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Resolution on the Medical Care of Children
at St Luke's Hospital

The Extraordinary General Meeting of the Maltese Paediatric Association convened on May the 18th 2006 resolves by a unanimous vote the following:

A. The Maltese Paediatric Association is greatly concerned about the standards of medical care and patient safety that can be provided by a single senior registrar on site during on-duty hours in the Department of Paediatrics of St. Luke’s Hospital and notes that:

1. There is a serious and chronic shortage of Senior Registrars providing emergency cover at the Special Care Baby Unit, Labour Ward, Nursery, Paediatric Wards and the Emergency Department.

2. The Senior Registrar on-duty is being compelled to work under conditions of unacceptable physical and mental stress, without provisions for a compensatory adequate rest period and rest break which are sufficiently long to ensure that no injury is caused to oneself or to the patients.

3. The Neonatal and Paediatric Intensive Care Unit (SCBU) continues to be staffed by only one paediatrician for periods extending from 17 to 24 hours uninterruptedly despite the vastly increasing (i) complexity and standards of medical care; (ii) patient expectations; and (iii) difficulties presented by recurrent medical equipment failure.

4. The Director General of Health has been notified about these concerns in a letter dated 8th March 2006 signed by all the Paediatric Consultants and Senior Registrars, to which letter no acknowledgement has been received to date.

B. The Maltese Paediatric Association calls upon the Minister of Health, Director General of Health and the Chairman of Paediatrics:

1. To increase the complement of paediatricians without delay in order to provide uninterrupted on-site cover for the SCBU whilst enabling the paediatricians to safely attend to other emergencies in the Hospital.

2. To ensure that all doctors on-duty are allowed compensatory rest so as to safeguard their health and safety and that of their patients.

3. To prevent further losses of highly trained paediatricians resulting from resignation of their various posts as a consequence of their appalling and rapidly deteriorating work conditions

4. To increase substantially the staff complement of the Department of Paediatrics.

18th May 2006

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