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Victorian Hospitals at Breaking Point: Record Patients Overwhelm EDs
24 Oct
Summary
- Victorian emergency departments face record patient numbers daily.
- Elderly patients with complex chronic conditions strain resources.
- A $1.5 billion government plan aims to reduce emergency wait times.

Victorian emergency departments are grappling with a record influx of acutely unwell patients, leading to extensive wait times and straining hospital resources. St. Vincent's Hospital in Melbourne has seen a significant increase in patient numbers compared to the previous year, with staff attending to a wide range of cases including those experiencing psychosis, drug-induced emergencies, and heart failure. The hospital's emergency department director noted a rise in gravely ill older Victorians, some with catastrophic injuries from falls.
Similarly, Austin Hospital is experiencing an "unrelenting" workload, with patient numbers sometimes exceeding those seen during the catastrophic thunderstorm asthma event a decade ago. This surge includes a worrying spike in young people presenting with severe mental distress, alongside a growing number of frail elderly patients requiring complex care. The hospital has become a state geriatric trauma center, admitting the highest number of older patients.
The state's healthcare system is reportedly at a "tipping point," with over half of patients waiting more than four hours for treatment. Paramedics frequently face delays of up to eight hours to offload patients. In response, the state government plans to invest $1.5 billion to expand emergency departments, hire additional health workers, and increase bed capacity, aiming to reduce wait times by 20 percent.
Experts highlight that delays in discharging patients to aged care or disability support services also contribute to hospital bed blockages. St. Vincent's and Austin hospitals have implemented dedicated geriatric assessment teams to facilitate safe patient transfers. Political parties are making health-related pledges ahead of an upcoming election, focusing on funding more beds, hospital upgrades, and increasing staffing levels.