23 December 2016
The Royal Australasian College of Surgeons (RACS) together with
the Australian Society of Otolaryngology Head and Neck Surgery
(ASOHNS) provided the following submission to the Standing
Committee on Health, Aged Care and Sport's Inquiry into the Hearing
Health and Wellbeing of Australia.
30 November 2016
RACS is broadly supportive of the direction being taken by the
MBA and agrees that the focus of the proposed approach is both
appropriate and relevant. It is about supporting those who practise
well throughout their careers and identifying those medical
practitioners whose practice has deficiencies. RACS affirms the
importance and need for a system-wide approach to improving
oversight and remediation of underperforming medical practitioners.
RACS is willing to accept responsibility for our professional group
and has established and robust systems in place. A revalidation
model needs to address how stakeholders can work together to ensure
that practitioners who need support, remediation or adjusted scope
of practice can be identified reliably and consistently.
29 November 2016
In February 2015 the Tasmanian Regional Committee made a
response to the Tasmanian Government's Delivering Safe and
Sustainable Clinical Services Green Paper. We believe that several
of the recommendations made in this submission are relevant to the
current consultation paper, in particular those on Clinical
Advisory Groups, state-wide waiting lists, role delineation and
sustainability. The issues raised in this submission will be
directly impacted by the final design of the clinical service
delivery structure in Tasmania.
23 November 2016
Raising community awareness and minimising the harmful impacts
of tobacco has been a key advocacy priority for RACS over many
years. Tobacco use is known to cause certain cancers and increase
the risk of other diseases and congenital abnormalities. Surgical
outcomes are consistently poorer for smokers than non-smokers, with
patients who smoke experiencing longer recovery times, increased
risk of wound infection, and significantly increased risk for
myocardial infarction and stroke. Smokers also have a higher
post-surgery mortality rate than non-smokers.
14 November 2016
Every individual has the right to a healthy workplace.
Discrimination, bullying and sexual harassment (DBSH) demeans
individuals and prevents them from reaching their true potential.
Sadly, it is also the cause of a great loss of invaluable talent
form the health sector. This insidious and unprofessional conduct
cannot be tolerated. We welcome the opportunity to participate in
this inquiry, to share our experiences, and to assist in any way we
27 October 2016
Improved data collection is important to improving patient
outcomes and better identification of health practitioners involved
in a patient's treatment is a necessary step. In settings where a
surgeon has low-volume appointments at multiple hospitals this is
particularly important as hospital-level data may not appropriately
capture information on such surgeons.
14 October 2016
Before all government elections in Australia and New Zealand,
RACS provides an opportunity for political parties to outline
their policy positions on key issues relevant to the delivery of
surgical services. RACS then distributes these responses to
its membership and the public.
07 October 2016
RACS has always been strongly committed to improving standards
and access to care and supports advance care planning in the
surgical context. Patient autonomy, dignity, respect,
non-maleficence and beneficence are principles central to the
effective operation of modern healthcare. These principles are
reflected in the RACS core values of service, integrity, respect,
compassion and collaboration. As life sustaining treatments and
palliative care advance, it is essential that these principles
continue to inform the provision of health services to
07 October 2016
RACS affirms the key goals of the MBS review to deliver
better patient outcomes as a result of a thorough scientific and
economic assessment of the MBS items and associated
03 October 2016
The Royal Australasian College of Surgeons (RACS) believes that
the use of chaperones can form part of an effective strategy that
protects patients. RACS supports the MBA's requirement that in
cases where a chaperone is required for a practitioner, that the
chaperone is visibly present during all aspects of medical care
provided by the practitioner. RACS affirms that a practitioner
should make known to the patient the presence of the chaperone.
Where conditions are in place, the consultation should not occur if
the patient does not agree to the presence of a chaperone.
30 September 2016
RACS welcomes the opportunity to respond to the South Australian
Government's Alcohol and Other Drug Strategy 2017-2021(the
Strategy). We also appreciated the invitation to attend a public
forum on the Strategy earlier this year, where we were able to
share our ideas in a constructive environment.
29 September 2016
Emphasis should be made that repeated concussion in contact
sport may be associated with ongoing cognitive deficit and post
concessional symptoms and requires careful monitoring and removal
We look forward to effective strategies that work to improve
health and safety outcomes for combat sports contestants in high
risk professional and amateur contests in Queensland.
22 September 2016
RACS supports the Department of Health's continuing development
of digital health solutions to improve patient safety across
22 September 2016
RACS supports the Department of Health's continuing
development of digital health solutions to improve patient safety
12 September 2016
The heath of all New Zealanders is important to the Royal
Australasian College of Surgeons. RACS is a strong supporter of the
Government's vision for a Smokefree 2025 and is pleased to see
that, although there is considerable work still to be done,
progress is being made towards achieving this goal.
09 September 2016
The draft strategy identifies more than 30 individual strategies
spread across four broader strategy areas. Our submission is
focussed on the four main strategy areas identified, rather than
each individual strategy.
02 September 2016
The Discussion Paper paves the way for the development of a
comprehensive framework, which will hopefully address the root
causes of domestic violence and minimise the devastating impact
that it has on individuals, families and the community more
15 August 2016
This document outlines areas of specific concern and relevance
to our membership in the Northern Territory prior to the NT
election on 27 August 2016.
12 August 2016
RACS Queensland has been engaged in this process from the
beginning and has had significant input and been represented at all
workforce meetings. The College encourages a multidisciplinary
approach to workforce issues that is evidence-based.
An important concern for RACS is the encouragement of surgeons
into regional / rural areas and providing adequate remote surgical
services, either by placement or appropriate transfers. Creation of
specialist training posts and regional / rural Fellowships will
assist however should be only one of many possible strategies.
05 August 2016
RACS has just this week announced the new appointments to our
Surgical Education and Training (SET) program, following a
competitive selection process. We have done so cognizant that
funding for the existing 73 STP posts has not yet been secured
04 August 2016
While we have distributed the
survey to our members, there has been limited time for individual
feedback, we have outlined key concerns conveyed to the
QueenslandRegional Committee from some of our Fellows.
14 July 2016
This is the evidence given to the NSW Standing Committee on Law
and Justice's review of the compulsory third party(CTP) insurance
scheme on Friday 17 June 2016 by RACS.
CTP reform position paper
29 June 2016
In review of the draft strategy, the Committee is generally
supportive of the expansion of the allied health scope.
21 June 2016
In review of the Consultation paper, the Committee is generally
supportive of physician's assistant roles in Queensland.
03 June 2016
Prior to all government elections in Australia and New Zealand,
RACS provides an opportunity for political parties to outline their
policy positions on key issues relevant to the delivery of surgical
services. RACS then distributes these responses to its membership
and the public. This document outlines areas of specific concern
and relevance to our membership.
27 May 2016
Road trauma costs Australian
taxpayers around $27 billion a year, accounting for roughly 18 per
cent of health expenditure and 1.8 per cent of GDP. The value of
information and investigation of injury outcomes to improve the
quality of trauma care cannot be overestimated. Understanding the
cause, place and type of injury is essential to inform injury
reduction strategies. Identifying improvements for trauma services
saves lives, reduces waiting times and lowers costs through reduced
length of stay in hospitals.
20 May 2016
This supports the objectives outlined for the NSW review of
the CTP insurance scheme.Our College is pleased that the NSW
Government has sought input from stakeholders on this important
issue, and we stand ready to provide further advice which may help
resolve clinical issues associated with the scheme, in particular
the assessment of injury and delivery of care to patients.
15 April 2016
This supplementary submission to the review of the South
Australia (SA) Liquor Licensing Act 1997 ('the Review') provides
illustrative models on a range of alcohol policy topics. Where
models are not available for a policy topic, research evidence is
provided to inform the Review's consideration of how government may
respond to the policy topic in question.
14 April 2016
The Royal Australasian College of Surgeons supports the
Department of Health's continuing development of digital health
solutions to improve patient safety across Australia.
07 April 2016
In this submission, RACS sets out the history of its involvement
in the prevention and care of quad bike and other transport-related
trauma, summarise key research addressing quad bike trauma, and
outline the RACS position on quad bike trauma as informed by this
history and research.
02 April 2016
RACS recommends that the NSW Government retains all elements of
the liquor law reforms and applies them across the state so that
the same benefits will occur outside of the entertainment
22 March 2016
Royal Australasian College of Surgeons was given a second
opportunity to provide evidence as part of the Senate Inquiry into
aspects of road safety in Australia on Thursday 25 February
20 March 2016
In June 2016 the Australian Department of Health is due to
review the voluntary uptake of pregnancy health warnings on alcohol
product labels. RACS encourages the Commonwealth Government to
consider mandatory health warnings since voluntary uptake has been
shown to be ineffective.
12 February 2016
Following the NSW Government introducing broad-ranging measure
to address alcohol-related harm in the Sydney CBD, and and a
state-wide restriction on take-away alcohol after 10 pm, there have been marked positive
26 January 2016
The RACS position is that all facilities providing surgical
services require oversight to maintain a minimum level of safe
practice, and that regulation should be based on the credentials of
the practitioner and the level of sedation, rather than the
procedure that is undertaken.
25 January 2016
The RACS response to the liquor licensing discussion paper
reflects many of the themes outlined in previous submissions, and
further explores the three key themes identified in the paper;
reducing red tape, creating a safer drinking culture, and
08 January 2016
RACS, with the support of the Australian Automobile Association,
recommends that the Commonwealth support the Registry by providing
$450,000 for a three-year period to allow the establishment of
private and public partnership.
08 January 2016
The College's main concern is the implementation of the scheme
and we look forward to the Government actively involving RACS
Fellows in that process. Ongoing involvement in the Scheme's
implementation will ensure coverage issues not initially