Matters of public interest

Health system

10 March 2026 • Parliament of Western Australia

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The Speaker (Mr Stephen Price) (2:45 pm) : Today I received within the prescribed time a matter of public interest from the member for Vasse in the following terms: That this house condemns the Cook Labor government for failing to give Western Australians confidence that the state's health system is coping, particularly given the upcoming winter season and concerns from the sector. The matter appears to be in order and if there are at least five members who will stand in support of the matter being discussed— (In compliance with standing orders, at least five members rose in their places.) The Speaker: —and there are, the matter can proceed.
Ms Libby Mettam (Vasse—Deputy Leader of the Opposition) (2:45 pm) : I move the motion. I sincerely hope that this matter has a sense of deja vu. We make no apologies for yet again trying to drag the government to some degree of recognition of—if not accountability for—the disastrous state of our public health system. Make no mistake about it: the ministers opposite, whose number now includes five ministers, are spinning and grinning their way to sod turnings and hastily concocted surge plans, yet we have the second lowest rate of beds per capita in the nation. Western Australians are living in the reality of a health system that senior doctors have spoken about as being dangerous. The Premier loves to throw around the word "proud" in this chamber when he talks about the state of the health system under his watch. The Premier stands in this place and says that he is proud of the state of the health system. What that reflects is the standard that he accepts under his watch. Can the Premier honestly stand in this place and tell us that he is proud that we are going into this year's winter flu season with ambulance ramping even worse—yes, worse—than it was when we went into last year's disastrous flu season? Can the Premier honestly stand in this place and tell us that he is proud of the Productivity Commission's latest Report on Government Services, which stated that WA has the lowest proportion in the nation of patients seen within the recommended triage timeframes? Can the Premier or any minister in this government tell us how that they can honestly stand in this place with pride and refer to the case of Lena and her experience of giving birth alongside the freeway after waiting hours at Midland Health Campus? After being on her knees and going into labour in one of the emergency rooms at Midland public hospital, Lena and her husband Abdul were turned away with no offer of an ambulance and/or examination. Her extraordinary experience of giving birth on the side of the freeway as she headed to Rockingham General Hospital is one that no woman should have to experience. There is also the now infamous "world class" line. That is really just crude propaganda. There has been a litany of excuses from this government, a pattern of backtracking when announcements do not match the facts and a culture of blaming everyone and everything else except this government—the very government responsible for the state of our health system. For nine years, nearly 10 years, this government has been in charge of health in Western Australia— Ms Cassie Rowe interjected. Ms Libby Mettam: I look forward to the member for Belmont's contribution. We have seen this government blame the Commonwealth, blame winter illness and blame population growth, but it will not accept responsibility for the condition of the health system that it has controlled for almost a decade. This motion is about failure. It is about a hospital system that is struggling to cope under the mismanagement of the Cook Labor government. Western Australians are asking a simple question: Why can this government not manage health? How can it make such a mess of health? Despite repeated warnings from clinicians, and headline after headline exposing system failures, the government continues to fall short on the most basic metrics. Emergency departments remain under enormous pressure; ambulance ramping continues to break records; patients are waiting longer to be seen and longer to receive treatment; and, for the first time in three decades, we are seeing an uplift in the rate of smoking in Western Australia. This is not the mark of a world-class health system; it is the mark of a system that is operating beyond its limits. When the government does respond, too often it does so with hype rather than honesty. Take the winter surge strategy. That announcement, just days ago, included the purchase of St John of God Mt Lawley Hospital, which the Minister for Health claimed will deliver nearly 200 additional beds to the public health system, but almost half those beds are already contracted and used by WA Health today, and the full transfer of the hospital will not occur until the end of August. The minister claims that she misspoke; I would argue that it was actually a mistruth as well. The minister claimed there would be nearly 200 additional beds. That is simply not true. This is the same pattern we saw with the government's claim that it had added more than 900 beds into the hospital system since coming to government. It is an interesting fact that we are not hearing that claim being made anymore, since it was quite clearly unpicked. When the figures were examined carefully, those claims quickly unravelled. What are we seeing under this government's watch? We have the second lowest number of hospital beds per capita in the nation. Meanwhile, the reality inside our hospitals tells a different story from the government's claims. Western Australia continues to have one of the lowest numbers of beds per capita in the country, and we are one of the wealthiest states in the nation. Shame on this government. Doctors and nurses describe wards that are permanently overcrowded. Wards are described as dungeons, with patients waiting on trolleys in corridors because there are no beds available. Operating a hospital system permanently at capacity leads to serious risks. We know that maternity bypass is occurring, on average, every second day in Perth. Every second day, a woman in labour is told that the hospital she is expecting to attend cannot accept her. Those are the only figures we have been able to obtain; what we do not know is how many other women are being diverted or delayed because the hospital system simply does not have the capacity to cope. When a health system is stretched beyond its limits, the consequences extend beyond statistics and affect both patients and staff. Sometimes, tragically, those consequences are devastating. The death of 18-year-old Hailee Hildebrandt is one such tragedy. Hailee had been receiving care in the mental health unit at Fiona Stanley Hospital, and her mother stated that she trusted that the hospital would keep her daughter safe during an extraordinarily vulnerable period of her life. Just days earlier, she had attempted to take her own life, yet she was granted leave from the ward without her mum—her primary carer—being contacted. Stacey has spoken publicly about the anguish of that moment. She believed her daughter was safe. She believed the system would protect her. Instead, she lost her child, and in her own words she stated: A system that I trusted, that I thought would keep her alive, has taken her life No parent should ever have to say those words. I acknowledge that a review into the circumstances is underway and that it must run its course, but the broader issue remains clear: when health systems are overstretched, when staff are under constant pressure and when services operate at the edge of capacity, the risk of failure increases. That is why this debate matters. It is not just about statistics. It is about whether Western Australians can have confidence that their health system will be ready for the challenges of this coming winter. It is also about whether we have the best possible care in place for the women and babies of this state. Even as the government held a ceremonial sod-turning at Osborne Park Hospital last week, we were again reminded that it is now seven years since Labor first promised to replace King Edward Memorial Hospital for Women. Doctors working in maternity and neonatal services have repeatedly warned about the risks associated with the government's current approach. Osborne Park Hospital does not have a full emergency department, and the potential risks look to repeat the very problem that led to the decision to replace King Edward Memorial Hospital in the first place—and the Premier knows this. The lack of coordinated adult medical and surgical services means that we are looking at an outdated model, and that the current model is unnecessarily putting the lives of women and babies at risk. Modern maternity hospitals are designed to operate alongside broader hospital infrastructure so that women experiencing acute complications can receive immediate care, yet clinicians have been unable to identify any maternity service in the country or internationally that operates safely under the configuration proposed by the current government. I asked a question in this place and again received a non-answer from the Minister for Health. The AMA has also raised this, and I refer to its statement about inconsistent systems, unclear escalation pathways and gaps in responsibility. As we approach another winter, Western Australians are entitled to ask whether this government is truly prepared. The Leader of the Opposition will focus on the winter surge plan, but it is quite clear that there are gaps in capacity. We have a government that, after almost a decade, has not built a single hospital, and there are critical issues still remaining with this government's plan for a women's and babies' hospital going forward. The public— Ms Cassie Rowe interjected. Ms Libby Mettam: I look forward to the member for Belmont's contribution! The public deserve more than spin; they deserve real answers. They deserve more than "world-class care" slogans, they deserve real answers, and they deserve a comprehensive plan that will give them confidence that the health system will actually cope. I will leave my comments there, as I know other members in this place would also like to contribute.
Mr Bevan Eatts (Warren–Blackwood) (2:58 pm) : I, too, rise in support of this matter of public interest motion: That this house condemns the Cook Labor government for failing to give Western Australians confidence that the state health system is coping, particularly given the upcoming winter season and concerns from the sector. When Western Australians call an ambulance, they expect help to arrive quickly. When they arrive at an emergency department, they expect to be seen in a reasonable time, and when the winter brings the predictable surge in illness, they expect the health system to be prepared. This motion is about whether Western Australians can have confidence that their health system is ready for those pressures. Every year, winter brings increased respiratory illness, increased ambulance demand and increased hospital admissions. These pressures are predictable. The question before this house is whether the Cook Labor government has put in place a comprehensive plan that gives Western Australians confidence that this system will cope. Right now, many Western Australians do not feel confident. The Premier has repeatedly defended the performance of the health system. He has said that Western Australia has one of the strongest health systems in the country and that the system is performing strongly, but those reassurances ring hollow when Western Australians have to wait for hours in emergency departments. Recent national data shows that Western Australia now has the longest emergency department wait times in the country, with 90% of patients waiting up to 229 minutes to be seen, which is almost double the national figure. When ambulances are ramped outside hospitals, people do not see a system performing strongly; they see a system under pressure. While ambulances are waiting outside hospitals, they are not available to respond to the next emergency call. In September last year alone, ambulances in Western Australia spent 7,257 hours ramped outside hospitals. That is the highest figure ever recorded. Every one of those hours represents an ambulance and a paramedic or a volunteer crew who cannot respond to the next emergency call. When speaking about the pressure on hospitals, we should begin by recognising the extraordinary work of our healthcare workers. Doctors, nurses, ambulance crews, hospital staff and volunteers across Western Australia work tirelessly under immense pressure to deliver care. They are not the problem; they are the reason the system continues to function so well. But even the most dedicated workforce cannot indefinitely compensate for a system that is already operating close to the limits. When hospitals are near capacity even before winter begins, it does not take much to push the system beyond its limits. When winter illnesses arrive, emergency department presentations increase and hospital beds fill quickly. The demand on emergency departments continues to rise, with thousands of additional patients presenting to WA hospitals each year. We see ambulance ramping increasing, waiting times growing longer and the pressure on frontline health workers becoming even more intense. One of the most significant pressures affecting hospital capacity sits outside the hospital system itself. That pressure is aged care. Hospitals depend on aged care functioning properly for both the people who require residential care and those who can remain at home with appropriate support services. When older Western Australians receive the support they need, health problems are identified earlier and care needs are managed sooner, and many hospital admissions can be avoided. But when those supports are not available, or when they become unaffordable, the consequences quickly flow into the hospital system. Western Australia already has fewer residential aged-care places relative to demand than the national average. The latest national data shows that there are 59.1 residential aged-care places per 1,000 older people in Western Australia, compared with 65.4 places per 1,000 nationally. At the same time, the aged-care beds we do have are more heavily occupied, with 92% occupancy in Western Australia compared with 89.9% occupancy nationally. That means when older patients finish their acute treatment in hospital and require ongoing care, there is often no aged-care support available. They are medically stable and ready for discharge, but there is nowhere safe for them to go. On any given day in Western Australia, around 200 hospital beds are occupied by older patients who are medically ready for discharge but cannot leave because aged-care support is unavailable—either in a residential placement or with a safe return home. Doctors working in the system describe the situation as a small hospital worth of people who no longer require hospital service occupying acute beds. The problem is not just how many patients are waiting; it is how long they remain there. The WA Auditor General found that hundreds of patients waiting for aged-care services or disability services spent around 40,000 additional days in hospital after they were medically ready for discharge. That is an average of more than 80 extra days each. In other words, hospital beds are being occupied for weeks, or even months, after treatment has finished, simply because the right care is not available. Those beds represent around 3% of the state's hospital capacity. Keeping someone in a public hospital bed costs around $2,300 a day, while keeping someone in the aged-care system costs closer to $350 a day. That means the health system is spending roughly $173 million each year delivering care in hospitals that could have been provided for about $26 million by aged-care services or through home support. It is a gap of around $147 million every year. In other words, Western Australia is paying hospital prices to deliver aged-care services simply because the right care is not available at the right time. Every one of those hospital beds is a bed that cannot be used for a patient waiting in an emergency department. There is also a growing gap in the availability and affordability of support for people living at home. Western Australia has a significantly lower rate of access to in-home care support than the national average, with only 4.7% per 1,000 people aged over 65 receiving home care support in Western Australia compared with 7.7% per 1,000 nationally. When we look at those with the most complex needs, people requiring higher level packages, we see that Western Australia fails again. Only 29% of recipients in WA receive high-level packages compared with 33.6% nationally. These packages are designed for people who have experienced significant deterioration in their health or mobility—people who may have suffered a fall, hospitalisation or had a sudden decline that means they require daily assistance. Without support at home, the risk increases quickly—falls increase, medication complications rise and hospital admissions become more likely. Once again, hospitals become the safety net. I want to talk about the rising costs of home care. My office recently dealt with a case that illustrates the pressures families are now facing. A constituent contacted us regarding services delivered through a well-respected aged-care provider. Based on previous statements and the service hours, the effective bundled cost of care under the previous system was around $154 an hour, providing roughly $1,613 a week in services for basic care needs. Under the new pricing structure, the equivalent cost has increased to approximately $234 an hour. The same level of care now costs around $2,456 a week. That is an increase of $843 a week or roughly $43,800 a year. In hourly terms, that represents an increase of around 52%. Sector modelling suggests that prices increased by around 30% when management administration costs were embedded into hourly service prices, but those experienced in this case are significantly higher than that. This does not necessarily mean the providers are acting improperly. Many are adjusting prices in response to the structural design of the reforms and the need to embed management, traffic, travel and administration costs within the hourly service charge. But the result for families is clear. When home care provision is more expensive, many seniors reduce their use of services, change provider or delay accessing support altogether so that preventive care is missed, small health problems become crises and those crises mean people often end up in hospital. This is the downstream impact on the state health system of aged-care policy decisions. Winter will place additional pressure on every part of the health system—respiratory illnesses increase, emergency department presentations rise, hospital admissions grow and ambulance demand increases. If hospitals are already close to capacity before winter begins, it will not take much for the system to reach its limits. Western Australians do not expect perfection from the health system, but they do expect preparation. They expect the government to anticipate the pressures and plan accordingly, yet we have not seen a comprehensive plan addressing the full range of pressures of hospital demand from the Cook Labor government. Hospitals do not operate in isolation; they are part of a broader system that includes aged care, community care and primary health services. If those parts of the system are under strain, hospitals will inevitably feel the pressure. At the beginning of this speech, I spoke about confidence. That is about Western Australians having confidence that they will be able to rely on the health system when winter arrives; that when they call an ambulance, help will arrive quickly; that when a family takes a loved one to a hospital, they will receive timely care; and that our seniors will receive the support they need before they reach crisis point. The Premier says that Western Australia has one of the strongest health systems in the country. If that is the case, the government should have no difficulty presenting a comprehensive plan for how the system will cope with the predictable pressures of winter. Strength in the health system is not demonstrated through statements; it is demonstrated through preparation. Preparation is ensuring hospitals have capacity, ambulances are not waiting outside emergency departments and seniors receive the aged-care support they need before they end up occupying hospital beds. Until the Cook Labor government delivers a plan that addresses pressures across the whole system, including in hospitals, aged care and community care, confidence will remain uncertain. Western Australians deserve a health system that is prepared, not one that is simply hoping to cope. For those reasons, I support the motion.
Mr Basil Zempilas (Churchlands—Leader of the Opposition) (3:09 pm) : I, too, rise to support this motion because it is about whether Western Australians can trust that, when they need care, the state's health system will be there for them. I think we all saw what took place during the winter months last year. We heard, with great clarity, from those opposite about all of the reasons that caused those failures in our health system. We repeatedly heard about the horrendous winter flu season and the ageing and growing population. We heard about the lack of aged-care beds and whose fault it was—it was not the state government's fault! At no stage was any responsibility taken by the state government. At various times we oscillated between it being the fault of the Prime Minister and federal government, and local governments, when interestingly enough the Prime Minister's man in Perth, the member for Perth, used an opportunity to reframe the lack of aged-care beds and somehow blamed local government. We have the incredible situation of federal Labor MPs blaming local government in Western Australia and those opposite blaming the federal Labor government. From that, we can safely say that the state government has not been prepared to accept responsibility. The people of Western Australia want those opposite to take responsibility for the parlous state of our health system and absolutely commit to not only fixing it, but also listening and acknowledging them. I think the element of the defence that those opposite continue to play when it comes to their poor record in delivering health outcomes for Western Australians is their lack of acknowledgement and empathy for the very people who highlight those failings with their own real and genuine stories. Again, I thank them. I genuinely thank the doctors and nurses and the patients and their families for trusting and coming to us to help share their stories. Those stories shine a light on the parlous state of the health system in Western Australia in 2026. Need I remind those behind me, we hear so frequently, commonly and often that Western Australia's economy is the best in the country. We hear of the strong financial state of Western Australia compared with other jurisdictions, but that is not being evidenced or experienced in our public health system. The winter just gone was the worst for ambulance ramping, with three consecutive months of record ramping. We got into the 7,000s and thought that surely the government will do enough to address this to bring it down, but, no, it went up again. We thought, "Well, surely now they will give everything to bring ambulance ramping down" and it went up again. As we prepare for next winter, which is straight after that horrendously disappointing winter of three ambulance ramping records in a row, we come to February just gone, when WA ambulance ramping for 2026 reached 4,892 hours. With the permission of the Speaker, I show the chart that highlights how many hours of ramping that is in comparison to February 2017. We know those opposite love to harp back to the time of Colin Barnett and the Liberal government. If they want to do that, let us do it. I have helped them do it by bringing in a chart. It is pretty simple and easy to understand. On the left: February 2017, 691 hours of ambulance ramping. On the right: February 2026, 4,892 hours of ambulance ramping. That is an additional 4,201 hours, or a 608% increase. I say to members opposite: please acknowledge the failings and tell us, with confidence, that what appears in the winter strategy for 2026 is not going to result in more record ambulance ramping months. Ultimately, those opposite can say what they like in here, and our side can say what we want to demonstrate and bring stories to light, but if ambulance ramping is at record levels again in 2026, they will have demonstrated their abject failure to deliver the health outcomes that the people of Western Australia deserve. Mr Rhys Williams: What would you do? Mr Basil Zempilas: I hear the member for Mandurah, who likes to get involved from time to time. Several members interjected. The Acting Speaker: Members! Mr Basil Zempilas: The last time he got involved was when I was telling the story of the lady who went to St John of God Midland Public Hospital, while in labour, to give birth, but was turned away and sent an hour down the road. What happened to her? She gave birth on the side of the road. I say to the member for Midland and the member for Mandurah, if they consider that good enough, they will be judged on it, but we do not consider that good enough, and neither do the people of Western Australia. In my concluding moments, I remind members that one of the stories we told was of the 74-year-old grandmother who was diagnosed with a brain tumour and spent two days in a Royal Perth Hospital overflow area known as the dungeon.
Ms Meredith Hammat (Girrawheen—Minister for Health) (3:16 pm) : Acting Speaker, thank you for the opportunity to speak on this motion. Of course we will not be supporting it, but I thank the opposition for bringing it because it is a chance to talk about all the work we are doing in respect to winter planning and many other things in the health system. At the outset, let me say this. Whenever we have these debates about health, one of the things that I think becomes more and more apparent is how little plan and contribution there is from opposition members. We never hear what they would do. They hold themselves up as an— Several members interjected. The Acting Speaker: Members! Several members interjected. The Acting Speaker (Mrs Lorna Clarke): Member for Churchlands, member for Central Wheatbelt! Minister, you have the call. Ms Meredith Hammat: We have an opposition leader on a listening tour, and today we saw in his contribution his attempt at empathy. Whilst those opposite wish to position themselves as an alternative government, we never hear a plan. What would they do to fix these issues? When the opposition leader holds up his graph comparing current and 2017 ramping figures, we also see that there is no understanding of the context in which health services are operating today in Western Australia, and indeed right around Australia. Opposition members may wish to dismiss many of the points that have been made about the context that we are operating in, but they cannot dismiss the context. We cannot wish away the demographic change that we are in now, Leader of the Opposition. Indeed, it is something that we are dealing with in Western Australia. Right around Australia and the world, these issues are being grappled with. I want to talk about the work that we are doing to not only prepare for this winter, but also build a health system that delivers for Western Australians. We are doing a lot and I want to talk a little about that as well. We have recently released our winter plan. We have made it clear that our plan is an additional $140 million investment as part of meeting the increased demand on our system. As I have said before, we are making record investments in health right across the board because we are experiencing record demand. That comes from our ageing and growing population, and the fact that emergency department presentations are now more complex. That is why we have launched our plan and I want to talk about that. It focuses on five key areas and all of them are important. Prevention is one of them, and I know the Minister for Preventative Health will make a contribution to this debate so I will not talk about it for very long today. We are looking at the issues of patient flow in our hospitals, which is one of the key challenges to ensuring that people access the care that they need. As the member for Warren–Blackwood outlined, hospital is not the best place for some patients. They do not need hospital-level care; they need more appropriate care. We are expanding bed capacity. The member for Vasse made some comments about that, and I will deal with that in some more detail. In this plan, we are providing surge capacity. There will be $61 million for extra capacity through the winter season. It is not the same capacity that we referred to for bringing St John of God Mt Lawley Hospital into public hands. We are also caring for older people, supporting their recovery at home. We are making sure that we are using virtual models and reducing unnecessary hospital stays. Importantly, we have invested in our Access Health education campaign because we want to make sure the community understands the wide variety of places that people can access care. We have a whole range of strategies and $140 million to repair our system and prepare the community for this coming winter season. The plan allocates $61 million to increase bed capacity. That is made up, in part, by contracting beds in the private hospital system for some low-acuity and elective surgery purposes. It is about creating additional capacity in our public system by using capacity in our private system. It includes some beds at Mount Lawley, but that number—the 200 beds that we outlined that the strategy provides—is not the 200 beds that people have conflated with Mt Lawley hospital. I want to be clear about that. That hospital will come back into public hands on 1 September. In the intervening period, we are increasing the number of beds available to our health system. The strategy includes $24 million in Time to Think aged-care beds. These have been very well utilised across our system. There are about 350 older people in our hospitals; 368 was the number the minister provided in question time today. This is not the most appropriate care setting for older Western Australians. They have been cleared to be discharged from hospital, but they are unable to find an appropriate care setting. The $24 million for Time to Think provides an opportunity for older Western Australians to make a decision about what will come next. For some of them, it will be residential aged care, but for some it will be a home-care package that allows them to go home. This program is very important. It creates capacity in our public hospitals, and it provides time for people to make dignified choices about what comes next. I think that is an incredibly important part of the program: it provides dignified choices for people at the end of their lives. The increased investment in the aged-care capacity of Time to Think beds is important not just to our hospital capacity but also for the quality of care people receive. There is $5.7 million to streamline patient discharge because moving people out of hospitals is a key part of what we want to achieve. There is $3.2 million so that we can have quicker testing for influenza-like illnesses in emergency departments. If people present with influenza-like illnesses, isolation is a challenge. Being able to test people quickly so that we can use the capacity is an important part of moving people through our EDs and hospital system. We are investing money in AI so we can lean into systems that allow us to improve patient flow. It is important right across the system, not just through winter, to make sure that we are using the best available technology to run our system effectively. There is $14 million for free flu vaccinations. Again, the minister will talk some more about that. We are piloting new 24/7 monitoring, and $20 million is allocated to do that. Again, we can provide older people with options to return home after they have been in hospital, and this will allow them to have additional support when hospital is no longer what they need. There is $4.1 million to extend the St John Ambulance Western Australia's extended-care paramedics. These paramedics can attend call-outs and provide care on the spot so not every case needs to be transported to one of our EDs. They do incredible work, and extending that program is very important. There is $1.1 million to extend Hospital in the Home into aged care, again providing options for older Western Australians. Then, there is a significant amount of money, a total of $6.9 million, to target public health messaging. Some of that is for the Access Health program. I want to talk a bit about that because it is an important part of the overall system. One thing I have heard and I get feedback on is that many options have now been created for people to access care in the community close to home, such as the Medicare urgent care clinics. Minister Butler was here only a matter of weeks ago, opening three more of those, including one in the electorate of the Acting Speaker (Mrs Lorna Clarke). The urgent care clinics are an important part of where people can access care. We have extended the WA Virtual Emergency Department (WAVED) so people can access virtual care using that. It is now available five days a week for people with kids. We want to make sure that people have the best information about how to get the care they need. We also now have a number of pharmacists who can provide care, such as resupplying oral contraception and dealing with straightforward urinary tract infections. We are increasing the range of things that pharmacists will be able to prescribe. We want to make sure that people have information about what is available to them in their community so they understand where they can go to get the care they need. We will continue to roll out that program so people get access to that information. It is an important part of our overall approach to dealing with people being able to access care in a variety of ways, and not just during the coming winter. I want to reflect a bit on the comments we heard today about aged care. This is an important area of our advocacy and we have talked a lot about the fact that providing additional support for older Western Australians is important in providing not just hospital access and capacity but also dignified care for people at the end of their lives. We have talked about the Time to Think program. In question time today, we heard from the Minister for Aged Care and Seniors about advocacy to the federal government. Last week, we had the announcement about over $110 million coming to Perth to provide aged care. Of course, there is much more we need to do, but we welcome that federal government announcement. It reflects the work done by this government to advocate for what WA needs. We are providing $100 million in low-interest loans to encourage more aged-care providers to build the beds we need. We are doing a lot in the aged-care space, and we will continue to do a lot in the aged-care space. We have been very clear about our advocacy on that, and we have worked very closely with other states to ensure that we provide a clear message to the federal government that more needs to be done in that space. A lot of people want to talk about health because we are doing so many things. Before I finish my contribution, I want to talk about some of the things we have done just this year. We are not quite in the middle of March, but we are close to it. I think it underlines the work that we are doing. We are not just preparing the system for winter, creating additional capacity, and preparing the community with things like free flu vaccinations. Every day, we are working to put on more staff and more beds, to deliver care in the community close to where people live, and to build infrastructure. We have $4.9 billion in infrastructure across the forward estimates. Last week, I was in Kalgoorlie opening Mason's House, which is run by Full Circle Therapies. It is a fantastic building that was advocated for by the member for Kalgoorlie. This government provided $2.8 million to support a new paediatric allied health service in Kalgoorlie. We have opened the 2026 paid graduate program for new nurses and midwives. We have officially commenced construction of Osborne Park Hospital, a major expansion as part of our $1.8 billion women's and babies' hospital project that will provide significant additional capacity in the northern suburbs. As we have heard, the federal government announced additional money just last week. We have also worked with the federal government to open the new Medicare urgent-care clinics. Minister Butler was here and he opened three, in the Acting Speaker's community, Booragoon and Mundaring. We launched the Access Health campaign to provide information about where people need to go to access health care. We launched the winter strategy, which is supported by $140 million. We employed an additional 1,500 new doctors, nurses and midwives in the WA health workforce on graduate programs just this year. We expanded WAVED for kids so it is now available five days a week. We have rolled out nurse-to-patient ratios in intensive and critical-care settings across our major hospitals, building on our work to extend that program. We have announced free respiratory syncytial virus vaccines for older Western Australians in aged care. We completed the construction and welcomed the new services in the Peel Community Mental Health Service and Kara Maar Specialist Community Eating Disorder Service. What a fantastic building that is down near Mandurah. We have secured a site for the first metropolitan step-up, step-down service for young people, which will be based in Balcatta. We have announced the second tranche of training for pharmacists so they can diagnose and provide treatment for certain common health conditions, building on the work we have already done. We have passed tobacco legislation through this place, and it is currently being debated in the other place. We have increased our compliance unit to ensure that we are taking strong action. We awarded the contract for the construction of the Broome step-up, step-down facility. We were there to start construction on the Byford Health Hub, another fantastic initiative delivering care in an innovative way in people's communities close to where they live. We announced the operational funding for the first children's hospital, which we are so proud to support. I have spoken longer than I intended. Many others are keen to make a contribution on this debate, but what I want to say is this: we will not support this motion. Our government is absolutely committed to the work we are doing every day in health to increase capacity in the system—to have more staff, more beds and care delivered close to home. We are delivering a record pipeline of infrastructure in metropolitan and regional areas. We are better prepared for this winter than any other government before us. We have been clear about publishing that plan and putting additional resources into the work we are doing. This government will not stop that work. We are committed. I have said many times that we will keep looking at what more we need to do because we are absolutely committed to delivering the health care that Western Australians need.
Mr Frank Paolino (Mount Lawley) (3:31 pm) : I find it surprising that the Leader of the Opposition talks about recognition and acknowledgement in health. It appears to me that there are 4.9 billion points of acknowledgement—of structural, transformative funding of programs right across Western Australia and for Western Australians. I find it incredibly surprising. As I said in my contribution to the Premier's Statement debate in February, 2026 will be a great year for my electorate and for Western Australians right across the state due to the purchase of St John of God Mt Lawley Hospital. I tell you we are excited in my community. I cannot say enough how excited the community is for this to happen and for Mt Lawley Hospital to come into public hands. Of course, up to 100 new public beds will come online and eight new surgical theatres, making health care for my community more accessible when people need it the most. The decision to purchase Mt Lawley Hospital has been applauded. I have said it in this chamber before and I will say it again. It has been applauded by members of my community, not only those in the health field but those outside it. I recall some commentary from Australian Medical Association WA President Kyle Hoath, who on 6 November 2025 said to ABC radio that this is exactly what it had been asking for. He said it was a good deal. He also said: … a new hospital was never going to appear out of nowhere … this is the solution they needed On 5 November 2025, the Health Services Union of Western Australia put out a press release headlined "HSUWA Welcomes State Government Investment in Infrastructure Projects". These are just a couple of examples of how widely welcomed the purchase of Mt Lawley Hospital is. The doctors and nurses of my community have been elated by the decision since the announcement was made last year. Just recently, I had the opportunity to walk through the hospital again with the Premier and the Minister for Health. I acknowledge the health minister and the Premier for coming to Mt Lawley Hospital to announce the winter health strategy, with $140 million going to expanding hospital capacity and boosting vaccination programs, amongst many other things, which the Minister for Health touched on during her address to this chamber just a little while ago. Walking to the hospital, I saw the nurses, the healthcare workers, the occupational therapists and the doctors and, of course, the volunteers from the community—everyone who provides support to patients. They all provided the feedback on Mt Lawley Hospital coming into public hands. I want to say thank you to all of them for everything they do every day for the patients, not only in Mount Lawley but everyone across the state. I extend that to everybody across the healthcare sector. They are truly special people. I could not be any prouder of the work they do in my community. We are excited about Mt Lawley Hospital coming into public hands in 2026. The Osborne Park Hospital redevelopment was touched on before. That will benefit right across the electorate, particularly the western side. I am very excited about the Osborne Park Hospital redevelopment and the construction that has commenced, especially the new six-storey clinical building that is expected to provide facilities for women and newborns as well as a mental health support unit for expectant mothers. There is also $1.8 billion for the new women's and babies hospital, which is now also well underway. I go back to the $4.9 billion—that is, $4,900 million. Let that sink in. That is $4,900 million that the government is dedicating to health. To say that we have not listened, recognised or acknowledged is completely dismissive of the work that this government has done and continues to do for Western Australians and Western Australia in this space. We all know that when it comes to delivering for Western Australia and Western Australians, it always comes down to Labor to make the big decisions, to do the transformations and to deliver for local communities. Whether it is Paul, Barry or Maria, they have all told me about the positive experiences. There are many others in my electorate who continue to receive support in health. They know, just like Western Australians know, that when it comes to delivering for Western Australians and Western Australia, it comes down to a Labor government to deliver. The Cook Labor government will deliver, and has delivered, for Western Australians and will continue to do that.
Mrs Lisa Munday (Dawesville) (3:38 pm) : I rise very quickly today to talk about health and progress with purpose, and that is what our Minister for Health and Minister for Health Infrastructure are doing. The member for Vasse and the Leader of the Opposition made comment about us looking to blame others for not having health infrastructure and said that we are using spin. This is not correct; it is simply not correct. Our government, our Minister for Health and Minister for Health Infrastructure, do not use the word "blame"; we talk about facts. When has the Liberal Party ever put $1.5 billion into building hospitals? At no time have I have seen that happen. That is one thing that our Labor government is doing. Very quickly, the reason I am on my feet today is that I was a paramedic who worked out of the Mandurah depot and the Dawesville sub-centre, and I saw how much Peel Health Campus was struggling back in 2021. When I was asked to run in 2021, one of the big things I wanted to change was to provide health and support to Peel Health Campus. It was a private hospital back then. Back in 2017, I think it was, the Liberal government only gave Ramsay Health Care a small contract, which left the people of Mandurah, and Ramsay, in no man's land. What private entity is going to pour hundreds of millions of dollars into Peel Health Campus? That is why we needed to step in. Lucky for us, and because we have such a great Minister for Health and Minister for Health Infrastructure, this is what has happened. As a result, we had a redevelopment for $152 million as a starter in 2021. We took Peel Health Campus back into public hands in 2024. From there, in November 2025, the Minister for Health Infrastructure John Carey announced that we were going to get a brand-new hospital. That is a brand-new, six-storey hospital that will be built alongside Peel Health Campus. The construction of the new six-storey Peel Health Campus will commence in 2026. That is this year. It will modernise the current hospital to meet contemporary standards and increase capacity. It will have an expanded 39-bed emergency department and a dedicated mental health emergency centre, so that people in ED will be looked after by consultants and then there will be a specialised section for mental health patients, which is really, really important. There will be new cancer treatments, a dedicated mental health inpatient unit, a dedicated palliative care unit—these are all facts—additional inpatient beds and expanded outpatient services. It has been a great opportunity as the member for Dawesville, as it has for the member for Mandurah—we are both committed—to walk out, doorknock and letterbox. We have a QR code to understand what the people of Mandurah want in our brand-new hospital. I really look forward to the opportunity to see it come to fruition. Thank you.
Ms Sabine Winton (Wanneroo—Minister for Preventative Health) (3:41 pm) : I rise to make a very short contribution, acknowledging the passion of members on this side, to make sure that we understand the significant investment in health in local communities and what a difference it makes each and every day. I do not have much time, but I do want to spend a couple of minutes, if I may, talking about the preventative health portfolio and the significant contribution that it is making to the winter health plan, in particular. I note that this motion is somehow a stretch. It was from the Leader of the Opposition's comments about how the health system will cope this winter. I begin by acknowledging the suggestion by members opposite that it is somehow a bit of a joke that we have five health ministers, or that we are not taking health seriously. I have got to say that in all my interactions with hundreds of stakeholders it is only those opposite in this chamber who ridicule our approach to supporting our complex health system. It is only in this chamber. It is quite ironic that they would ridicule a complex and serious attempt at supporting the health system when a year ago the shadow health minister went to the people of Western Australia and said, "You know what? I could be Premier and I could be health minister. I could do it all." We talk about confidence, and this motion is really about confidence. The people of Western Australia understand the health system is complex and is challenging, and we are not alone in Western Australia. Western Australians look for confidence in a government to tackle what are complex issues. A year ago, the people of Western Australia spoke about who they thought had more confidence in terms of dealing with complex matters. The Minister for Health outlined our approach, as she has on various occasions, particularly for this year's winter health plan. I have had conversations with stakeholders. The Australian Medical Association was mentioned a few times in the opposition's remarks. I have met with the AMA many times and it has said, "Minister, focus on immunisations." That is exactly what is incorporated in this year's winter health plan. There is some $14 million of investment in key initiatives that will protect people in our community and vulnerable people in our community to put downward pressure on our health system. We have never heard anything from those on the opposite side about their approach to protecting Western Australians. We have never even heard a response to the announcements that we have made around immunisations. We have never heard it. We have never seen it promoted on any particular Facebook profile. It is important as we come up to the winter season that all of us as community leaders play our part: roll up our sleeves, lead by example and encourage all Western Australians to be immunised to protect ourselves, our families and each other. I am very proud of the FluMist vaccination that will be introduced for the very first time this year for children aged two to 12, to support families to get our immunisation rates up. I recently made an announcement with the Minister for Health and the Minister for Aged Care and Seniors about RSV vaccinations that will protect vulnerable, elderly people in residential aged care. It was a significant announcement. Of course, we have our free RSV vaccinations for infants. We know how successful that nation-leading program is. Just last year some 500 babies were not hospitalised because of that successful program. Preventative health is a critically important area of priority for our government as we continue to face the challenges and demands on our health system. I will be looking really closely at those opposite as the winter season progresses to see how willing they are to publicly declare their support for immunisations. I know the AMA will be rolling up its sleeves beside me. I know that the Pharmacy Guild of Australia, which does so much work in supporting people to get conveniently immunised, is right beside us. Members, this is not partisan. There should be a bipartisan approach to protecting our communities if we truly, truly want to support our health system. I am looking forward to the support from those opposite. Division Question put and a division taken, the Acting Speaker Mrs Lorna Clarke casting her vote with the noes, with the following result:
  • avatar of Bevan Eatts BE

    Bevan Eatts
    NAT WA

    Shadow Minister for Forestry