SCLMA News l e t t e rsunshine coast local medical association

Sep t embe r 2008

s c lma . com .auSCLMA.COM.AU

SCLMA June 2012 Monthly Clinical Meeting - Maroochy Surf Club Function RoomWell attended meeting with an excellent presentation by Dr Shyam Sunder, Endocrinologist.

Topics were ‘Managing Diabetes - Is It Too Hard?’and ‘Drugs - New and Old.’ The SCLMA extends its appreciation to the meeting sponsors: Lilly Diabetes, represented by Judy Tucker

and also QML Pathology, represented by Samantha Rowe.

Dr Noel Cassels with Dr James MoirSamantha Rowe from QML Pathology

Dr David Leslie with Dr Ian Markwell Dr Shyam Sunder, Presenter

Drs Karien Treurnicht, Lisa Knesl - Judy Tucker, Sponsor Lilly Diabetes - Helen Stevens, Sarah Miah from SCR

SCLMA President’s Message ... Dr Wayne Herdy

The Sunshine Coast Local Medical Association sincerely thanks

Sullivan Nicolaides Pathology for the distribution of the monthly

newsletter.

Recently Mason Stevenson and I were treated to a sneak preview of the new procedural suite at Nambour Hospital. This is a major advance in providing health resources to the Sunshine Coast Community.

Part of the facility includes a dedicated endoscopy suite which will provide, eventually, 24 hour emergency and elective endoscopy resources. It will take the endoscopy activities away from the surgical suite and free up more resources for other types of surgery. It will also mean that endoscopy will not be waiting for the surgeons to clear their theatres before non elective scopes can take place.

The jewel in the crown however, is the Cardiac Catheterisation Laboratory, a State of the Art resource which again eventually will be able to provide 24 emergency and elective Cardiac Catheterisation resources. This is a much needed facility that the Sunshine Coast has been crying for, for years. With the need to catheterise thrombus coronary arteries within hours of a AMI to preserve cardiac muscle our travel distant from the major units in Brisbane is has been deplorable. Although we still can’t have 24 hour facilities in Nambour we are a long step closer towards providing that.

Incrementally the Cath Lab will expand its range of activities and its range of hours of activity, until possibility within one year; we will be providing resources comparable with those of the Brisbane metropolitan area.

A limiting factor is staff and training and familiarisation with the new equipment and protocols however, the major limiting factor will be budgetary at a time when Queensland Health is being squeezed tighter, there have been no promises of new dollars in the bucket of gold to expand health activities that our health district will be able to provide.

We envisage a turf battle between different districts to reallocate health dollars from Brisbane up to the Sunshine Coast before the potential of the new procedural unit can be fully realised. This is a battle which the SCLMA will watch with avid interest.

Wayne Herdy

HIGHLIGHTS:

P 5: Kevin Hegarty - Health Service Link

P 7: Dr Sandra Peters - GP Liason Officer

P 7: Clinical Meetings - Dates

P 10-11: Dr Clive Fraser - Motoring article

P 13: TSCPH article - Terence Seymour

P 15: ‘Christmas in August’ Function details

P 17: Dr Wayne Herdy - AMA Report

P 22: Minutes AGM August 2011

P 23: AGM 2012 - Notice of Meeting

P 25: Membership Application Form

February 2009Newsletter

July 2012

CLASSIFIEDSURGENT SKIN CANCER APPOINTMENTS

A reminder that Dr McGovern offers an urgent • appointment service. If you need any melanoma or other skin cancer • patient seen urgently, simply call our rooms on 5479 2922 and ask for an urgent appointment.We guarantee to see your patient within a week, • unless Dr McGovern is on leave.

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DR IAN WEBB & DR ROBYN BOSTON – NEW ROOMS

Dr Ian Webb, Gastroenterologist and Dr Robyn • Boston, Gynaecologist, have moved to new rooms at 10 Fourth Ave, Caloundra.

Ph: 5499 7366 Fx: 5499 7649.May 2012

AVAILABLE FOR LEASE – BUDERIM CONSULTING ROOMS

Consulting Rooms Buderim Hospital Specialist • CentreAvailable for lease. Please direct enquiries to • Karen Wilson 0418 789 890.

Ph: 07 5444 2751 Email: kw2405@gmail.comMay 2012

SHOULDER CLINIC - EVERY MONDAY MORNINGAcute first time shoulder dislocation patients can • be seen urgently. The Clinic has also reserved spots with local • Radiology practices so that urgent MRIs can be done to assess the extent of the injury.

Contact 5492 0280Dr Mark Welsh, Orthopaedic SurgeonJuly 2012

Classifieds remain FREE for current SCLMA members.

$110 for non-members Ph: 5479 3979.

Mobile: 0407 037 112.Email: jobo@squirrel.com.au

Classifieds will remain on the list for three months unless

you request a longer placement.

VR GP REQUIRED - GOLDEN BEACH VR GP required for doctor-owned Family Medical • Centre in Golden Beach, Caloundra. We are a long established, accredited and fully computerised, General Practice with full time experienced Nurse and Receptionist support.We have visiting Allied Health Professionals on • site. Pathology on site and X-ray facilities next door to the practice. Our practice is mixed billing and flexible working • hours are available. Saturday mornings are on a rotating roster. Please see our website •

www.goldenbeachmedicalcentre.com.au For further information please contact Practice Manager: Karen Clarke on 07 5492 1044 Email:gbmedcentre@bigpond.com.au. (Afterhours 0438 416 917) April 2012

SKIN PRICK TESTINGNow available by appointment

with Dr Peter ZwoernerBuderim Laboratory • Nucleus Medical Suites

23 Elsa Wilson Drive

T: (07) 5459 1400 F: (07) 5478 4240(Referral can be faxed).

For a full list of special tests available at this site please refer to

www.snp.com.au

CIRCULATION ......The SCLMA monthly newsletter continues to grow in popularity ....

Approximately 400 •newsletters sent via email;

Approximately 400 hard copies distributed •either by couriers from Sullivan Nicolaids Pathology to practices or via post.

CONTACTS:President and Dr Wayne HerdyAMA Councillor Ph: 5476 0111

Vice President: Dr Mason Stevenson Ph: 5442 4922

Secretary: Dr John Eckersley

Treasurer: Dr Peter Ruscoe Ph: 5446 1466

Hospital Liaison: Dr Jeremy Long Ph: 5470 5651

Newsletter Editor: Dr Marcel Knesl Ph: 5479 0444

SCDGP Rep: Dr Scott Phipps Ph: 5494 2131

Meetings Dr Rob InghamConvenor: Ph: 5443 3768

Committee: Dr Andrew Foster Dr Denise Ladwig Dr Kirsten Hoyle Dr Di Minuskin Dr Debbie Pfeiffer Dr Nigel Sommerfeld

For general enquiries and all editorial or advertising contributions and costs, please contact:

Jo Bourke (Secretariat)Ph: 5479 3979Mob: 0407 037 112Fax: 5479 3995

The Sunshine Coast Local Medical Association welcomes contributions from members, especially ‘Letters to the Editor”.

Please address all correspondence to:

SCLMA PO Box 549 Cotton Tree 4558Email: jobo@squirrel.com.auFax: 5479 3995

Newsletter Editor:Email: Dr Marcel Knesl valmolives@gmail.com

Disclaimer: The views expressed by the authors or articles in the newsletter of the Sunshine Coast Local Medical Association Inc. are not necessarily those of the Sunshine Coast Local Medical Association Inc. The Sunshine Coast Local Medical Association Inc. accepts no responsibility for errors, omissions or inaccuracies contained therein or for the consequences of any action taken by any person as a result of anything contained in this publication.

All contributions need to be received by the 15th day of each month for that month’s newsletter.

Contact Jo: 5479 3979

Mobile: 0407 037 112

Email: jobo@squirrel.com.au

Fax: 5479 3995

We welcome new content - case studies, local news and photos.

If you are a new member, send in a short bio and a photo to introduce yourself.

ARE YOU A MEMBER?If you are not a member please complete the

application form in this newsletter.

You will need two proposers to sign your application form. If this is a problem, come along to a monthly

clinical meeting to introduce yourself Enquiries: Jo Ph: 5479 3979 or 0407 037 112 Email: jobo@squirrel.com.au

REDUCTION!Membership has been reduced to half price for 2012 with $55 for full membership with a sliding

scale including free to doctors-in-training.

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Welcome to the July edition of the SCLMA newsletter.

Saturday the 18th August is the date for the SCLMA Christmas in August dinner.

This year not only have we changed the date from December to August but we have added in more confusion and changed the venue from the golf club to the Mooloolaba yacht club. I think it will be a big hit. Full details are on page 15.

August is traditionally a quiet month. Kids are back at school and it’s too early for all those other Christmas functions we have in December. Winter is still upon us so the appetite warms to a bit of hearty fare and full bodied red wines. So see you there.

The board members for the Sunshine Coast Regional Hospital and Health Services Board were recently announced. Congratulations and best wishes to Dr Mason Stevenson for his appointment to the health board. Mason has both clinical and political knowledge, both attributes that one needs to be able to navigate the very complex field of modern day health care.

Last month I received several e-mails from some of our advertisers. All advertising needs to comply with the standards set out below:

To comply with Section 133 of the National Law and guidelines, advertising of services must not:

Paragraph (a) “Create or be likely to create unwarranted and unrealistic expectations about the •effectiveness of the health services advertised”Paragraph (f) “Claim that the services provided by a particular regulated health profession are •better, as safe as or safer than others”Paragraph (o) “Contain any claim, statement or implication that a practitioner provides •superior services to those provided by other registered health practitioners”

On a lighter note during the last couple of weeks I have diligently followed a recipe from Annabel Langbeins book. Sake and ginger oven baked salmon with pickled Lebanese cucumber salad. Marinade the 500gm of salmon in a ½ a cup of soy and ½ cup of sake with 2tbsp of crushed ginger. Marinade the salmon overnight. Then drain and oven bake for 20 minutes. Allow to cool and serve with a sprinkling of the pickled salad. And who said there was no link between the skiing village of Niseko and salmon. Well guess what, it’s the sake.

Recently my foodie reading took me to the weekend Australian. How times have changed for the better. Following is an extract from the Australian.

Winter of 1957, Bourke Street, Melbourne, “Madam would start with the tomato soup, and then have the chicken Maryland or lamb cutlets. Sir would order from the Chinese menu: dim sim with lots and lots of soy sauce, then curry or kai see ming, or chicken roll with lots more soy sauce. Winter of 2012, Surry Hills, Sydney, and Cantonese Restaurant Billy Kwong opened in 2000 by Kylie Kwong. Feast on crispy-skin pasture-fed ducks with fresh Davidson’s plums, stir-fried blue swimmer crabs with samphire, and steamed organic vegetable dumplings filled with warrigal greens, silver beet and fresh black fungus. Progress or what!

Lastly, in this month’s Health Service Link, Kevin Hegarty announces the public private partnership (PPP) for the Sunshine Coast University Hospital (SCUH).

Alex Markwell, our new AMA Queensland president writes about her impressions of health services on the Sunshine Coast and Dr Plonk continues to educate in the fine art of wine tasting.Read on and enjoy.

Kind Regards

Marcel Knesl mknesl@oceaniaoncology.com

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HEALTH SERVICE LINK - JULY 2012with Kevin Hegarty

SUCCESSFUL SUNSHINE COAST UNIVERSITY HOSPITAL PUBLIC PRIVATE PARTNERSHIP (PPP) CONSORTIA ANNOUNCED

I am pleased to provide my first column on behalf of the newly formed Sunshine Coast Hospital and Health Service.

As you would be aware the Premier, together with the Minister for Health, announced that Exemplar Health consortia have been chosen to design, build finance and maintain the Sunshine Coast University Hospital (SCUH).

The Exemplar Health consortium includes Lend Lease, Capella Capital, Spotless Group and Siemens.

This is great news for our community and the announcement provides certainty regarding the development of the hospital. On site work will commence in October, with the program for completion by the scheduled date which will lead to the opening of SCUH in December 2016.

As I have noted in previous columns the process of selecting the successful bidder included the direct involvement of senior clinicians and other staff within the Hospital and Health Service (HHS). This group affectionately referred to as the G8 (group of eight) ensured the assessment of the three shortlisted bidders was comprehensive and provided their expert opinion to the selection committee.

Exemplar have developed a detailed fly through of their plans to date and also artist impressions of the design of the hospital. These are available on the SCUH website:

http://www.health.qld.gov.au/scuhospital/video_flythrough.asp

Part of the Government announcement referenced a saving of $250m. This relates to the actual contract price compared with the official estimate of what the cost for such a development would be. It therefore reflects the competitive nature of the construction industry and particularly the PPP procurement process. There has been no reduction or amendment of the scope of the project. Every design and other aspect that was specified in the tender documents issued to the market remain as is and the successful consortia have bid on that basis.

With the PPP contract now a given, our focus will be on the major challenges of service development and workforce planning.

Kevin Hegarty, Acting Health Service Chief ExecutiveSunshine Coast Hospital and Health Service Kevin_Hegarty@health.qld.gov.au

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Update from Sandra PetersGP Liaison Officer (GPLO)

Sunshine Coast Division of General Practice (now known as Focus Health Network Ltd)

It’s that time of the month again – it seems to roll around quickly! The last month of the “world as we know it” for the hospital service and changes in the primary health care arena too, with our Medicare Local up and running from July 1.

Over the past month our work has included the Referral Snapshot Audit, discussions with the Diabetes Service and preparation for the next Meet and Greet evening.

The Snapshot Audit report on Referrals to Sunshine Coast Health Service District, SOPD Central Referral Centre has been completed. This was conducted in April/May this year. There was a review of 100 referrals and was designed, in part, to evaluate the impact of the QH Tactical e-Referral on access to SOPD.

We thought you might be interested in some of the results “in a nutshell”:

61% of referrals are faxed, 27% are sent electronically.•

42% of referrals were to a named specialist (85% of those were to a specialist who could provide a Bulk Billing • service)

9% of referrals contained inadequate information for triaging (see * below re Referral Work up Guide) • Approximately 3% of referrals were for services not offered at NGH e.g. treatment of uncomplicated varicose veins, insertion of Mirena for contraception etc.

53% of referrals contained current medication lists. This is a problem which hospital staff comment on frequently • and one which is easy for us to address. A quick review with the patient ensures their chart is up to date and a copy of their medication summary can be offered to those patients who are taking regular medications;

Centre Referral Staff noted that demographic information for both GP and patient was absent on a small • number of referrals, and when referring to Paediatric OPD please include the Mother’s or main carer’s name in the child’s referral.

As a direct result of the audit, there has been collaboration between the SOPD and GPLO to improve access for patients by:

Collation and dissemination of a list of Procedural GPs to reduce referrals to SOPD for services which are not 1. available (insertion of Mirena, treatment of uncomplicated varicose veins etc.)

Community patient transport options information provided to Referral Centre.2.

Collaboration between SOPD and GPLO to improve the use of the Referral Work-Up Guide for General 3. Practitioners to reduce the numbers of referrals containing inadequate clinical information.

It is anticipated that continuing review of referrals data will assist in directing future work on developing strategies to progress effective referral systems.

Please be aware that the Central Referral Centre does not have the ability to correspond electronically with GPs at this time.

As we all know the burden of disease with reference to diabetes is increasing exponentially and Dr Shyam Sunder is very keen to engage with the GP community to answer any specific queries around the appropriate use of pharmacotherapeutics or the management of difficult patient conditions.

There is an opportunity for him to come to the practice for an informal/small group activity and is available for an hour at lunch time or for breakfast meetings. Any interested practices could contact Gail Palmer or me at the Division.

Shyam requests that all referrals to the service be succinct, using the following guide to ensure the referral is easily triaged:

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Please remember to indicate for whom in the team the referral is made – educator, dietician, clinical 1. psychologist (in context e.g. young Type 1 struggling to cope), or consultant.

Reason for referral/question you are asking2.

Up to date medications list3.

Results of most recent investigations only4.

Current co-morbidities and the other practitioners involved in the patients care.5.

Relevant resolved problems6.

Shyam is also looking at the content of letters from the service when a patient is seen in clinic as well as on discharge from hospital. He is working with the junior staff to ensure that the content is similarly set out answering the question asked and containing only pertinent information. He welcomes any suggestions which would help with this process. I can forward any correspondence if you prefer.

*A reminder that the latest edition – Version 11 May 2012 - of the Referral Work-Up Guide for General Practitioners has been published and is current until the next edition due in November 2012. All relevant investigations and protocols are listed under specialty along with the names of specialists including those who bulk bill being highlighted with an asterisk, and any particular sub-specialty areas of interest. Saving the Guide to your computer is easy. Follow the instructions in help downloading. If you require assistance call myself or Gail to arrange a time for us to visit your practice at a convenient time to you.

Yours in health,Sandra E: Sandra speters@scdgp.org.au P: 07 5456 8888

Update from Sandra PetersGP Liaison Officer (GPLO) / cont:

SATURDAY 18 AUGUST 2012SCLMA CHRISTMAS FUNCTIONTHE YACHT CLUB, MOOLOOLABAAll details pages 14-15

THURSDAY 23 AUGUST 2012 (INCLUDES AGM)Presenter: Dr David ColledgePresenter: Dr Peta HiggsTopic: Urinary and faecal incontinenceSponsor: Medtronic

THURSDAY 27 SEPTEMBER 2012 Presenter: Dr Lee Price, PathologistPresenters: Doctors from NGHDetails to be advised. Sponsor: Sullivan Nicolaides Pathology

THURSDAY 11 OCTOBER 2012 COMBINED MEETING & DEBATE BETWEEN SC LAW SOCIETY & SCLMA

THURSDAY 25 OCTOBER 2012 Presenter: Dr Alan McKenzieTopic: MRI and the GPSponsor: Qld Diagnostic Imaging

THURSDAY 22 NOVEMBER 2012 Details to be advised.

ENQUIRIES: Jo Ph: 5479 3979

(M) 0407 037 112 Email: jobo@squirrel.com.au

Meeting attendance: Free for current members. Non members: $30. Application forms available on night.

SCLMA MONTHLY CLINICAL MEETINGSMaroochydore Surf Club Function Room

6.30pm for 7pm - 9pm

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AMA QUEENSLAND - PRESIDENT’S REPORT Dr Alex MarkwellDear members,

Since my last report I have been busy touring health care services across Queensland, getting a feel for how health care is resourced and delivered in our regional communities. It has been an invaluable experience and I’ve been privileged to meet some great local characters and dedicated doctors.

Over the past month, myself and members of the AMA Queensland team, have visited health care facilities and doctors in Maryborough, Childers, Hervey Bay and Bundaberg, the South Burnett townships of Kingaroy, Cherbourg and Murgon and most recently, Nambour and the Sunshine Coast.

We have been very grateful for the warm reception and insight provided by local doctors, who understand better than anyone else, the daily challenges and issues faced by patients and colleagues outside the metropolitan bounds.

Taking the time to meet in person and listen to doctors as they share their local knowledge, experience and innovations has given us a much clearer understanding of how health care is delivered in regional Queensland.

Despite the efforts of some inspirational individuals, I am disappointed to find many health services in these areas still lagging behind - shortage of beds and staff, overcrowding, ambulance ramping and lack of funds for support services were commonly recurring themes in all of the areas visited.

Nambour Hospital was of particular concern with an 11% increase in demand for services over the past year unmatched by a comparable increase in central funding. During the visit I consulted with representatives from the local health service to identify possible solutions and have given a personal undertaking to continue lobbying for further resources.

I was encouraged by productive meetings with Professor Paul Thomas AM, Chair of the new Sunshine Coast Hospital and Health Board and Kevin Hegarty, Acting Chief Executive, Sunshine Coast Hospital and Health Service.

With Dr Mason Stevenson providing a grass-roots clinical perspective, I feel very confident about the ability of the Sunshine Coast Health Board to work with local clinicians to achieve better outcomes for doctors and their patients.

I am hopeful that by handing back control to the local community, practical solutions will be found to ease access and capacity problems on the Sunshine

Coast, including those faced at Nambour Hospital.

The Sunshine Coast has long been under - resourced but I am optimistic about the future of health services in the region with the emphasis on local management and also the planned Sunshine Coast University Hospital, scheduled to come online in 2016.

The development of a new tertiary hospital and the move to a local health board structure presents an ideal opportunity for the Sunshine Coast Local Medical Association (LMA) to engage with clinicians and ensure members are well represented during crucial decision-making processes.

We will continue to offer support to LMAs, particularly in areas that may be struggling to unite or motivate local clinicians. AMA Queensland is committed to helping doctors so they can help patients.

Dr Alex MarkwellAMA Queensland President(07) 3872 2222a.markwell@amaq.com.au

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MEDICAL MOTORINGwith Doctor Clive Fraser

BANGKOK TAXIS

“Thai take-away!”

When I enquired a little more about exactly how “the accident” had occurred he then explained to me that that he’d been driving home after a night on the turps and that he was so p***ed he wasn’t really sure what happened, but he thought “the accident” was clearly all his fault.

Eager to find out how the local constabulary might have dealt with such an event he then explained to me that for the princely sum of 10,000 Thai Baht (approx $308 AUD) the investigating police officer turned a blind eye to his drunkenness and wrote a report stating that the cause of the crash was unclear.

For someone from Queensland who’d lived through the Fitzgerald Inquiry this was all starting to sound very familiar and it reminded me of just how much we take for granted the rule of law in Australia.

In Australia Mrs Shaft and I have always told our children (Karl and Carla) that if they ever need help, they should find a police officer.

That isn’t always the case in every other country.

As for my neighbour on the plane flight he still has a blameless driving record complements of an obliging Thai police officer.

Anyone who has driven in Bangkok will agree that the traffic there is a nightmare and even crossing the road as a pedestrian is not for the faint-hearted.

Most visitors to Bangkok are far safer in a taxi, though even they can provide some hair-raising excitement and drivers are notorious for ripping off customers by refusing to use the meter.

On my last trip to Cambodia with Mrs Shaft we flew via Bangkok.

I sat next to a very elderly man who struggled down the aisle with a particularly awkward limp.

As we would be sitting next to each other for 10 more hours I started chatting to him and asked him about his leg.

Now we all know that conversations with the person sitting next to you on a long-haul plane flight can be either a grunt as they amble past to get to the toilet or their whole life history.

On this flight it would be the latter and the lovely old gent explained that he’d been involved in a car crash in Bangkok.

He told me that his Honda Civic collided with a much larger truck and as a result he’d badly fractured his femur.

His Australian doctor said the Thai orthopaedic surgeon had done a pretty good job on the internal fixation, but he’d still been left with two inches of leg shortening, hence the limp.

He was fairly confident in the Thai health system, but only in as far as he was able to meet the surgeon’s and hospital’s request for payment by credit card on a daily basis with the total bill being about $30,000 AUD.

He believed that failure to pay up on time each day would have resulted in his sudden discharge from the hospital to the nearest pavement.

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MEDICAL MOTORING /cont:

Bangkok taxis

For: They should know where they are going.

Against: It may be faster to walk if the traffic is congested.

These taxis would suit: Ozzie travellers.

Specifications:

Bangkok taxis are mainly Toyota Corolla • sedans.

There are 150,000 taxis in Bangkok.•

They mostly run on LPG so boot space is • minimal.

Fares are 35 Baht flag-fall and 5 Baht per • kilometre.

It costs 280 Baht to go 28 kilometres from • Suvanabhumi Airport to downtown Bangkok (about $8.60 AUD).

Safe motoring,

Doctor Cam Shaft

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New Program to Further Improve Standards at The Sunshine Coast Private Hospital at Buderim In the July edition of the SCLMA newsletter, the association’s President said – “ … the biggest controversy on the Sunshine Coast at the present moment has embroiled The Sunshine Coast Private Hospital”. He went on to suggest that “…. the full truth (should) meet the light of day”. As the General Manager of the hospital I agree and I believe patients can have trust in the care that is provided to them by The Sunshine Coast Private Hospital at Buderim. Let me explain why. The Sunshine Coast Private Hospital at Buderim is in the top 1% of Australian hospitals as measured by the ACHS quality standards program. Our patient satisfaction levels (as reported through regular Press Ganey surveys) sit above industry benchmarks. Our clinical safety indicators, such as Hospital-Acquired Infections, Hospital-Acquired Pressure Injuries, and Medication Errors that cause harm to patients, are all well below the industry norms.This level of performance is something that we are very proud of. But despite these excellent results, we are not resting on our laurels. UnitingCare Health continues to look for ways to maintain and further improve our existing high levels of service. To that end we have started a program called Living Values, which is based on a proven program of patient satisfaction, improved clinical outcomes and staff engagement. The program is based around communication, transparency and accountability. It is in use by many hospitals internationally. In the US experience, 8 of the 12 Baldridge Quality Award winners (The Malcolm Baldrige National Quality Award presented annually by the President of the United States to organisations that demonstrate quality and performance excellence) were using this system.The important values that we are measuring are: Service (satisfaction and improvement of the healthcare experience); Quality & Safety (quality improvement and performance measures); People (employee satisfaction, retention and turnover); Funding Our Future (overall financial performance and sustainability into the future); Growth (activities aimed at improving our reputation by increasing market share); and Community (activities which involve the community and focus on the UCH mission). As well as substantial success overseas, the program has already been trialled in other UnitingCare Health facilities. In fact, St. Andrews Hospital has seen substantive improvements in staff engagement, job satisfaction and the ability to respond to challenges, since using the program.From a medical practitioner’s perspective, the Living Values program improves transparency and accountability and provides some specific and tangible benefits. For example, for every patient that leaves the Hospital, we will have daily tracking of patient satisfaction. So now on a daily, weekly or monthly basis we can look at not just any concerns patients may have, but cross reference these. Doctors will have access to this information and will be able to see if there is an issue emerging in a particular ward or a particular clinical discipline which needs to be addressed.If we are not up to the standard where our patients or our doctors believe we should be, we will be able to easily identify that, work out what the problem is and take action to rectify it. It’s about each staff member involved, whether General Manager or groundsman, being accountable for what we deliver.Importantly, the tracking of patient satisfaction is totally anonymous so that patients can immediately provide feedback without fear of offending anyone, leading to more timely and accurate information. Our hope is that this process will identify areas that can be improved, what we can do to improve them and how best to go about making things better. In the many areas where The Sunshine Coast Private Hospital already exceeds industry expectations, the Living Values program will allow us to track our performance and ensure that these strengths are maintained and that our performance doesn’t deteriorate in any way.Remember, this process is all about transparency, accountability and communication, so if you would like to know more about what we are doing or have any comments or concerns you would like to discuss, my door is always open. Terence Seymour, General ManagerThe Sunshine Coast Private Hospital at Buderim

14

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INVITATION SCLMA CHRISTMAS in AUGUST

SATURDAY 18 AUGUST 2012 THE YACHT CLUB, MOOLOOLABA

NO LIMIT ON NUMBERS – THE MORE THE MERRIER!

COST: CURRENT & NEW MEMBERS FREE. PARTNERS $55.00 Member’s Name: ______________________________________ Ph: ____________________

Partner’s Name: ______________________________________ Amt Encl: ______________

Email: ____________________________________________ Table? ____________________

Dietary Requirement? __________________________________________________________

RSVP: ASAP or NO LATER THAN FRIDAY 10 AUGUST 2012

HOW: Return this form with cheque to: SCLMA PO Box 549 Cotton Tree 4558 OR EFT: BSB 034-243 ACCOUNT NUMBER 11-9298 (identify payment please)

PLEASE FAX YOUR RESPONSE IF PAYING ON-LINE TO 5479 3995

We’ve changed the date to miss the December date clashes Don’t miss out – book now!!

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BOOK NOW!SCLMA ‘CHRISTMAS IN AUGUST’ EVERYTHING YOU NEED TO KNOW .....

SATURDAY 18 AUGUST 2012 6.30pm for 7pmThe Yacht Club, Mooloolaba Dress: Smart casual.

Entertainment: THE ROY ORBISON TRIBUTE BAND!

Check out the website: www.theroyorbisontributeshow.com

Seven member band plus sound guy! Keyboard music during dinner.

TABLES OF 10 - PLAN A TABLE NOW AND LET JO KNOW - 0407 037 112.

NUMBERS AND TABLES MUST BE FINALISED A WEEK BEFORE - PLEASE!!

Christmas Roast Dinner Table Service (please let us know if you have any dietary requests)

Canapes on arrival

Main Meal - Roast turkey with cranberry sauce, hot ham and roast vegetables• Roast pork with crackling, apple sauce, gravy and roast •

vegetables.

Dessert - Plum pudding & custard. Freshly brewed tea & coffee

We sincerely thank our Sponsors and look forward to enjoying their company at The Yacht Club, Mooloolaba on Saturday 18 August!

Major Sponsors ....Sullivan Nicolaides Pathology• Ramsay Health (Noosa, Caloundra Private & Nambour Selangor • Hospitals)National Australia Bank - nabhealth •

and also generously supported by ....Pacific Radiology• The Sunshine Coast Private Hospital• Sports & Spinal Physiotherapy Centres• The Poole Group• Sunshine Coast Radiology •

16

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IVF Sunshine Coast

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Dr James MoirSuite 1, Nucleus Medical Suites23 Elsa Wilson DriveBuderim QLD 4556P: (07) 5444 0799

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in association with the Queensland Fertility Group

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AMA COUNCILLOR’S REPORT Dr Wayne Herdy

Topic 1

The new Campbell Newman government has set a pathway through the new government’s budget, had announced the not unexpected financial disaster that was left to them, (which practically every government raises as an accusation against the former government) and in particular has addressed the Health budget.

The major shock that was announced a month ago was the fact that it will cost something like a billion dollars just to fix the Queensland Health pay debacle. It is unconscionable that a such a huge sum of money should be needed over the next three or four years to fix a problem that should never have occurred in the first place at a time when the Queensland Health Public Hospitals are creaking and groaning under the load and the Statewide system is calling out for at least five new hospitals, this allocation of a sum of money, nearly enough to build a new hospital is a tragedy.

In the Redcliffe District the North Lakes’ Community development will eventually have an additional 90,000 population; this is the population of Toowoomba and nearly deserves a hospital of its own. The three nearest hospitals; Chermside, Redcliffe and Caboolture will be called upon to drain a large additional population when they struggle to cope with the population that they had before. Further for those areas there are distances to be covered which in emergencies with peek hour traffic can mean a delay of more than an hour above what would have been possible had North Lakes had a hospital of its own.

With such strains on the hospital system Queensland Health can ill afford the huge sum of money necessary to fix a payroll problem. The ultimate tragedy is the personal tragedy for Queensland Health workers who have been underpaid, not paid at all or overpaid and now subjected to legal actions for recovery.

Topic 2

I recently had the opportunity to visit Vietnam and to reflect on their health system and in particular I enquired widely about their system for aged care.

It came as something of a surprise to me that, in a communist country, there is no payment by the government to provide health resources. All patients have to pay something, admittedly a small amount by Australian standards for doctors’ consultation, hospital resources and pharmaceuticals.

Although the consultation fees quoted to me were quite small by Australian standards they were disproportionate to Vietnamese incomes and living costs. They were about double or more what I would have expected in comparison with eg: the cost of a taxi or a meal or the typical Vietnamese personal income.

The many Vietnamese people to whom I spoke were astounded that we had such a highly socialised system in Australia where doctors’ fees, hospital fees and pharmaceutical costs are so heavily subsidised. I was also bemused that relative to other costs and incomes in Vietnam our doctors’ consultant fees in Australia are remarkably low.

In terms of aged care the extended family is still responsible for aged care of disabled loved ones but in the anecdotes given to me I was struck by how many aged Vietnamese were still self caring and living independently at home. I was also struck that one of the temples that I visited had a small resident aged facility attached to it that was paid for exclusively by the monks. This facility has only eight old ladies living in it and they are still sufficiently mobile to cook and go shopping for themselves but nevertheless this is a shadow of what is available in other Asian countries which are much wealthier than Vietnam.

Topic 3

The new AMA Queensland Council has been installed. Our new president Alex Markwell is one of the youngest ever AMA State Presidents but has a long track record since her student days of close involvement with medical politics. We can look forward to a lean and mean AMAQ making sure that Queensland Health continues to provide the best possible outcomes for Queensland patients. I am expecting that this new AMAQ Executive will be particularly aggressive in the light of Campbell Newman’s budgetary constrains, necessary as those budgetary constrains might be in the overall financial context.

Wayne Herdy

18

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LOCAL NEWSFocus Health Network Ltd As from 4 July 2012, The Sunshine Coast Division of General Practice Ltd was renamed Focus Health Network Ltd with the same goals and objectives.

Focus Health Network Ltd is continuing its 18 year tradition of supporting and working with general practice into the 2012/13 financial year. It is also refining its scope of work so that general practice and the natural service networks and relationships with other primary healthcare professionals remain central to its functions and services delivery.

Despite the changes to funding arrangements for primary health care and general practice support and development in Australia, Focus Health Network continues to maintain its focus on general practice and the wider primary health care network.

This is being achieved through the continuation of funding for these program areas from various funding organisations including the new Sunshine Coast Medicare Local who recognise the value of the relationships that exist between the Focus Health Network Ltd and general practice and other primary health care professionals.

Who is the Sunshine Coast Medicare Local?

The Division of General Practice on the Sunshine Coast consulted, designed and implemented a model for the new Medicare Local that is significantly different than most Medicare Locals around Australia. Focus Health Network has not changed its objects and remains in place to support General Practice and Allied Health Professionals.

The Medicare Local is a different organisation and will work in partnership with Focus Health Network to keep General Practice at the heart of primary health care.

The Medicare Local will be responsible for constructing a region wide plan for primary health based on an extensive needs analysis and will then work with health service organisations to design and commission services to address these needs. It will be advised extensively by health professionals and community groups, and will work closely with the Local Health and Hospital Service towards mapping and closer integration of services.

The Medicare Local is in the formative stages and not yet fully staffed but will be releasing more information very soon about its business, its priorities, its staff and Board. The CEO is Ian Landreth and the Board Chair is Dr Peter Dobson, a GP from Landsborough.

If you wish to contact the Medicare Local directly the number is 5456 8100

Email: medloc@scml.org.au

www.qdi.com.au

QDI on the Sunshine CoastState of the art equipment and a leading range of imaging services

HIS

2011

/113

QDI Buderim has the only Medicare rebateable private MRI machine on the Sunshine Coast. Specialist referred patients incur an out of pocket expense of $135.00 with no out of pocket for pensioners, DVA & healthcare card holders. For patient convenience QDI at Buderim provides MRI appointments before & after work and on Saturdays.

Buderim Sunshine Coast Hospital Medical Centre, Lyrebird St Ph: 07 5444 5877 Caloundra 18 Mayes Ave Ph: 07 5438 5959 Maroochydore Corner Horton and Plaza Parades Ph: 07 5443 8660 Noosa Noosa Private Hospital, Pavillion A, 111 Goodchap St Ph: 07 5430 5200

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What’s in a Name?

John Cleese, in the setting of his usual sycophantic arrogance is quoted as saying to an elitist guest “Some of these people wouldn’t know the difference between a Bordeaux and Claret (tisk)” That line made me stop and think for a while as I was unsure myself. Then I realised that in Australia, we haven’t used terminology like that for well over a Decade. Claret is an Anglicised version of the French word Clairet meaning pale, from a dark Rose style wine made in Bordeaux. After the 1800s Bordeaux became known for its more structured reds with the name Claret sticking.

There is a whole heap of poetic licence that has been used to sell wine. The French and other Old World producers have bandied together to prevent us upstarts in the infantile New World from cashing in on their heritage. Take for example Hermitage. I used to love drinking Hermitage for $4 a bottle and of course there was Penfolds Grange Hermitage. The name was generic for any bold heavy red wine, mainly Shiraz, but could have Grenache in it. The Chaps in the Rhone put a stop to this as this again was their heritage.

Champagne is a classic. It really is difficult not to call all sparkling wine Champagne as it is such an entrenched and romantic word. Bubbles is a good euphemism and the serious wine producer may call their product Methode Traditionalle indicating it is made in the same way Champagne is. We Aussies stretched the friendship when any lighter style red got the handle of Burgundy but Wynns Oven Valley Burgundy was a Shiraz. We even cheekily produced sparkling red wine , often Shiraz based and called it Sparkling Red Burgundy.

The whites were confusing in Australia. Houghton’s White Burgundy, a dry table wine, had everything in it but the kitchen sink. Semillon was often called Riesling, Hocks, Chablis or White Burgundy. Hunter River Riesling could contain Semillon, Chardonnay etc without any Riesling being present. Tyrrells and Penfolds called this Pinot Riesling. If your head is spinning that’s ok. It gives a new appreciation for our current wine nomenclature. The basics of Australian Labelling include grape variety, region and year.

At least you know that if you buy a 2008 Barossa Shiraz, that’s what you will get! Or is it?

In Australia, the maker doesn’t have to declare any added wine if it is less than 15% of the mix. So stretching the maths, that Barossa Shiraz could have 14% Cabernet, 14% wine from the Clare Valley and even 14% of 2001 added to it. So you are only possibly getting 58% of what you paid for. This is taking it a bit far and good producers nearly always declare their percentages. For a young wine industry with so many regions and micro climates, I think our labelling system works. Somewhere like Burgundy that has been making wine for 1500 years and so well controlled, their labels allow you to know exactly what style you are getting from a singular grape. But you have to do the homework to achieve any chance of insight. This is all too confusing, just enjoy it.

Dr Plonk Has DrunkChampagne- 2007 Paul Louis Martin Blanc de • Blanc: This 100% Chardonnay offers great bead and fresh citrus aromas on a background of yeasty biscuit notes. It has a pleasing full palate with creamy textures and suits all occasions.White- 2008 William Fever Grand Cru Chablis • Les Preuses: This is classic Chablis with lemon overtones and almost funky minerally nose. The fruit excites then decelerates in a mid palate handbrake but the dry minerality lingers. Overall pleasing and I would drink with sashimi tuna.Red- 2007 David Franz Alexander’s Reward • Barossa Cabernet Shiraz. Impressive dark purple colour with a cornucopia of aromas typified by dark fruit, plums and hints of spice and cloves with the perennial leathery notes. A gorgeous supple fruit palate with well structured tannins and oak exposure. Whilst drinking well after an hour of decanting, this will cellar 10-15 years. I think game styled meats would suit.

20

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Super Update Special by Stacey Barnes Superannuation Manager

Another year and another budget! The Gillard government has made some changes to superannuation in the 2012 Budget.

The changes made have been summarised below for you to review how they may affect your individual circumstances.

CONCESSIONAL CONTRIBUTION LIMITS ROLLED BACK TO 25K FOR ALL

Concessional Contributions are those that someone has claimed a tax deduction for in their personal name. These include 9% super guarantee, salary sacrifice and self employed person’s contributions.

Prior to the May 2012 budget, you were able to claim a tax deduction for up to 50K if you were over 50 years of age and 25K if you were under 50 years of age. From 1st July 2012, all individuals will have a concessional contribution limit of 25K only. This includes your salary sacrifice and super guarantee, however this may index up in future years. Please make sure you review your current salary sacrifice arrangements and amend to reflect the new limits going forward where possible. Every dollar over this amount will attract excess contributions tax of an extra 31.5%.

We suspect that from 1 July 2014 contributors aged 50 years of age and over with account balances of less than 500K will be able to make annual concessional contributions of up to 50K. A lot can happen between now and 1 July 2014 so we will wait for royal assent.

The above reinforces the view that where possible you need to try to maximise your super limits each year or loose them.

EXCESS CONTRIBUTIONS TAX OVER 25K

If your are to exceed your 25K limit, individuals will now have the option of a refund up to 10K of any excess concessional superannuation contributions over the 25K limit. Where this choice is made, the amount refunded will be assessed as income to the individual at their marginal rate of tax, rather than incurring excess contributions tax. However, the choice will only be available for breaches in respect of the 2011/12 year or later years and only for the first year a breach occurs.

KEY CHANGE - TAX ON CONTRIBUTIONS - HIGH INCOME EARNERS

From the 1 July 2012, concessional contributions made by individuals with income greater than 300K will be effectively taxed at 30% NOT 15%. The definition of income will include concessional superannuation contributions including super guarantee and salary sacrifice amounts.

OTHER CONTRIBUTIONS - NON CONCESSIONAL

Remember you can put in up to 150K per member per annum for which you don’t claim a tax deduction if you are under 65 years of age. You should take advantage of this if you wish to maximise your superannuation holding at retirement. There are ways you can contribute more that 150K per annum if you are under the age of 65. You may wish to contact our office to see if you are eligible.

If you wish to contribute after 65 years of age you must pass what the government calls a ‘work test’. The work test requires you to perform paid work for at least 40 hours in a 30 day period during the financial year in which you intend to contribute. Further, any person over age 62 should contact our office to formulate an optimum contribution strategy before turning 65.

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Super Update Special / cont:

9% SUPER GUARANTEE INCREASING TO 12%

Super Guarantee will go from 9% to 12% with increments of 0.25% in the first two years and 0.5% thereafter from 1 July 2013.

SUPER BOOST FOR WORKERS WITH INCOME UNDER 37K

From 1 July 2012, workers with income up to 37K will receive a boost of up to $500 from the government. This is to ensure that your superannuation fund effectively pays no tax on superannuation guarantee contributions.

RECORDING SUPER ON PAY SLIPS

From 1 July 2012 employers will be required to show on pay slips the actual amount of superannuation paid into their staff’s chosen super accounts. In addition, superannuation funds must notify employers and employees quarterly if regular payments cease.

CO-CONTRIBuTION FOR 2012/13

The Government Co-Contribution will be reduced down again from $1000 to $500. Individuals who earn more than $46,920 will not be eligible.

SMSF PROPERTY VALUATIONS

If you hold property within your SMSF you are most probably aware that this property must be revalued every 3 years. In the past this was able to be done by a Real Estate agent drive by or by yourself with supporting documentation. From 1st July 2012 we expect the ATO will only be accepting valuations on properties held within a Super Fund from a Certified Valuer, with the fee involved claimable as a tax deduction within your SMSF.

Telephone Stacy Barnes at the Poole Group 07 5437 9900 if you have any questions.

22

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Fourteenth Annual General MeetingThe Sunshine Coast Local Medical Association Inc.

Thursday 25 August 2011Maroochydore Surf Club Function Room

MINUTES

Meeting opened at 7.20 pm by the President, Dr Mason Stevenson.Business:

Chairman’s opening remarks.1. Members present:2. Drs John Adkins, Bob Anderson, Marlene Clout, Peter Cohn, Ian Colledge, Michael Cross, Colin Dicks, John Eckersley, Vince Flynn, Clive Fraser, Peter Georgius, David Goss, Jenny Grew, John Hansen, Dean Haydon, Wayne Herdy, Robyn Hewland, Kirsten Hoyle, Kylie Isaacs, Raewyn James, Evan Jones, Dominic Kenyon-David, Sabi Kishore, Lisa Knesl, Denise Ladwig, Kelvin Larwood, Wyn Lewis, Bill Lindsay, Chris Lonnergan, Jeremy Long, Petros Markou, Brian McDonnell, Di Minuskin, Bruce Moore, Trish Pease, Scott Phipps, Bert Pruim, Ian Raddatz, Peter Ruscoe, Nigel Sommerfeld, Mason Stevenson, Eddie Street, Piotr Swierkowski, David Thomas, John Topping, Phil Werchon, Steve Whiting, Ken Wishaw, Bel Zoughi.

3. Apologies members:Drs Michael Bint, David Colledge, Justin D’Arcy, Andrew Foster, Tess Garrone, Stan Green, Adrian Guest, Geoff Hawson, Brenda Heyworth, Sybil Kellner, Marcel Knesl, Irene Krajewska, Paul Munchenberg, Clem Nommensen, Damien O’Brien, Heather Parker, Debbie Pfeiffer, Mary Piepers, Kannan Rajappa, Ian Rivlin, Karl Schulze, Fiona Stewart, Shyam Sunder, Edward Weaver, Mark Welsh, Rohan Wilmott, Peter Zwoerner..

4. Minutes of previous Annual General Meeting, 19 August 2010: Moved: Dr Wayne Herdy. Seconded: Dr Marlene Clout. Accepted.

5. Business arising from previous minutes: Nil6. President’s report delivered by Dr Mason Stevenosn:

I am proud to have served the SCLMA in a management role for 10 years including 2 years as Treasurer, 4 years as Vice President and 4 years as President. My fourth term as President from August 2010 until now has been eventful. We have witnessed the commissioning of the new $150 million, 96-bed building at Nambour General Hospital incorporating the new Outpatients Department and Cardiology Service. Ramsay Health won the tender to build the new 200-bed private hospital at Kawana to open in December 2013 incorporating a 5 year deal to procvide up to 110 public beds.The Rudd-Gillard health reforms led to a tender process for a Sunshine Coast GP Super Clinic with a budget of $25 million resulting in controversy, many proposals but no decision by the Department of Health thus far. These reforms also call for the creation of a Medicare Local organisation on the Sunshine Coast with only the Sunshine Coast Division of General Practice terndering to perform this role a second time for a potential 1 January 2012 start. Other significant media interest has revolved around ambulance ramping, emergency departments on bypass, waiting times for emergency care including deaths of patients while wating, the whooping cough epidemic extending into a third year and the low rate of childhood immunisation in the Sunshine Coast hinterland. The community responded positively to the proposed plans for the new $1.97 billion Sunshine Coast University Hospital and associated $60.8 million Skills, Academinc and Research Centre.The SCLMA continues to thrive with approximately 330 members and a SCLMA newsletter now in full colour distributed to 600 recipients. This high calibre communication tool is provided in-house by Jo Bourke, our primary secretariat, and continues to be highly regarded as well as generating a significant non-subscription profit for the association which helps to keep subscriptions unchanged for a decade. A more modern SCLMA website is to be finalised and go live next month. The SCLMA Management Committee continues to be well supported with all 12 positions filled and most attending the monthly clinical meetings. We are joined by 50-60 other regular members for our monthly clinical meetings, which attract good quality speakers and sponsors. I am proud to have been an office bearer in the most successful LMA in Queensland for the past decade and relinquish the Presidency with the fulll confidence that the SCLMA will continue to be supported by dedicated fellow local medical professionals.

7. Treasurer’s report delivered by Dr Peter Ruscoe.Dr Ruscoe referred to and discussed financial statements available at the meeting. Income for the year $49,000. Operating profit $12,000. Both amounts an increase on last year’s.Moved: Dr Peter Ruscoe ‘ that the Treasurer’s Report be accepted’Seconded: Dr Mason Stevenson. Accepted.

8. The presentation of the statement of income and expenditure, assets and liabilities and mortgages, charges and securities affecting the property of the LMA for the last financial year.

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MINuTES - 14th Annual General Meeting 25 August 2011 /cont:

FIFTEENTH ANNUAL GENERAL MEETINGThe Sunshine Coast Local Medical Association Inc.

THURSDAY 23 AUGUST 2012Maroochydore Surf Club Function Room

AGENDABusiness:1 Chairman’s opening remarks2 Apologies3 Minutes of previous Annual General Meeting, 25 August 2011.4 Business arising from previous minutes5 President’s report6 Treasurer’s report7 The presentation of the statement of income and expenditure, assets and liabilities and mortgages, charges and securities affecting the property of the SCLMA for the last financial year8 The presentation of the Auditor’s report on the financial affairs of the LMA for the last financial year9 The presentation of the audited statement to the meeting for adoption10 The election of members of the Executive Management Committee11 The appointment of an Auditor/Accountant 12 General Business:13 Close

Jo BourkeActing Secretary

9. The presentation of the Auditor’s report on the financial affairs of the LMA for the last financial year.10. The presentation of the audited statement to the meeting for adoption.

Moved Dr Peter Ruscoe. Seconded Dr Di Minuskin. Carried.11. The appointment of an Auditor/Accountant – Smart Steps accounting.

Moved Dr Peter Ruscoe. Seconded Dr Scott Phipps.12. The election of members of the Executive Management Committee.

Election process chaired by Jo Bourke.The nominees for positions for 2011 - 2012 were as follows: ROLE NOMINEE PROPOSER SECONDER President Dr Wayne Herdy Dr W Herdy Dr A Foster Vice President Dr Mason Stevenson Dr W Herdy Dr P Ruscoe Secretary Dr John Eckersley Dr W Herdy Dr P Pease Treasurer Dr Peter Ruscoe Dr M Stevenson Dr N Sommerfeld Meetings Convenor Dr Rob Ingham Dr P Ladwig Dr R Anderson Newsletter Editor Dr Marcel Knesl Dr C Dicks Dr N Sommerfeld Hospital Liaison Dr Jeremy Long Dr G Hawson Dr C Dicks Committee Dr Andrew Foster Dr M Stevenson Dr M Clout Committee Dr Kirsten Hoyle Dr D Pfeiffer Dr M Clout Committee Dr Denise Ladwig Dr P Ladwig Dr D Moisuc Committee Dr Di Minuskin Dr K Hoyle Dr N Sommerfeld Committee Dr Debbie Pfeiffer Dr S Phipps Dr M Clout Committee Dr Nigel Sommerfeld Dr K Hoyle Dr D Minuskin All nominees were elected unopposed.13. General Business:

Dr Wayne Herdy addressed the meeting reflecting on the history of the SCLMA and outlined his visiion for the future. The meeting closed 7.45pm.Dr Wayne HerdyActing Honorary Secretary

24

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“It has taken every ounce of my being to avoid saying…

Grasshopper” Wes Stephen

SEQ Property Planners

A positive cash-flow NEW investment property in Mackay for under $500,000! You must be joking…!

±200m² House - 4 Brm – 2Bth - ± 550m² Block - ± $625/wk - Complete!… <$500,000 Does that make us special…? No-obligation 1st Planning Meeting FREE, friendly and no-pressure service – NO FEES wes@seqpropertyplanners.com – 0466 379 269

The following article is intended only to broaden general knowledge of NRAS and the opportunities for investment the scheme might present. It is not, in any way, intended to be or serve as financial advice.

We recommend you consult your own professional service providers prior to making any purchasing or financial decisions.

Yin – Fed’s in your bed & T’sFYP’s Yang – ±Positive cash-flow For those who are comfortable having unrelated Parties in-bed with them, NRAS is an exciting Federal and State Government initiative that has the potential to create a positive cash-flow residential investment property. NRAS is increasingly being seen as an attractive option for Investors who prefer to keep their investment property closer to home (Sunny Coast) ie a more local alternative to, say, investing in Mackay, where higher yields alone can also create a positive cash-flow property. What is NRAS…? NRAS is a Government initiative to address housing affordability in Australia, by… - Increasing supply in affordable rental dwellings, - Reducing rental costs for low-middle income households, and - Encouraging investment in affordable housing through

the provision of tax incentives over the next 10 years. NRAS properties must be rented to eligible tenants, who qualify within the income thresholds, at a rate 20-30% below market rates. Discounted rents are then off-set by Government tax incentives that have the potential to make the investment property cash-flow positive. - NRAS properties are privately owned. - Government has a 10 year commitment to NRAS under

the National Rental Affordability Scheme Act 2008. - NRAS property schemes are not operated by the

Government, rather, private-sector Operators apply to offer NRAS opportunities and the individual agreements they afford Investors can vary greatly.

T’sFYP’s - Traps For Younger Players… The Biggy Some scheme Operators offer a Head-Lease structure, where the “Operator” leases the property from the Investor and then sub-leases it to the Tenant, leaving the Investor little to no control on… - Choice of Manager or Tenant, - Ability to alter/terminate the agreement… and/or - Terms of resale - ie Lease may need be intact on

future sale, limiting buyers to Investors only. Annnd… Failure to understand the variables before signing purchase agreements… 1. Impact of your Marginal Tax Rate v Cash-flow, 2. What % rental discount actually applies, 3. Affect of annualised incentives on Cash-flow, 4. Finance parameters from you Lender… Two words… due diligence. In Summary… NRAS appeals for it’s potential to provide a positive cash-flow investment property through incentives at both Commonwealth and State levels… - $7,486 from Federal Government tax off-sets, and - $2,495 in direct or in-kind support State incentives, - Per annum for 10 years from the purchase date. However, it is a “scheme” offered by independent Operators, whose proposals and agreements can vary greatly from one, to the other, for better… or worse? Yin v Yang…?

For more information on maximizing cash-flow, email wes@seqpropertyplanners.com.au

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The Sunshine Coast Local Medical Association has Public Liability Insurance

SUNSHINE COAST LOCAL MEDICAL ASSOCIATION Inc. ABN: 56 932 130 084

MEMBERSHIP APPLICATIONEnquiries: Jo Bourke Ph: 5479 3979 Mb: 0407 037 112 Email: jobo@squirrel.com.au

NAME Surname: First Name:

EMAIL:

PRACTICE ADDRESS: This is for delivery of your monthly invitation and monthly newsletter by Couriers from Sullivan Nicolaides Pathology thus avoiding postage costs to the SCLMA.

Practice/Building

Street:

Suburb: Postcode:

Phone: Fax: ALTERNATE ADDRESS: (if practice address not applicable)

Street:

Suburb: Postcode:

Phone: PRACTITIONER DETAILS: Qualifications:

Date of Birth: Year of Graduation:

Hospital employed / Private Practice (cross out one)

General Practice / Specialist (cross out one)

Area of Speciality: PLEASE NOTE: Retired doctors who wish to join the Association are required to attach a letter of good standing from their respective College.PROPOSERS: (to comply with the Queensland Associations Incorporation Act, two financial members of the Association are required to nominate each applicant for new membership. Members renewing theirmembership do not need proposers).

1. NAME: Signature:

2. NAME: Signature:

ANNUAL SUBSCRIPTION (GST included): (Please tick) DELIVERY OPTIONS

Full-time ordinary members - GP and Specialist $ 55.00 Your Monthly Invitation

Doctor spouse of full-time ordinary member $ 22.00 By Email?

Absentee or non-resident doctors $ 22.00 By Courier?

Part-time ordinary members (less than 10 hours per week) $ 22.00 By Post?

Non-practising ordinary members, under 60 years old $ 22.00 Your Monthly Newsletter

Residents & Doctors in Training Free By Email?

Non-practising ordinary members, over 60 years old Free By Courier?

Patron and honorary members Free By Post?

Payment can be made by cheque payable to SCLMA or by direct debit to the SCLMA Westpac Account. BSB: 034-243 ACCOUNT NUMBER: 11-9298

A TAX RECEIPT WILL BE SENT FOR YOUR RECORDS. Please return this form with your cheque OR details of your E.F.T. to:

SCLMA PO BOX 549 COTTON TREE 4558 Please note: Membership applications will be considered at the next Management Committee meeting.

26

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SMILE TIME!

ROLE CHANGE ....A man was sick and tired of going to work every day while his wife stayed home.

He wanted her to see what he went through so he prayed:

‘Dear Lord: I go to work every day and put in 8 hours while my wife merely stays at home.

I want her to know what I go through. So, please allow her body to switch with mine for a day. God, in his infinite wisdom, granted the man’s wish. The next morning, sure enough, the man awoke as a woman...

He arose, cooked breakfast for his mate, awakened the kids, set out their school clothes, fed them breakfast, packed their lunches, drove them to school, came home and picked up the dry cleaning, took it to the cleaners and stopped at the bank to make a deposit.

Went grocery shopping, then drove home to put away the groceries, paid the bills and balanced the cheque book. He cleaned the cat’s litter box and bathed the dog.

Then, it was already 1 P.M.

And he hurried to make the beds, do the laundry, vacuum, dust, and sweep and mop the kitchen floor. Ran to the school to pick up the kids and got into an argument with them on the way home.

Set out milk and cookies and got the kids organized to do their homework.

Then, set up the ironing board and watched TV while he did the ironing.

At 4:30 he began peeling potatoes and washing vegetables for salad, breaded the pork chops and snapped fresh beans for supper.

After supper, he cleaned the kitchen, ran the dishwasher, folded laundry, bathed the kids, and put them to bed.

At 9pm He was exhausted and, though his daily chores weren’t finished, he went to bed where he was expected to make love, which he managed to get through without complaint.

The next morning, he awoke and immediately knelt by the bed and said: -

Lord, I don’t know what I was thinking.

I was so wrong to envy my wife’s being able to stay home all day. Please, Oh! Please, let us trade back. Amen!’

The Lord, in his infinite wisdom, replied: “My son, I feel you have learned your lesson and I will be happy to change things back to the way they were.

But you’ll have to wait nine months, though. You got pregnant last night”

SCARED SLEEPLESSShakey went to a psychiatrist. “Doc,” he said, “I’ve got trouble.

Every time I get into bed, I think there’s somebody under it. I get under the bed, I think there’s somebody on top of it. Top, under, top, under. You gotta help me, I’m going crazy!”

“Let me take care of it,” said the psychiatrist. “Come to me three times a week, and I’ll cure your fears.”

“How much do you charge?”

“A hundred dollars per visit.”

“I’ll sleep on it,” said Shakey.

Six months later the doctor met Shakey on the street. “Why didn’t you ever come to see me again?” asked the psychiatrist.

“For a hundred bucks a visit? A bartender cured me for ten dollars.”

“Is that so! How?”

“He told me to cut the legs off the bed!”

INTERESTING SIGNS ....Nairobi restaurant: Customers who find our waitresses rude, ought to see the manager. Main road to Mombasa, leaving Nairobi : Take notice: when this sign is under water, this road is impassable. Poster at Kencom: Are you an adult that cannot read? if so we can help. City restaurant: open seven days a week and weekends. Cemetery: Persons are prohibited from picking flowers, from any but their own graves.Menu Swiss restaurant: Our wines leave you nothing to hope for. Hotel, Yugoslavia: The flattening of underwear with pleasure, is the job of the chambermaid. Airline ticket office, Copenhagen : We take your bags and send them in all directions. Laundry in Rome : ladies, leave your clothes here and then spend the afternoon having a good time. Priceless!

“If you want creative workers, give them enough time to play.”John Cleese - Actor, Comedian, Writer, and Film Producer

“Very little is needed to make a happy life; it is all within yourself, in your way of thinking.”Marcus Aurelius 121-180, Roman Emperor and Philosopher

27

Earn QANTAS Frequent Flyer Points with EVERY Dollar Spent at

maroochydore@snap.com.au Ph. 5443 6990

CLASSIFIEDSURGENT SKIN CANCER APPOINTMENTS

A reminder that Dr McGovern offers an urgent • appointment service. If you need any melanoma or other skin cancer • patient seen urgently, simply call our rooms on 5479 2922 and ask for an urgent appointment.We guarantee to see your patient within a week, • unless Dr McGovern is on leave.

Vie Institute, 3rd Floor, cnr Esplanade & Second Avenue, Maroochydore. Ph:5479 2922.July 2012

GPs - VR FT/PT REQUIRED - CALOUNDRA – SUNSHINE COAST

Join our team of 5 doctors - long established • practice, located on busy road near shopping complex, close to beach. Large modern premises, fully equipped treatment • room, accredited & fully computerized. Fulltime nursing & reception support. Good working hours 8am to 5pm Monday to • Friday. Saturday mornings only on rotation. No after hours. Mixed billing practice with chemist, pathology & allied health on site.

Ph: 07 5491 9044Email: currimundi@cmcnet.com.auJuly 2012

DR IAN WEBB & DR ROBYN BOSTON – NEW ROOMS

Dr Ian Webb, Gastroenterologist and Dr Robyn • Boston, Gynaecologist, have moved to new rooms at 10 Fourth Ave, Caloundra.

Ph: 5499 7366 Fx: 5499 7649.May 2012

AVAILABLE FOR LEASE – BUDERIM CONSULTING ROOMS

Consulting Rooms Buderim Hospital Specialist • CentreAvailable for lease. Please direct enquiries to • Karen Wilson 0418 789 890.

Ph: 07 5444 2751 Email: kw2405@gmail.comMay 2012

SHOULDER CLINIC - EVERY MONDAY MORNINGAcute first time shoulder dislocation patients can • be seen urgently. The Clinic has also reserved spots with local • Radiology practices so that urgent MRIs can be done to assess the extent of the injury.

Contact 5492 0280Dr Mark Welsh, Orthopaedic SurgeonJuly 2012

Classifieds remain FREE for current SCLMA members.

$110 for non-members Ph: 5479 3979.

Mobile: 0407 037 112.Email: jobo@squirrel.com.au

Classifieds will remain on the list for three months unless

you request a longer placement.

VR GP REQUIRED - GOLDEN BEACH VR GP required for doctor-owned Family Medical • Centre in Golden Beach, Caloundra. We are a long established, accredited and fully computerised, General Practice with full time experienced Nurse and Receptionist support.We have visiting Allied Health Professionals on • site. Pathology on site and X-ray facilities next door to the practice. Our practice is mixed billing and flexible working • hours are available. Saturday mornings are on a rotating roster. Please see our website •

www.goldenbeachmedicalcentre.com.au For further information please contact Practice Manager: Karen Clarke on 07 5492 1044 Email:gbmedcentre@bigpond.com.au. (Afterhours 0438 416 917) April 2012

SKIN PRICK TESTINGNow available by appointment

with Dr Peter ZwoernerBuderim Laboratory • Nucleus Medical Suites

23 Elsa Wilson Drive

T: (07) 5459 1400 F: (07) 5478 4240(Referral can be faxed).

For a full list of special tests available at this site please refer to

www.snp.com.au

CIRCULATION ......The SCLMA monthly newsletter continues to grow in popularity ....

Approximately 400 •newsletters sent via email;

Approximately 400 hard copies distributed •either by couriers from Sullivan Nicolaids Pathology to practices or via post.

CONTACTS:President and Dr Wayne HerdyAMA Councillor Ph: 5476 0111

Vice President: Dr Mason Stevenson Ph: 5442 4922

Secretary: Dr John Eckersley

Treasurer: Dr Peter Ruscoe Ph: 5446 1466

Hospital Liaison: Dr Jeremy Long Ph: 5470 5651

Newsletter Editor: Dr Marcel Knesl Ph: 5479 0444

SCDGP Rep: Dr Scott Phipps Ph: 5494 2131

Meetings Dr Rob InghamConvenor: Ph: 5443 3768

Committee: Dr Andrew Foster Dr Denise Ladwig Dr Kirsten Hoyle Dr Di Minuskin Dr Debbie Pfeiffer Dr Nigel Sommerfeld

For general enquiries and all editorial or advertising contributions and costs, please contact:

Jo Bourke (Secretariat)Ph: 5479 3979Mob: 0407 037 112Fax: 5479 3995

The Sunshine Coast Local Medical Association welcomes contributions from members, especially ‘Letters to the Editor”.

Please address all correspondence to:

SCLMA PO Box 549 Cotton Tree 4558Email: jobo@squirrel.com.auFax: 5479 3995

Newsletter Editor:Email: Dr Marcel Knesl valmolives@gmail.com

Disclaimer: The views expressed by the authors or articles in the newsletter of the Sunshine Coast Local Medical Association Inc. are not necessarily those of the Sunshine Coast Local Medical Association Inc. The Sunshine Coast Local Medical Association Inc. accepts no responsibility for errors, omissions or inaccuracies contained therein or for the consequences of any action taken by any person as a result of anything contained in this publication.

All contributions need to be received by the 15th day of each month for that month’s newsletter.

Contact Jo: 5479 3979

Mobile: 0407 037 112

Email: jobo@squirrel.com.au

Fax: 5479 3995

We welcome new content - case studies, local news and photos.

If you are a new member, send in a short bio and a photo to introduce yourself.

ARE YOU A MEMBER?If you are not a member please complete the

application form in this newsletter.

You will need two proposers to sign your application form. If this is a problem, come along to a monthly

clinical meeting to introduce yourself Enquiries: Jo Ph: 5479 3979 or 0407 037 112 Email: jobo@squirrel.com.au

REDUCTION!Membership has been reduced to half price for 2012 with $55 for full membership with a sliding

scale including free to doctors-in-training.

Earn QANTAS Frequent Flyer Points with Every Dollar Spent atEarn QANTAS Frequent Flyer Points with Every Dollar Spent at

SCLMA News l e t t e rsunshine coast local medical association

Sep t embe r 2008

s c lma . com .auSCLMA.COM.AU

SCLMA June 2012 Monthly Clinical Meeting - Maroochy Surf Club Function RoomWell attended meeting with an excellent presentation by Dr Shyam Sunder, Endocrinologist.

Topics were ‘Managing Diabetes - Is It Too Hard?’and ‘Drugs - New and Old.’ The SCLMA extends its appreciation to the meeting sponsors: Lilly Diabetes, represented by Judy Tucker

and also QML Pathology, represented by Samantha Rowe.

Dr Noel Cassels with Dr James MoirSamantha Rowe from QML Pathology

Dr David Leslie with Dr Ian Markwell Dr Shyam Sunder, Presenter

Drs Karien Treurnicht, Lisa Knesl - Judy Tucker, Sponsor Lilly Diabetes - Helen Stevens, Sarah Miah from SCR

SCLMA President’s Message ... Dr Wayne Herdy

The Sunshine Coast Local Medical Association sincerely thanks

Sullivan Nicolaides Pathology for the distribution of the monthly

newsletter.

Recently Mason Stevenson and I were treated to a sneak preview of the new procedural suite at Nambour Hospital. This is a major advance in providing health resources to the Sunshine Coast Community.

Part of the facility includes a dedicated endoscopy suite which will provide, eventually, 24 hour emergency and elective endoscopy resources. It will take the endoscopy activities away from the surgical suite and free up more resources for other types of surgery. It will also mean that endoscopy will not be waiting for the surgeons to clear their theatres before non elective scopes can take place.

The jewel in the crown however, is the Cardiac Catheterisation Laboratory, a State of the Art resource which again eventually will be able to provide 24 emergency and elective Cardiac Catheterisation resources. This is a much needed facility that the Sunshine Coast has been crying for, for years. With the need to catheterise thrombus coronary arteries within hours of a AMI to preserve cardiac muscle our travel distant from the major units in Brisbane is has been deplorable. Although we still can’t have 24 hour facilities in Nambour we are a long step closer towards providing that.

Incrementally the Cath Lab will expand its range of activities and its range of hours of activity, until possibility within one year; we will be providing resources comparable with those of the Brisbane metropolitan area.

A limiting factor is staff and training and familiarisation with the new equipment and protocols however, the major limiting factor will be budgetary at a time when Queensland Health is being squeezed tighter, there have been no promises of new dollars in the bucket of gold to expand health activities that our health district will be able to provide.

We envisage a turf battle between different districts to reallocate health dollars from Brisbane up to the Sunshine Coast before the potential of the new procedural unit can be fully realised. This is a battle which the SCLMA will watch with avid interest.

Wayne Herdy

HIGHLIGHTS:

P 5: Kevin Hegarty - Health Service Link

P 7: Dr Sandra Peters - GP Liason Officer

P 7: Clinical Meetings - Dates

P 10-11: Dr Clive Fraser - Motoring article

P 13: TSCPH article - Terence Seymour

P 15: ‘Christmas in August’ Function details

P 17: Dr Wayne Herdy - AMA Report

P 22: Minutes AGM August 2011

P 23: AGM 2012 - Notice of Meeting

P 25: Membership Application Form

February 2009Newsletter

July 2012