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Site
When built as the Perth Chest Hospital, the site was initially constructed on the north by Verdun Street, with Thomas Street to the east. Thomas Street provides a route to Subiaco from Nedlands along the western border of King’s Park. Original tram tracks ended along the east side of Thomas Street, however the tram service has since been closed and has been replaced by bus services. The bus services include Metro Bus Co, Parlour Cars, WA Transport and Beam Bus Co. Thomas street is now the entrance to a car park.

The development of QEII MC and SCGH can be categorised into five groups. Storey-heights are indicative of above ground height.

Group 1
When SCGH was built as Perth Chest Hospital (1958), it was constructed as a five storey building laid out in a ‘H’ shape. The major wings of the building faced north and south, with an interconnecting link between the two. The function was ward accommodation but now serves other purposes. The nurses quarters (1959) was the next largest building on QEII MC, a five-storey building build in the shape of a ‘T’. The top of the ‘T’ faces north. The nurses quarters is now used for other purposes. The State X-Ray Building (1961) is a single-storey building located at the north western border. It now serves other purposes. Communications (1971) was built in 1971 adjacent to the former nurses quarters.

Group 2
The School of Nursing (1968) contains FJ Clarke Lecture Theatre (1969) and Medical Library. When The School of Nursing (Q Block) was built, it was to support the hospital based nurse training program. The nurses quarters accommodated staff and trainees until the Anstey House was built were residential services were available. The nursing program changed in the 1980s and became no longer hospital based. Accommodation for nurses was not as necessary. The last cohort of trainee nurses graduated in 1988.

Group 3
Long Term Block (1969), Extended Care Block (1971), State Health Labs (1971), UWA Blocks (1971), Main Plant Rooms (1972), D Block – Psychiatry (1973), B Block Link Building (1975) and F Block – Radiotherapy (1975), E Block (1977).

Group 4
The UWA medical library (1973) is a two-storey building. Anstey House (1974) is a nine-story residential building along the east-west and a single story-building extending north. St John’s Ambulance Building (1985) is a single storey utility building.

Group 5
Lion’s Eye Institute (1998) is a three-storey building along the western perimeter of a courtyard around the entrance to SCGH.

Current Development
As of 2020, $40million will be used to refurbish the emergency department at SCGH and help buy the hospital a new cyclotron machine. $19 million will contribute to the design of the emergency department to minimise overcrowding, and a behavioural assessment centre containing eight beds for behaviourally affected patients to be assessed. Construction is expected to be completed in 2023. $23.3million is to be spent on a new cyclotron machine assisting in increasing radiopharmaceuticals for neurological conditions, cancer and other diseases.

Establishment and History of SCGH
SCGH resides on campus of the Queen Elizabeth II Medical Centre. The QEII MC Medical Centre Trust is an independent statutory authority that is responsible for the control, management and development of the land reserved for medical centre development.



Sir Charles Gairdner Hospital (SCGH) was constructed in 1959 in the Queen Elizabeth II Medical Centre (QEII MC) originally named the Perth Chest Hospital in the City of Nedlands, Perth, Western Australia. SCGH runs along the western border of King’s Park. Prior to hospital development, the site of the QEII MC belonged to Sir George Shenton and was a grazing field for dairy cattle owned by the founder of Browne’s Dairy, Edward Browne. In 1910, the State Government purchased the land and in 1953 75 acres2 were assigned to the development of a medical centre

According to a report of the commissioner for Public Health in 1953, the medical centre development was to function as a hospital and a research facility while assisting in the education of both professionals and prospective professionals of the health industry at the time. In 1961 SCGH officially became a teaching hospital. In 1963, the Perth Chest Hospital was renamed Sir Charles Gairdner Hospital in recognition of the State governor at the time. In 1968 the School of Nursing was built as the Q block which supported the nurse training program at the SCGH.

The development of SCGH has integrated parts of the University of Western Australia campus. A part of the hospital’s teaching core, UWA students and alumni contribute to research and clinical organisations at SCGH. Students enrolled in medicine, dentistry and biomedical sciences learn at the UWA health campus where they have access to medical libraries. Students of dentistry and oral healthcare learn and train on the UWA health care campus at QEII MC closely associated with SCGH.

Research
Sir Charles Gairdner Hospital (SCGH) is the largest public sector hospital in Western Australia. The research at SCGH ranges from clinical trials to laboratory-based discovery science. Research funding comes collaboratively from Sir Charles Gairdner and Osborne Park Health Care Group (SCGOPHCG) and the Charlies Foundation for Research.

During the first 40 years of operation, research contributions included that of Nobel Prize winner Barry Marshall for his recognition that stomach ulcers are not caused by stress, but rather bacteria. It was the first hospital in Australia to treat rheumatoid arthritis patients using bone marrow transplantation and chemotherapy, contributing to its status as Western Australia’s leading cancer centre.

A research precinct is being built next to SCGH. The centre will comprise of research divisions, laboratories, and new facilities for PathWest, new facilities for the Telethon Institute for Child Health Research, a centre for the Western Australian Institute for Medical Research and a centre for neuroscience research. .

SCGH is home to a Centre for Nursing Research. The research facility works alongside Murdoch University, Curtin University and Edit Cowan University, allowing nurses to work alongside academic researches to enhance nursing practice. The framework involves exploring issues in clinical practice and practical research programs to contribute to nursing research.

SCGH has the Australian Inherited Retinal Disease Registry and DNA Bank (AIRDR) on-site. AIRDR analyses the DNA of consenting DNA donors from Australia to understand the cause of Inherited Retinal Disease. The AIRDR resource is available to researchers pursing an interest in the varying causes of Inherited Retinal Disease.

Funding
The Charlies Research Foundation funds and supports research at SCGH and Osbourne Park Hospital. The Charlies Research Foundation provides $750,000 in funding to support research projects by bringing together researchers, patients, donors, staff, sponsors and patients.Funding is favourited to projects and clinical trials that have the highest potential to improve the outcome for patients and the future of healthcare. The Charlies Research Foundation supports young researchers by funding research projects to gather preliminary data in order to gain more funding from peak bodies. From 2015 to 2020, $7,000,000 was raised with over 125 research grants distributed. 645,000 patients have been admitted to SCGH and Osbourne Park Hospital. In 2020, $750,000 has been put towards life-saving medical research, 25 major projects have been funded to save lives. .

Services
SCGH provides comprehensive care in all clinical specialities except for burns, paediatrics, obstetrics and gynaecology on top of social work services.

SCGH is Western Australia’s only Comprehensive Cancer Centre. It involves medical oncology, radiation oncology, haematology and a number of other services, including nutrition and dietetics, social work, Western Australian Youth Cancer Service, oncology service pharmacists and palliative care services and a pain clinic.

Emergency Medicine
In conjunction with the University of Western Australia, SCGH was the first hospital in the southern hemisphere to assign a professor in Emergency Centre making it a recognised centre in Emergency Medicine. Comprehensive care in emergency medicine includes critical care and trauma.

Pathology
SCGH is home to many histopathology subspecialty groups that practice on-site including dermatopathology, gastrointestinal, pancreatobiliary, hepatopathology and respiratory pathology. The histopathology department assists in medical research and clinical diagnosis of patients at SCGH

Liver Transplant and Neurosurgery
SCGH is Western Australia’s primary neurosurgery and liver transplant hospital. Elective neurosurgery and outpatients of neurotrauma surgery are held at SCGH. Liver transplants at SCGH are appointed under the Liver Transplant Unit, making it the treatment centre for the Western Australian Liver Transplant Service.

Education
SCGH began as a teaching hospital and assists in the education of prospective medical professionals. SCGH is home to a Centre for Nursing Education offering a number of services to the nursing staff at SCGH, focusing on career development, education and support in a clinical environment.

The Centre for Nursing Education supports nursing undergraduate programs by facilitating clinical placements within SCGH. A graduate nursing program is offered to Registered and Enrolled Nurses by Sir Charles Gairdner Osborne Park Health Care Group to facilitate a supportive transition from undergraduate study to a clinical setting. Speciality postgraduate nursing programs for staff are available which assist in advanced nursing fields and techniques. Furthermore, a professional development calendar is available throughout the year to provide the opportunity to develop and refresh on skills, or learn new techniques and discover a new healthcare topic.

SCGH partners with The University of Western Australia, Curtin University, the University of Notre Dame and Edith Cowan University in educating health care professionals. There are a number of support systems aimed to support doctors with their workload and their transition from medical school to a clinical environment.

As a hospital recognised in emergency medicine expertise, there is an intradepartmental education program run by Emergency Physicians at SCGH who are interested in medical education. Education programs run to educate medical staff on emergency medicine basics, including ultrasound, toxicology and simulation training.

Other areas of education are imbedded within each medical field. Examples include plastic and reconstructive surgery training programs for surgical trainees, interns and RMO’s, education in med tech services, comprehensive neurosurgery training or registrars and interns, patient treatment information in medical oncology, diabetes education and patient treatment education in medical oncology.

Fellowships
SCGH offers a range of fellowships. A range of scholarships are offered to nursing and midwifery students studying in Western Australia by the Nursing and Midwifery Office. The scholarships are awarded based on areas of high clinical need and requirements in the current work force.

In partnership with the Raine Medical Research Foundation, the Department of Health offers the Clinician Research Fellowship to encourage researchers to maintain some clinical duties while developing their research capability.

Registrar Research Fellowships are available for clinical professionals aiming to pursue a career in both research and clinical work aiming to contribute to the continuous improvements in a sustainable health system.

Volunteering
Volunteer opportunities with SCGH require a commitment of at least four hours per week. Volunteer opportunities include; Buggy service which drives a buggy around QEIIMC delivering patients from the car park to hospital departments, auxiliary positions which operate a lolly trolley and a library trolley that goes around the wards, SolarisCare which is open to qualified therapists, and the voluntary transport service which drives patients to and from hospital appointments.

Charlie's Social Club
The Charlies Social Club serves as a community and way for staff, volunteers and students at SCGH to connect. Weekly health and fitness activities and events are available, along with member benefits including discounts at selected stores and services.

Controversy
In 2014, workers at SCGH cancelled some surgeries, treatments and diagnostic tests and rescheduled after health service workers and the state government failed to reach agreement over a pay increase. Over 500 workers at SCGH stopped work contributing to industrial action after HSUWA refused to accept a 2.75 per cent increase in staff wages, while politicians were offered a 3.8 per cent pay increase and doctors and nurses were offered a 4 per cent pay increase. The strike resulted in the cancellation of 21 scheduled elective surgeries, and also affected Allied Health outpatient services. .

Practicing citations.
Source 1: This source is a government website dedicated to the history of heritage listed land in Western Australia. It can be used in the ‘Establishment and History of SCGH’, ‘Breakthroughs in Research’ and the ‘Services Provided’ sections. It discusses the previous history of the land QEII Medical centre is on and the development SCGH has seen, and its growth of the hospitals commitment to research, teaching and expansion of the services available to patients. This source is both credible and authoritative as it has been published by local government of SCGH to record its local heritage listings and states factual information as opposed to a persuasive argument. It shows neutrality.

Source 2: The contents of this source will be included in the ‘Services Provided’ section. This Government source explores some of the specialty services SCGH has to offer while diving into the diagnostic services for each subspecialty group. Furthermore the technology used in the pathology department is introduced, as well as information regarding how the department integrates with other medical subspecialties and what medical concerns lay within each. The source is both recent and credible having been published by the Department of Health Western Australia, and is authoritative as PathWest which is the leading medical diagnostics company in Western Australia It shares factual on information regarding the basic involvement of medical subspecialties and their relation to human anatomy, physiology and disease. The source demonstrates neutrality.

Source 3: This journal article will be used in the ‘Hospital Support for Staff and Prospective Staff’ section of the Wikipedia page. Hadley discusses the support systems SCGH has implemented to support graduate doctors by highlighting the courses available and associations worked with to see the development of skills required for doctors to see professional and personal development and wellbeing. This source is authoritative as Dr Hadley Markus is a professional in the medical field showing a neutral point of view by providing factual information about what resources are available for doctors to utilise. The article is credible as is published in a journal published by the Australian Medical Association, Western Australian Branch and it shows neutrality.

Source 4: The contents of this journal article will be used in the ‘Hospital Support for Staff and Prospective Staff’ as well as the ‘Services Provided’ sections. The article provides insight into the role of a medical emergency department and the structure of how it is run. The structure of how it is run demonstrates what support is available to emergency department nurses, and also the roles of the clinical coaches in seeing this through. The source is peer-reviewed and shows neutrality. The article is published the Australian Nursing and Midwifery Federation, and is a professional and trade union nursing journal.

Source 5: This source will be used in the sections ‘Establishment and History of SCGH’, ‘Breakthroughs in Research’ and also the ‘Services Provided’ sections. It recalls the history and development of SCGH as a teaching hospital over its first 40 years. It discusses some of the notable breakthroughs in research and successful treatments for numerous diseases in a factual manner. It touches on which services available at SCGH have contributed to the advancement in medicine The Source shows neutrality by recounting the anniversary in a non-bias way showing neutrality. It is credible as it is published by a high-quality Australian media organisation.