Mind the Gap: Accessibility, communication and patient wellbeing

This Grand Round highlights the experience of people with disability in healthcare. Drawing on her own journey and patient stories, Hannah explores the barriers created by inaccessible communication and bias, and the impact these have on wellbeing.

Behaviours of concern: An innovative wraparound approach

Children with developmental disabilities often present to hospital with behaviours of concern, creating complex challenges for emergency departments, inpatient units, and community teams. These behavioural crises can be distressing for patients, families and staff, and can strain hospital resources – yet they also offer powerful opportunities for system change.

The state of global child health in 2025

Professor Kim Mulholland will draw on four decades of working with the World Health Organization, and discuss the state of global health for children, and where it may go in the future.

Vernon Collins Oration — Digital Dynamite: Technology is blowing up healthcare as we know it.

In this talk, Mike will look back at transformative digital changes of the past 10 years, explores what’s on the horizon, and considers how we might help shape the future of healthcare technology to benefit both patients and the people looking after them. Along the way, he’ll ask how our roles as clinicians might need to evolve in the new digital world. 

Responding to challenging parental behaviour: An ethics perspective

In this Grand Rounds, we bring an ethical lens to the issue of how to respond to aggressive behaviour by parents towards staff.  This is an issue that is receiving growing attention in the community, and within the hospital from a range of perspectives. Thinking about this issue in ethical terms brings to the forefront the potentially competing values that are stake and helps to explain why these decisions are complex and nuanced. We will consider some case scenarios, offer some practical suggestions to assist decision-making and have plenty of time for discussion.

The Comfort Promise: We do everything possible to prevent and treat pain. For Every Child. Every Time.

Data show that in both high-income and low-medium income countries, needle pain is consistently rated among the most painful and least well-managed medical experiences for children. According to the U.S. Centers for Disease Control and Prevention, as many as 2 in 3 children and 1 in 4 adults suffer from a strong fear of needles. This fear, often rooted in negative experiences during childhood, leads to healthcare avoidance behaviours and is the leading reason for immunisation non-compliance.

Adaptive platform trials for rare disease populations

BANDICOOT is an international adaptive platform trial (APT) designed to identify effective therapies that improve health outcomes for critically ill children receiving a haematopoetic stem cell transplant (HCT). Building
on extensive engagement with patients, their parents, and clinicians, we will launch 3 trial domains focused on exercise, nutritional supplementation, and the gut microbiome

To prevent the unpredictable

Mental health risk assessments have always been a challenge, even for the most experienced clinicians. Risk assessment involves understanding not just the severity of the reported symptoms but the underlying motivations and the psychosocial circumstances. 

NAIDOC Week — The Next Generation: Strength, Vision, and Legacy

This year’s NAIDOC theme is The Next Generation: Strength, Vision, and Legacy. Drawing on these words, Commissioner Meena Singh will discuss her work at the Commission for Children and Young People, the importance of hearing and acting upon the voices of Aboriginal children and young people, and how ensuring their safety, and supporting their growth, means we are investing in our future.