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‘We are failing’: Bureaucrats on notice

Digital Transformation Office CEO Paul Shetler. Photo: SuppliedMore public service news
Nanjing Night Net

Australia’s public service must stop failing customers and?become as good as Airbnb?and Uber?at helping people, the bureaucracy’s new Digital Transformation Office chief?Paul?Shetler?said.

Mr Shetler told a crowd of 300 at a breakfast at the National Gallery of Australia on Tuesday?that most users were reporting a problem with Australian government websites.

“Our job is to serve the public and we are failing,” he said.

“It’s not good enough in the age?of Uber and Airbnb.

“If Amazon?did that they’d go out of business.”

He said Australians, like people in many countries, often became overwhelmed because they?were wrongly forced to keep in their minds a map of how government services worked when dealing with the public service.

“It’s not a policy problem, it’s a delivery issue,”?Mr?Shetler said.

“In many places now government is leading in service delivery [over the private sector].”

Mr?Shetler?is 28 days into his new job of chief executive of the?DTO.

The DTO is a small agency with a modest budget answering to Communications Minister Malcolm Turnbull created to reform?how the?government interacts with Australians on the internet.

Secretaries Drew Clarke and Kathryn Campbell from the?Communications and Human Services departments and Australian Public Service Commissioner?John Llloyd?chose Mr?Shetler for the job with final approval granted by the minister.

He has moved from the United Kingdom where he was an executive in?the?Government Digital Service and the?Chief Digital Officer for the UK Ministry of Justice.

Mr?Shetler said his first weeks at the helm of digital reforms in the UK were filled with “hostile meetings” where people thought he represented a group of latte-sipping time wasters?who?wore?cargo shorts and peddled the latest fad.

Eventually he said the attitude changed because he and others focussed on reforms they could make easily and quickly to prove to public servants and clients they were interested in making life easier for people.

They could then work their way toward bigger changes and he said he would?bring the same approach to Australia.

During his time in the UK he made it easier for citizens to access?applications for civil claims, book prison visits and?fill out power of attorney?applications.

He was also involved in overseeing the roll out of a common platform to change the outdated way staff worked across the UK’s court system.

In February CIO reported successful delivery of the platform was in doubt, according to the UK’s?projects watchdog, the Major Projects Authority.

“You can’t do it all at once otherwise it will be a train?wreck – it must be iterative and responsive starting from a position of humility,” Mr Shetler?said at the Institute of Public Administration Australia event?on Tuesday.

At the same time he said goals would be set to make changes within timeframes of about five months.

Small businesses, job seekers and parents were the top three categories of people dealing with the federal public service online and he said the economy could save more than $20 billion each year by reducing face-to-face and postal interactions.

Mr?Shetler said his new position was the “best digital job in the world” and came with huge opportunities because the Australian government was so willing to bring in changes across and between departments and agencies.

He said at all times his focus would be on the customer.

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Raglan Parade billboard?plan

ADVERTISING: A planning permit has been requested for a 4.2 metre tall static billboard for the east side of the former cool stores in Dennington.
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A PLANNING permit application has been lodged with with Warrnambool City Council for permission to install two advertising billboards beside Raglan Parade in Dennington.

Shepparton based company Transad is proposing to build the static displays on the side of the former Warrnambool Cool Stores buildingon Drummond Street.

The billboards are proposed for the southern and eastern sides of the building facing Raglan Parade.

The south facing sign will be the larger of the two, measuring 15.05 metres wide and 4.2 metres tall. The smaller east facing sign is proposed to be 14.3 metres wide and 4.2 metres tall.

The council has previously rejected a similar application. That decision was taken to the Victorian Civil and Administrative Tribunal who upheld the decision.

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Young woman’s cosmetic surgery nightmare

Amy Rickhuss suffered a cardiac arrest during cosmetic surgery. Picture: SUPPLIEDA young woman who went into cardiac arrest during cosmetic surgery inSydneyappears likely to have been given anoverdose of local anaesthetic.
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Amy Rickhuss was rushed to Westmead Hospital after having surgery for abreast enlargement at The Cosmetic Institute in Parramatta on January 30.

Early reports from The Cosmetic Institute indicated that MsRickhuss”had a reaction to the anaesthetic”.

Fairfax Media understands Ms Rickhuss, 21, was given intralipid, a drug most commonly used to treat an overdose of local anaesthetic.

Phillipa Hore, who chairs the safety and quality committee of the Australian and New Zealand College of Anaesthetists, said intralipid was used to treat “local anaesthetic systemic toxicity”.

Dr Hore said local anaesthetic overdose was preventable and generally occurred when an inappropriate amount was given for the weightand age of the patient.

“Intralipid is used for treatment of an overdose of local anaesthetic,” she said.”It is either an overdose or a smaller dose that has been inadvertently injected into a blood vessel.”

Amy Rickuss is taken from The Cosmetic Institute to Westmead Hospital. Picture: WEBCAM-NT

Incidents of local anaesthetic being injected into a blood vessel are rare.

Dr Erez Ben-Menachem, an anaesthetist at The Cosmetic Institute,told Fairfax Media in January that it was “highly unlikely” the local anaesthetic was injected into a blood vessel, because if that happened, there would have been an immediate reaction.

He said in Ms Rickhuss’case, the reaction was not immediate, but happened towards the end of the procedure.

“The presumed diagnosis at this stage is that she had a reaction to the local anaesthetic,” Dr Ben-Menachem saidin January.

Dr Ben-Menachem was notinvolved in Ms Rickhuss’procedure and was justspeakingon theclinic’s behalf.

Peter Haertsch, an associate professor in plastic and reconstructive surgery at the University of Sydney, said he had never “seen or heard of a reaction to a local anaesthetic”.

“The intralipid is given only when you think you have a toxic problem due to the anaesthetic that you’ve used,” he said.”That’s its specific indication.”

Ms Rickhusssaid she is planning to take legal action against The Cosmetic Institute.

She said that since January, she has been given anaestheticwithout experiencingany adverse reaction.

“I’ve been to a cardiologist andthere is nothing wrong with my heart at all,” she said.

A spokesman forThe Cosmetic Institutesaid thedosage of local anaesthetic given to Ms Rickhusswas within accepted safe dosage limits and the advertised safe range published by its manufacturer.

He said local anaesthetic toxicity in peripheral nerve blocks occurs in onein 1000 patients, according to US anaesthesia authorities.

Asked whether there was any reason other than overdose for Ms Rickhuss’treatment with intralipid, the spokesman said:”We respect the privacy of our patients and do not deal in speculation.

“All of our anaesthetists are specialists of the highest professional standing – fellows of the Australian and New Zealand College of Anaesthetists (FANZCA) – and treat patients according to their qualifications and extensive experience,” the spokesman said.

DavidSegal, who manages The Cosmetic Institute in Bondi and Parramatta, has previously said his clinics haveabout 40 anaesthetists on rotation who alsowork at”Sydney’s most prestigious hospitals”.

Merrilyn Walton, the professor of Medical Education, Patient Safety at the University of Sydney has referred the Rickhuss incident and two others from different clinics to the Health Care Complaints Commission, which she once headed.

One of the three casesinvolving adifferent clinic was treated at St Vincent’s Hospital.

A spokesman forSt Vincent’s Hospitalconfirmedit had recentlyadmitteda cosmetic surgery patientto the hospital’s intensive care unit “due to local anaesthesia toxicity”.

“Owing to patient confidentiality, we are not in a position to go into any more detail,” he said.

Professor Walton and Dr Hore said consumers needto beaware of the risks associated with cosmetic surgery, which is largely unregulated in NSW, and should ask iftheclinics they attendrecord and independently investigate adverse events.

Doctors registered as plastic surgeons undergo at least five years of specialist trainingand arerequired to record adverse events. Cosmetic surgeons are not required to have fullplastic surgery training with the Royal Australasian College of Surgeonsandare not required toreport adverse events.

“The problem for the consumer is it’s an unregulated industry and they have no knowledge of the potential problems that can occur during what they perceive to be a straight-forward procedure,” Dr Horesaid.

NSW Opposition spokesman for Health, Walter Secord, has drafteda private members’ bill to tightenthe definition of “surgeon”.

“Currently, practitioners have free rein to give themselves the title of surgeon, even though they may only have the most basic medical qualification – a Bachelor of Medicine,” MrSecordsaid.

Under Labor’sdraft exposure-consultation bill, only medical practitioners registered in the specialty of surgery after completing extra trainingwouldbe permitted to use the title of “surgeon.”

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Love it or loathe it, work for dole is here

NATURAL BEUATY: The Bomen axe quarry. Picture: Mark Saddler PhotosI ACKNOWLEDGE the traditional custodians of this land –“The Wiradjuri People”.
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This column is dedicated to those who have gone before us, to those presentand to those who will follow us.

The new government program Work for the Dolehas arrived.

Love it or hate it, its here.

Part of my role as NSW NCAP (New Careers Aboriginal People) person is to assist Aboriginal mobs through this program role-out.

The next lot of information is part of the government guidelines for job seekers about what is involved with the Work for the Dole programme.

“Under Work for the Dole you can gain skills and experience that give back to the community and can help you find a job,” it says.

“If you have been registered with a job active provider and on income support for six months or more, you will need to take part in Work for Dole or another approved activity for six months each year.”

So, that is the federal government yarn up about it.

What I’m in the process of doing is putting together meaningful programs that will help our community, but will also be engaging to our mobs.

If you have to do the Work for the Dole program, you might as well learn useful skills at the same time.

I will also try to ensure that extra training is given that will give you valuable skills and tickets so as to give you better assistance that just may help you to get employed.

I will have programs running in Griffith and Wagga areas very soon.

They will involve Aboriginal cultural activities as well as gaining valuable skills to work on country.

The program will also incorporate other skills such as building repairs, fencing, landscaping, car and small engine maintenance and more.

These programs will also involve working on country with Elders andAboriginal community leaders.

I will be on hand as well to help our people learn more about ourWiradjuri culture and heritage.

Although this is a “Work for the Dole” program I will work hard to make it an engaging and culturally fulfilling part of your life that may lead you into employment

All you need to do is contact your Job Active office, advise them that I have programs coming up very shortly, get them to contact me and away we go.

I can be contacted on my email address at [email protected]南京夜网419论坛.

You need to come on board with NSW State Training NCAP program by signing a simple form which then allows you to get access to me and my program and assistance.

All of this is at no charge to Aboriginal or Torres Strait Islander mobs.

For more sharing and learning go to my community Facebook page at 梧桐夜网facebook南京夜网/WiradjuriMob

MARK SADDLERdailyadvertiser南京夜网419论坛This story Administrator ready to work first appeared on Nanjing Night Net.

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Bridge naming submission to honour Gooloogong footballer

Gary Smith’s Gooloogong Cowboys team mates wore white tape around their heads during their game on Sunday to remember their friend. They beat Condobolin 70-12.A quiet man with a huge heart.
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That’s how Garry ‘Desert Fox’ Smith is remembered by his team mates.

The Gooloogong Cowboys player was killed in a car accident on July 18 while returning home from an away game.

Now his fellow footballers are at the forefront of a push to memorialise the number four by naming the new Gooloogong bridge in his honour – and it seems the community is behind them.

An online petition backing a submission to Cowra Council to call it ‘Desert Fox Bridge’ pulled in more than 500 signatures in just two days.

Helping to coordinate the petition is Alicia Ball.

She said they thought it would be a wonderful way to honour his memory.

“It’s our way of remembering him, it’d be lovely for us to do this as tribute to Gaz,” she said.

“He touched so many people, he was such a well-known, well-loved guy and I think people want to show their support for him and his family.”

His coach Matthew Frazer agrees.

“I think it would mean a lot to him and his family,” he said.

“We thought it would be good if every time the players drove over the bridge to go to games they could remember Garry.”

According to the RMS guidelines, names should generally have Aboriginal, historical or geographic relevance and significance to the areas the new structure serves.

Despite this, Mrs Ball said it’s been heartening to see just how many people are supporting their submission.

“Even if the application isn’t successful there’s been some really heartfelt messages and tributes left to Gaz which means a lot as it stands,” she said.

Cowra Shire Council general manager Paul Devery confirmed they have received a submission to name the bridge in honour of Mr Smith.

However, he said a number of other submissions have also been received.

“All submissions received will be forwarded to Council with a brief summary of each proposal,” Mr Devery said.

“Once Council has evaluated these, their view will be forwarded to Roads and Maritime Services for a final decision. RMS criteria for naming bridges and roads is available at Council’s website at: 梧桐夜网cowracouncil南京夜网419论坛/ and Council will be guided by these.”

Naming submissions close July 31.

Submissions can be forwarded to Public Relations, Cowra Council, Private Bag 342, Cowra, NSW 2794, or email:[email protected]论坛.

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