In this presentation to the the February 2008 meeting of the Royal Australasian College of Medical Administrators, CPD Chair John Menadue addressed the fundamental structural conflict between clinical and corporate governance in our hospitals and suggested ways we can move towards solutions which achieve both medical and organisational excellence.

The first study on how busy NSW emergency departments are over the Christmas/New Year period has shown that 39 per cent of additional holiday visits are by patients who would normally be seen by a GP.

Rebel health professionals who in desperation have formed a group seeking radical national system reform, are puting forth a scheme that lets the public directly decide how the health dollars available to their communities should be spent.