7 | Health Services RECOMMENDATION 16: RECOMMENDATION 18: The Department and IHMS should ensure that people detained at the centre have consistent access to clinical staff, including both nursing and medical staff with Emergency Department level competencies and experience. At the very least, if there are periods when this is not possible on site, it should be accessible through telehealth. There should be high level (executive level) liaison on a regular basis between IHMS central office and the WA Country Health Service (Northam Hospital), St John of God (Midland Hospital), and St Johns Ambulance to ensure that there are clear service level agreements and pathways in place. RECOMMENDATION 17: The Department and IHMS should develop retrieval options for emergencies (e.g. trauma) at the centre, in addition to the local St Johns Ambulance service. This should include when rapid access directly to a tertiary Emergency Department in Perth is required. Figure 7: IHMS medical resuscitation bay 40