Page 85 - Regional Services Plan 2016/19

Appendix 3: Health services – now and in the future
This section provides an overview of clinical services available currently within the Midland region. It explores trends and pressures and how they impact on services at an overview level. We then provide a more detailed breakdown by major service grouping, providing a picture of services provided currently and an indication of key pressure points for the future on those services specifically.
High level service overview
The DHBs provide a comprehensive range of emergency, acute and elective secondary services, to a varying degree (associated primarily with the size of the district). Waikato DHB serves as the hub for provision of very highly specialised services within the region. The majority of out of region referrals are to Auckland region DHBs, but DHBs also refer to other centres. Table 1 provides an overview of highly specialised referral flows by different DHBs within the region.
Table 1: Current tertiary flows from Midland DHBs
Speciality
Bay of Plenty
Lakes
Tairāwhiti
Taranaki
Waikato
Medical & ICU
Waikato
Cancer treatment
Waikato until
Waikato
Waikato
Waikato
Waikato
Waikato except
elective renal (CMDHB)
Waikato
1/10/14
MidCentral DHB
Waikato
Surgery
Waikato
Waikato
Waikato
CCDHB, Waikato
Waikato
Paediatrics
Auckland except paed surgery (Waikato)
Auckland except paed surgery (Waikato)
Auckland
Auckland
Auckland except paed surgery (Waikato)
Obstetrics & Neonatal
Waikato
Waikato
Waikato
Waikato
Waikato
Mental health
Waikato
Waikato
Capital & Coast
Waikato
Waikato
Major Service groupings – now and in the future
3.1 Major hospital surgical services
Current service availability
A full range of surgical services is available in the Midland region, with the exception of quaternary services (including transplant services) which are provided from Auckland, or in a few cases from Wellington. Each DHB provides 24/7 acute surgical services covering the major specialties: general surgery, orthopaedics, gynaecology and obstetrics. Bay of Plenty provides 24/7 acute surgical services at two sites: Tauranga and Whakatane. In other DHBs the smaller rural hospitals either provide no surgical services or low complexity elective surgery (especially Thames and Taupo) only. Most very highly specialised surgical services, including very highly specialised sub-specialties (such as cardiac surgery, neurosurgery) and higher risk or more complex surgery is provided from Waikato Hospital. These very highly specialised services are generally provided 24/7.
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