therapy she was about to receive was against her will. "I felt completely helpless, that my body wasn't my own. I felt like I was in a movie," she said. "I was shocked they could actually administer it against my will." Health authorities describe electroconvulsive therapy (colloquially known as shock therapy or ECT) as a safe procedure, in which electrodes are placed on the head and seizures induced in the brain under general anaesthetic. Royal Australian and New Zealand College of Psychiatrists spokesman Dr Neil Coventry said ECT was one of the most effective treatments for severe depression and other serious mental illnesses, and modern ECT was delivered with precision and constantly monitored. "For people who are suffering and where nothing else has worked, ECT can quite literally save a life,' he said. Months on from her treatment, Rebecca is happier than before, and doesn't discount that ECT, as well medication or personal changes, may have benefited her. However, she describes the experience of having it forced upon her differently: "Invasive, old-fashioned, and frightening," she said. Rebecca was admitted to hospital voluntarily last year after experiencing periods of delusion, which included attempting to take a holiday without any identification or tickets. "I probably wasn't very well, but I'd never been like that before," she said. Shortly after admission, she was placed under a treatment order and told she would receive ECT. In the 2023/24 year, at least 1,700 mandatory ECT orders were approved in Australia, with courses usually lasting eight to 12 sessions. The true number was likely substantially higher, with some states not measuring or reporting approvals. In Victoria, a patient must lack capacity to give informed consent before they can be ordered to have ECT — a bar Rebecca said was never passed. "I have always been aware of what ECT is, and it is certainly something I would never have agreed to," she said. With the help of Victoria Legal Aid, she appealed the mandatory order, which the Victorian Civil and Administrative Tribunal (VCAT) overturned, ruling she had capacity and the ECT was scrapped. She had already received a number of ECT treatments, which she said left her foggy and with muscle pain. She also attributes ongoing memory loss that sometimes leaves her disorientated in the suburb where she's lived for a decade to the treatment. Her experience is illustrative of an issue reported by advocacy groups and contained in tribunal and court cases from around the country, which suggested rules surrounding mandatory ECT were often misunderstood or not adhered to. National Mental Health Consumer Alliance (NMHCA) chief executive Priscilla Brice said the number of people receiving ECT against their will was likely far higher than order numbers suggested, because data didn't identify recipients on guardianship orders. Feedback from NMHCA's partners across Australia identified "systemic risks" under many state and territory frameworks, Mx Brice said, including its use to enable coercive practices that violated human rights principles. Mx Brice called for the elimination of involuntary ECT. Each state had different rules, but most required a tribunal to approve clinicians' applications for involuntary ECT. Tribunals usually required a patient to be unable to give informed consent and be admitted to hospital involuntarily. Less restrictive treatments were usually required to have been tried first, and ECT had to be clinically appropriate. Tasmania was an outlier, with ECT not subject to any special regulation, although tribunal approval was still required. The state also didn't record data on orders the number of orders it was making. Although rules differ from state to state, insights from those tribunals tracking the data suggested the majority of applications for involuntary ECT were approved. Independent mental health advocate Simon Katterl, who worked at the Victorian Equal Opportunity and Human Rights Commission, said tribunals were often criticised for "rubber stamping" ECT orders. His criticisms are echoed by Victorian Mental Illness Awareness Council chief executive Vrinda Edan. "I only know of one or two cases where the tribunal has not agreed," she said. In the 2023/24 year, New South Wales Mental Health Review Tribunal (MHRT) approved 95 per cent of the 749 ECT orders considered. A MHRT spokesperson said decision-making panels included a lawyer, psychiatrist, and a third qualified member, and all decisions were made according to the law. "Often the patient has a legal representative who takes instruction from the patient," the spokesperson said. ECT order approval rates were similarly high in other states that monitor them. In Queensland, 92 per cent of applications for ordered or emergency ECT that made it to decision were approved. In Victoria, 87 per cent of applications were approved, as were all 18 in the Northern Territory. Dr Colleen Loo, a psychiatrist and former president of the International Society for ECT and Neurostimulation, said the high rate of approvals reflected clinicians' training and awareness of the rules, rather than rubber-stamping. Dr Loo said ECT was more beneficial for patients who lack capacity, pointing to a Singaporean study of 175 recipients with schizophrenia, depression and bipolar mania. It found those lacking capacity showed greater improvements in mood, functioning, and cognition, although patients were only monitored one to two days after treatment. Similar studies had not been conducted in Australia, Loo said, because research on those unable to consent would "be a nightmare to get any ethics committee to ever agree". Victoria Legal Aid fought more than 85 ECT orders in 2023/24 at the Mental Health Tribunal (MHT) and challenged other existing orders at VCAT, with some success, according to its associate director of mental health and disability law, Catherine Leslie. She said mental health issues and distress could be inappropriately used to argue a person lacked capacity, and clinicians at times confused least restrictive treatment with optimal treatment, focusing too much on what might be quickest. "Treating teams aren't necessarily getting it right," Ms Leslie said. The issues highlighted by advocacy groups like Ms Leslie's often formed the basis of legal challenges to mandatory ECT orders, and resulted in orders being overturned. Data from VCAT showed 19 of 24 challenges since April 2023 resulted in ECT being stopped. And in a recent Tasmanian case, a tribunal heard ECT treatment for a patient was cancelled just hours before she was due to undergo it, as clinicians realised she was not subject to a valid treatment order. 'It is clear from reviewing previous reported determinations of the Tribunal on reviews of assessment orders that there has been ongoing confusion and error arising in the use of the prescribed forms … over the last 12 months,' the TASCAT said in a decision published in December. '[This has resulted] in invalid orders being made and the detainment, assessment and treatment of patients, without legal authority.' TASCAT ordered a copy of the decision be issued to the Chief Civil Psychiatrist and Statewide Speciality Director to consider if further training was needed. A Tasmanian Department of Health spokesperson said an education and training program had been introduced, and forms revised to ensure risk of errors was minimised. "Revision of provisions around ECT will be included as part of the wider review," the spokesperson said. In another decision, this time at the Queensland Mental Health Court, a woman had 12 ECT treatments overturned after a judge determined less restrictive medication options had not been exhausted. Some advocacy groups believe Australia had to shift from a paternalistic approach, where clinicians ordered ECT because they felt it was in the patient's best interest, to an approach that prioritised human rights and self-determination. Queensland Advocacy for Inclusion (QAI) chief executive Matilda Alexander said Australia's approach should be brought in line with the World Health Organisation's (WHO) stance on ECT. The WHO and the United Nations issued a guidance and practice document in 2023 that stated: 'International human rights standards clarify that ECT without consent violates the right to physical and mental integrity and may constitute torture and ill-treatment". It also said ECT was "not recommended for children" and "this should be prohibited through legislation". Only Western Australia and the ACT have banned ECT for minors, prohibiting its use on children aged under 14 and 12 respectively. However, treatment of under 18s with ECT usually required tribunal approval. The guidance also addressed the fact there is "significant controversy' surrounding ECT, noting the treatment could result in memory loss and brain damage and its use 'dramatically declined' in countries around the world. There is some debate about the risks and benefits of ECT in the medical community but both supporters and opponents acknowledge that adverse event can occur. The Western Australian Chief Psychiatrist monitored for a range of adverse events during ECT, including premature consciousness, anaesthetic complications (including cardiac arrhythmia), muscle tears, vertebral column damage, severe headaches, and persistent memory deficit. It found that an adverse event occurred in nearly 13 per cent of ECT courses in 2023/24. The ABC approached health authorities in Victoria, Queensland, NSW and Tasmania with questions about each state's regulation of ECT. All defended their approach to involuntary ECT and the effectiveness of the treatment. A Victorian Government spokesperson said it had introduced legislation to reinforce an individual's rights in 2022 in response to a royal commission into the state's mental health system. Safer Care Victoria's Mental Health Improvement Program had also been set up to strengthen supported decision making. For Rebecca, that autonomy is key. "It felt unbelievable, getting my body back, getting my mind back." *Rebecca's name has been changed to protect her identity and ensure coherence to the Mental Health and Wellbeing Act

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