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Surgery

47 documents.

Charity Hospital

Follow up to CDHB 10639:

Part 1: In the post-earthquake environment in Canterbury, the Charity Hospital offered its services to the CDHB, an offer that was declined. Would you please provide copies of CDHB minutes or extracts from those minutes at which this offer/s was discussed both internally and with Charity Hospital representatives and the specific reason/s why the offer/s were declined?

Part 2 (a) Is it the policy of the CDHB to discourage staff from volunteering at the Charity Hospital, instead preferring that they undertake contract work at private fee-charging hospitals? If so, would you please provide me with copies of documents which contain that policy.

Part 2 (b) Is it instead the policy of the CDHB to encourage staff to volunteer at the Charity Hospital and if so on what conditions? Would you please provide me with copies of documents which contain this information?

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Charity Hospital (Christchurch)

With yet more reports appearing in The Press about the crisis that the CDHB is facing in the delivery of public healthcare, apart from surgical procedures being outsourced at considerable cost to the CDHB each year, given that Christchurch has New Zealand's first genuine charity hospital founded by Dr Bagshaw (St George's Hospital is a fee-charging society with charitable purposes while the Charity Hospital does not charge for its services),

  1. what involvement has the CDHB had with the Charity Hospital regarding the use of its facilities and volunteer surgeons? To answer that rhetorical question,
  2. would you please provide me with copies of all communications between the CDHB and the Charity Hospital from 2008 to 2021 regarding how the Charity Hospital might have assisted the CDHB in coping with its inability to provide surgical services.

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Hysterectomies over past 5 years, accepted and declined

Last five years, number of young women under 25 / hysterectomy. How many accepted and how many declined. Criteria for women under 25 to be eligible for hysterectomy.

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Referrals by GP’s for joint replacement surgery

  • Referrals by GP for Joint replacement 2017 and 2020 calendar years etc.
  • Criteria for Joint surgery.
  • Semi urgent referrals from GP to Ears, nose and Throat how many seen by a specialist?

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Colonoscopy data in last five years

Colonoscopies:

  • How many done last year?
  • Of those, how many were outsourced to private providers and how many staff would this workload have required?
  • What was the cost of the outsourced procedures?
  • How many CDHB staff are qualified to do colonoscopies?
  • Any report on staffing requirements for endoscopy services post screening programme roll out.

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Transmasculine surgery

All information and documentation regarding the decision to select patients for transmasculine chest reconstruction surgery from the GP referral pool via a number randomisation technique.

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Labral tear hip surgery

Labral Tear Hip Surgery: Last five years. Number of patients who have requested surgery, age, gender. Number declined (age and gender) reasons declined. Number referred for assessment (age and gender), Number referred elsewhere for surgery (age and gender). Correspondence CDHB and ACC on reasons patients will not be covered by ACC. Total cost for Labral tear hip surgery.

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Transmasculine surgery

Transmasculine chest surgery - follow up to response to CDHB 10555.

  • For transmasculine chest surgery (mastectomy) it was decided in 2019 to provide surgery for five transgender cases per annum.
  • What was the previous number?
  • Why are only five surgeries performed per annum?
  • Are there any plans/policies in place to increase this number to meet the growing demand for gender affirming surgeries?
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Funding for after hours services

Do you provide financial support to Pegasus 24 Hour Surgery to reduce the cost of home visits? If so, why is a similar level of support not provided to Afterhours GP?

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Monitoring and quality of Cardiac services

  • Was the CDHB not monitoring the quality of cardiac services for 2017, 2018, 2019?
    • If they did, can I have the quality reports. /Echo (which is currently the most definitive low cost screening procedure) wait times are not monitored by the CDHB for the last 3 years and no one is looking for correlation between Echo wait times and hospitalisation/death incidents?
  • Again, more formally: Was the CDHB not monitoring the quality of cardiac diagnostic services and the correlation to hospitalisation/death for 2017, 2018, 2019?
    • If they did, can I have the quality reports.
  • Does the CDHB produce quality reports to measure how many people were admitted to ED for heart condition while waiting for a diagnostic/procedure?

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Joint replacement surgery wait list

  • In the past 12 months, what proportion of your DHB patients that were referred to a waiting list by a surgeon, for a joint replacement, were accepted onto the list and got surgery?
  • in 2017 what proportion of your DHB patients that were referred to a waiting list by a surgeon, for a joint replacement, were accepted onto the list and got surgery?
  • Is the DHB able to comment on whether there are enough GPs in the region?

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Transmasculine surgery

  • The average time between acceptance onto the wait list and first appointment for patients referred to and accepted onto the waitlist for transmasculine chest reconstruction (top surgery).
  • The number of publicly funded transmasculine chest reconstruction surgery completed in the last year.
  • How patients are selected from the waitlist for transmasculine chest reconstruction surgery, and how often, i.e. if done by lottery how often is the lottery drawn.
  • The number of referrals for transmasculine chest reconstruction in the last year, and how many were accepted and how many declined.

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Cardiac procedures and wait times

For each cardiac procedure (stent, ECG, Echo, open heart surgery etc), for the years 2018 and 2019 by year, the following information:

  1. Number of procedures done and average wait time for the procedure PERFORMED during the year (not escalated)
  2. Number and average wait time for the procedure PERFORMED during the year (that was escalated)
  3. Number of people that died waiting for a procedure scheduled to be performed during the year (escalated and not escalated separately)
  4. Number of people that required emergency (ED) treatment while waiting for a procedure scheduled to be performed during the year (escalated and not escalated separately)

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Breast reduction surgery

For each of the last four years:

  • How many applications have been made to the CDHB for breast reduction surgery?
  • Of those, how many applications are accepted for first-round referrals?
  • How many surgeries have been undertaken in each of those years?
  • The average wait time for each patient between first application for breast reduction surgery and completion of surgery?
  • The average number of applications a patient is required to undertake before their case progresses past first round referrals?
  • How many patients are currently waitlisted for breast reduction surgery?
  • The average cost to the CDHB for a typical double breast reduction surgery?

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Incidents of equipment not being properly sterilised

  • A detailed breakdown of any and all incidents relating to equipment not being properly sterilised by Canterbury District Health Board and West Coast District Health Board from March 2020.
  • Please clarify if the lack of sterilisation was picked up before or after patient exposure.

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TAVI surgery criteria

Transcatheter Aortic Valve Implantation (TAVI) procedure, surgery criteria, surgery availability.

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Private referrals for hip and knee replacement surgery

Hip and Knee replacements referred by private specialist / referred privately by specialist who also works for DHB / number of private referrals who don't have to undertake an FSA.

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HDC complaints regarding surgical equipment

Number of formal complaints about surgical equipment mistakenly being left behind in patients in the last three years, which went to the Health and Disability Commissioner or resulted in a review of hospital policy.

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Surgery thresholds

Surgery threshold for: Endometriosis laparoscopic surgery, Knee replacement, hip replacement and whether any surgery thresholds have changed in the last five years at your DHB?

Can this include what the threshold change was and for what surgery.

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Waiting list for surgeries

CDHB - Waiting list GP referrals and waiting list for surgery for the following:

  • Knee Replacement
  • Hip Replacement
  • Hysterectomy
  • Bariatric Surgery
  • Breast Reconstruction

Could you please provide the length of time for patients on the waiting list who was referred in the Canterbury region for the following:

  • CT/MRI/PET Scans
  • Colonoscopy

Could you please provide the average wait time for patients being treated with the following cancers:

  • Lung
  • Bowel
  • Prostate
  • Breast
  • Cervical
  • Skin 

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Specialist locums spend in last five-years

DHB spend on locums for medical specialists every year for the past five years. i.e. General surgery, Orthopaedics, Enterology, Gynaecology, Ophthalmology, Urology, Cardiology.

Total locum spend year by year over this period, as well as the total internal staff spent on specialists for the same periods?

What is the size of the population the DHB serves and what is its annual operating budget? It would also be helpful to have explanations for higher (or lower) than usual locum costs for particular periods and whether or not the DHB offers limited services in respective departments.

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Colonoscopies in the last year 2019-2020

  • Colonoscopies: How many done last year?
  • Of those, how many were outsourced to private providers and how many staff would this workload have required?
  • What was the cost of the outsourced procedures?
  • How many CDHB staff are qualified to do colonoscopies?
  • Any report on staffing requirements for endoscopy services post screening programme roll out.

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More informationDownload pdf (400KB)

Colonoscopy waiting lists 2018-2020

Information regarding colonoscopy waiting lists and referrals 2018-2020

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Elective surgery for Māori patients

Does the Board have a policy to prioritise Māori and/or Pasifika patients on elective surgery waiting lists? Pressures of deferred surgery due to COVID-19?

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Breast reconstruction wait list

Sterilisation of equipment

A detailed breakdown of any and all incidents relating to equipment not being properly sterilised by the District Health Board from March 2019.
Please clarify if the lack of sterilisation was picked up before or after patient exposure.

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Referral pathways for DHBs

A copy of each referral pathway for each DHB region in New Zealand.

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Hysterectomy waitlist

Public waitlist for a hysterectomy from first referral from Gynaecological specialist to first hosp appointment in last 12 months.

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Cost of outsourced surgery June 2018 – January 2020

Cost of outsourcing surgery to private theatres from June 2018 to January 2020.

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Grommets, Hips, Knees, Cervical Colposcopy, Colonoscopies, Cataracts, CABG surgery

10249-10254 combined response: Grommets, Hips and Knees, Cervical Colposcopy, Colonoscopies, Cataracts, Coronary artery bypass graft (CABG).

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Guidelines to establish clinical threshold elective surgery

Guidelines information used to establish the clinical threshold for each of the five elective surgeries. Knee, hip, hernia, colonoscopy and laparoscopic cholecystectomy.

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The costs of Breast reconstruction

Breast Reconstruction: The budgeted cost of the clinical codes covering procedures for breast reconstruction: 4553002, 4553900,4554500, 4554501, 4554502

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Information about colonoscopies since 2010-2011

Information regarding fibreoptic colonoscopies to Hepatic Flexure or to Caecum provided since 2010/2011.

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Mastectomies, Lumpectomies, Breast reconstruction surgeries

Number of mastectomies and lumpectomies undertaken in DHB hospitals and contracted out to private provider since 2015. Number of breast reconstruction procedures.

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Wait times for elective procedures

Wait times for five common elective procedures: Knee replacement, Hip replacement, Hernia surgery, colonoscopy, Laparoscopic cholecystectomy for past five years.

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Woman giving birth as a man

In the last three years how many women who have undergone gender affirmation surgery who have given birth as a man after the surgery?

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Hip replacements in the last five years

Number of hip replacements done over the past five years and current forecasting of how many will be done this year?

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People treated for a Thyroglossal Duct Cyst

Number of people diagnosed and treated - Thyroglossal Duct Cyst 2018 and 2019 Year to date.

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Sterilisation equipment failure

Details of incidents relating to equipment not being properly sterilised in 2018 and 2019 to date.

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Page last updated: 1 October 2021

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