Elective Surgery - Bureau of Health Information · 2012-07-31 · 2 HOSPITAL QUARTERLY: Elective...
Transcript of Elective Surgery - Bureau of Health Information · 2012-07-31 · 2 HOSPITAL QUARTERLY: Elective...
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 1
Elective, or planned, surgery is surgery that
a patient’s doctor considers necessary but
that can be delayed by at least 24 hours.
Hip replacement, cataract extraction and ligament
repairs are examples of elective surgery.
Compared with the same time one year ago, more
elective surgery was conducted in NSW (up 1%).
Less surgery was performed in the urgent category
(down 2%), although semi-urgent and non-urgent
surgery increased by 5% and 3% respectively.
Staged surgery decreased by 9% compared with
the same quarter last year.
Most patients (92%) continued to receive their
surgery on time. Compared to the same quarter
one year ago, the percentage of non-urgent
Elective SurgeryHospital Quarterly: Performance of NSW public hospitals
July to September 2011
From July to September 2011 ... Same period last year ... The difference ...
55,400 elective surgical procedures were performed 54,629 procedures +771 (+1%)
3,866 of these procedures were ‘staged procedures’ (including non-urgent cystoscopies)
4,236 procedures -370 (-9%)
The percentage of elective surgery patients treated on time was 92% 91% 1 percentage point increase
The percentage of urgent procedures treated on time was 93% 92% 1 percentage point increase
The percentage of semi-urgent procedures treated on time was 90% 90% unchanged
The percentage of non-urgent procedures treated on time was 92% 90% 2 percentage point increase
The median* waiting time for non-urgent surgery was 212 days 203 days +9 days (+4%)
patients receiving surgery on time improved,
up two percentage points. The percentage
of urgent and semi-urgent patients receiving
surgery on time remained largely unchanged.
The median* waiting times have changed little
since the same quarter in 2010 for patients
needing urgent and semi-urgent surgical
procedures (11 and 47 days respectively).
The waiting time for non-urgent procedures
was 212 days, up by 9 days when compared
with the same quarter last year.
This is one of three Hospital Quarterly modules.
For the Emergency Departments and Admitted
Patients modules visit www.bhi.nsw.gov.au
* Median waiting time: time for half of all patients to receive treatment. Excludes staged procedures and non-urgent cystoscopy.
2 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
If a person and their surgeon believe surgery is
required but can be delayed by at least 24 hours,
the patient is ‘referred’ for their procedure and
placed on a waiting list.
At the time of referral, a patient’s surgeon
assigns them to one of three urgency categories.
Each category has its own target, which specifies
the desired maximum time (in days) the patient
should wait for their procedure. These are
outlined in the box below:
Urgency categories: Elective surgery guidelines
Category 1Urgent
Admission within 30 days desirable for a condition that hasthe potential to deteriorate quicklyand become an emergency
Category 2Semi-urgent
Admission within 90 days desirable for a condition not likely to deteriorate quickly
Category 3Non-urgent
Admission within 365 days acceptable for a condition unlikely to deteriorate quickly
Explaining staged procedures
There are times when surgery is deemed
necessary but should not, or cannot, take
place until a clinically appropriate time interval
has passed. This is called staged surgery and
is an essential concept in managing elective
surgery. It allows surgeons to place patients on
the surgery booking system but prevents them
from being admitted to hospital before it is
clinically appropriate.
Surgeons use clinical judgement to decide
whether a procedure should be categorised
as staged or not.
Examples of staged procedures include: waiting
for a broken bone to heal before removing pins
or plates; the time needed for hormone therapy
to work before egg harvesting takes place during
in-vitro fertilisation (IVF); and certain invasive
diagnostic procedures (such as cystoscopy) that
sometimes need to be conducted at set intervals.
Differences across hospitals
Because patients cannot, or should not, have
their staged procedure before the prescribed
date, they are not considered to be ‘waiting
for care’ unless they wait beyond that date.
For this reason, the Bureau has excluded staged
procedures from on-time surgery performance
and median waiting time in this report.
In addition, there are differences in how hospitals
manage cystoscopy procedures in the booking
systems. Because including these patients may
result in unfair or inequitable comparisons, the
Bureau also excludes all non-urgent cystoscopy
procedures from performance measures.
The Bureau is committed to providing clarity on
surgical waiting times in NSW. Further detail on
our methods can be found in the addendum
Technical Supplement: Elective surgery measures,
January to March 2011 available on the Bureau’s
website at www.bhi.nsw.gov.au
Our approach to elective surgery reporting
See the Appendices section of this
report (pages 8 to 19) for more detailed
performance information about each
public hospital providing elective surgery
in NSW. This includes Hawkesbury
Private Hospital, which is contracted
to supply surgery for public patients.
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 3
falls sharply across all urgency categories in
December and, to a greater extent, January,
and peaks during the July to September quarter.
The results presented in this section and in
Figure 1 exclude staged patients and
non-urgent cystoscopy, unless otherwise stated.
Urgent surgery (category 1): There were
13,493 procedures completed, compared with
13,835 at the same time in 2010 (down 2%).
Urgent procedures made up 24% of all
completed elective surgery.
During July to September 2011, the Waiting List
Collection On-line System (WLCOS) recorded
that 55,400 elective surgery procedures were
completed in NSW public hospitals or facilities
contracted by NSW hospitals. This is 6% higher
than the 52,085 conducted in the previous
quarter (in line with the usual seasonal pattern)
but up 1% from the 54,629 surgical procedures
completed in the same quarter last year (Figure 1).
Each year, there is a strong seasonal effect
on the number of elective surgery procedures
performed in NSW. The number of procedures
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.3. Including non-urgent cystoscopy.Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ
from those reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports published prior to May 2011.
Source: Waiting List Collection On-line System, NSW Health. Data extracted for the five quarters from July to September 2010 until July to September 2011 on 17 October 2011. Data extracted for all previous quarters on 15 July 2011.
Jul-Sep2009
Oct-Dec2009
Jan-Mar2010
Apr-Jun2010
Jul-Sep2010
Oct-Dec2010
Jan-Mar2011
Apr-Jun2011
Jul-Sep2011
All categories 51,148 48,134 45,603 53,064 54,629 50,810 46,488 52,085 55,400
Urgent1 13,654 12,934 11,379 13,013 13,835 13,304 11,432 12,577 13,493
Semi-urgent1 14,977 14,217 13,586 15,594 16,531 15,564 13,912 15,942 17,350
Non-urgent2 18,024 16,716 16,792 20,211 20,027 17,861 17,601 19,696 20,691
Staged procedures3 4,493 4,267 3,846 4,246 4,236 4,081 3,543 3,870 3,866
Figure 1: Total number of elective surgery procedures conducted, by urgency category, July 2009 to September 2011
0
5,000
10,000
15,000
20,000
25,000
Urgent11 Semi-urgent12 Non-urgent23 Staged procedures3
2009 2010 20112009 2010 20112009 2010 20112009 2010 2011
Number of elective surgery procedures performed
4 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
Semi-urgent surgery (category 2): There were
17,350 semi-urgent procedures completed,
compared with 16,531 in the same quarter of
2010 (an increase of 5%). Semi-urgent procedures
made up 31% of all completed elective surgery.
Non-urgent surgery (category 3): There were
20,691 procedures completed, compared with
20,027 in 2010 (an increase of 3%). Non-urgent
procedures made up 37% of all completed
elective surgery.
Staged surgery: There were 3,866 procedures,
compared with 4,236 in 2010 (a decrease of 9%).
Staged procedures made up 7% of all completed
elective surgery.
Num
ber
of p
atie
nts
Urgent11 Semi-urgent12 Non-urgent2 3 Staged procedures3
0
1,000
2,000
3,000
5,000
4,000
6,000
7,000
8,000
2007 2008 2009 2010 2011
Figure 2: Patients who received elective surgery, by urgency category, by month, January 2007 to September 2011
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. 3. Including non-urgent cystoscopy.Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ
from those reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports published prior to May 2011.
Source: Waiting List Collection On-line System, NSW Health. Data extracted for the five quarters from July to September 2010 until July to September 2011 on 17 October 2011. Data extracted for all previous quarters on 15 July 2011.
Change over five years
The composition of surgical procedures
completed by urgency category has changed
greatly over the past five years (Figure 2).
Most of this shift in surgical composition
occurred during 2008 and early 2009.
Comparing the proportion that each surgical
category makes up of all completed procedures,
urgent surgery has decreased from comprising
33% of all surgical procedures in August 2006
to 25% in August 2011 (a decrease of 23% in the
number of completed urgent procedures).
Over the same period, non-urgent procedures
have increased from 29% of all surgical
procedures to 37% (an increase of 31% in the
number of completed non-urgent procedures).
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 5
In the July to September 2011 quarter, 92% of all
patients who were admitted to a public hospital
for elective surgery were admitted within the time
frame recommended by their surgeon (Figure 3),
unchanged from the preceding quarter.
A slight increase is evident when comparing this
quarter with the same quarter in 2010, up one
percentage point from 91%.
Figure 3 presents the percentage of patients
in each surgical category who received their
surgery on time for the most recent nine quarters.
These results exclude staged patients and
non-urgent cystoscopy procedures.
Patients admitted on time for elective surgery
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ
from those reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports published prior to May 2011.
Source: Waiting List Collection On-line System, NSW Health. Data extracted for the five quarters from July to September 2010 until July to September 2011 on 17 October 2011. Data extracted for all previous quarters on 15 July 2011.
Figure 3: Percentage of elective surgery patients treated within recommended waiting time, by urgency category, July 2009 to September 2011
2009 2010 20112009 2010 20112009 2010 20110%
20%
40%
60%
80%
100%
Urgent11 Semi-urgent12 Non-urgent23
Jul-Sep2009
Oct-Dec2009
Jan-Mar2010
Apr-Jun2010
Jul-Sep2010
Oct-Dec2010
Jan-Mar2011
Apr-Jun2011
Jul-Sep2011
All categories 89% 88% 86% 87% 91% 91% 90% 92% 92%
Urgent1 91% 93% 93% 91% 92% 93% 92% 93% 93%
Semi-urgent1 86% 84% 80% 86% 90% 90% 87% 91% 90%
Non-urgent2 91% 88% 87% 85% 90% 91% 92% 92% 92%
Urgent surgery: 93% of patients were admitted
within the recommended 30 days, a result largely
unchanged over the past two years.
Semi-urgent surgery: 90% of patients were
admitted within 90 days. This is similar to the
preceding quarter (91%), and the July to September
quarter in 2010 (90%) but higher than the
2009 quarter (86%).
Non-urgent surgery: 92% of patients were
admitted within 365 days, similar to the
last quarter (92%) and the July to September
quarter in 2010 (90%), and 2009 (91%).
6 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
Median wait time is the number of days it took
for half the patients admitted for surgery during
July to September 2011 to receive their surgery.
The other half took longer than the median.
Figure 4 presents the median waiting time
to be admitted for surgery for the current
quarter and the eight quarters prior to this.
These results exclude staged patients and
non-urgent cystoscopy procedures.
Urgent surgery: The median wait was 11 days
– largely unchanged over the past two years,
when the median wait time ranged from
nine to 11 days.
Median waiting times for elective surgery
Semi-urgent surgery: The median wait time
for this category was 47 days – similar to the
preceding two years.
Non-urgent surgery: The median wait time for
this category was 212 days, nine days more than
the same quarter in 2010 (203 days).
In part due to the longer wait times, non-urgent
median waiting times appear as the most volatile
of the three urgency categories. Over the past
nine quarters, non-urgent procedure wait times have
increased from 162 days in July to September 2009,
peaking at 231 days in April to June 2010 before
falling to 212 days this quarter.
Figure 4: NSW elective surgery median waiting time (days), by urgency category, July 2009 to September 2011
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. Note: Patients recorded as ‘deferred’ when they received their surgery are allocated to ‘ready for care’ urgency categories
as appropriate. Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ
from those reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports published prior to May 2011.
Source: Waiting List Collection On-line System, NSW Health. Data extracted for the five quarters from July to September 2010 until July to September 2011 on 17 October 2011. Data extracted for all previous quarters on 15 July 2011.
Urgent11 Semi-urgent12 Non-urgent23
0
50
100
150
200
250
Med
ian
wai
ting
time
(day
s)
2009 2010 20112009 2010 20112009 2010 2011
Jul-Sep2009
Oct-Dec2009
Jan-Mar2010
Apr-Jun2010
Jul-Sep2010
Oct-Dec2010
Jan-Mar2011
Apr-Jun2011
Jul-Sep2011
Urgent1 10 10 9 11 10 11 11 11 11
Semi-urgent1 46 47 54 49 48 46 50 48 47
Non-urgent2 162 183 207 231 203 205 217 221 212
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 7
Cumulative wait time
Greater detail on how long people waited
to be admitted for their elective surgery during
July to September 2011 is presented in Figure 5.
The graph’s slope indicates the rate at which
patients were admitted for surgery. A steep slope
indicates a high rate of completion of patients’
surgery over the period shown. A flat slope
shows a lower rate of completion of patients’
surgery over the period.
Urgent patients have the most rapid rate of
admission and almost all patients are admitted
for surgery within 45 days. Non-urgent patients
are admitted at a slower rate with almost all
patients admitted within 420 days.
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. Note: Excludes the total number of days the patient was coded as ‘not ready for care’.Source: Waiting List Collection On-line System, NSW Health. Data extracted on 17 October 2011.
Figure 5: Cumulative percentage of patients who received elective surgery, by waiting time (days), July to September 2011
Pat
ient
s w
hore
ceiv
ed s
urge
ry (%
)
0
20
40
60
80
10090th percentile
Median
Days on waiting list1
0 30 60 90 120 150 180 210 240 270 300 330 360 390 420
Urgent1 Semi-urgent1 Non-urgent2
Small number suppression
Some hospitals conduct few surgical procedures. Small numbers in any urgency group need to
be treated cautiously to protect patients’ identity. The Bureau suppresses information based on
very few patients. If there are fewer than 10 patients in any group, patient numbers or percentages
are replaced by a symbol, which refers to footnotes about small number suppression. The Bureau
may use its discretion to suppress the next smallest values, or results for an entire hospital with
few patients, if there is a risk of disclosing patient identities. Because the staged procedure
category is excluded from performance measure calculations, low counts in this group are not
automatically suppressed (Appendix table 1).
8 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
The following table presents the number
of elective surgery admissions, by urgency
category, for major hospitals in NSW.
The table is ordered by local health district
and includes all principal referral, paediatric
specialist, ungrouped acute – tertiary referral,
major metropolitan, major non-metropolitan,
and district groups 1 and 2 hospitals that
conduct elective surgery. These hospitals
account for 98% of all elective surgery recorded
as complete in the NSW booking system.
Surgery information from smaller hospitals is
presented for each local health district under
the ‘other’ category.
Number of elective surgical procedures
All categories Urgent1 Semi-urgent1 Non-urgent2 Staged procedures3
New South WalesTotal New South Wales 55,400 13,493 17,350 20,691 3,866
Central Coast Local Health District (CCLHD)Gosford Hospital 1,712 345 540 618 209
Wyong Hospital 979 121 369 444 45
Total CCLHD 2,691 466 909 1,062 254
Far West Local Health District (FWLHD)Broken Hill Base Hospital 323 53 124 118 28
Total FWLHD 323 53 124 118 28
Hunter New England Local Health District (HNELHD)Armidale and New England Hospital 312 39 155 110 8
Belmont Hospital 610 112 228 235 35
Calvary Mater Newcastle 269 154 94 16 5
Cessnock District Hospital 372 77 188 94 13
Gunnedah District Hospital 101 27 33 41 0
Inverell District Hospital 70 13 39 18 0
John Hunter Hospital 2,337 812 656 744 125
Kurri Kurri District Hospital 431 52 99 276 4
Maitland Hospital 760 145 294 294 27
Manning Base Hospital 670 110 196 325 39
Moree District Hospital 88 * 28 54 *
Muswellbrook District Hospital 127 10 41 76 0
Narrabri District Hospital 97 49 41 * *
Singleton District Hospital 157 21 50 84 2
Tamworth Base Hospital 916 182 327 333 74
Other HNELHD 164 24 57 83 0
Total HNELHD 7,481 1,827 2,526 2,783 332
Appendix table 1: NSW elective surgery activity, by hospital and local health district, July to September 2011
Appendix: Activity and performance data tables at hospital and local health district level
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 9
Number of elective surgical procedures
All categories Urgent1 Semi-urgent1 Non-urgent2 Staged procedures3
Illawarra Shoalhaven Local Health District (ISLHD)Bulli District Hospital 133 34 14 84 1
Milton and Ulladulla Hospital 22 * * * *
Shellharbour Hospital 782 99 202 480 1
Shoalhaven and District Memorial Hospital 850 143 186 469 52
Wollongong Hospital 1,209 372 206 274 357
Total ISLHD 2,996 648 608 1,307 411
Mid North Coast Local Health District (MNCLHD)Bellinger River District Hospital 46 * 12 28 *
Coffs Harbour Base Hospital 997 169 277 431 120
Kempsey Hospital 247 * 30 207 *
Macksville District Hospital 85 * 14 62 *
Port Macquarie Base Hospital 795 216 276 241 62
Other MNCLHD 219 26 75 80 38
Total MNCLHD 2,389 411 684 1,049 220
Murrumbidgee Local Health District (MLHD)Deniliquin Health Service 90 26 43 21 0
Griffith Base Hospital 254 80 78 79 17
Tumut Health Service 57 * 22 28 *
Wagga Wagga Base Hospital 1,126 290 352 459 25
Young Health Service 83 * 26 * 32
Other MLHD 120 28 41 51 0
Total MLHD 1,730 424 562 630 74
Nepean Blue Mountains Local Health District (NBMLHD)Blue Mountains District Anzac Memorial Hospital 93 10 40 42 1
Hawkesbury District Health Service 253 77 66 88 22
Lithgow Health Service 152 13 54 80 5
Nepean Hospital 1,406 462 431 482 31
Other NBMLHD 245 * 79 145 *
Total NBMLHD 2,149 562 670 837 59
Northern NSW Local Health District (NNSWLHD)Ballina District Hospital 169 40 78 42 9
Casino and District Memorial Hospital 241 32 78 120 11
Grafton Base Hospital 561 209 182 145 25
Lismore Base Hospital 1,216 369 383 371 93
Maclean District Hospital 11 * * * *
Murwillumbah District Hospital 395 38 90 197 70
The Tweed Hospital 835 264 208 238 125
Total NNSWLHD 3,428 952 1,019 1,113 333
10 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
Number of elective surgical procedures
All categories Urgent1 Semi-urgent1 Non-urgent2 Staged procedures3
Northern Sydney Local Health District (NSLHD)Hornsby and Ku-Ring-Gai Hospital 616 105 176 295 40
Manly District Hospital 264 75 108 73 8
Mona Vale and District Hospital 352 45 71 203 33
Royal North Shore Hospital 1,568 440 474 578 76
Ryde Hospital 402 46 146 198 12
Total NSLHD 3,202 711 975 1,347 169
South Eastern Sydney Local Health District (SESLHD)Prince of Wales Hospital 1,504 416 692 378 18
Royal Hospital for Women 596 239 245 107 5
St George Hospital 1,166 511 350 265 40
Sutherland Hospital 791 204 242 309 36
Sydney Hospital / Sydney Eye Hospital 1,219 247 369 600 3
Total SESLHD 5,276 1,617 1,898 1,659 102
South Western Sydney Local Health District (SWSLHD)Bankstown / Lidcombe Hospital 1,426 219 419 621 167
Bowral and District Hospital 375 52 88 218 17
Campbelltown Hospital 1,319 129 368 518 304
Fairfield Hospital 710 70 151 450 39
Liverpool Hospital 1,953 651 623 595 84
Total SWSLHD 5,783 1,121 1,649 2,402 611
Southern NSW Local Health District (SNSWLHD)Bateman's Bay District Hospital 186 * 33 144 *
Bega District Hospital 303 87 75 128 13
Cooma Health Service 61 12 21 28 0
Goulburn Base Hospital 380 86 97 192 5
Moruya District Hospital 172 46 63 62 1
Queanbeyan Health Service 192 29 98 65 0
Other SNSWLHD 25 13 * 11 *
Total SNSWLHD 1,319 273 387 630 19
St Vincent’s Health Network (SVHN)St Vincent's Hospital, Darlinghurst 1,040 445 254 287 54
Total SVHN 1,040 445 254 287 54
Sydney Children’s Hospitals Network (SCHN)Sydney Children’s Hospital 811 212 239 348 12
The Children’s Hospital at Westmead 1,655 403 477 643 132
Total SCHN 2,466 615 716 991 144
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 11
Number of elective surgical procedures
All categories Urgent1 Semi-urgent1 Non-urgent2 Staged procedures3
Sydney Local Health District (SYDLHD)Canterbury Hospital 659 106 303 197 53
Concord Hospital 2,195 413 537 903 342
RPAH Institute of Rheumatology and Orthopaedics 445 47 68 329 1
Royal Prince Alfred Hospital 3,060 1,139 1,131 506 284
Total SYDLHD 6,359 1,705 2,039 1,935 680
Western NSW Local Health District (WNSWLHD)Bathurst Base Hospital 468 91 164 178 35
Cowra District Hospital 135 21 28 86 0
Dubbo Base Hospital 799 137 194 404 64
Forbes District Hospital 129 13 37 79 0
Mudgee District Hospital 105 11 27 65 2
Orange Base Hospital 772 129 246 325 72
Parkes District Hospital 71 12 45 13 1
Other WNSWLHD 25 0 0 25 0
Total WNSWLHD 2,504 414 741 1,175 174
Western Sydney Local Health District (WSLHD)Auburn Hospital 792 160 277 351 4
Blacktown Hospital 870 170 386 281 33
Mount Druitt Hospital 565 71 250 232 12
Westmead Hospital (all units) 2,037 774 672 457 134
Total WSLHD 4,264 1,175 1,585 1,321 183
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.3. Including non-urgent cystoscopy.(*) Values suppressed due to small numbers and to protect privacy. Suppressed data have been excluded from local health
district totals.Note: All urgency categories include deferred patients as appropriate.Note: Because staged patients are now reported separately, numbers of surgical procedures by urgency category for this
quarter are not comparable to data reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports prior to May 2011.
Source: Waiting List Collection On-line System, NSW Health. Data extracted on 17 October 2011.
12 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
The following table presents the percentage
of elective surgery admissions within the
clinically recommended time for each urgency
category for July to September 2011. The table
is ordered by local health district and includes
all principal referral, paediatric specialist,
ungrouped acute – tertiary referral, major
metropolitan, major non-metropolitan and
district groups 1 and 2 hospitals that conduct
elective surgery. Surgery information from smaller
hospitals is presented for each local health
district under the ‘other’ category.
Percentage of patients treated on time
All categories1 Urgent1 Semi-urgent1 Non-urgent2
New South WalesTotal New South Wales 92 93 90 92
Central Coast Local Health District (CCLHD)Gosford Hospital 91 99 88 90
Wyong Hospital 96 99 95 97
Total CCLHD 93 99 91 93
Far West Local Health District (FWLHD)Broken Hill Base Hospital 96 100 90 100
Total FWLHD 96 100 90 100
Hunter New England Local Health District (HNELHD)Armidale and New England Hospital 97 95 96 100
Belmont Hospital 99 96 99 100
Calvary Mater Newcastle 73 72 72 88
Cessnock District Hospital 98 96 98 100
Gunnedah District Hospital 100 100 100 100
Inverell District Hospital 100 100 100 100
John Hunter Hospital 89 91 86 89
Kurri Kurri District Hospital 96 92 98 96
Maitland Hospital 93 88 97 90
Manning Base Hospital 92 97 93 90
Moree District Hospital 100 * 100 100
Muswellbrook District Hospital 100 100 100 100
Narrabri District Hospital 100 100 100 *
Singleton District Hospital 100 100 100 100
Tamworth Base Hospital 85 95 77 87
Other HNELHD 100 100 100 100
Total HNELHD 92 91 91 93
Appendix table 2: NSW on-time elective surgery performance, by hospital and local health district, July to September 2011
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 13
Percentage of patients treated on time
All categories1 Urgent1 Semi-urgent1 Non-urgent2
Illawarra Shoalhaven Local Health District (ISLHD)Bulli District Hospital 100 100 100 100
Milton and Ulladulla Hospital * * * *
Shellharbour Hospital 96 80 97 99
Shoalhaven and District Memorial Hospital 85 85 82 86
Wollongong Hospital 81 85 82 76
Total ISLHD 88 85 87 90
Mid North Coast Local Health District (MNCLHD)Bellinger River District Hospital 98 * 92 100
Coffs Harbour Base Hospital 76 70 79 77
Kempsey Hospital 98 * 87 100
Macksville District Hospital 78 * 86 76
Port Macquarie Base Hospital 86 93 82 87
Other MNCLHD 92 92 92 91
Total MNCLHD 84 84 82 85
Murrumbidgee Local Health District (MLHD)Deniliquin Health Service 99 96 100 100
Griffith Base Hospital 75 55 72 97
Tumut Health Service 86 * 68 96
Wagga Wagga Base Hospital 86 86 89 85
Young Health Service 80 * 65 *
Other MLHD 99 100 98 100
Total MLHD 86 82 86 89
Nepean Blue Mountains Local Health District (NBMLHD)Blue Mountains District Anzac Memorial Hospital 98 100 98 98
Hawkesbury District Health Service 63 84 64 44
Lithgow Health Service 99 92 100 100
Nepean Hospital 84 97 81 74
Other NBMLHD 94 * 100 90
Total NBMLHD 85 96 84 78
Northern NSW Local Health District (NNSWLHD)Ballina District Hospital 100 100 100 100
Casino and District Memorial Hospital 98 97 99 98
Grafton Base Hospital 96 99 96 92
Lismore Base Hospital 85 84 86 86
Maclean District Hospital * * * *
Murwillumbah District Hospital 91 79 92 93
The Tweed Hospital 85 83 80 92
Total NNSWLHD 89 88 89 91
14 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
Percentage of patients treated on time
All categories1 Urgent1 Semi-urgent1 Non-urgent2
Northern Sydney Local Health District (NSLHD)Hornsby and Ku-Ring-Gai Hospital 99 100 97 99
Manly District Hospital 96 95 94 100
Mona Vale and District Hospital 100 100 100 100
Royal North Shore Hospital 94 94 91 95
Ryde Hospital 95 93 95 95
Total NSLHD 96 95 94 97
South Eastern Sydney Local Health District (SESLHD)Prince of Wales Hospital 91 91 94 86
Royal Hospital for Women 99 100 99 100
St George Hospital 83 85 82 80
Sutherland Hospital 86 74 86 95
Sydney Hospital / Sydney Eye Hospital 97 100 96 96
Total SESLHD 91 89 92 91
South Western Sydney Local Health District (SWSLHD)Bankstown / Lidcombe Hospital 91 87 92 91
Bowral and District Hospital 97 100 100 95
Campbelltown Hospital 82 80 82 83
Fairfield Hospital 100 100 99 100
Liverpool Hospital 89 91 85 90
Total SWSLHD 90 90 88 91
Southern NSW Local Health District (SNSWLHD)Bateman's Bay District Hospital 97 * 88 100
Bega District Hospital 87 91 81 88
Cooma Health Service 87 92 76 93
Goulburn Base Hospital 95 100 93 93
Moruya District Hospital 95 93 90 100
Queanbeyan Health Service 97 97 95 100
Other SNSWLHD 96 100 * 91
Total SNSWLHD 93 95 89 95
St Vincent’s Health Network (SVHN)St Vincent's Hospital, Darlinghurst 93 98 92 88
Total SVHN 93 98 92 88
Sydney Children’s Hospitals Network (SCHN)Sydney Children’s Hospital 95 96 94 95
The Children’s Hospital at Westmead 93 99 88 93
Total SCHN 94 98 90 94
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 15
Percentage of patients treated on time
All categories1 Urgent1 Semi-urgent1 Non-urgent2
Sydney Local Health District (SYDLHD)Canterbury Hospital 88 99 82 93
Concord Hospital 97 97 95 99
RPAH Institute of Rheumatology and Orthopaedics 100 100 100 100
Royal Prince Alfred Hospital 100 100 100 100
Total SYDLHD 98 99 96 99
Western NSW Local Health District (WNSWLHD)Bathurst Base Hospital 96 96 94 98
Cowra District Hospital 99 95 96 100
Dubbo Base Hospital 96 98 92 98
Forbes District Hospital 100 100 100 100
Mudgee District Hospital 91 100 100 86
Orange Base Hospital 83 97 80 79
Parkes District Hospital 100 100 100 100
Other WNSWLHD 96 † † 96
Total WNSWLHD 92 97 90 93
Western Sydney Local Health District (WSLHD)Auburn Hospital 89 91 80 94
Blacktown Hospital 94 93 92 96
Mount Druitt Hospital 89 93 88 88
Westmead Hospital (all units) 96 99 97 90
Total WSLHD 93 96 92 92
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.(*) Values suppressed due to small numbers and to protect privacy. (†) This hospital or group conducted no surgery for this urgency category in this quarter and therefore has no on-time
performance value. Note: All urgency categories include deferred patients as appropriate. Note: Because staged patients are now reported separately, on-time performance by urgency category for this quarter are
not comparable to data reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports prior to May 2011.
Source: Waiting List Collection On-line System, NSW Health. Data extracted on 17 October 2011.
16 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
The following table presents the median waiting
time (in days) of elective surgery admissions for
each urgency category for this quarter.
The table is ordered by local health district
and includes all principal referral, paediatric
specialist, ungrouped acute – tertiary referral,
major metropolitan, major non-metropolitan
and district groups 1 and 2 hospitals that
conduct elective surgery. Surgery information
from smaller hospitals is presented for each
local health district under the ‘other’ category.
Median waiting time (days)
Urgent1 Semi-urgent1 Non-urgent2
New South WalesTotal New South Wales 11 47 212
Central Coast Local Health District (CCLHD)Gosford Hospital 15 54 324
Wyong Hospital 15 35 255
Total CCLHD 15 45 296
Far West Local Health District (FWLHD)Broken Hill Base Hospital 17 65 186
Total FWLHD 17 65 186
Hunter New England Local Health District (HNELHD)Armidale and New England Hospital 19 70 291
Belmont Hospital 13 44 154
Calvary Mater Newcastle 19 66 190
Cessnock District Hospital 11 16 63
Gunnedah District Hospital 7 35 77
Inverell District Hospital 27 77 299
John Hunter Hospital 11 51 235
Kurri Kurri District Hospital 8 45 195
Maitland Hospital 9 41 262
Manning Base Hospital 18 82 323
Moree District Hospital * 26 57
Muswellbrook District Hospital 4 8 19
Narrabri District Hospital 6 12 *
Singleton District Hospital 7 26 36
Tamworth Base Hospital 12 60 209
Other HNELHD 13 33 126
Total HNELHD 12 47 193
Appendix table 3: NSW median elective surgery waiting time performance, by hospital and local health district, July to September 2011
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 17
Median waiting time (days)
Urgent1 Semi-urgent1 Non-urgent2
Illawarra Shoalhaven Local Health District (ISLHD)Bulli District Hospital 15 44 198
Milton and Ulladulla Hospital * * *
Shellharbour Hospital 22 56 190
Shoalhaven and District Memorial Hospital 16 56 336
Wollongong Hospital 11 68 350
Total ISLHD 14 57 284
Mid North Coast Local Health District (MNCLHD)Bellinger River District Hospital * 30 78
Coffs Harbour Base Hospital 22 72 350
Kempsey Hospital * 70 173
Macksville District Hospital * 72 357
Port Macquarie Base Hospital 15 71 290
Other MNCLHD 19 65 226
Total MNCLHD 19 71 315
Murrumbidgee Local Health District (MLHD)Deniliquin Health Service 15 43 119
Griffith Base Hospital 24 68 313
Tumut Health Service * 66 63
Wagga Wagga Base Hospital 17 56 320
Young Health Service * 81 *
Other MLHD 13 26 71
Total MLHD 18 57 302
Nepean Blue Mountains Local Health District (NBMLHD)Blue Mountains District Anzac Memorial Hospital 9 18 25
Hawkesbury District Health Service 16 74 382
Lithgow Health Service 10 54 220
Nepean Hospital 12 69 329
Other NBMLHD * 36 240
Total NBMLHD 12 62 301
Northern NSW Local Health District (NNSWLHD)Ballina District Hospital 14 21 98
Casino and District Memorial Hospital 8 31 66
Grafton Base Hospital 12 34 278
Lismore Base Hospital 14 57 328
Maclean District Hospital * * *
Murwillumbah District Hospital 21 56 300
The Tweed Hospital 18 60 164
Total NNSWLHD 14 48 230
18 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
Median waiting time (days)
Urgent1 Semi-urgent1 Non-urgent2
Northern Sydney Local Health District (NSLHD)Hornsby and Ku-Ring-Gai Hospital 7 29 87
Manly District Hospital 7 41 97
Mona Vale and District Hospital 3 16 29
Royal North Shore Hospital 8 48 132
Ryde Hospital 14 49 155
Total NSLHD 7 41 113
South Eastern Sydney Local Health District (SESLHD)Prince of Wales Hospital 13 45 285
Royal Hospital for Women 9 30 89
St George Hospital 13 55 264
Sutherland Hospital 21 64 295
Sydney Hospital / Sydney Eye Hospital 12 42 187
Total SESLHD 13 45 227
South Western Sydney Local Health District (SWSLHD)Bankstown / Lidcombe Hospital 14 52 171
Bowral and District Hospital 14 38 175
Campbelltown Hospital 21 59 304
Fairfield Hospital 8 50 257
Liverpool Hospital 13 56 254
Total SWSLHD 14 53 246
Southern NSW Local Health District (SNSWLHD)Bateman's Bay District Hospital * 62 337
Bega District Hospital 18 70 331
Cooma Health Service 11 56 189
Goulburn Base Hospital 14 35 244
Moruya District Hospital 14 68 98
Queanbeyan Health Service 14 49 155
Other SNSWLHD 13 * 100
Total SNSWLHD 14 56 308
St Vincent’s Health Network (SVHN)St Vincent's Hospital, Darlinghurst 5 33 135
Total SVHN 5 33 135
Sydney Children’s Hospitals Network (SCHN)Sydney Children’s Hospital 7 35 130
The Children’s Hospital at Westmead 7 46 102
Total SCHN 7 42 112
HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 19
Median waiting time (days)
Urgent1 Semi-urgent1 Non-urgent2
Sydney Local Health District (SYDLHD)Canterbury Hospital 13 67 316
Concord Hospital 8 41 101
RPAH Institute of Rheumatology and Orthopaedics 4 33 36
Royal Prince Alfred Hospital 6 16 29
Total SYDLHD 7 30 71
Western NSW Local Health District (WNSWLHD)Bathurst Base Hospital 12 53 293
Cowra District Hospital 7 61 203
Dubbo Base Hospital 8 36 300
Forbes District Hospital 7 48 279
Mudgee District Hospital 13 55 300
Orange Base Hospital 14 63 348
Parkes District Hospital 7 23 16
Other WNSWLHD † † 333
Total WNSWLHD 10 50 298
Western Sydney Local Health District (WSLHD)Auburn Hospital 11 61 245
Blacktown Hospital 10 39 120
Mount Druitt Hospital 14 55 257
Westmead Hospital (all units) 10 35 114
Total WSLHD 11 41 157
1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.(*) Values suppressed due to small numbers and to protect privacy. (†) This hospital or group conducted no surgery for this urgency category in this quarter and therefore has no on-time
performance value.Note: All urgency categories include deferred patients as appropriate. Note: Because staged patients are now reported separately, median waiting times by urgency category for this quarter are
not comparable to data reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports prior to May 2011.
Source: Waiting List Collection On-line System, NSW Health. Data extracted on 17 October 2011.
20 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au
The report, Hospital Quarterly: Performance
of NSW public hospitals, July to September 2011
and related reports are available at
www.bhi.nsw.gov.au
The suite of products includes:
• Three core modules on
Admitted Patients, Elective Surgery
and Emergency Departments
• Performance Profiles: Elective surgery
(activity and performance reports for more
than 80 hospitals and NSW as a whole)
• Performance Profiles: Emergency
department care (activity and
performance reports for EDs in more
than 60 hospitals and NSW as a whole)
• Data Quality Assessments
• Technical Supplements
The Bureau of Health Information provides
the community, healthcare professionals and
the NSW Parliament with timely, accurate and
comparable information on the performance
of the NSW public health system in ways that
enhance the system’s accountability and inform
efforts to increase its beneficial impact on the
health and wellbeing of the people of NSW.
The Bureau is an independent, board-governed
statutory health corporation. The conclusions in
this report are those of the Bureau and no official
endorsement by the NSW Minister for Health,
the NSW Ministry of Health or any other
NSW public health organisation is intended
or should be inferred.
Download our reports About the Bureau
Copyright Bureau of Health Information 2011
State Health Publication Number: (BHI) 110253ISSN 1838-3238
Suggested citation: Bureau of Health Information. Hospital Quarterly: Performance of NSW public
hospitals, July to September 2011. Elective Surgery. 2(3). Sydney (NSW); 2011.
Published December 2011
Please note that there is the potential for minor revisions of data in this report. Please check the online version
at www.bhi.nsw.gov.au for any amendments.
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Telephone: +61 2 8644 2100
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Email: [email protected]
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Chatswood
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