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A survey undertaken by the (SHPA) reveals that hospital orders for medicines necessary to support ventilated beds are not being met. Results from the survey raise concerns that the planned return of elective surgeries will add further pressure to medicines supply, refuting misconceptions that hospitals are 鈥榮tockpiling鈥� medicines during COVID-19.

In releasing findings from its first weekly , SHPA voiced support for the ongoing collaborative effort led by the Therapeutic Goods Administration (TGA) to safeguard the country鈥檚 supply of essential medicines, critical to managing a surge in COVID-19 inpatient cases if it eventuates.

SHPA Chief Executive Kristin Michaels said access to key medicines, including propofol and cisatracurium, have emerged as factors likely to reduce Australia鈥檚 capacity to treat a surge of COVID-19 patients.

鈥淧ropofol is a key medicine used in the intubation of patients who require ventilation. In our snapshot on Friday, 17 April, hospital respondents only had enough propofol to treat patients in less than half the hospital beds they have been asked to set up.

鈥淛ust as Australia was asked to come together and increase ventilated intensive care capacity, SHPA has been working with partners to ensure we have enough medicines to provide care for Australians receiving care in these hospital beds,鈥� she said.

鈥満诹铣怨先和鴖 have reported not having their orders filled for several weeks, with 80% of orders only supplied in part, regardless of hospital size, location or patient cohort, highlighting a supply chain in distress.鈥�

Michaels said the figures question the ability of Australia鈥檚 healthcare system to treat a potential COVID19 surge and the timing of a return to elective surgeries.

鈥淪tocks of these drugs are a tightly guarded secret nationwide and hospitals are poorly informed as to what stock they should expect to receive in coming weeks and months.

鈥満诹铣怨先和鴖 are implementing the national response to COVID-19 鈥� including doubling their intensive care beds in many cases, which requires an increase in medicines to be operationalised 鈥� only to have commercial wholesalers and manufacturers unable to provide access to key medicines.

鈥淲e appreciate medicine wholesalers may have the best intentions, but they are not clinicians and do not have access to the information about pandemic scenarios and hospital service planning and delivery that must guide medicine orders.鈥�

Michaels commented that Australia鈥檚 hospital pharmacists are in lockstep with their colleagues to ensure the country is prepared for any COVID-19 scenario.

鈥淭he rapid preparations we are seeing across the country to ensure the very best care for Australians is not 鈥榮tockpiling鈥�, it is the prudent following of national COVID-19 response plans, ensuring every hospital has enough medicines to operate ventilated beds should demand increase.

鈥淲e need to ensure that, during the ongoing COVID-19 pandemic, every Australian can be assured of access to a fully resourced hospital bed; this means not only the assistance of a ventilator, if they need one, but the full suite of medicines required to treat a COVID-19 patient,鈥� Michaels said.

Image credit: 漏stock.adobe.com/au/Dan Race