Surgical Services and Aged Care and Rehabilitation Services - Draft Service Directions

Closed 30 Jun 2013

Opened 14 Jun 2013

Feedback Updated 3 Feb 2015

We Asked

We asked for your feedback regarding the draft service directions for two clinical streams—Surgical Services, and Aged Care and Rehabilitation Services. We asked you to review the proposed service directions and advise the extent to which you agreed or disagreed with them, and to provide any further comments as necessary.

You Said

Surgical Services We received 17 responses addressing the draft service directions for surgical services. Over 80 per cent of respondents agreed or strongly agreed with the draft service directions. Respondents suggested that consideration of the following issues be incorporated in the final Plan: • Flow on effect of changes in surgical services to allied health and other related support services needs to be adequately planned for • Appropriate levels of training and support need to be provided to staff where service changes are proposed. • Centralised management of surgical referrals needs to consider the patients’ existing therapeutic relationships at MSH facilities • Existing services at facilities should not be closed • Outsourcing services should be a last resort. Aged Care and Rehabilitation Services We received 33 responses addressing the draft service directions for aged care and rehabilitation services. The proportion of respondents who agreed or strongly agreed varied from 40 per cent across the 12 draft service directions. The service directions least supported were: • AR#8—Reduction of aged care residential beds by MSH (40 per cent agreed or strongly agreed) • AR#7—GEM and inpatient rehabilitation should be co-located with an acute facility (69 per cent agreed or strongly agreed) • AR#4—Review the estimated inpatient rehabilitation shortfall in 5 years to assess the impacts of the new models of care (70 per cent agreed or strongly agreed) • AR#11—Establish a Cognitive Assessment and Management Unit, of up to 8 beds, at Redlands Residential Care (71 per cent agreed or strongly agreed) • AR#1—Develop a model of care for Geriatric Evaluation and Management (GEM) within MSH (77 per cent agreed or strongly agreed). Over 80% of respondents agreed or strongly agreed with the remaining seven service directions.

We Did

We incorporated your feedback in the Health Service Plans for Surgical Services and Aged Care and Rehabilitation Services in MSH. These were published in mid-2013.


Metro South Health is the largest Hospital and Health Service in Queensland, servicing a population of approximately 1 million people.  Metro South Health covers the regions of Brisbane (south of the Brisbane River), Logan, Redlands and the eastern portion of the Scenic Rim. Metro South Health is the main public health service provider within this catchment and delivers hospital services, community and primary health services, mental health services and oral health services. 

Metro South Heatlh includes the following public hospital services:

  • Princess Alexandra Hospital (PAH)
  • Queen Elizabeth II Jubilee Hospital (QEII)
  • Logan Hospital
  • Beaudesert Hospital
  • Redland Hospital

At the PAH, Metro South Health provide state-wide specialist services for:

  • Acquired Brain Injury, including an Acquired Brain Injury Outreach Service (ABIOS)
  • Amputee Limb Service
  • Spinal Injury Unit including a Spinal Outreach Team (SPOT)
  • Transplantation including liver, kidney, bone, cartilage and corneas.


Following an independent review in 2012, and subsequent restructure of Metro South Health services into eight clinical streams and five non-clinical streams, Metro South Health engaged Healthcare Management Advisors (HMA) to undertake service planning with regards to:

  • Surgical Services Clinical Stream
  • Aged Care and Rehabilitation Clinical Stream


The service planning was undertaken in three main stages:

  1. Stakeholder consultation
  2. Data analysis of QHAPDC data and Hardes modelling data
  3. Stakeholder workshop to refine draft service directions.


Metro South Health is now seeking feedback regarding the proposed service directions.

In providing feedback, Metro South Health recommends the following document is read:

The Draft Service Directions document outlines the current and emerging service needs; identifies the health services required to meet these needs; identifies the most efficient effective ways to strengthen access to service delivery; and identifies key directions in strengthening service models for Surgical Services and Aged Care and Rehabilitation Services. This paper provides further context regarding the rationale for the selected service directions.

The plans are provided as drafts for consultation and do not represent Metro South Health policy; no commitment has been made to implement any of the recommended service directions.

Why We Are Consulting

Metro South Health is committed to delivering the best possible services within the catchment and values input from a range of stakeholders including consumers, carers, the community, GPs and other service providers.  The purpose of this engagement is to seek feedback on the draft Service Directions for two clinical streams:

  • Surgical Services
  • Aged Care and Rehabilitation Services.



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  • Older People
  • Carers
  • Families
  • Community of Interest
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  • All Clinical Staff
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