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Gender-affirming healthcare availability

Gloria Fraser made this Official Information request to Capital and Coast District Health Board

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From: Gloria Fraser

Kia ora,

I am writing to request information about the gender-affirming healthcare services provided by the Capital and Coast District Health Board, as a follow up to a similar request I made in May 2018.

Could you please advise whether the following gender-affirming healthcare services are funded by the Capital and Coast District Health Board for transgender patients, and whether the services are currently available:

- Puberty blockers
- Hormone therapy
- Mastectomy
- Hysterectomy
- Orchidectomy
- Facial hair removal
- Breast augmentation
- Voice training
- Facial feminization surgery

Could you please also advise:

- Are transgender healthcare providers under the Capital and Coast District Health Board encouraged to follow Oliphant et al’s (2018) Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand? If not, which guidelines do they follow, if any?

- Is a readiness assessment required to access gender-affirming healthcare services? (This is an assessment of readiness for treatment from a medical and psychosocial perspective, as well as whether the client understands the risks and benefits of treatment, and is sometimes referred to as a ‘mental health assessment’).

- If a readiness assessment is required to access gender-affirming healthcare services, who carries out this assessment? Is this assessment funded by the Capital and Coast District Health Board? Does the assessment use an informed consent model?

- What steps is the Capital and Coast District Health Board taking to improve healthcare provision for transgender New Zealanders?

If you require any clarification about this request, please let me know.

Ngā mihi,
Gloria

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From: Robyn Fitzgerald [CCDHB]
Capital and Coast District Health Board

Tena koe Gloria

Thank you for your request for official information, received by Capital & Coast District Health Board on 12 April 2019.

Your request has been received and logged. As required under the Official Information Act 1982, we will respond to your request within 20 working days. You should receive a response on or before 15 May 2019.

If a large amount of information has been requested or if the district health board needs to consult in order to make a decision, we may need to extend this date (this is provided for in section 15A of the Act). We will advise you if such an extension is necessary.

Capital & Coast District Health Board provides the first five hours of staff time to prepare a response free-of-charge. If your OIA is expected to take longer, we will inform you of the charges, and give you the opportunity to change or refine the request to reduce or remove the need to charge.

Our reference number for your request is: OIA 2019-070.

Nga mihinui

Robyn Fitzgerald

Robyn Fitzgerald | Board Administrator | Capital and Coast District Health Board |  Private Bag 7902 |  Wellington South    
DDI: 04 806 2274  |   [email address]

-----Original Message-----
From: Gloria Fraser <[FOI #10074 email]>
Sent: Friday, 12 April 2019 3:38 PM
To: OIA [CCDHB] <[email address]>
Subject: Official Information request - Gender-affirming healthcare availability

Kia ora,

I am writing to request information about the gender-affirming healthcare services provided by the Capital and Coast District Health Board, as a follow up to a similar request I made in May 2018.

Could you please advise whether the following gender-affirming healthcare services are funded by the Capital and Coast District Health Board for transgender patients, and whether the services are currently available:

- Puberty blockers
- Hormone therapy
- Mastectomy
- Hysterectomy
- Orchidectomy
- Facial hair removal
- Breast augmentation
- Voice training
- Facial feminization surgery

Could you please also advise:

- Are transgender healthcare providers under the Capital and Coast District Health Board encouraged to follow Oliphant et al’s (2018) Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa New Zealand? If not, which guidelines do they follow, if any?

- Is a readiness assessment required to access gender-affirming healthcare services? (This is an assessment of readiness for treatment from a medical and psychosocial perspective, as well as whether the client understands the risks and benefits of treatment, and is sometimes referred to as a ‘mental health assessment’).

- If a readiness assessment is required to access gender-affirming healthcare services, who carries out this assessment? Is this assessment funded by the Capital and Coast District Health Board? Does the assessment use an informed consent model?

- What steps is the Capital and Coast District Health Board taking to improve healthcare provision for transgender New Zealanders?

If you require any clarification about this request, please let me know.

Ngā mihi,
Gloria

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From: Andrea Martin [CCDHB]
Capital and Coast District Health Board


Attachment OIA 2019 070 Gloria Fraser.pdf
705K Download View as HTML


Good afternoon Gloria

 

Please find attached our response to your OIA, relating to
gender-affirming services.

 

Kind regards

Andrea

 

 

Andrea Martin

Executive Assistant to:

Carey Virtue, Executive Director, Operations

Dr Andre Cromhout, Executive Director, Clinical

Dr Mike Tweed, Executive Director, Clinical

 

Medicine, Cancer & Community Directorate | Level 6, Grace Neill Block,
Wellington Regional Hospital | Capital & Coast District Health Board |
Ūpoko ki te uru hauora

T: 04 806 2586 | Ext: 82586 | [1]www.ccdhb.org.nz |
[2]www.facebook.com/CCDHB 

 

--
This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of the DHB.

References

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1. http://www.ccdhb.org.nz/
2. http://www.facebook.com/CCDHB

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From: Michelle Kirkwood [CCDHB]
Capital and Coast District Health Board


Attachment 2019 071 ERC 1903 Transgender Gender Affirming Activity.pdf
538K Download View as HTML


Good morning Gloria

 

Please find attached our response to your OIA relating to gender-affirming
healthcare purposes.

 

Kind regards

Michelle

 

Michelle Kirkwood

EA to the CEO and Board Chair | Capital & Coast District Health Board |
Ūpoko ki te uru hauora

T: 04 806 2275 | Ext: 82275 | [1]www.ccdhb.org.nz |
[2]www.facebook.com/CCDHB  

 

--
This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of the DHB.

References

Visible links
1. http://www.ccdhb.org.nz/
2. http://www.facebook.com/CCDHB

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