GSLP-Liberals-Manifesto-2019

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In government, we embedded our long-held policy that as many medical services as possible should be provided at home. When a loved one is ill, there is no better place than home, surrounded by caring loved ones, to receive medical care and convalesce. As a result, the Government has secured sufficient funds for the GHA to repatriate as many services as possible to Gibraltar. We ensured that the GHA repatriated many services, such as Vascular Surgery, Renal Replacement (Hemofiltration), Keyhole Bariatric and Colorectal Surgery, Specialist Shoulder and Ankle Surgery, (including replacement shoulders and ankles), Urology and Haematology. We secured the funds for the GHA to recruit numerous health professionals as part of the policy to repatriate clinical services, to further improve the delivery of surgical services in Gibraltar, and to staff key medical areas. Amongst some of the most noteworthy recruitments are: - a breast specialist surgeon to expand and develop breast surgery services; - a vascular surgeon to support the visiting vascular surgery team. Straightforward vascular operations, such as varicose veins, are now carried out at the hospital so that patients will not need to travel abroad; - a dedicated upper limb specialist surgeon to bolster the orthopaedic team; - a lower limb specialist surgeon; - an associate specialist surgeon in orthopaedics with main area of responsibility in the spinal clinic and coordination of the visiting orthopaedic super-specialists in scoliosis, spinal surgery, and paediatric orthopaedics. This measure has reduced the joint replacement waiting list. The GHA has enjoyed four times as many knee and hip replacements since this recruitment; - a urology associate specialist surgeon to add to the urology surgery team, which has resulted in increased numbers and types of urological surgeries carried out in Gibraltar; - a new colorectal surgeon, which introduced a ‘keyhole bowel surgery programme’ for the first time in the GHA, meaning less invasive surgery and shorter hospital stays for patients; and - an upper gastro-intestinal surgeon who provides weight-loss surgery (bariatric surgery), which again is mainly being done via the keyhole approach. The surgeon also provides upper gastrointestinal surgery, which, at the time, was new to the GHA. This has seen new types of keyhole and open stomach, spleen, liver, pancreas, and gall bladder operations being performed in the GHA for the first time. VIDEO CONFERENCING We invested in the introduction of secure video conferencing solutions. The software enables patients and GHA clinicians to engage in consultations with clinicians anywhere in the world very much reducing the need for patients to travel abroad. The new platform allows clinicians to hold discussions with international doctors in a timely and efficient manner. As well as being able to view each other over a video link, the technology enables clinicians at both ends to view and share images, such as X-rays, and other information that can be displayed on their own computer screen. This means that information can be exchanged rapidly in a safe and secure environment. In addition, the software has enabled the GHA’s Human Resources Department to interview prospective candidates who are not based in Gibraltar. BED MANAGEMENT The Government has invested significantly in the health services of our nation to enable the professionalism in the GHA to provide the best possible health care. The Government supported the GHA to further enhance the bed management system. An active bed management strategy was implemented in January 2017 and weekly meetings are held with a multidisciplinary team including a dedicated social worker and provision of packages of care to support vulnerable patients in the community. It must not be forgotten that not a single operation has been cancelled due to the lack of beds since 2017. The former administration certainly thought it was a fool’s errand to even try. The GSD told us when we were in opposition: “What will the Government do to ensure that operations never have to be cancelled due to bed shortages? Answer, “nothing”. There is nothing that the Government can do to ensure that no operation will ever have to be cancelled because of bed shortages. Not in the GHA, not in the UK, not in the NASA Space Centre and not in the Houston Medical Centre. Nowhere.” The GSD, self-evidently, did not even try. It is important to note that no operations have had to be cancelled even during the winter surge that resulted in 500 extra attendances from 22/12/17-27/12/17 as well as increased admissions. Average bed availability was maintained during this critical winter surge period at 32 beds per night on average. We have ensured that the GHA maintained an impressive daily average of 63 available beds at St Bernard’s Hospital in the last year, reaching a record high of 86 available beds on one occasion in April of this year. This represents a profound and remarkable turnaround in bed availability in St Bernard’s Hospital and is one of the Government’s proudest achievements. This has required very hard work and dedication by all members of the GHA, including Elderly Care Services staff, and extends to other agencies, including the Care Agency. INTRODUCTION OF ‘FLAGGING’ SYSTEM NOTIFYING OF ANY SERIOUS MEDICAL CONDITION A new computerised flagging system was introduced at A&E and Primary Care Centre in September 2017 to notify staff of any serious medical condition or disability and of any special assistance required. ADVOCACY COUNCIL FOR HEALTH SERVICE USERS WITH ADDITIONAL NEEDS As part of our objective to improve the patient experience and increase community participation in formal GHA structures, we were extremely pleased to establish the advocacy council for healthcare users with additional needs. DERMATOLOGY 102 ...aspire to the best Gibraltar
We have built on this service to ensure rapid access for all patients with skin conditions by increasing the number of clinics. HPV VACCINATIONS We extended the programme of vaccination against the Human Papilloma Virus (HPV) to adolescent boys following recommendations of the GHA’s Medical Advisory Committee and subsequent advice by the Joint Committee on Vaccination and Immunisation (JCVI) in the UK. The programme to vaccinate adolescent males provides those vaccinated with direct protection against HPV infection and associated diseases. It is estimated that in the UK there are over 1,000 cases of cancer per year affecting men, which could be prevented with the HPV vaccine. NEW STROKE AND REHABILITATION SERVICES We ensured that the GHA introduced substantive and important improvements in the stroke and rehabilitation services at St Bernard’s Hospital. Early detection of a developing stroke is key to successfully treating a stroke. To that end, a 24/7 diagnostic stroke service has been set up at the A&E and Radiology Departments to ensure that a formal diagnostic report is available within an hour of a scan being performed and treatment started once the diagnosis is made. GENERAL MEDICAL COUNCIL REGISTRATION In yet another fulfilled manifesto commitment, we introduced licensing for Gibraltar doctors by the General Medical Council of the UK to maintain the highest standards of medical practice. Among other benefits, the new registration system ensures that, just as in the UK, all Gibraltar doctors undertake an appraisal every year with a trained independent appraiser and must have their licences revalidated every five years. HOSPICE OUTREACH SERVICE We were extremely pleased to announce that we had, in government, entered into an agreement with Cancer Relief Gibraltar for the provision of additional hospice care at home and palliative care support for terminally ill cancer patients. The agreement fulfils yet another key pledge in the Government’s 2015 manifesto. We decided, after careful consideration and consultation, to deliver the care as a Hospice Outreach Service within the community setting, including patients’ homes. There are many benefits to providing hospice care at home: patients and their loved ones may feel more comfortable in a familiar environment, which also facilitates visits from relatives and friends. The Hospice Outreach Service, which is medically led, works together with the GHA’s Palliative Care team, nurses and allied healthcare professionals, using a multi-disciplinary partnership approach. THE LIONEL PEREZ CARDIAC REHABILITATION CENTRE AT ST BERNARD’S HOSPITAL Patients enrolled in the Cardiac Rehabilitation Centre enjoy a new, A team at work for you ...aspire to the best Gibraltar 103
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GSLP Liberals Manifesto 2019 ...asp
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CONTENTS PERSONAL MESSAGE FROM FABI
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Personal message from Fabian Picard
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Our credentials are clear. We have
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this manifesto, a reality because i
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Personal message from Joseph Garcia
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...progress does not just happen by
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let’s talk about...Fabian FABIAN
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new Town Planning Act requires the
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distortions and altered differentia
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(WET) “We will ensure that Gibdoc
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programme will also provide a basis
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LOCATION SHOOTING We will continue
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...aspire to the best Gibraltar 27
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let’s talk about...Joseph JOSEPH
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This has included detailed informat
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INTERNATIONAL RELATIONS THE CONDUCT
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Withdrawal Treaty and was included
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to develop and expand the role of G
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Gibraltar exit the European Union.
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GRAND BATTERY HOUSE We will work wi
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let’s talk about....Sir Joe JOE B
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the two basic resources, namely our
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After 1996, under a GSD Government,
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and adaptation for re-exporting. Al
Page 51 and 52: let’s talk about...Paul PAUL BALB
Page 53 and 54: Moorish Castle/Tankerville Car Park
Page 55 and 56: have continued the policy of chargi
Page 57 and 58: The GSLP Liberals will continue to
Page 59 and 60: vote for the GSLP Liberals 7 Vote f
Page 61 and 62: let’s talk about...John JOHN CORT
Page 63 and 64: • taking policy measures to impro
Page 65 and 66: ALL BEACHES We will improve the lif
Page 67 and 68: The Mount ...an adventure park for
Page 69 and 70: ...and fun zones for all ...aspire
Page 71 and 72: Walk the Wall
Page 74 and 75: A beautiful new green space in the
Page 77 and 78: Turn parking into park...just like
Page 79 and 80: THE GIBRALTAR NATIONAL PARKS ACT In
Page 81 and 82: OLD DIESEL PLANTS DECOMMISSIONED By
Page 84 and 85: 84 ...aspire to the best Gibraltar
Page 90 and 91: end and low-cost, affordable housin
Page 94 and 95: uilt in this period will be St Jose
Page 100 and 101: fact, seeking medical care but simp
Page 104 and 105: modern facility following the addit
Page 108 and 109: extend the ability of dementia pati
Page 110 and 111: THE CARE AGENCY - PLEDGES We are wh
Page 114 and 115: ecent FATF recommendations require
Page 118 and 119: New training facilities for the GFR
Page 120 and 121: New facilities at the University of
Page 122 and 123: Investing in the Upper Rock and tou
Page 124 and 125: for tourism generally and not just
Page 126 and 127: labour market, the Government will
Page 131 and 132: World class sports facilities, at l
Page 133 and 134: Cultural events like never before i
Page 135 and 136: THE ARTS ADVISORY COUNCIL We will s
Page 137 and 138: let’s talk about...Samantha SAMAN
Page 139: BEACH VIEW TERRACES & MONS CALPE ME
Page 142 and 143: New children’s play area at Willi
Page 144 and 145: RGP, the DPP and the Judiciary. We
Page 146 and 147: EQUALITY Our Government has been a
Page 148: vote for the GSLP Liberals 7 Vote f
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