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Senior doctors renew plea for dedicated emergency department security

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Emergency department doctors at two Auckland hospitals are warning someone could be killed or seriously injured if security is not improved.

The senior doctors at North Shore and Waitākere hospitals have written to their bosses this month, pleading again for a dedicated security guard.

Their union said on a single day earlier this year a doctor was punched, a patient in a wheelchair was punched and police brought in a man in a spithood but security often had to come from elsewhere in the hospital.

In the letter, the doctors, known as SMOs, said the violence and aggression experienced by front-line staff was getting worse.

“SMOs believe death or serious injury from a violent incident in NSH [North Shore Hospital] and WTK [Waitākere Hospital] EDs is an imminent short-term risk,” they said.

They asked for a dedicated security team to try to reduce the risk, something they – and nurses – had repeatedly asked for.

Currently each hospital was covered by a team of up to five guards. The doctors said they valued them highly.

“However, at present this security service is not adequately resourced and often not available to respond immediately to incidences of violence and aggression at the EDs,” they said.

Association of Salaried Medical Specialists executive director Sarah Dalton said the assault on the doctor happened earlier this year but violence and aggression was now a daily occurrence.

The doctor had stepped in as an agitated patient headed to the ambulance bay where several elderly and sick patients were waiting.

“The doctor went to see if they could get that patient back and make sure that any vulnerable patients were kept safe by shutting a door, so the patient then turned around and punched the doctor,” Dalton said.

They were not seriously injured but were very shaken and went home early.

One medical staff member told RNZ they could not understand why the security request was not being granted by Te Whatu Ora.

“The lack of action, the lack of believing us is quite breathtaking,” she said.

“[They] seem to accept that working in ED is a violent place, part of the job and we should just suck it up. They have decided it is an operational risk that is acceptable.”

Dalton said a dedicated security guard should be a “no-brainer”.

In a statement, a Te Whatu Ora spokesperson said they were taking the concerns seriously and were looking at more funding for security.

“We hope to be in a position very soon to introduce a new security staffing model that will address the concerns raised by senior doctors,” he said.

“In the meantime, the public can be assured it is safe to seek care when needed.”

Doctors and nurses have been asking for full-time security at the hospitals since last year after a growing number of assaults and aggression directed at staff and patients.

Last year, a patient at North Shore Hospital punched someone who had been brought in by ambulance, a stranger, knocking her to the ground.

Earlier this year, a man drove his car at the packed department, crashing into safety bollards outside the door.

In August, it was revealed staff at the two hospitals hit panic buttons or called security thousands of times in seven months.

In the letter to Te Whatu Ora, the doctors said a dedicated, round-the-clock security service would be a strong deterrent to aggressive behaviour, could help deescalate behaviour and would ensure staff and patients were treated with respect.

Only a fraction of incidents were reported, they said.

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Christchurch terror attack inquest: ‘Significant blind spot’ relating to St John’s specialist paramedics – coroner

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A woman who was forced to leave the side of her bleeding husband following the terror attack at Christchurch’s Linwood Islamic Centre only discovered he had died the following day after seeking help from then-prime minister Jacinda Ardern.

Saira Patel’s husband Musa Patel was one of seven people who died after being shot at the Linwood Islamic Centre, following the massacre at nearby Al Noor Mosque on 15 March 2019.

Supported by her son, Patel told the inquest into the deaths that she and her husband were praying in separate parts of the mosque on the day of the attack.

Patel said she thought a tyre had blown when she heard a loud bang. A baby began to cry, and she could soon smell gunpowder.

She yelled, “Someone is shooting, someone is shooting” as people ran to escape.

When Patel found her bleeding husband, she told the Coroners Court she could hear him saying his “last prayer” as if he knew he was about to die.

Imam Hafiz Musa Patel

Musa Patel died at Linwood Islamic Centre on 15 March 2019. Photo: Facebook/ US Embassy Suva

She said she was forced to leave when police arrived and started treating Musa Patel, an order that distressed her to this day.

“I think any dying person who is about to leave this world would be very desperately craving and needing to be close to their loved ones. My presence during his final moments would have made a big difference in my life and I think maybe his last moments of departing this world,” she said.

She did not know her husband had died until the following day, when she approached then-prime minister Jacinda Ardern, who led her to a counsellor.

Patel said the counsellor showed her a photo of an unidentified man in hospital who was not her husband.

“I knew then that my husband was dead. There was no-one else who could have identified him, and this last unidentified man was my last hope,” she said.

Patel thanked the doctors and paramedics who did everything they could to console her husband in his final moments.

“I would like to thank them from the bottom of my heart,” she said.

“I was trying to be with him in that last moment but maybe they were chosen to be with him.”

Dr Alison Wooding from nearby Piki Te Ora Medical Centre was one of the doctors who treated Musa Patel when staff went to the mosque to help the injured.

She told the court he was meant to be the first victim taken to hospital but realised he had died after he was moved onto a stretcher.

Wooding said she and others were talking to Musa Patel the entire time they cared for him, but she did not recall him ever responding.

Police officers gave evidence on Tuesday saying Musa Patel had been able to communicate with them at first but his condition deteriorated over time.

Wooding told the court she felt apprehensive and worried about the situation at the mosque, but safe and protected between armed and vigilant police officers.

29th November 2023 Iain McGregor/The Press/Pool Christchurch Masjidain Attack Coronial hearing. Coroner Brigitte Windley.

Deputy chief coroner Brigitte Windley. Photo: The Press / Iain McGregor

‘Significant blind spot’ relating to St John emergency response team – coroner

The coroner has queried a “significant blind spot” in the way St John ambulance officers work with specialist paramedics trained to work in dangerous situations.

Deputy chief coroner Brigitte Windley questioned St John duty manager Bruce Chubb about the organisation’s response massacre.

Two Special Emergency Response Team (SERT) paramedics were among ambulance officers who went to the scene of the shooting in Linwood Avenue.

No-one from St John attended the Al Noor scene in a SERT capacity.

Chubb told the Coroners Court that SERT teams worked under police and it was not uncommon for St John not to know when they had been requested, where they were, or what they were doing.

In response, coroner Windley said: “My concern is that that creates a significant blind spot for St John, doesn’t it?”

“Isn’t it that these are critical resources in terms of closing that care gap for people who are dying and injured and being able to get a response in, and you’ve got no visibility about where they are and even if in fact they’ve been deployed?”

041223 CHRIS SKELTON Witness, Bruce Chubb from St John command and control during the Christchurch terror attack inquest held at the Christchurch Justice precinct.

St John’s Bruce Chubb. Photo: Stuff / Chris Skelton

Chubb said he was not suggesting it was “okay” that St John did not know where SERT officers were but said it was the practice at the time.

He was not aware of any changes to the SERT policy since the terror attack.

Chubb told the coroner he thought it was “always nice to know” where resources were, to which she replied, “I would suggest it’s more than nice to know. I would suggest that St John needs to know”.

Chubb earlier told the inquest that he believed general ambulance officers should not have entered either mosque immediately after the shootings because of the safety risk.

Windley said the court was concerned St John ambulance officers had to breach the organisation’s policy in order to get an emergency response in place.

“Do you agree that that’s fundamentally a problem?” she asked.

“Yes,” Chubb replied.

Earlier on Tuesday, Chubb told counsel for families Kathryn Dalziel that the terror attack was a catastrophic event that he did not expect and was never prepared for.

“I don’t believe any of my colleagues were either, so it was fundamentally overwhelming,” he said.

The inquest will examine the following 10 issues over seven weeks:

  • Events of 15 March 2019 from the commencement of the attack until the terrorist’s formal interview by police
  • Response times and entry processes of police and ambulance officers at each mosque
  • Triage and medical response at each mosque
  • The steps that were taken to apprehend the offender
  • The role of, and processes undertaken by, Christchurch Hospital in responding to the attack
  • Coordination between emergency services and first responders
  • Whether the terrorist had any direct assistance from any other person on 15 March 2019
  • If raised by immediate family, and to the extent it can be ascertained, the final movements and time of death for each of the deceased
  • The cause of death for each of the victims and whether any deaths could have been avoided
  • Whether Al Noor Mosque emergency exit door in the southeast corner of the main prayer room failed to function during the attack and, if so, why?

The inquest continues.

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Protests raise questions about next year’s Waitangi day

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In the wake of protests over the new government’s policies on co-governance and the Treaty, the head of the Waitangi National Trust Board says it is important Treaty partners front up and have a conversation on 6 February.

Prime Minister Christopher Luxon says he intends to visit for Waitangi Day, as does ACT’s David Seymour.

The protests taking place across New Zealand on Tuesday were part of a “National Māori Action Day”, led by Te Pāti Māori and iwi, to challenge the government over its policies on the Treaty of Waitangi, and other policies affecting Māori.

Waitangi National Trust Board chairperson Pita Tipene expected for that sentiment to flow through on Waitangi Day.

“Clearly, the Māori people see it as an attack on the Treaty of Waitangi and the constitutional basis of this country,” Tipene said.

These include switching from Māori to English names on various government departments, rewriting legislation to make mentions of the principles of the Treaty more specific, and progressing an ACT bill calling for the principles to be set down under its own prescription, rather than decades of jurisprudence.

 

Ngāti Hine leader Pita Tipene

Ngāti Hine leader Pita Tipene Photo: RNZ

Tipene told Checkpoint there was no invite list for politicians per se, and the doors of the Trust were open for all to come along.

“Given that it is a Waitangi Day commemorations period, it’s really important that the Treaty of Waitangi is the focus, and therefore the Treaty partners should front up and have a conversation.”

He would be disappointed, but not surprised, if parties in government were not represented there on the day.

“It has happened before where governments or political parties have chosen not to front up at Waitangi.”

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Te Pāti Māori protests – Day of action focuses on new government’s Māori policies

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Police says protesters are causing widespread delays at key transport networks around the North Island, but there have been no arrests so far.

A police spokesperson says commuters should allow travel time this morning, with Te Pāti Māori’s planned protests disrupting travel routes.

There are large gatherings in Tāmaki Makaurau and central Wellington, along with a number of other cities and towns.

The spokesperson says Auckland motorists are advised there are heavy delays on parts of the motorway network this morning.

The demonstrations are in response to Te Pāti Māori’s call for action against the new government’s policies on co-governance and the Treaty.

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