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12 January 2024

As a result of recent visits, the following gazettal conditions have been placed effective 11 January 2024. This is to address building limitations placing a condition on the use of dual occupancy rooms at Noarlunga and the QEH, and conditions at Birdwood Ward related to the physical condition of the building. It is expected that redesign and renovation will be required at all three sites so that these conditions can be lifted:

Noarlunga Health Services

The determination of Noarlunga Health Services, Alexander Kelly Drive, Noarlunga, as an Approved Treatment Centre will be subject to a temporary condition. Morier Ward, Noarlunga Hospital, may continue to admit voluntary mental health patients and patients subject to Inpatient Treatment Orders with the following conditions that will be in place until 31 December 2025:

• Admission to dual occupancy rooms will be subject to an additional bed allocation procedure that considers the recognised limitations of dual occupancy rooms in acute inpatient mental health care. That procedure will be lodged with the Office of the Chief Psychiatrist. The procedure will describes clinical and other criteria for allocation of dual occupancy rooms, and how these criteria will be monitored. A report will be provided on a 6 monthly basis on the operation of dual occupancy rooms with a first report to be lodged on 1 March 2024.

Admissions to single occupancy rooms can proceed without condition using standard clinical procedures. In issuing this notice the Chief Psychiatrist notes the intent to phase out dual occupancy rooms at Morier Ward.

Queen Elizabeth Hospital

The determination of the Queen Elizabeth Hospital, 28 Woodville Road, Woodville, South Australia, 5011, as an Approved Treatment Centre will be subject to a temporary condition. Cramond Ward, Queen Elizabeth Hospital may continue to admit voluntary mental health patients and patients subject to Inpatient Treatment Orders with the following conditions that will be in place until 31 December 2025:

• Admission to dual occupancy rooms will be subject to an additional bed allocation procedure that considers the recognised limitations of dual occupancy rooms in acute inpatient mental health care. That procedure will be lodged with the Office of the Chief Psychiatrist. The procedure will describes clinical and other criteria for allocation of dual occupancy rooms, and how these criteria will be monitored. A report will be provided on a 6 monthly basis on the operation of dual occupancy rooms with a first report to be lodged on 1 March 2024.

Admissions to single occupancy rooms can proceed without condition using standard clinical procedures. In issuing this notice the Chief Psychiatrist notes the intent to phase out dual occupancy rooms at Cramond Ward.

James Nash House

The determination of James Nash House, 140 Hilltop Drive, Oakden SA 5086, as an Approved Treatment Centre, will be subject to new temporary conditions. All previous conditions issued with respect to the determination of this facility as an Approved Treatment Centre are rescinded.

• James Nash House may continue to admit subacute patients to Birdwood Ward, who are voluntary patients admitted under the Mental Health Act 2009, or who are subject to orders under Part 8A of the Criminal Law Consolidation Act 1935, to Birdwood ward, subject to the following conditions:

• An assessment of patient needs against the physical condition and capability of the unit must occur before admission. Admissions can only be made with the approval of the Head of Unit and the most Senior Clinical Nurse responsible for Birdwood Ward, Forensic Mental Health Service, Division of Mental Health, Northern Adelaide Local Health Network.

James Nash House will provide a three-monthly report to the Office of Chief Psychiatrist, of new admissions, the strategies used to provide care in the context of the physical condition of the ward, and progress in planning for and undertaking renovations to the ward.

James Nash House may no longer admit patients on Inpatient Treatment Orders made under the Mental Health Act 2009, to Birdwood Ward, with the following exception:

• Admissions of patients on Inpatient Treatment Orders can be considered when it is not practicable to transfer a patient to another appropriate forensic mental health unit or to another approved treatment centre. This will require the approval of the Clinical Director and Nursing Director, Forensic Mental Health Service, Division of Mental Health, Northern Adelaide Local Health Network, and in each instance the Chief Psychiatrist shall be notified.