13 July 2022
Emma Vitz
Email
: [FYI request #19607 email]
Tēnā koe Emma
Your Official Information Act Request – Outsourcing Elective Surgeries
We refer to your Official Information Act request dated 7 June 2022 which was transferred to us by the
Ministry of Health on 15 June 2022.
Request
I would like to request the fol owing information for each of the DHBs in New Zealand, split by DHB.
1.
The total number of procedures outsourced by year (including the year to date) for the past five
years.
2.
For each year, provide a breakdown of the type of procedure.
3.
For each year, provide the total spend on outsourced elective surgeries.
4.
For each year, provide the amount that these surgeries would have cost the DHBs if they had not
been outsourced.
Response
1.
The total number of procedures outsourced by year (including the year to date) for the past five
years.
2.
For each year, provide a breakdown of the type of procedure.
Outsourced Elective Surgery Procedures
Service
Procedure Category
2017/18 2018/19 2019/20 2020/21 2021/22
YTD May
Anaesthesia
Epidural
-
-
-
-
38
Dental
Teeth Removal
-
-
-
-
23
ENT
Tonsillectomy
-
-
-
66
42
General Surgery
Breast Surgery
-
-
19
-
-
Cholecystectomy
-
-
-
48
31
Excise Cyst
-
-
-
1
-
General Surgery Other
-
8
6
1
-
Gynaecology Procedure
-
-
1
-
-
Haemorrhoid Procedure
-
-
-
3
-
Hernia Repair
25
22
13
92
77
Lymphatic Surgery
-
-
5
-
-
Skin Lesion Removal
-
-
4
-
-
Thyroidectomy
2
4
-
11
16
Gynaecology
Gynaecology Procedure
-
-
8
2
6
Opthalmology
Canthoplasty
1
-
-
3
2
Cataract Procedure
798
865
833
856
777
Conjuncitva Procedure
10
12
6
17
19
Cornea Procedure
9
8
15
29
27
Correction of Ectropion
23
24
23
30
26
Correction of Ptosis of
8
9
4
3
3
Eyelid
Outsourced Elective Surgery Procedures
Service
Procedure Category
2017/18 2018/19 2019/20 2020/21 2021/22
YTD May
Enucleation of Eyeball
3
2
6
5
3
Excision of Pterygium
36
33
36
27
31
Extraction of Crystalline
8
1
14
19
18
Lens
Eyelash Procedure
10
11
11
16
19
Eyelid Procedure
70
44
35
55
45
Intraocular Lens Procedure
7
7
3
8
2
Keratectomy
6
6
3
5
5
Lacrimal Procedure
9
7
8
6
5
Opthalmology-Other
65
67
82
91
79
Removal of Vitreous
79
88
95
131
110
Repair Eyelid
3
4
6
8
1
Repair Retinal Detachment
33
20
18
7
4
Retinal Photography
-
1
1
-
-
Scleral Fistulisation
2
1
6
2
2
Procedure
Strabismus Procedure
12
2
22
23
18
Subconjunctival injection
4
16
12
7
15
Tarsal Procedure
8
7
4
6
7
Trabeculectomy
11
7
10
6
17
Orthopaedic
Arthroplasty Ankle
8
7
-
7
8
Arthroplasty Hip
70
82
87
150
120
Arthroplasty Knee
75
84
60
130
133
Arthroplasty Shoulder
-
-
-
21
10
Carpal Tunnel Release
35
-
-
-
76
Joint Surgery
-
1
1
6
5
Spinal Procedure
-
-
-
1
29
Plastic Surgery
Breast Surgery
-
-
-
2
3
Excise Cyst
-
-
-
-
1
Excise Skin Lesions
-
-
4
2
9
Plastic Other
-
-
-
5
3
Vascular Surgery Insertion of Vascular
-
-
3
-
-
Device
Total
1,430
1,450
1,464
1,908
1,865
Notes
1. Procedure count above includes elective only, outsourced surgeries funded by the DHB;
2. Excludes ambulatory activity and diagnostic procedures;
3. Financial years cover 1 July to 30 June;
4. 2021/2022 YTD 31 May.
3.
For each year, provide the total spend on outsourced elective surgeries.
This information is not available as:
(a) Pursuant to clause 18(f) of the Official Information Act the BOPDHB is declining release of this
information on the grounds that to provide the information would require substantial col ation.
This information is not held in an easily retrievable electronic data system. To provide this
information would require going through the data manually which would take a substantial
amount of time and resource. Ambulatory or diagnostic costs cannot be extracted from total
spend figures.
4.
For each year, provide the amount that these surgeries would have cost the DHBs if they had not
been outsourced.
Surgical Procedure Expenditure Based on Hospital Delivery
Service
2017/18
2018/19
2019/20
2020/21
2021/22YTD
May
Anaesthesia
$-
$-
$-
$-
$120,108
Dental
$-
$-
$-
$-
$78,713
ENT
$-
$-
$-
$194,097
$144,066
General Surgery
$125,418
$189,507
$345,150
$1,019,558
$929,354
Gynaecology
$-
$-
$31,562
$13,177
$20,791
Opthalmology
$3,151,994
$3,039,749
$3,475,734
$4,018,639
$4,296,849
Orthopaedic
$2,545,063
$2,860,782
$2,383,894
$5,472,639
$5,932,022
Plastic Surgery
$-
$-
$15,092
$60,893
$64,475
Vascular Surgery
$-
$-
$5,128
$-
$-
Total
$5,822,474
$6,090,038
$6,256,560
$10,779,002
$11,586,378
Notes
1. Dollars above represent elective only, outsourced surgeries funded by the DHB, converted to
hospital price;
2. Excludes ambulatory activity and diagnostic procedures;
3. Financial Years cover 1 July to 30 June;
4. 2021/2022 YTD 31 May.
If you have any questions, you can contact us at
[email address]
If you are not happy with this response, you have the right to make a complaint to the Ombudsman.
Information about how to do this is available at
www.ombudsman.parliament.nz or by phoning 0800 802
602.
As this information may be of interest to other members of the public, Hauora a Toi Bay of Plenty may
proactively release a copy of this response on our website. Al requester data, including your name and
contact details, wil be removed prior to release. The released response will be made available here
Official
Information Act | Te Whatu Ora | Health New Zealand | Hauora a Toi Bay of Plenty (bopdhb.health.nz)
Nāku iti noa, nā
Debbie Brown
Senior Advisor Governance and Quality
Bay of Plenty District
TeWhatuOra.govt.nz
PO Box 12024, Tauranga, 3144
Waea pūkoro: +64 7 579 8990