Dear all

The KEMH Inquiry has at last been handed down. It is available for sale (not
the bits that have been censored) at the State Government Printers in Perth.
It's $250.00 but worth every  cent. I've only read bits of the 2000 odd
words but it's mind boggling stuff. I think the methodology etc will be used
by hospitals all over the country to examine their own practices and they
will probably uncover some of the huge 'cultural' problems that medically
dominated institutions such as KEMH now have.

Of course the BIG problem will be to make the government to keep its word
and implement change from the top down as well as the bottom up.  The
hardest thing will be to bring about the huge changes in  philosophy and
practices that will be needed as opposed to chucking $10 million or so at
the hospital to employ more people who share the same beliefs as those who
caused the problems in the first place. It will take lots of courage and it
will be interesting to see whether the government REALLY means that it will
implement ALL the recommendations and not acquiesce to organisations such as
the AMA - again.


The KEMH Inquiry shows that many of its practitioners (not all) did not
provide sensitive, ethically  justifiable care, or services designed to meet
women's (as opposed to the hospital's) needs. Practitioners did not/would
not/could not  listen to women and sadly far too often services failed to
meet the minimum standards expected of a tertiary hospital in a country such
as ours.  It is appalling that one of the recommendations is that women
having gynaecological surgery need to have all the available options
available explained to them!!

Yet, all is not lost. I really believe that the KEMH Inquiry will help to
ensure that women's voices are no longer  ignored and that those clinicians
at KEMH (and there are lots of them) who really do care and who have been
knocking their heads against a brick wall, will at last have their opinions
listened to and will have the opportunity to provide woman-focussed care. I
think that the users of KEMH's services must have membership on all the
committees/steering committees etc. They must dictate what is wanted, why,
when and how. The same goes for midwives.   If we in WA are to have a
hospital that serves women rather than clinicians, the users of the hospital
just have to be listened to and heard and acted upon.

Finally I'd like to acknowledge all of the brave people consumers and
midwives and medicos who stuck their necks out and gave evidence which
contradicted the official story line that all was well. Some were
threatened, harassed and verbally abused.  Midwives told me that they turned
up to the Inquiry on their own without legal advice and against their
employer's wishes. Unlike the medicos they did not want QCs sitting with
them although some thought heir careers were at risk.  Their identities will
probably never be known but we owe them a huge debt.

Pauline Glover and Andrew Childs (the authors of the first report) were
vilified publicly and privately both in Oz and overseas.  Their
professionalism and competence as midwife and obstetrician were called into
question.  They  have now been vindicated.  The problems they identified in
a short period of time are pretty much what the Inquiry found.

There were also many 'consumers' who gave evidence. It was so hard for them
having to drag up the past and confront their pain, but they did come
forward. It's a pity that some of their  stories have been censored but
enough came out for the Inquiry to make some really positive recommendations
and they haven't 'disappeared'.

It can only get better and hopefully KEMH and WA can move forward to a very
bright future!

Carol



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