SA public doctors to strike if pay deal cannot be reached, union says
South Australia's doctors will consider walking off the job if pay negotiations with the state government cannot be reached, the union says.
The South Australian Salaried Medical Officers Association (SASMOA) and the state government have been negotiating on a new enterprise bargaining agreement.
But union members voted on Wednesday to reject the government's current offer during a one-hour stop work meeting, SASMOA president Laura Willington said.
The government's current offer includes a 10 per cent pay rise for doctors over the next three years, while the doctors union has been pushing for 30 per cent.
Pay for junior doctors is also a key issue being negotiated.
Dr Willington said more stop work action across local health networks had been planned for the week of July 21, and that members had also voted for plans for a full-day strike on July 30 if the government did "not come to the negotiating table with a more appropriate offer".
"We are ready to reach an agreement but the current offer was universally rejected today by all of the members at this meeting so we need a more fair and reasonable offer," she said.
"And we want the government to take notice that our members are not going to accept the current offer."
South Australia's Attorney-General, Kyam Maher, said the government appreciated the "crucial work" of those in the public health system and believed its offer was "fair and reasonable".
Mr Maher said the government was "keen to keep negotiating" with the union, but the idea of a 30 per cent pay rise over three years for the most senior doctors was not "tenable".
"I think most South Australians when they look at the proposal of a 30 per cent increase over three years would think that's out of kilter with their experiences and what they're getting," he said.
Mr Maher called on union leadership to "absolutely guarantee that any [strike] action they take will not have health impacts on South Australians".
SASMOA chief industrial officer, Bernadette Mulholland, said any strike action would factor in "safe levels of medical staffing to minimise the impact on patients and community".
"But doctors have to start looking after themselves or there won't be any to look after others," she said.
Ms Muholland said a decision to do a full-day strike if an agreement was not reached was "exceptional".
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

ABC News
2 hours ago
- ABC News
The National Disability Insurance Scheme (NDIS) is changing in WA. What can people expect?
Big changes to the way the almost $50 billion National Disability Insurance Scheme works in Western Australia are on the way. The NDIS benefits more than 62,000 people in the west but is one of the most complicated funding programs to administer. Even the WA government admits it's complex. So, what's changing and who will it affect? Since its inception WA has had its own method of rolling out the NDIS, which financially supports people with significant and permanent disabilities. From July 1, WA will now pay fixed, up-front funding contributions each year to the NDIS, with the Commonwealth chipping in the rest. It means there will be a predictable and fixed pool of money for service providers to work with. NDIS Minister Mark Butler said the new arrangement meant its future is secure, and those who access it will continue to receive support. A WA advisory council made up of people with lived experience and expert backgrounds will be created to advise government on how the NDIS is working, and advocate for those who use it. At the same time, several pricing changes kick in next week that the National Disability Insurance Agency (NDIA) said would make sure claims were proportionate to the services being delivered. For example, therapists can now only bill 50 per cent of their hourly rate for travel time, while there are cuts of up to $10 per hour on some physiotherapy, podiatry, dietetics and psychology rates. Both the new WA funding model, as well as the pricing changes, begin on Tuesday. The state government said the changes would particularly support people in regional and remote areas. But we've heard from some people in regional WA who are concerned their access to services will dwindle. In the state's north, Wickham mother of two Janel Went said support like speech and occupational therapy for her daughters were crucial and alternatives, including long-distance travel, were not viable. "Our little ones are too young — they need to have therapy in person," she said. Meanwhile in the state's south, behaviour analyst Liz Martin said her business has had to absorb costs, going on a seventh consecutive year with no increase in therapy pricing. She said the changes to the NDIS have been "confusing" and cuts to travel will affect their outreach services. "This is not a money-making business, this is a service industry and we want the best for every one of our families," she said. The NDIS is firm that there were no changes to people's plans due to price decreases. "These changes will help ensure value for participants accessing supports and equality for participants around the nation," the NDIS said in its explanation about the changes. "The NDIS believes the markets are strong enough that participants will still have access to the supports they need." Unfortunately, alongside the life-changing assistance the NDIS ideally provides, some people have "rorted" the system and abused its funding. Last year the NDIS itself said criminal rorting of the social service was worse than anticipated. In the 2023-2024 financial year, it was estimated at least $8 billion dollars of funding intended for NDIS participants was being abused by crime groups. This culminated in the federal government passing the 'Getting the NDIS Back on Track' bill through parliament last year, which sought to increase the agency's power to clamp down on rorting. In the 2023-24 financial year, NDIS participant supports costs totalled $3.6 billion in WA. The federal government paid $2.3 billion, while the WA government put in $1.3 billion. While it is unclear exactly what the new agreement will now cost, the state's latest budget papers say WA's contribution to the NDIS will work out to about $1.5 billion a year on average. We do know the federal government will pay $842.9 million to reimburse WA for expenditure associated with administering the NDIS.

ABC News
2 hours ago
- ABC News
Mental health patient 'sedated' and waiting for days in emergency department
A Queensland GP says one of his patients was sedated in an emergency department while waiting several days for a bed in a mental health ward to become available. It follows calls by the Nurses' Professional Association of Queensland for an independent investigation into performance reporting data in emergency departments. In a June survey, nurses from Rockhampton and Gladstone hospitals claimed they were being pressured to manipulate data and raised concerns about the increasing use of sedation on mental health patients. Boyne Island doctor Gaston Boulanger said his patient was taken by ambulance to the Gladstone Hospital because of his psychosis. "That's very frightening, very, very troubling for a patient like that. It's not good for their ongoing mental health." Despite a population of approximately 63, 000 in the Gladstone region, there are no inpatient mental health beds at the Gladstone Hospital. The Central Queensland Hospital and Health Service acknowledged its emergency departments (ED) were dealing with high demand. "I am concerned that allegations have been made that ED data has been misrepresented, and I certainly do not endorse incorrect reporting of data in any instance," chief executive Lisa Blackler said. She also refuted claims that mental health patients were being sedated while waiting for a bed, and said sedation was only used when a patient's behaviour risked themselves, patients or staff. Nurses' Professional Association of Queensland President Kara Thomas said the union recently surveyed nearly 100 members in Gladstone and Rockhampton. She said the survey showed nurses were being pressured to move emergency department patients into overflow short-stay units to avoid performance breaches. "Almost 100 per cent [of respondents] say patients are waiting more than 12 hours in ED frequently to daily, with mental health patients sometimes waiting up to seven days or more for admission, often sedated in non-designated areas," Ms Thomas said. She also said nurses were treating patients in areas like hallways, because there were no beds available. A spokesperson for Health Minister Tim Nicholls said he was aware of the union's concerns and the government had allocated $33 billion for health in the state budget to improve the state's health and hospital services. Ms Thomas said an independent audit into performance reporting data was necessary to understand how to fix the issue. "Someone is going to die, potentially, and this needs to be actioned." Ms Blackler said the hospital recognised EDs were not suitable for long-term care and the service is committed to reducing the number of patients spending more than 24 hours in the ED. She said, while there was longer term planning underway, they had utilised other spaces at both Rockhampton and Gladstone to expand ED beds. There are 23 mental health beds at the Rockhampton Hospital, which services central and central-west Queensland — a population of more than 200,000. Dr Boulanger said the Gladstone Hospital desperately needed its services upgraded, including inpatient mental health beds. The mental health unit in Rockhampton is undergoing a $92 million expansion to increase the number of beds to 32. It is due to be complete in 2026. Gladstone has a step-up and step-down mental health facility, which provides a 24-hour residential service for adults needing sub-acute mental health services. But Dr Gaston said many people were too ill for that level of treatment. For several years he has also called on the health service to build an ICU at the Gladstone Hospital. He said it would attract specialists which would improve health outcomes, including in the emergency department. "For instance, if you have patient who needs to see a cardiologist in Gladstone, the only way is to go to another facility because Gladstone doesn't have a cardiologist," Dr Boulanger said. "In any other hospital, the cardiologist will come to the ED… they treat the patient, and the patient can go home." The health service said the region was well serviced by the ICU in Rockhampton, but it is continually monitoring demand.

News.com.au
5 hours ago
- News.com.au
‘Unsafe': Doctor warns against common shower act
It will probably come as no surprise to you that people pee in the shower. In fact, statistics show that 61 per cent of people engage in this multi-tasking habit. But while emptying your bladder when nature calls may seem harmless, it turns out that urinating while standing up can cause long-term harm, especially for women. Dr Zac, a prominent Australian GP, has warned that this shower act is particularly concerning if it becomes routine. UTI risks from urinating in the shower Firstly, it's a common misconception that urine is sterile, because even healthy people have bacteria in their urine, says Dr Zac. Therefore, when you urinate in the shower, you may be spreading bacteria over your skin, feet, and other areas (particularly if there's a cut or broken skin barrier), which could increase your risk of reinfection or spreading urinary tract bacteria. This risk is higher if you are already dealing with a UTI, as that urine contains more bacteria. It's also more concerning for women, who are four times more likely to develop a UTI than men. Urinating position linked to pelvic health issues While hygiene and infection risks are important, there's an additional aspect – how your urination position affects your pelvic health. For women, standing to urinate, such as in the shower, can interfere with complete bladder emptying. 'The female body is designed to urinate in a seated or squatting position — this allows the pelvic floor muscles to fully relax and the bladder to empty effectively,' explains Dr Zac. 'When standing upright in the shower, those muscles may stay partially engaged, meaning the bladder may not fully empty.' Over time, this incomplete emptying can strain the bladder and potentially cause issues like residual urine, bacterial growth, or urgency problems. The brain-bladder reflex If you find yourself needing to urinate whenever you hear running water, it might be because you've conditioned your brain-bladder reflex through habitual shower urination. 'You can condition the bladder to feel urgency when it's not actually full — leading to an overactive bladder or urge incontinence over time,' he adds. This phenomenon is well documented in bladder retraining studies and in research involving patients with functional urinary disorders. A 2022 study used Pavlovian theory (from Pavlov's famous dog experiments) to explain how repeated exposure to cues like being in a shower can increase urinary urgency, even if the bladder isn't full. What are the signs that something might be wrong? While it may seem convenient, urinating in the shower could be causing more damage than you realise. So, how can you tell if your bathroom routines are affecting your bladder or urinary health? 'One of the first and most obvious signs of a urinary tract infection is a stinging or burning sensation when urinating,' says Dr Zac. 'It's caused by inflammation and irritation of the urethral lining due to bacterial overgrowth. If you feel this, especially after changing your toilet habits, it's a warning sign.' Going to the toilet more often than usual is another clear indication that something isn't right. 'If you feel like you can't hold it, this could mean your bladder is irritated, inflamed, or conditioned into urgency,' he explains. 'This might be due to overtraining the bladder reflex, or it could signal the start of a UTI. Either way, it's worth consulting your GP or pelvic health physiotherapist.' Leaking urine, especially during exercise, laughter, or sneezing, is known as 'stress incontinence', and is another sign of weakened pelvic floor muscles — possibly from habitual urination while standing. Signs of infection or inflammation in your bladder or kidneys may also be another indicator, and include pelvic discomfort or lower back pain, particularly if a UTI has spread. If these symptoms are accompanied by fever, nausea, or vomiting, it could be a kidney infection, which needs urgent antibiotics. 'Cloudy, bloody, or foul-smelling urine are more classic infection signs. Blood in the urine should always be taken seriously and checked by a doctor — even if it appears just once,' warns Dr Zac. So while the occasional shower wee is likely safe for most, making it a daily habit, especially for women, is probably not the best idea.