s The IT Can of Worms in NSW | I2P: Information to Pharmacists - Archive
Publication Date 24/02/2011         Volume. 3 No. 2   
Information to Pharmacists


From the desk of the editor

Welcome to the March 2011 edition of i2P.
The month of February has seen free enterprise in the pharmaceutical industry breaking out of the mould that is regulated health and upsetting any semblance of balance within community pharmacy.
Government negotiated price reductions with Big Pharma collided head-on with the new business model from Pfizer Direct and its potential to destabilise the entire supply chain process and the supply of medicines under the PBS.
This process has been described in eloquent detail by Neil Retallick, in his article “New landscape, new directions, new Government role in community pharmacy?”

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Recent Comments

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News Flash

Newsflash Updates for March 2011

Newsflash Updates

Regular updates from the global world of pharmacy. 
Access and click on the title links that are illustrated.

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Feature Contribution

The IT Can of Worms in NSW

Neil Johnston

When a simple business transaction does not seem to make sense, one is led to speculate on the agenda  behind that transaction.
An observation I have noted from personal experience is that the presence of a major Australian IT system within a public hospital environment, is almost non-existent.
This does not make sense.
There are many excellent Australian IT companies.

Comments: 1

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Rollo Manning


It would seem that pharmacists do not value the legal framework that has been bestowed upon them to safeguard the public from the hazards associated with the dangerous chemicals they have on their premises.
A highly trained health professional is required to be “registered” by the State/Territory of the Commonwealth before they can have the privilege of being the custodian for the public with respect to these hazardous chemicals.
And yet – the award wage for “pharmacist in charge” (PIC) is in the order of $24 an hour.

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Clinical Pharmacist Roles Surging Ahead in US

Neil Johnston

The Journal of the American Medical Association ran an article in its 13 October 2010 issue regarding an alliance forming up that included the traditional triad of health professionals – GPs, pharmacists and nurses.
It also highlighted that each sector was seeking a full seat at the health provider table - not just GPs as head with others following on in meaningless roles.
Recognition for pharmacists was awarded in the comment by the JAMA that stated:
“JAMA points to community pharmacists as a key resource to help bridge the gap between doctor and patient, particularly for patients treated by more than one specialist in an often disconnected and dysfunctional health care network.”

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New landscape, new directions, new Government role in community pharmacy?

Neil Retallick

February has been a testing month for community pharmacy.
The anticipated price reductions that flowed from the MoU between Big Pharma and the Government became reality, reducing revenue and margin in the dispensary.
To exacerbate these reductions, the Pfizer Direct model was also realised as a seismic change in the landscape, further reducing dispensary profits.
As March unfolds and many begin to formulate budgets for the next financial year, the challenges just keep coming.

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Continuity of care – discharge from hospital

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Last month I wrote about medication reconciliation when a patient is admitted to hospital and the role of hospital pharmacists in continuity of care. 
The other significant time when a hospital pharmacist’s role is important in ensuring continuity of care is at the time of discharge from hospital. 
Communication of medication changes which have occurred during hospitalisation to those providing care in the community is essential.

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Pharmacy in the context of New Zealand primary health care

Dr Linda Bryant (PGDipPharm, MPharm, DPharm(Auck), FACPP, FNZCP, FPSNZ, MCAPA)

When looking at where pharmacy fits in the new scheme of things it is important to consider the wider primary health care environment, in what direction the government strategy is changing and, in particular, what will be different for general practitioners and practice nurses.
We cannot work or plan in isolation and must constantly look at what is happening outside our own four walls.
In New Zealand it has been made very clear that there will be transformational (read chaotic) change in the delivery of health care services. 
In the Auckland region (25% of the New Zealand population) there is a large network or consortium involving the Primary Health Care Organisation (PHOs), which are primarily large groupings of general practices, and the three District Health Boards (DHBs), which are the government funding bodies, as well as having a ‘provider arm’ (the hospitals).

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We can’t answer until we are asked

Pat Gallagher

Oh gosh.
The editor has been asking me for sometime now to pen an article about my ICT related subject - as in the news, views and visions.
I have steadfastly remained silent for months.
My negative response has been solely based on one strong human feeling; that being the one of apathy.
A ‘why bother’ state of mind.
Why bother talking ad nauseam about things that spin around uselessly in political circles.
Why bother getting uptight about things that never seem to offer any hope of real change.
Why bother indeed.

The WOFTAM1 mind set rules – OK!

Then, as often happens, stuff suddenly comes from nowhere and you think to yourself –‘ah maybe there is still a glimmer of hope, just over the horizon”.
Stupid of me and I know it.
Hope flickers eternally though.
What has happened?

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Pharmacists are not Primary Health Care Professionals

Rollo Manning


Primary health care (PHC) professionals are those at the front line of treatment of individuals for either acute or chronic diseases. Pharmacists are not members of the front line team – that is the domain of doctors, nurses and Aboriginal health workers.
Pharmacists are on the next level down for action with dieticians, dentists, psychologists, podiatrists, optometrists, speech therapists, physiotherapists, public health educators and other specialised practitioners.

So can pharmacists become front line professionals in primary health care (PHC)?

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Physicians Need Bar Coding Too

Mark Neuenschwander

I’ve been thinking about Car Talk, prayer, clinical documentation, and diagnostic errors.
What’s a Saturday morning without Car Talk?
After 30 years, I still enjoy eavesdropping on Tom and Ray Magliozzi taking calls from listeners about their automobiles’ ailments.
Between outbursts of laughter, the bantering brothers diagnose, prescribe, offer second opinions, and, with limited information, have to guess a lot.

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It's Not About Us - It's About Them

Barry Urquhart

First things first.
Establishing, refining and maintaining a marketing focus requires discipline.
It has as much to do with how we think, as what we think.
Therefore, saving time, improving efficiency, lowering costs and enhancing value must necessarily be viewed through the prism of life. That is, from the consumers and customers perspectives.
Any business initiative which negatively impacts on the perceptions, expectations and experiences of existing, prospective and past clients has questionable value to any public or private sector entity, big or small.
Consumer advocates by name, title or nature must necessarily be at the table for major decisions. Ideally, they need to be articulate, passionate and respected by their peers.
Such a position need not and, arguably, should not be found in a formal organizational chart.

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Freeze or Fry your Fat away? – If only!

Loretta Marron OAM BSc

Can’t shift those love handles? Diet not working? Sick of your cellulite? What about those new machines that freeze or fry your fat away?

Anything to do with cellulite or fat removal is bound to be a good money spinner. When it doesn’t involve diet and exercise it’s assured of getting considerable media attention. Cellulite is a problem encountered by more than 90% of women of all ages, both fat and thin, and most of us are overweight. So should we be rushing out for our non-invasive ‘liposculpting’ or is this yet another weight loss scam targeting some of our most vulnerable consumers?
There are quite a few high-tech body sculpting devices, which either cool or heat the dermis, that claim to be successful at permanently removing cellulite and fat.

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A Can of Worms- The Story Continues

Neil Johnston

The NSW state elections began in earnest 16 days ago on the 20th February, 2011, when Barry O'Farrell launched the NSW Liberal and Nationals Election Campaign.
The following is an excerpt from his speech titled “Time to Start Real Change for NSW”.

“I was first elected in 1995 – the year Labor went into government.
It’s been a sixteen year lesson in how not to run government.Never before has Australia witnessed such a scandal-plagued government, a parade of MPs hauled before ICAC Ministers sacked for corrupt, disgraceful and embarrassing behaviour.
A record number of MPs quitting because they lack the courage to front up and answer for their role in the sorry mess that is NSW Labor.
And that’s why the next 34 days are about starting real change.”

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Getting an Edge in Pharmacy Design

Peter Sayers

Existing pharmacy owners, particularly those with the experience of having upgraded their pharmacy design and presentation (with fittings to match the markets being serviced), are well aware that an internal change will attract customer/patient attention and a general sales and profitability increase will result.
However, I believe that pharmacy has reached the end of an era in terms of community pharmacy presentation(it died at the crossroads some years back) and pharmacists, despite the criticisms that have been heaped upon them by other health professionals, have been resilient and have tried to work their way through the maze of political and professional problems that hold back new creative and remunerative practices.

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Pharmacists - Do They Need Acting Lessons?

Neil Johnston

Recently when watching the popular ABC television program Q & A, David Williamson, the Australian playwright, featured on the panel.
The subject of Julia Gillard came up and Williamson commented that she needed acting lessons to improve her communication and to generate a more convincing performance.
My thoughts turned to whether a more convincing and communicative prime minister would really be of benefit to Australians when I came across a similar scenario directed towards pharmacists, albeit in a UK setting. It is worth some further thought.

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Big Pharma Sneezes- Community Pharmacy Catches Pneumonia

Peter Jackson

The world is changing rapidly for Big Pharma as indicated by the report that follows.
They have known about it for some time but have done little to replace the traditional approaches that have served them well for decades.
Immediate solutions focus on ensuring good outcomes from existing drugs. In many cases the solution is multi-faceted and can involve participation by health professionals.
This is a two-edged sword for pharmacy. Strategic partnerships will also be about information flow as well as product flow.
If pharmacy is selected as part of the solution, then no problem. Unfortunately the pecking order will still start with the prescriber and radiate out to those closest i.e.practitioner nurses.
Another strategy is to control the generic drugs, particularly where the original molecule is owned by a specific manufacturer. One of the links in this control is control of the supply chain, so a focus on logistic companies, rather than wholesalers, is the result.
As Big Pharma sneezes, so community pharmacy develops pneumonia, possibly for some, a terminal case. The balance is upset and costs increase for the weaker participants viz the smaller community pharmacies.
The problem is serious and the impacts are being felt now with the recent Pfizer decision to withdraw products from wholesalers. The following patent expiry report illustrates the magnitude of the problem

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Community Pharmacy Under Attack

Neil Johnston

When the AFR’s economics editor, Alan Mitchell develops an opinion piece about pharmacy, you can be sure that it is the “tip of the iceberg” and is the precursor of a well-planned onslaught on pharmacy – its ownership rules and its scale of economy in regard to PBS costs.
This has happened today, 14th March 2011.
To i2P this smacks of an orchestrated beat up by supermarket operators Woolworths and Coles and maybe from another quarter from the old arch-enemy of pharmacy, Roger Corbett, who is still a director of Wal-Mart, the world’s largest pharmacy chain.

Comments: 1

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Wholesaler Guarantees Lose Value.

Neil Johnston

It is no secret that pharmaceutical wholesalers in Australia are under stress.
It is described in mainstream media as “massive reform” – with the word “reform” always having connotations of bad news.
PBS “reforms” have drastically altered profitability expectations; Pfizer direct distribution “reform” has taken a substantial slab of turnover out of the system (and in the process causing community pharmacy to have an increase in costs); banking “reforms” are now the latest problem with bank guarantees for pharmacists coming under the spotlight.

Comments: 1

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New plastics can conduct electricity

Staff Writer

A newly discovered technique makes it possible to create a whole new array of plastics with metallic or even superconducting properties.
Plastics usually conduct electricity so poorly that they are used to insulate electric cables but, by placing a thin film of metal onto a plastic sheet and mixing it into the polymer surface with an ion beam, Australian researchers have shown that the method can be used to make cheap, strong, flexible and conductive plastic films.

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Getting Protein & Nutrients from Insects

Staff Writer

Respected restauranteurs are becoming drivers for a sustainable planet by embracing the "slow food" movement (as opposed to "fast food").
Produce for their restaurants tends to be fresh, organic and local.
Now there is a move to replace as much of the wasteful and energy-consuming foods (beef, prork, wheat corn etc), with better alternatives.
Experiments in serving high-end reastaurant meals of insects and worms have already been trialled, and now Dutch entomologists Marcel Dicke and Arnold Van Huis propose farming insects as a alternative and sustainable source of protein.

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The Move to Sustainable Local Food

Staff Writer

THE Australian Food Sovereignty Alliance has chosen Slow Food’s Terra Madre Day to call on community and government to debate and support the development of resilient and democratic local and national food systems in the face of profound risks and uncertainties.
Alliance national spokesman Michael Croft – also co-leader of Slow Food Canberra – said that a manifesto launched today by the alliance proposed a framework and direction for tackling the many sustainability and sovereignty issues confronting Australian food supply.

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Nutraceuticals - Going Global & Mainstream

Staff Writer

Editor's Note: Food as medicine is a concept that has been around for a long time.
Now the "big end" of town has decided that this market is too good not to be part of.
It is also a market area, unlike drugs, that is only moderately regulated.
On the surface it appears good news that nutritional therapies will be developed that will prove better primary or complementary treatments for lifestyle disorders.
In practice, natural molecules will be distorted to gain the "edge" of obtaining a patent.
However, it will be a better alternative than popping a drug every day for the rest of your life.
Local supermarkets in Australia are already embracing this market, and a range of "health foods" is already established as a separate department.
Pharmacy will need to engage this market and individualise it with specialised information.

Recent decades have witnessed much criss-crossing between the food and pharmaceutical industries. Nestle SA on January 1 2011 placed a very big bet on a nutraceutical future with the creation of a Nestlé Health Science business unit. Much of how the Switzerland-based multinational will "pioneer a new industry between food and pharma" will be pieced together by a trusted insider, Luis Cantarell, the inaugural president/CEO of Nestlé Health Science.

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Next Steps to Establish Medicare Locals

Staff Writer

The Gillard Government has released new guidelines for Medicare Locals to help health practitioners provide more responsive and targeted services for local communities.
Launching the guidelines, the Prime Minister Julia Gillard and Minister for Health and Ageing, Nicola Roxon, also encouraged primary health care organisations to apply to become Medicare Locals through the invitation to apply process, which opened today.

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Insufficient beds for the aged-New Study

Staff Writer

From the Intergenerational Reports of recent years and the observation of many commentators, the average age of Australia's population is rapidly increasing, primarily due to the maturing of the "Baby-Boomer" segment.
It has been widely postulated that there would be insufficient nursing home beds and public hospital beds to meet the demands of this medically-intensive group, particularly in the latter part of their lifespan.
For this reason i2P has been urging pharmacists to take up the concept of a "Pharmacy in the Home" as a means of supporting aged people with nowhere to go.
The problem is going critical right now.

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New Australian honey - a powerful anti-bacterial treatment

Staff Writer

Honey sourced from an Australian native myrtle tree has been found to have the most powerful anti-bacterial properties of any honey in the world and could be used to treat antibiotic-resistant bacterial infections that commonly occur in hospitals and nursing homes.
A Brisbane-based research group found that Australian native myrtle honey has very high levels of the anti-bacterial compound, Methylglyoxal (MGO), and outperforms all medicinal honeys currently available on the market, including Manuka honeys.

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Focus on Glaucoma

Staff Writer

More than half of Australia's glaucoma cases remain undiagnosed according to University of Sydney Professor of Ophthalmology, Paul Healey. The alarming statistic underpins this year's World Glaucoma Week and confirms the perils of driving with the condition and the need for regular eye tests.

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Cutting cholesterol: find may yield better treatments

Staff Writer

A promising new way to inhibit cholesterol production in the body has been discovered, one that may yield treatments as effective as existing medications but with fewer side-effects.
In a new study published in the journal Cell Metabolism, a team of researchers from the UNSW School of Biotechnology and Biomolecular Sciences - led by Associate Professor Andrew Brown (pictured below) – report that an enzyme - squalene mono-oxygenase (SM) - plays a previously unrecognised role as a key checkpoint in cholesterol production. The team included doctoral students Saloni Gill and Julian Stevenson, along with research assistant Ika Kristiana.

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Pharmacy Practice Incentives registration opens

Staff Writer

Community pharmacies all over Australia will soon have access to a range of Pharmacy Practice Incentives (PPIs) which will lead to improved health outcomes for Australian consumers.
The incentives are funded by the Commonwealth Department of Health and Ageing, and are part of the
Fifth Community Pharmacy Agreement which commenced in July 2010. Eligible community pharmacies
are being encouraged to register for the incentive payments.
The payments are a new way for pharmacies to be rewarded for their contribution to delivering quality
health services. To be eligible, pharmacies must be approved Section 90 pharmacies, accredited by a
pharmacy accreditation program (i.e. QCPP), and agree to comply with and display a patient service charter.

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Slanted Media - GP's Imagined Turf Infringement?

Neil Johnston

Every now and then you see something in print that does not seem to fit.
The following report printed in the Medical Observer (25/02/11) is one such item.
It presumes to be a commentary on a patient study involving 155 Perth pharmacies.
The patient was a simulated person who asked for over the counter assistance for a cough.
Progressive information was released depending on questions asked and the final result of the survey was not flattering to pharmacy.
I am wondering what the other side of the coin might have produced if a patient made an appointment with a GP for one condition, and then attempted to add this simulated condition as part of the total consultation?
We will never know unless the researchers go back and balance their study to find out the quality of the diagnosis (and the treatment) in a similar group of GP's.

We have asked Mark Coleman to make a comment:

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The IT Can of Worms in NSW

Neil Johnston

articles by this author...

Neil Johnston is a pharmacist who trained as a management consultant. He was the first consultant to service the pharmacy profession and commenced practice as a full time consultant in 1972, specialising in community pharmacy management, pharmacy systems, preventive medicine and the marketing of professional services. He has owned, or part-owned a total of six pharmacies during his career, and for a decade spent time both as a clinical pharmacist and Chief Pharmacist in the public hospital system. He has been editor of i2P since 2000.

When a simple business transaction does not seem to make sense, one is led to speculate on the agenda  behind that transaction.
An observation I have noted from personal experience is that the presence of a major Australian IT system within a public hospital environment, is almost non-existent.
This does not make sense.
There are many excellent Australian IT companies.

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However, you tend to find only global brands in NSW hospitals, with the following characteristics:

* They are very expensive

* They do not integrate with other hospital systems

* They break down frequently, often necessitating the placement of a vendor company project manager within the hospital system, to cope with the breakdowns.

Australian companies are commonly told that they will not have the resources to develop their version of a needed hospital system and that they should partner or make a strategic arrangement with one of the existing global vendors already contracted to the hospital system, to overcome the problem.
Even when it can be demonstrated that coupling with a global vendor is not necessary, and that adequate resources exist to develop the Australian system, the arguments fall on deaf ears.
Forming a strategic relationship with a global vendor can be a daunting process and can ultimately lead to the Australian component being strangled or disenfranchised in a major capacity.

I recently came across an innovative Australian IT company that had developed an asset management and tracking system suitable for a hospital environment.

The company is located in the small north-coast town of Red Rock, which is found not far from the regional city of Grafton, in NSW.
In nearby Coffs Harbour, NSW Health had built a new hospital and had decided to dispose its old hospital and contents.
The building and a range of assets were sold to a developer.
A local company called In The Shed Asset Management (ITSAM) Pty Ltd, decided to purchase some of the surplus assets from the developer and negotiated a good buying price.
The entrepreneurial CEO of the company, Phil Clare, immediately set about finding a market for his purchases and was surprised to find he had a ready customer in very space where he had made the original transaction in NSW Health.
Their regional hospitals, including Coffs Harbour Hospital were eager customers.

Phil scratched his head in wonderment at this discovery, because it was evident that NSW Health did not have any viable form of asset management, and that the head of the organisation had no idea what was happening at its tail end.
Being a good entrepreneur, he quickly scoped an asset management and tracking system that was “state-of-the-art”, and took it to the senior management of NSW Health.

After a thorough briefing, NSW Health developed a tender for a pilot project that involved tracking assets, disposing of obsolete assets and the general cleaning up of facilities that had fallen into disuse as their spaces became overgrown with records, chemicals, equipment – all the miscellanea that accumulated from within the various hospital labyrinths. The wastage of space was considerable.

Some of the items stored, and the manner in which they were stored, had the alleged capacity to embarrass NSW Health and the NSW State Government in the areas of waste and non-compliance.

After many pilots ITSAM submitted a tender and won it, simply because it was the only tender.
The rest of the field did not seem to have an interest in this obscure hospital problem.

After being awarded the contract, ITSAM set about honouring its contract.
Given the position that government hospitals hold in the general scheme of the health system, this was an important contract for ITSAM and they were determined to do an efficient and thorough job.
They naturally wanted to keep renewing the contract and use it as a referral point to gain future contracts, so they gave it their all.

The work was performed between 2006 and 2008 for the Northern Sydney Central Coast Area Health Service. The work was documented and meticulously reported on. The quality of reportage moved hospital management to write an unsolicited commendation for the manner in which ITSAM carried out its work.

All appeared to be progressing well.
The contract was renewed and other area health services became interested as well. That is, until ITSAM attempted to claim payments for work completed under its contract.
The contract for a second renewal was then abruptly cancelled despite prior verbal assurances (how dare he ask for his money!).
He also alleged he was verbally threatened to be buried in paper work and legal action if he attempted his own legal action.
NSW Health had managed to drag out their contracted terms of payment (45 days) to up to six years.
Only a fraction of the total account has been paid since contracting with NSW Health and Phil Clare has had to renegotiate that under a separate Deed of Agreement.

The new year of 2011 was the point where Phil Clare decided to declare war on NSW Health.
He sent out  the latest round of invoices/statements to the eight area health services and a ninth
straight to NSWHealth.

Phil states: "I have heard staff were receiving warnings from their superiors to avoid contact with Intheshed. Last time we were bullied they threatened that they would bury us in legal issues.
They certainly followed up on that,” he said.
“(NSWMinister for Health) Carmel Tebbutt told Parliament that no payments to government contractors
extend beyond 45 days,” he said.
“We sent out the latest batch of invoices on December 29 2010 – more than 45 days ago.
“Plus Tebbutt met with local member Steve Cansdell about this and assured him that (NSW) Health would fast-track our stuff.”

The government background to this dispute makes fascinating reading.
Recently, one of Carmel Tebutt's senior advisers was sacked for being in possession of prohibited drugs. His trial is set down until after the looming NSW state elections.

He was replaced by Scott Gartrell, a person who was previously a lobbyist and was instrumental in assisting a company called Infrashore, the consortium in charge of the $1 billion Royal North Shore Hospital redevelopment.
This is the major hospital that ITSAM was involved with under its contract with NSW Health.

Years earlier (1997) Scott Gartrell worked for Thiess, a major shareholder in Infrashore.
Late in January 2011 he deserted Carmel Tebbutt  to head up Infrashore and is therefore seen to be dealing with his old department.
Jillian Skinner, the current opposition spokeswoman, immediately reported the event with the Independent Commission Against Corruption (ICAC).
The story is best told in the National Times article dated January 30 2011.

The point to this background is that a major global IT vendor in association with Infrashore, has recently become interested in asset management and tracking and has developed software to be used in NSW Health environment.
Remember, when Phil Clare tendered for this service, no other vendor submitted a tender.
I think that the commercial-in-confidence implications as well as the lack of arms-length dealing would be obvious. You have a serious "can of worms".
It will be interesting to see how effective ICAC is after the March election for the state government of NSW.

Obviously, all these dealings did not sit comfortably with ITSAM which is still waiting for its money after a total of six years and which now tallies at $2.7 million.
This is serious stuff for a small business that has now had to put off staff and cancel expansion plans.

In an attempty to pressure the NSW State Government to honour its legal contractual obligations, Phil Clare has begun to talk to various media, including the local Grafton Examiner, the Sydney Morning Herald and i2P.
In addition, a website has been set up along the lines of the now famous "Wikileaks", whose founder, Julian Assange, coincidentally hails from the Norther Rivers Area of NSW - the same as Phil Clare.
It is obvious now that Wikileaks looks like it should have made an appearance decades ago, to counter corrupt public processes, that continually hide just under the radar

Phil Clare is encouraging anyone who has not been paid by the NSW Government to post their details with him, so that pressure can be maintained for mutual benefit.
You can find the site at http://haveyoubeenpaidyet.com.au/.

No individual details have been posted as yet, but they have been flowing in.
It is also obvious to i2P that the recent departures of NSW Labour MP's in large numbers will have something to do with their insider knowledge of the "rotten core" of this current state government.

Meanwhile, Phil Clare is expected to support his family, run a small business, be an upright citizen, pay his state taxes and do everything that is expected of him by a state government that runs to a different set of rules, and simply rips him off.

This disgusts me absolutely, and when you know that the debacle that is e-health generally and the $'s billions that have been wasted nationally and derailed Australian IT enterprise, you know that the heart must be cut out of the body of this corrupt exercise.

It is also obvious that Victoria has woken up through the following media report:

The Age Monday 21st February 2011

Last rites for health IT system

Kate Hagan

February 21, 2011

HEALTH Department staff fear Victoria's $360 million health technology program is being shut down after being told that no contracts will be renewed for people working on it.

The same medicine will have to be applied in NSW and other Labour states, and certainly a review at the federal level to stop this deplorable wastage at taxpayer expense.

Public hospitals should be a crucible for Australian research, invention and creativity.
Dealing with decent Australian IT companies might just encourage consortiums strong enough to deliver a world-class e-health system if the obstructions can be excised from government bureaucracy and its political masters.

Maybe Victoria has flagged a national "winds of change".

Return to home

Submitted by chris wright on Fri, 04/03/2011 - 17:39.

To the casual observer with a balanced view, it is difficult to come to the conclusion that Phil Clare has not been seriously wronged.
Equally, if the "other party" was anybody on the Planet other than the NSW Labor Party or Tony Soprano it may not be such a "Lay Down Misere" and therefore perhaps debatable.
Actually, I doubt that not even Tony Soprano would pull a stunt like this.
My advice to NSW Health is to;
"Get real, or get done".
Hmmm, I wonder who is culpable here, the bureaucrats or the politicians?

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