Clinicians at Sydney’s busiest hospitals have warned they could be forced to ration a life-saving treatment for patients with kidney failure.
Senior clinicians at Sydney’s busiest hospitals have warned they are rationing “life-sustaining” treatment for patients with kidney failure amid an escalating crisis in renal and dialysis services in the state’s public health system.
The letter says the clinicians are providing haemodialysis treatments at levels seen in the developing world, where “patient outcomes are universally poor” as a result of “years of underinvestment in dialysis infrastructure and services” in the three health districts. As of May 30, there were 127 patients who had their treatment reduced to twice-weekly instead of the standard three times a week, 52 patients had the duration of their treatment time reduced beyond recommended levels and 92 patients were forced to travel more than an hour each way three times a week to “sustain their lives”.“We continue to see patients develop life-threatening complications of under-dialysis or delayed dialysis,” the letter says.
“In the interim, I’ve asked NSW Health to optimise shift patterns to allow more patients to receive dialysis, as well as engage with private providers, to expand capacity.” He said the government would continue to monitor the growth in demand of services in western Sydney, as well as “plan to future-proof this critical service”.
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