Consumers Rights & Physicians Obligations - Referrals and Inter-District Flow

Amy S Van Wey Lovatt (Account suspended) made this Official Information request to Ministry of Health

The request was partially successful.

From: Amy S Van Wey Lovatt (Account suspended)

Dear Ministry of Health,

According to the Health and Disability Commissioner (Code of Health and Disability Services Consumers' Rights) Regulations 1996, Right 6 clause 3 (c), "Every consumer has the right to honest and accurate answers to questions relating to services, including questions about...(c) how to obtain an opinion from another provider;". Further, Right 7 clause 8 states: "Every consumer has the right to express a preference as to who will provide services and have that preference met where practicable."

According to the MoH Operational Policy Framework 2019/20, available through Nationwide Service Framework Library <https://nsfl.health.govt.nz>,
section 7.5.2 "Regions should ensure that clear referral pathways are in place and known to all clinicians."

Request 1:
I respectfully request a copy of each referral pathway for each region in New Zealand.

Background:
I am a New Zealand citizen. Waikato DHB, my DHB of Domicile (DoD), has insisted that my GP provide a referral to services outside my DoD; however, when my GP referred me to the Southern DHB, the only DHB we could find which had a protocol consistent with the Endocrine Societies Guidelines for testing for hyper aldosteronism, the Southern DHB rejected the referral on the grounds that the referral was from my GP and not my specialist, Dr Wu, at my DoD.

Clearly, Waikato DHB and Southern DHB cannot both be correct, as they contradict each other. [The statement, referrals must be from GPs AND referrals cannot be from GPs, is logically false.]

Request 2:
Please provide me with the specific policy, guideline, rules or legislation (including page or section number) which specifies who is responsible for the submission of patient referrals to specialists, where the specialist is located in a DHB that is not the DoD, especially in the case of where two DHB's have contradicting policies.

Request 3:
Please provide me with the specific policy, guideline, rules or legislation (including page or section number) which specifies the avenues that patients may take to seek care out of the DoD, when the patient has lost all trust and confidence with the DoD.

Request 4:
Please explain how these policies are consistent with the Code of Health and Disability Services Consumers' Rights, specifically:
- Right 3, which states "Every consumer has the right to have services provided in a manner that respects the dignity and independence of the individual"; and
- Right 4 clause 3, which states "Every consumer has the right to have services provided in a manner consistent with his or her needs"; and
- Right 7 clause 8, which states: "Every consumer has the right to express a preference as to who will provide services and have that preference met where practicable".

Respectfully yours,

Amy S Van Wey Lovatt

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Ministry of Health


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Dear Amy

Please find attached a letter regarding your request for official
information.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [email address]

From:        "Amy S Van Wey Lovatt"
<[FOI #12108 email]>
To:        "OIA/LGOIMA requests at Ministry of Health"
<[Ministry of Health request email]>,
Date:        29/01/2020 09:43 a.m.
Subject:        Official Information request - Consumers Rights &
Physicians Obligations - Referrals and Inter-District Flow

--------------------------------------------------------------------------

Dear Ministry of Health,

According to the Health and Disability Commissioner (Code of Health and
Disability Services Consumers' Rights) Regulations 1996, Right 6 clause 3
(c), "Every consumer has the right to honest and accurate answers to
questions relating to services, including questions about...(c) how to
obtain an opinion from another provider;". Further, Right 7 clause 8
states: "Every consumer has the right to express a preference as to who
will provide services and have that preference met where practicable."

According to the MoH Operational Policy Framework 2019/20, available
through Nationwide Service Framework Library
<[1]https://nsfl.health.govt.nz>,
section 7.5.2 "Regions should ensure that clear referral pathways are in
place and known to all clinicians."

Request 1:
I respectfully request a copy of each referral pathway for each region in
New Zealand.

Background:
I am a New Zealand citizen. Waikato DHB, my DHB of Domicile (DoD), has
insisted that my GP provide a referral to services outside my DoD;
however, when my GP referred me to the Southern DHB, the only DHB we could
find which had a protocol consistent with the Endocrine Societies
Guidelines for testing for hyper aldosteronism, the Southern DHB rejected
the referral on the grounds that the referral was from my GP and not my
specialist, Dr Wu, at my DoD.

Clearly, Waikato DHB and Southern DHB cannot both be correct, as they
contradict each other. [The statement, referrals must be from GPs AND
referrals cannot be from GPs, is logically false.]

Request 2:
Please provide me with the specific policy, guideline, rules or
legislation (including page or section number) which specifies who is
responsible for the submission of patient referrals to specialists, where
the specialist is located in a DHB that is not the DoD, especially in the
case of where two DHB's have contradicting policies.

Request 3:
Please provide me with the specific policy, guideline, rules or
legislation (including page or section number) which specifies the avenues
that patients may take to seek care out of the DoD, when the patient has
lost all trust and confidence with the DoD.

Request 4:
Please explain how these policies are consistent with the Code of Health
and Disability Services Consumers' Rights, specifically:
- Right 3, which states "Every consumer has the right to have services
provided in a manner that respects the dignity and independence of the
individual"; and
- Right 4 clause 3, which states "Every consumer has the right to have
services provided in a manner consistent with his or her needs"; and
- Right 7 clause 8, which states: "Every consumer has the right to express
a preference as to who will provide services and have that preference met
where practicable".

Respectfully yours,

Amy S Van Wey Lovatt

-------------------------------------------------------------------

This is an Official Information request made via the FYI website.

Please use this email address for all replies to this request:
[FOI #12108 email]

Is [Ministry of Health request email] the wrong address for Official Information requests
to Ministry of Health? If so, please contact us using this form:
[2]https://scanmail.trustwave.com/?c=15517&...

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:
[3]https://scanmail.trustwave.com/?c=15517&...

If you find this service useful as an Official Information officer, please
ask your web manager to link to us from your organisation's OIA or LGOIMA
page.

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Link to this

From: Amy S Van Wey Lovatt (Account suspended)

Dear Ministry of Health,

This is a follow up to my request. I understand that my OIA request was forwarded to the HDC; however, there has been no acknowledgment from the HDC. Thus, I again respectfully request that you assist me in obtaining this information pursuant to section 13 of the OIA.

Yours faithfully,

Amy S Van Wey Lovatt

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Ministry of Health


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Hi Amy
As per the attached response this request has been transferred to HDC

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [email address]

From:        "Amy S Van Wey Lovatt"
<[FOI #12108 email]>
To:        "OIA/LGOIMA requests at Ministry of Health"
<[Ministry of Health request email]>,
Date:        02/03/2020 09:56 p.m.
Subject:        Re: Response to OIA request, ref: H202000366

--------------------------------------------------------------------------

Dear Ministry of Health,

This is a follow up to my request. I understand that my OIA request was
forwarded to the HDC; however, there has been no acknowledgment from the
HDC. Thus, I again respectfully request that you assist me in obtaining
this information pursuant to section 13 of the OIA.

Yours faithfully,

Amy S Van Wey Lovatt

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From: Craig Goodwillie


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Dear Ms Van Wey Lovatt,

Please find our response attached.

Regards

Craig Goodwillie  
OIA Advisor
Office of the Health and Disability Commissioner
PO Box 11934, Wellington 6142│ Level 11, TechnologyOne House, Wellington
6011
DDI (04) 494 7914
Please consider the environment before printing this email

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Link to this

From: Amy S Van Wey Lovatt (Account suspended)

Dear Craig Goodwillie,

Thank you for your response.

Section 18(g) of the OIA states that a request may be refused on the grounds:
(g) that the information requested is not held by the department or Minister of the Crown or organisation and the person dealing with the request has no grounds for believing that the information is either—
(i) held by another department or Minister of the Crown or organisation, or by a local authority; or
(ii) connected more closely with the functions of another department or Minister of the Crown or organisation or of a local authority:

The MoH Operational Policy Framework 2019/20, available through Nationwide Service Framework Library <https://nsfl.health.govt.nz>, states under section 7.5.2 "Regions should ensure that clear referral pathways are in place and known to all clinicians."

Given that every DHB must "ensure that clear referral pathways are in place and known to all clinicians", clearly such policies must exist, and thus section 18(g) cannot apply to my request.

Request 1:
Thus, I request, under section 13 and 14 of the OIA that your please assist me in obtaining these policies even if it requires transferring my request to each and every DHB or another relevant agency, which would have the required information.

Request 2:
In terms of clarification of how the policies are consistent with legislation, please explain who other than the HDC would be the most relevant to provide such information.
According to section 14 of the Health and Disability Commissioner Act 1994,
(1)The functions of the Commissioner are as follows:
(a) as a first priority, to prepare a draft Code of Health and Disability Services Consumers’ Rights in accordance with section 19:
(b) in accordance with section 21, to review the Code and make to the Minister any recommendations for changes to the Code:
(c) to promote, by education and publicity, respect for and observance of the rights of health consumers and disability services consumers, and, in particular, to promote awareness, among health consumers, disability services consumers, health care providers, and disability services providers of the rights of health consumers and disability services consumers and of the means by which those rights may be enforced:
(d) to make public statements and publish reports in relation to any matter affecting the rights of health consumers or disability services consumers or both, including statements and reports that promote an understanding of, and compliance with, the Code or the provisions of this Act:
(da) to act as the initial recipient of complaints about health care providers and disability services providers, and to ensure that each complaint is appropriately dealt with:
(e) to investigate, on complaint or on the Commissioner’s own initiative, any action that is or appears to the Commissioner to be in breach of the Code or, in the case of conduct that occurred before the enactment of the Code, in breach of certain disciplinary standards:
(f) to refer complaints, or investigations on the Commissioner’s own initiative, to the Director of Proceedings for the purpose of deciding whether or not any further action should be taken in respect of any such breach or alleged breach:
(g) subject to section 15(2), to make recommendations to any appropriate person or authority in relation to the means by which complaints involving alleged breaches might be resolved and further breaches avoided:
(h) to prepare guidelines for the operation of advocacy services in accordance with section 28:
(i) to make suggestions to any person in relation to any matter that concerns the need for, or the desirability of, action by that person in the interests of the rights of health consumers or disability services consumers or both:
(j) on the Commissioner’s own initiative or at the request of the Minister, to advise the Minister on any matter relating to—
(i) the rights of health consumers or disability services consumers or both; or
(ii) the administration of this Act:
(k) to report to the Minister from time to time on the need for, or desirability of, legislative, administrative, or other action to give protection or better protection to the rights of health consumers or disability services consumers or both:
(l) to receive and invite representations from members of the public and from any other body, organisation, or agency on matters relating to the rights of health consumers or disability services consumers or both:
(m) to gather such information as in the Commissioner’s opinion will assist the Commissioner in carrying out the Commissioner’s functions under this Act:
(ma) to monitor mental health and addiction services and to advocate improvements to those services:
(n)[Repealed]
(o) to perform such functions as the Commissioner is for the time being directed to perform by the Minister in accordance with section 112 of the Crown Entities Act 2004:
(p) to exercise and perform such other functions, powers, and duties as are conferred or imposed on the Commissioner by or under this Act or any other enactment.

Thus, the information I have requested is consistent with the function of the HDC, which is "in relation to any matter affecting the rights of health consumers or disability services consumers or both, including statements and reports that promote an understanding of, and compliance with, the Code or the provisions of this Act".

Thank you for your assistance with my request. I trust that the information will be provided in a timely manner.

Kindest regards,
Amy S Van Wey Lovatt

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From: Craig Goodwillie


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Dear Dr Van Wey Lovatt,

Please find our response attached.

Regards

Craig Goodwillie  
OIA Advisor
Office of the Health and Disability Commissioner
PO Box 11934, Wellington 6142│ Level 11, TechnologyOne House, Wellington
6011
DDI (04) 494 7914
Please consider the environment before printing this email

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Ministry of Health


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Kia ora Ms Lovatt

Please find attached a response to your request for information.  Please
note that we have outlined in this response a suggested refinement for
part two of your request that requires your approval.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [email address]

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From: Denise Poole (WDHB)


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Hello Ms Lovatt

 

We have received a partial transfer of your OIA request from the Ministry
of Health.

 

I wish to clarify with you that you are seeking our referral pathways
policy/ guidelines for Endocrinology services only, based on the
following:

 

According to the Health and Disability Commissioner (Code of Health and

Disability Services Consumers' Rights) Regulations 1996, Right 6 clause 3
(c),

"Every consumer has the right to honest and accurate answers to questions

relating to services, including questions about...(c) how to obtain an
opinion

from another provider;". Further, Right 7 clause 8 states: "Every consumer
has

the right to express a preference as to who will provide services and have

that preference met where practicable."

According to the MoH Operational Policy Framework 2019/20, available
through

Nationwide Service Framework Library <https://nsfl.health.govt.nz>,

section 7.5.2 "Regions should ensure that clear referral pathways are in
place

and known to all clinicians."

Request 1:

I respectfully request a copy of each referral pathway for each region in
New

Zealand.

Background:

I am a New Zealand citizen. Waikato DHB, my DHB of Domicile (DoD), has

insisted that my GP provide a referral to services outside my DoD;
however,

when my GP referred me to the Southern DHB, the only DHB we could find
which

had a protocol consistent with the Endocrine Societies Guidelines for
testing

for hyper aldosteronism, the Southern DHB rejected the referral on the
grounds

that the referral was from my GP and not my specialist, Dr Wu, at my DoD.

Clearly, Waikato DHB and Southern DHB cannot both be correct, as they

contradict each other. [The statement, referrals must be from GPs AND

referrals cannot be from GPs, is logically false.]

 

I look forward to your response.

 

Kind regards,

Denise Poole I Official Information Act Manager

Communications I Waitematā DHB

Level 2, 15 Shea Terrace, Takapuna

Private Bag 93-503, North Shore 0740
p: 09 486 8920 | ddi: 09 4846194

[1]www.waitematadhb.govt.nz

 

[2]cid:image002.jpg@01D60C26.BC41D590

 

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From: OIA


Attachment Partial transfer of official request for information.html
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Dear Amy Van Wey Lovatt

 

The Ministry of Health has transferred to us your OIA request as attached.
We will endeavour to respond to it as soon as possible.  However, as an
essential service, MidCentral DHB’s priority is the COVID-19 pandemic.  We
may be unable to respond to your request within the required 20 working
days and we will notify you of an extension of that timeframe. If any
additional factors come to light which are relevant to your request,
please do not hesitate to contact us so that these can be taken into
account.

 

We operate a proactive release policy where the DHB publishes
information on this website. As part of the policy we publish
selected OIA responses that may be of public interest. We may publish the
OIA response we send to you with your personal details redacted.

 

 

Regards, Zelda Rogers

Administration Records Officer

 

 

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From: Elaine Keenan (ADHB)


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Dear Ms Lovatt

 

Per email below ADHB has accepted this partial transfer.  You requested:

 

I request, under section 13 and 14 of the OIA that your please assist me
in obtaining these policies even if it requires transferring my request to
each and every DHB or another relevant agency, which would have the
required information".

 

Can you please clarify what policies you need.

 

Regards

 

Elaine Keenan

Team Administrator

Corporate Business Services

( (09) 630-9943  ext 22346 | * [email address]

Auckland District Health Board | Level 1 |  Building 37 | Auckland City
Hospital | Park Road | Auckland

[1]cid:image003.png@01D1E7F0.9ED324E0

 

 

From: [2][email address]
[[3]mailto:[email address]] On Behalf Of
[4][email address]
Sent: Friday, 01 May 2020 1:03 p.m.
To: Ailsa Claire (ADHB); [5][email address]; OIA Request (CMDHB);
[6][email address]; [7][email address];
[8][email address]; [9][email address];
Communications (NDHB); [10][email address];
[11][email address]; [12][email address];
[13][email address]; [14][email address];
[15][email address]; [16][email address]; Denise Poole
(WDHB); [17][email address]; [18][email address];
[19][email address]
Cc: [20][email address]
Subject: Partial transfer of official request for information

 

Kia ora

The Ministry of Health has received the attached OIA request from Ms Amy
Van Wey Lovatt.

I have been advised that this request should be partially transferred to
each DHB, in accordance with section 14 of the Act.  Please note the
section of this request that we are transferring to you is "Request 1:
Thus, I request, under section 13 and 14 of the OIA that your please
assist me in obtaining these policies even if it requires transferring my
request to each and every DHB or another relevant agency, which would have
the required information".

As such, please find attached the following:

o A PDF copy of our letter notifying the requester that their request is
being transferred to you for response
o A PDF copy of the original OIA request
o  

Also for your reference, please find attached below a prior request
submitted by Ms Lovatt that will assist in clarifying the current request
in question;

This emails serves as a formal transfer of this request under the Official
Information Act 1982.

Please confirm receipt of transfer.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [21][email address]

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Link to this

From: Chris Lord

Dear Ms Van Wey Lovatt
 
Hawke’s Bay DHB (HBDHB) has received a transfer in part from the Ministry
of Health an Official Information Act request, which has been logged with
us as HBDHB ref OIA2020064.
 
Can you please confirm the information you are seeking from us is as
follows (shown in italics below):
According to the MoH Operational Policy Framework 2019/20, available
through Nationwide Service Framework Library
[1]https://nsfl.health.govt.nz; section 7.5.2 "Regions should ensure that
clear referral pathways are in place and known to all clinicians." I
respectfully request a copy of each referral pathway for each region in
New Zealand.
 
If this is not correct please let us know what information you are
requesting from DHBs eg is there a specific referral pathway?  ‘
You may find what you are looking for on HBDHB’s health professionals
website where a number of clinical pathways are published:
[2]https://hawkesbay.health.nz/health-profe...
 
Thank you, I look forward to hearing back from you.
 
Chris Lord
Communications Service
Hawke’s Bay District Health Board
Phone 06 878 8109 ext 4658
 

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Link to this

From: OIA Request [WrDHB]

Dear Amy

Official information request.

I am writing to acknowledge receipt of your official information request
to the Ministry of Health, dated 3 April 2020 for a copy of each referral
pathway for each region in New Zealand. Your request was transferred to
Wairarapa DHB on 1 May 2020.

 

It should be noted that many key staff involved with the sourcing and
preparation of material for your OIA request are also directly involved
with work associated with COVID-19.

 

This may impact on our ability to respond to certain OIA requests within
normal timeframes. If this is the case we will notify you as soon
practical.

 

We received your request on 1 May 2020. We will endeavour to respond to
your request as soon as possible and in any event no later than 29 May
2020, being 20 working days after the day your request was received. If we
are unable to respond to your request by then, we will notify you of an
extension of that timeframe.

If the information requested cannot be made available without substantial
collation, under section 18(f) and section 18A(1)(a) of the Official
Information Act 1982 we may refuse the request or fix a charge under
section 15. If your request falls into this category we will inform you as
soon as possible.

If any additional factors come to light that are relevant to your request,
please do not hesitate to contact us so that these can be taken into
account.

Please note that, like all DHBs across New Zealand, Wairarapa DHB has
adopted a model of proactive disclosure which sees OIA responses publicly
available on our website no less than one week after they have been
released.

 

If you believe there are any special reasons why proactive disclosure
should not apply to your response, we will be happy to consider this.

Yours sincerely

Caroline van Deventer

Communications Administrator

 

 

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From: Dinah Nicholas (CMDHB)


Attachment Official Information request Consumers Rights Physicians Ob.pdf
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Dear Amy

Thank you for your Official Information Act request, received below by way
of part transfer (for Request 1 only) from the Ministry of Health.

 

We are working on a response for you, which will be sent as soon as
practical and within the 20 working day timeframe as per the Ombudsman's
Guidance, by 29 May 2020.  We will contact you if we have any queries with
the request or need to extend the timeframe for your response. In those
cases, we will advise why the extension is necessary, and indicate when
the response will be ready.

 

Please note that, like all DHBs across New Zealand, Counties Manukau DHB
has begun a process of proactive disclosure, which means OIA responses
will be publicly available via our website around 10 days after they have
been released.  Our response will advise if we intend to publish the
response, (with personal information removed) and related documents on the
CMDHB website. If you advise us of special reasons why proactive
disclosure should not apply to your response, we will consider this. 

 

Kind regards

Dinah

 

Dinah Nicholas

Executive Assistant to Margie Apa - Chief Executive

Board Secretary

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From: Kathleen Smitheram


Attachment CDHB 10306 WCDHB 9423 Acknowledgement letter 4 5 2020.pdf
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Kind regards

 

Kathleen Smitheram

 

Canterbury District Health Board and West Coast District Health Board

Official Information Act Co-ordinator, Planning and Funding

Level 2, 32 Oxford Terrace

PO Box 1600

Christchurch 8140

 

 

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Link to this

From: OIA

Dear Amy,

 

Please accept this as an acknowledgement of your Official Information Act
request, partially transferred to us from the Ministry of Health:

 

“The MoH Operational Policy Framework 2019/20, available through
Nationwide Service Framework Library <[1]https://nsfl.health.govt.nz>,
states under section 7.5.2 "Regions should ensure that clear referral
pathways are in place and known to all clinicians." Given that every DHB
must "ensure that clear referral pathways are in place and known to all
clinicians", clearly such policies must exist…Thus, I request, under
section 13 and 14 of the OIA that your please assist me in obtaining these
policies.”

 

I will have a response to you on or before 29 May 2020.

 

Kind regards,

Yasmin

 

Yasmin Seymour, OIA Coordinator

Internal Ext: 55454 | DDI: 03 476 9454 | Email:
[2][email address]

Southern District Health Board

Kind – Manaakitanga | Open – Pono | Positive – Whaiwhakaaro | Community -
Whanaungatanga

Please note that my usual hours of work are Tues - Fri, 8.45am - 2.15pm. I
am currently working from home.

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From: OIA Request NMDHB


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Dear Amy

Re: Official Information Act request – Consumer rights and obligations

 

The Nelson Marlborough District Health Board acknowledges receipt of your
request for Information under the Official Information Act 1982 (“the
Act”), as a partial transfer of Part 1 (of 2) from the Ministry of Health,
and received on 1 May 2020.

 

Your request has been forwarded to the appropriate person/service for
response within 20 working days of receipt, and if we are unable to
respond to your request by 29 May 2020 we will notify you of an extension
of that timeframe.

 

Consistent with the purpose of the Act, the letter notifying you of the
decision on your request will confirm if we intend to publish the
information contained in the response online, with your
personal/identifying information redacted.

We will endeavour to respond to your request as soon as reasonably
practicable.

 

Thank you for your request.

 

Nelson Marlborough District Health Board | Private Bag 18 | Nelson 7040 |
 | [1]www.nmdhb.govt.nz

 

DISCLAIMER:  This electronic message together with any attachments is
confidential.  If you are not the intended recipient, do not copy,
disclose or use the contents in any way.

Please also advise us by return e-mail that you have received the message
and then please destroy. NMDHB is not responsible for any changes made to
this message and / or

any attachments after sending by NMDHB.  We use virus scanning software
but exclude all liability for viruses or anything similar in this email or
any attachment.

 

[2]nmh icon                       

 

 

From: On Behalf Of [email address]
Sent: Friday, 1 May 2020 1:03 PM
To: Subject: Partial transfer of official request for information

 

Kia ora

The Ministry of Health has received the attached OIA request from Ms Amy
Van Wey Lovatt.

I have been advised that this request should be partially transferred to
each DHB, in accordance with section 14 of the Act.  Please note the
section of this request that we are transferring to you is "Request 1:
Thus, I request, under section 13 and 14 of the OIA that your please
assist me in obtaining these policies even if it requires transferring my
request to each and every DHB or another relevant agency, which would have
the required information".

As such, please find attached the following:

o A PDF copy of our letter notifying the requester that their request is
being transferred to you for response
o A PDF copy of the original OIA request

Also for your reference, please find attached below a prior request
submitted by Ms Lovatt that will assist in clarifying the current request
in question;

This emails serves as a formal transfer of this request under the Official
Information Act 1982.

Please confirm receipt of transfer.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [3][email address]

show quoted sections

References

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Link to this

From: Denise Poole (WDHB)


Attachment image001.jpg
10K Download


Hello Ms Lovatt

 

As we haven’t yet received a response to our query below, we will proceed
with your OIA on the basis that the interpretation of your request is
correct and relates to referral pathways policy/ guidelines for
Endocrinology services.

 

If you have any queries about OIA request, please feel free to contact me.

 

Kind regards,

Denise Poole I Official Information Act Manager

Communications I Waitematâ DHB

Level 2, 15 Shea Terrace, Takapuna

Private Bag 93-503, North Shore 0740
m: 021 198 0623

[1]www.waitematadhb.govt.nz

 

[2]cid:image002.jpg@01D60C26.BC41D590

 

From: Denise Poole (WDHB)
Sent: Friday, 01 May 2020 1:20 p.m.
To: '[FOI #12108 email]'
Cc: Anna Monastra (WDHB)
Subject: OIA request - Referrals and inter-district flow

 

Hello Ms Lovatt

 

We have received a partial transfer of your OIA request from the Ministry
of Health.

 

I wish to clarify with you that you are seeking our referral pathways
policy/ guidelines for Endocrinology services only, based on the
following:

 

According to the Health and Disability Commissioner (Code of Health and

Disability Services Consumers' Rights) Regulations 1996, Right 6 clause 3
(c),

"Every consumer has the right to honest and accurate answers to questions

relating to services, including questions about...(c) how to obtain an
opinion

from another provider;". Further, Right 7 clause 8 states: "Every consumer
has

the right to express a preference as to who will provide services and have

that preference met where practicable."

According to the MoH Operational Policy Framework 2019/20, available
through

Nationwide Service Framework Library <[3]https://nsfl.health.govt.nz>,

section 7.5.2 "Regions should ensure that clear referral pathways are in
place

and known to all clinicians."

Request 1:

I respectfully request a copy of each referral pathway for each region in
New

Zealand.

Background:

I am a New Zealand citizen. Waikato DHB, my DHB of Domicile (DoD), has

insisted that my GP provide a referral to services outside my DoD;
however,

when my GP referred me to the Southern DHB, the only DHB we could find
which

had a protocol consistent with the Endocrine Societies Guidelines for
testing

for hyper aldosteronism, the Southern DHB rejected the referral on the
grounds

that the referral was from my GP and not my specialist, Dr Wu, at my DoD.

Clearly, Waikato DHB and Southern DHB cannot both be correct, as they

contradict each other. [The statement, referrals must be from GPs AND

referrals cannot be from GPs, is logically false.]

 

I look forward to your response.

 

Kind regards,

Denise Poole I Official Information Act Manager

Communications I Waitematâ DHB

Level 2, 15 Shea Terrace, Takapuna

Private Bag 93-503, North Shore 0740
p: 09 486 8920 | ddi: 09 4846194

[4]www.waitematadhb.govt.nz

 

[5]cid:image002.jpg@01D60C26.BC41D590

 

[6]Legal Disclaimer

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http://www.waitematadhb.govt.nz/
6. http://www.waitematadhb.govt.nz/Disclaim...

Link to this

Ministry of Health


Attachment attachment.gif
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Attachment H202002129 Response.pdf
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Kia ora Ms Lovatt

Please find attached a response to your request for official information.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [email address]

show quoted sections

Link to this

From: Anna Monastra (WDHB)

Dear Ms Lovatt

 

Thank you for your Official Information Act request, received as a partial
transfer from the Ministry of Health on 1 May.  We confirmed with you
today that we will provide information regarding referral pathways policy/
guidelines for Endocrinology services. 

 

We will provide a formal response to your request within the 20 working
days allowed under the Act. 

 

If for any reason we are unable to meet this deadline and need to extend
the timeframe for your response, we will be in touch to advise why this
has been necessary and to indicate when your response will be ready.

 

Please note that Waitematā DHB supports the open disclosure of information
to assist community understanding of how we are delivering publicly-funded
healthcare. This includes the proactive publication of anonymised Official
Information Act responses on our website from 10 working days after they
have been released.

 

If you feel that there are good reasons why your response should not be
made publicly available, we will be happy to consider this.

 

Kind regards

Anna

 

 

Anna Monastra I Senior Administration Assistant

Communications I Waitematā DHB
[1]www.waitematadhb.govt.nz

 

 

[2]Legal Disclaimer

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Link to this

From: Jenny McLennan [TDHB]


Attachment image001.png
36K Download


Good Afternoon – This to confirm that Taranaki DHB has received a partial
transfer of your OIA and we will be responding to the following part of
your original request.

 

Request 1:

I respectfully request a copy of each referral pathway for each region in
New Zealand.

 

Please note that you can expect to receive a response on or before 29 May
2020.

 

Regards

 

Jenny McLennan

Personal Assistant to

Rosemary Clements

Chief Executive

 

T 06 753 7781
M 027 3444 214
E [1][email address]
W [2]www.tdhb.org.nz

Taranaki District Health Board, David Street, Private Bag 2016, New
Plymouth 4342  

Taranaki Together, a Healthy Community Taranaki Whanui He Rohe Oranga

 

[3]Te%20Ahu%20Taranaki%20DHB%20Values%20Email%20Signature

 

 

 

 

 

Taranaki DHB has a policy on acceptable use of email. If the content of
this
message is inappropriate or breaches your organisation's policy, please
contact the IT Service Desk to register a complaint.
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Link to this

From: Catherine Stewart [CCDHB]

Dear Amy

 

Thank you for your request for official information, which was originally
received by the Ministry of Health (the Ministry) on 29 January 2020; an
aspect of your request related to the referral pathways for each region of
New Zealand.

 

On 8 March 2020, you challenged the response the Ministry sent you. The
Ministry has since partially transferred the aspect of your request
regarding referral pathways to Capital & Coast District Health Board
(CCDHB), to answer in relation to our region. This partial transfer was
received by CCDHB on 1 May 2020.

 

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 29 May 2020.

 

If a large amount of information has been requested or if CCDHB 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.

 

Our reference number for your request is: 2020/080.

 

Thank you

 

Catherine Stewart

Correspondence Officer to the Office of the Chief Executive | Capital &
Coast District Health Board | Ūpoko ki te uru hauora | [1]www.ccdhb.org.nz
| [2]www.facebook.com/CCDHB

 

 

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Link to this

From: Maria Moller


Attachment image004.gif
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Attachment image002.jpg
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Attachment Request 15 February 2020.pdf
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Attachment Ms Lovatt response.pdf
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Attachment Official Information request Consumers Rights Physicians Ob.pdf
33K Download View as HTML


On behalf of Debbie Brown, Senior Advisor Governance and Quality
 
Dear Amy
 
We refer to your OIA request of 29 January 2020 sent to the Ministry of
Health.  As you are aware the Ministry of Health have transferred part of
your request to our DHB, namely “Request 1”.

 

According to the Health and Disability Commissioner (Code of Health and
Disability Services Consumers' Rights) Regulations 1996, Right 6 clause 3
(c), "Every consumer has the right to honest and accurate answers to
questions relating to services, including questions about...(c) how to
obtain an opinion from another provider;". Further, Right 7 clause 8
states: "Every consumer has the right to express a preference as to who
will provide services and have that preference met where practicable."

 

Request 1:

I respectfully request a copy of each referral pathway for each region in
New Zealand.

 

We advise that all guidance regarding referrals and pathways is publically
availabe through the Bay Navigator site:  [1]https://baynav.bopdhb.govt.nz

 

Kind regards.

 

Maria Moller

PA to Senior Advisor Governance & Quality

 

Governance & Quality / CEO Office

Bay of Plenty District Health Board| Tauranga Hospital | Cameron Road |
Private Bag 12024 | Tauranga 3143 

T: 07 579 8545 | E: [2][email address] | W:
[3]www.bopdhb.govt.nz  

[4]CARE email signature 3

Notice of Legal Status and Confidential Information: This electronic mail
message and any accompanying attachments may contain information that is
privileged and CONFIDENTIAL. If you are not the intended recipient you are
advised that any use, review, dissemination, distribution or reproduction
of the information is strictly prohibited and may be unlawful. If you have
received this document in error, please notify the sender immediately and
destroy the message.

 

 

From: [email address]
<[email address]> On Behalf Of
[email address]
Sent: Friday, 1 May 2020 1:03 p.m.
To: [email address]; [email address]; [email address];
[email address]; [email address];
[email address]; [email address];
[email address]; [email address];
[email address]; [email address];
[email address]; [email address];
[email address]; [email address];
[email address]; Kathleen Smitheram
<[email address]>; [email address]; David Meates
<[email address]>
Cc: [email address]
Subject: Partial transfer of official request for information

 

Kia ora

The Ministry of Health has received the attached OIA request from Ms Amy
Van Wey Lovatt.

I have been advised that this request should be partially transferred to
each DHB, in accordance with section 14 of the Act.  Please note the
section of this request that we are transferring to you is "Request 1:
Thus, I request, under section 13 and 14 of the OIA that your please
assist me in obtaining these policies even if it requires transferring my
request to each and every DHB or another relevant agency, which would have
the required information".
As such, please find attached the following:

o A PDF copy of our letter notifying the requester that their request is
being transferred to you for response
o A PDF copy of the original OIA request

Also for your reference, please find attached below a prior request
submitted by Ms Lovatt that will assist in clarifying the current request
in question;

This emails serves as a formal transfer of this request under the Official
Information Act 1982.

Please confirm receipt of transfer.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [5][email address]

show quoted sections

Link to this

From: Theresa Fraser

Good Morning Amy

 

On the 1 May 2020 Lakes DHB received from the Ministry of Health a partial
transfer of an aspect of your OIA request Consumers Rights & Physicians
Obligations.

 

The part of your OIA that was transferred to Lakes DHB related to Request
1: I respectfully request a copy of each referral pathway for each region
in New

Zealand.

 

I would like to seek some initial clarification on your Request 1 please.
Are you wishing the Lakes DHB referral pathway for Endocrine Societies
Guidelines for testing for hyper aldosteronism or are you wishing a copy
of every referral pathway that Lakes DHB has in place.  Obviously the
latter would be a major exercise for us and there may be an associated
cost to source this information.

 

I look forward to hearing from you please so that we may progress your
request.

 

Thank you.

 

Regards

 

Theresa Fraser

Executive Assistant to Chief Executive, Lakes District Health Board | Ph
DDI - 07 349 7982 | Cell: 027 4309 948 | Email 
[1][email address] | Private Bag 3023 | Rotorua Mail
Centre| Rotorua 3046 |

 

 

 

Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is in confidence and subject to
legal privilege. If you are not the intended recipient, do not read, use,
disseminate, distribute, or copy this message or attachments. If you have
received this message in error, please notify the sender immediately and
delete this message. The Lakes District Health Board website is
www.lakesdhb.govt.nz
This email has been scrubbed for your protection by SMX. For more
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Link to this

From: OIA Request [WrDHB]

 

Hi Amy

 

I need to clarify your request.

 

which pathway do you requires us to check? Is it specific to Endocrinology
and a request for specialist review regarding suspected Aldosteronism?

 

Please could you let me know as soon as practicable so we are able to
continue with your request.

 

Thank you

 

Caroline  

 

 

From: Caroline van Deventer [WrDHB] On Behalf Of OIA Request [WrDHB]
Sent: Monday, 4 May 2020 11:21 a.m.
To: '[FOI #12108 email]'
<[1][FOI #12108 email]>
Subject: W20-451 OIA acknowledgement

 

Dear Amy

Official information request.

I am writing to acknowledge receipt of your official information request
to the Ministry of Health, dated 3 April 2020 for a copy of each referral
pathway for each region in New Zealand. Your request was transferred to
Wairarapa DHB on 1 May 2020.

 

It should be noted that many key staff involved with the sourcing and
preparation of material for your OIA request are also directly involved
with work associated with COVID-19.

 

This may impact on our ability to respond to certain OIA requests within
normal timeframes. If this is the case we will notify you as soon
practical.

 

We received your request on 1 May 2020. We will endeavour to respond to
your request as soon as possible and in any event no later than 29 May
2020, being 20 working days after the day your request was received. If we
are unable to respond to your request by then, we will notify you of an
extension of that timeframe.

If the information requested cannot be made available without substantial
collation, under section 18(f) and section 18A(1)(a) of the Official
Information Act 1982 we may refuse the request or fix a charge under
section 15. If your request falls into this category we will inform you as
soon as possible.

If any additional factors come to light that are relevant to your request,
please do not hesitate to contact us so that these can be taken into
account.

Please note that, like all DHBs across New Zealand, Wairarapa DHB has
adopted a model of proactive disclosure which sees OIA responses publicly
available on our website no less than one week after they have been
released.

 

If you believe there are any special reasons why proactive disclosure
should not apply to your response, we will be happy to consider this.

Yours sincerely

Caroline van Deventer

Communications Administrator

 

 

References

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1. mailto:[FOI #12108 email]

Link to this

From: Catherine Stewart [CCDHB]


Attachment 2020 080 Amendment Sought.pdf
505K Download View as HTML


Good evening Amy

 

I refer to your request for information relating to referral pathways in
the Capital & Coast District Health Board (CCDHB) region, which was
partially transferred to CCDHB from the Ministry of Health on 1 May 2020.

 

CCDHB is emailing you to seek an amendment to the wording of your request.
Please find attached a letter outlining the amendment we seek.

 

You have the right to seek an investigation and review by the Ombudsman.
Information about how to make a complaint is available at
[1]www.ombudsman.parliament.nz or free phone 0800 802 602.

 

Thank you

 

Catherine Stewart

Correspondence Officer to the Office of the Chief Executive | Capital &
Coast District Health Board | Ūpoko ki te uru hauora | [2]www.ccdhb.org.nz
| [3]www.facebook.com/CCDHB

 

 

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Link to this

From: OIA Request NMDHB


Attachment image001.jpg
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Attachment image002.gif
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Dear Amy

Re: Official Information Act request – A copy of each referral pathway –
Clarification sought

 

The Nelson Marlborough District Health Board (DHB) refers to your request
for Information under the Official Information Act 1982 (“the Act”), as a
partial transfer from the Ministry of Health, and received on 1 May 2020.

 

The DHB HealthPathways is an online health information portal with around
800 pathways for a general practice audience, to be used at the point of
care and is not set up for use by the general public.  As such, the DHB
asks if you would consider narrowing the scope of your request to selected
pathways.

 

We will endeavour to respond to your request as soon as reasonably
practicable.

 

Thank you for your request.

 

Nelson Marlborough District Health Board | Private Bag 18 | Nelson 7040 |
| [1]www.nmdhb.govt.nz

 

DISCLAIMER: This electronic message together with any attachments is
confidential. If you are not the intended recipient, do not copy, disclose
or use the contents in any way.

Please also advise us by return e-mail that you have received the message
and then please destroy. NMDHB is not responsible for any changes made to
this message and / or

any attachments after sending by NMDHB. We use virus scanning software but
exclude all liability for viruses or anything similar in this email or any
attachment.

 

[2]nmh icon

 

From: OIA Request NMDHB
Sent: Tuesday, 5 May 2020 1:34 PM
To: '[FOI #12108 email]'
<[FOI #12108 email]>
Subject: Acknowledgement NMDHB FW: Partial transfer of official request
for information

 

Dear Amy

Re: Official Information Act request – Consumer rights and obligations

 

The Nelson Marlborough District Health Board acknowledges receipt of your
request for Information under the Official Information Act 1982 (“the
Act”), as a partial transfer of Part 1 (of 2) from the Ministry of Health,
and received on 1 May 2020.

 

Your request has been forwarded to the appropriate person/service for
response within 20 working days of receipt, and if we are unable to
respond to your request by 29 May 2020 we will notify you of an extension
of that timeframe.

 

Consistent with the purpose of the Act, the letter notifying you of the
decision on your request will confirm if we intend to publish the
information contained in the response online, with your
personal/identifying information redacted.

We will endeavour to respond to your request as soon as reasonably
practicable.

 

Thank you for your request.

 

Nelson Marlborough District Health Board | Private Bag 18 | Nelson 7040 |
| [3]www.nmdhb.govt.nz

 

DISCLAIMER: This electronic message together with any attachments is
confidential. If you are not the intended recipient, do not copy, disclose
or use the contents in any way.

Please also advise us by return e-mail that you have received the message
and then please destroy. NMDHB is not responsible for any changes made to
this message and / or

any attachments after sending by NMDHB. We use virus scanning software but
exclude all liability for viruses or anything similar in this email or any
attachment.

 

[4]nmh icon

 

 

From: On Behalf Of [5][email address]
Sent: Friday, 1 May 2020 1:03 PM
To: Subject: Partial transfer of official request for information

 

Kia ora

The Ministry of Health has received the attached OIA request from Ms Amy
Van Wey Lovatt.

I have been advised that this request should be partially transferred to
each DHB, in accordance with section 14 of the Act. Please note the
section of this request that we are transferring to you is "Request 1:
Thus, I request, under section 13 and 14 of the OIA that your please
assist me in obtaining these policies even if it requires transferring my
request to each and every DHB or another relevant agency, which would have
the required information".

As such, please find attached the following:

o A PDF copy of our letter notifying the requester that their request is
being transferred to you for response
o A PDF copy of the original OIA request

Also for your reference, please find attached below a prior request
submitted by Ms Lovatt that will assist in clarifying the current request
in question;

This emails serves as a formal transfer of this request under the Official
Information Act 1982.

Please confirm receipt of transfer.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [6][email address]

show quoted sections

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6. mailto:[email address]

Link to this

From: Dawne Tuite


Attachment Response letter.docx
64K Download View as HTML

Attachment Aoraki Health Pathway for Hypertension as at 12 May 2020.pdf
2.0M Download View as HTML

Attachment Aoraki Health Pathway for Hypertension in Pregnancy and Postpartum as of 12 May 2020.pdf
3.4M Download View as HTML

Attachment Aoraki Health Pathway for Referral to General Medicine as of 12 May 2020.pdf
1.6M Download View as HTML


Morning Amy

 

Please find attached our response to your OIA Request – referral pathway.

 

Kind Regards

 

Dawne Tuite

SLT Administrator – DDI (03) 687 2383

South Canterbury District Health Board

Private Bag 911, Timaru

show quoted sections

Link to this

From: Elaine Keenan (ADHB)


Attachment image001.png
32K Download

Attachment Request 15 February 2020.pdf
134K Download View as HTML

Attachment Ms Lovatt response.pdf
148K Download View as HTML

Attachment Official Information request Consumers Rights Physicians Ob.pdf
33K Download View as HTML


Dear Ms Lovatt

 

As we haven’t yet received a response to our query of 4 May for
clarification, we will proceed with your OIA on the basis that the
interpretation of your request is correct and relates to referral pathways
policy/ guidelines for Endocrinology services.

 

If you have any queries about this OIA request, please feel free to
contact me.

 

 

Elaine Keenan

Team Administrator

Corporate Business Services

( (09) 630-9943  ext 22346 | * [email address]

Auckland District Health Board | Level 1 |  Building 37 | Auckland City
Hospital | Park Road | Auckland

[1]cid:image003.png@01D1E7F0.9ED324E0

 

--------------------------------------------------------------------------

References

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Link to this

From: OIA Request [WrDHB]

Hi Amy

 

I just wanted to follow up on this. We are unable to continue with your
request until you clarify which pathway you would like a copy of?

 

Your OIA request is on hold until we hear from you.

 

I look forward to hearing from you.

 

Caroline van Deventer

OIA coordinator

 

 

From: Caroline van Deventer [WrDHB] On Behalf Of OIA Request [WrDHB]
Sent: Monday, 11 May 2020 1:19 p.m.
To: '[FOI #12108 email]'
<[FOI #12108 email]>
Subject: W20-451 OIA acknowledgement

 

 

Hi Amy

 

I need to clarify your request.

 

which pathway do you requires us to check? Is it specific to Endocrinology
and a request for specialist review regarding suspected Aldosteronism?

 

Please could you let me know as soon as practicable so we are able to
continue with your request.

 

Thank you

 

Caroline

 

 

From: Caroline van Deventer [WrDHB] On Behalf Of OIA Request [WrDHB]
Sent: Monday, 4 May 2020 11:21 a.m.
To: '[FOI #12108 email]'
<[1][FOI #12108 email]>
Subject: W20-451 OIA acknowledgement

 

Dear Amy

Official information request.

I am writing to acknowledge receipt of your official information request
to the Ministry of Health, dated 3 April 2020 for a copy of each referral
pathway for each region in New Zealand. Your request was transferred to
Wairarapa DHB on 1 May 2020.

 

It should be noted that many key staff involved with the sourcing and
preparation of material for your OIA request are also directly involved
with work associated with COVID-19.

 

This may impact on our ability to respond to certain OIA requests within
normal timeframes. If this is the case we will notify you as soon
practical.

 

We received your request on 1 May 2020. We will endeavour to respond to
your request as soon as possible and in any event no later than 29 May
2020, being 20 working days after the day your request was received. If we
are unable to respond to your request by then, we will notify you of an
extension of that timeframe.

If the information requested cannot be made available without substantial
collation, under section 18(f) and section 18A(1)(a) of the Official
Information Act 1982 we may refuse the request or fix a charge under
section 15. If your request falls into this category we will inform you as
soon as possible.

If any additional factors come to light that are relevant to your request,
please do not hesitate to contact us so that these can be taken into
account.

Please note that, like all DHBs across New Zealand, Wairarapa DHB has
adopted a model of proactive disclosure which sees OIA responses publicly
available on our website no less than one week after they have been
released.

 

If you believe there are any special reasons why proactive disclosure
should not apply to your response, we will be happy to consider this.

Yours sincerely

Caroline van Deventer

Communications Administrator

 

 

References

Visible links
1. mailto:[FOI #12108 email]

Link to this

From: OIA


Attachment 1945 Amy Van Wey Lovatt 21.05.2020.pdf
649K Download View as HTML


Dear Amy,

 

Attached is our response to your Official Information Act request.

 

Kind regards,

Yasmin

 

Yasmin Seymour, OIA Coordinator

Internal Ext: 55454 | DDI: 03 476 9454 | Email:
[1][email address

Southern District Health Board

Kind – Manaakitanga | Open – Pono | Positive – Whaiwhakaaro | Community -
Whanaungatanga

 

From: Yasmin Seymour On Behalf Of OIA
Sent: Tuesday, 5 May 2020 10:12
To: '[FOI #12108 email]'
<[FOI #12108 email]>
Subject: OIA partially transferred from MoH to Southern DHB - 1945

 

Dear Amy,

 

Please accept this as an acknowledgement of your Official Information Act
request, partially transferred to us from the Ministry of Health:

 

“The MoH Operational Policy Framework 2019/20, available through
Nationwide Service Framework Library <[2]https://nsfl.health.govt.nz>,
states under section 7.5.2 "Regions should ensure that clear referral
pathways are in place and known to all clinicians." Given that every DHB
must "ensure that clear referral pathways are in place and known to all
clinicians", clearly such policies must exist…Thus, I request, under
section 13 and 14 of the OIA that your please assist me in obtaining these
policies.”

 

I will have a response to you on or before 29 May 2020.

 

Kind regards,

Yasmin

 

Yasmin Seymour, OIA Coordinator

Internal Ext: 55454 | DDI: 03 476 9454 | Email:
[3][email address]

Southern District Health Board

Kind – Manaakitanga | Open – Pono | Positive – Whaiwhakaaro | Community -
Whanaungatanga

Please note that my usual hours of work are Tues - Fri, 8.45am - 2.15pm. I
am currently working from home.

show quoted sections

Link to this

From: Jenny McLennan [TDHB]


Attachment image001.png
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Attachment 2020 05 22 OIA response A van Wey Lovatt re referral pathways 1 OF 2.pdf
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Attachment Referrals Outside Taranaki Guidelines 2 OF 2.pdf
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Good Morning – Please find attached our response to your recent OIA
request.

 

 

Regards

 

Jenny McLennan

Personal Assistant to

Rosemary Clements

Chief Executive

 

T 06 753 7781
M 027 3444 214
E [1][email address]
W [2]www.tdhb.org.nz

Taranaki District Health Board, David Street, Private Bag 2016, New
Plymouth 4342  

Taranaki Together, a Healthy Community Taranaki Whanui He Rohe Oranga

 

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Taranaki DHB has a policy on acceptable use of email. If the content of
this
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Link to this

From: Kathryn Leydon (NDHB)


Attachment Van Wey Lovatt IDF Referrals 26 May 20.pdf
70K Download View as HTML


Dear Amy

 

Northland DHB’s response to your partially transferred OIA request is
attached

 

Regards

Kathryn Leydon

 

 

Director Governance & Compliance 

Northland DHB

Tel 09 430 4100 ext 60640

[mobile number]

email [1][email address]

 

 

This electronic transmission is strictly confidential to Northland
District Health Board and intended solely for the addressee. It may
contain information that is covered by legal, professional or other
privilege. If you are not the intended addressee, or someone authorized by
the intended addressee to receive transmissions on behalf of the
addressee, you must not retain, disclose in any form, copy or take any
action in reliance of this transmission. If you have received this
transmission in error, please notify us as soon as possible and destroy
this message.

 

 

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Link to this

From: Kathleen Smitheram


Attachment CDHB 10306 WCDHB 9423 Response 28 5 2020.pdf
420K Download View as HTML


Dear Ms Van Wey Lovatt

 

Please find attached our response to your Official Information Act
requests CDHB 10306 and WCDHB 9423.

 

Kind regards

 

Kathleen Smitheram

 

Canterbury District Health Board and West Coast District Health Board

Official Information Act Co-ordinator, Planning and Funding

Level 2, 32 Oxford Terrace

PO Box 1600

Christchurch 8140

show quoted sections

Link to this

From: Shan Tapsell


Attachment 2020 05027 A Van Wey Lovatt consumer rights and physicians obligations.pdf
382K Download View as HTML


Hi Amy

 

Please see our response attached.

 

Cheers

 

Shan Tapsell

Assistant Communications Officer

Lakes District Health Board

Rotorua Hospital

Pukeroa Hill

Private Bag 3923

Rotorua Mail Centre

Rotorua 3046

Phone (07) 349 7955 extn:8491

 

Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is in confidence and subject to
legal privilege. If you are not the intended recipient, do not read, use,
disseminate, distribute, or copy this message or attachments. If you have
received this message in error, please notify the sender immediately and
delete this message. The Lakes District Health Board website is
www.lakesdhb.govt.nz
This email has been scrubbed for your protection by SMX. For more
information visit smxemail.com

Link to this

From: Catherine Stewart [CCDHB]


Attachment 2020 080 Response.pdf
504K Download View as HTML


Dear Amy

 

Please find attached Capital & Coast District Health Board’s response to
your Official Information Act request received on 1 May 2020.

 

You have the right to seek an investigation and review by the Ombudsman.
Information about how to make a complaint is available at
[1]www.ombudsman.parliament.nz or free phone 0800 802 602.

 

Thank you

 

Catherine Stewart

Correspondence Officer to the Office of the Chief Executive | Capital &
Coast District Health Board | Ûpoko ki te uru hauora | [2]www.ccdhb.org.nz
| [3]www.facebook.com/CCDHB

 

 

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Link to this

From: OIA


Attachment OIA 12884 final response letter.pdf
375K Download View as HTML


Morning
Please find attached the Whanganui District Health Boards response to your
OIA regarding referral pathways that was a partial transfer from Ministry
of Health on 2 May 2020
Regards
Anne

--------------------------------------------------------------------------

Anne Phoenix  |  OIA Administrator  | Te Pokapū Haumaru Tūroro- Ratonga
Whai Kounga  | Whanganui District Health Board
p (06) 348 3459  |  extn 8459  |  [1]www.wdhb.org.nz
 
'Better health and independence'
'He hauora pai ake, he rangatiratanga'

--------------------------------------------------------------------------

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Link to this

From: Robyn Fitzgerald [CCDHB]


Attachment H20 21 60 Response.pdf
496K Download View as HTML


Dear Amy

 

Please find attached a response to your request of 1 May 2020.

 

You have the right to seek an investigation and review by the Ombudsman of
this decision. Information about how to make a complaint is available at
[1]www.ombudsman.parliament.nz or free phone 0800 802 602.

 

Your sincerely

 

 

Robyn Fitzgerald

 

Robyn Fitzgerald | Correspondence Officer | Hutt Valley District Health
Board |  Pilmuir House | Lower Hutt    

DDI: 04 570 9488  |   [2][email address]

 

 

 

References

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Link to this

From: Anna Monastra (WDHB)


Attachment OIA response 20059.pdf
371K Download View as HTML


Hi Amy

Please see the attached Waitematā DHB response to your recent Official
Information Act request.

 

Regards

Anna

 

 

Anna Monastra I Senior Administration Assistant

Communications I Waitematā DHB

Level 2, 15 Shea Terrace, Private Bag 93-503, North Shore 0740
[1]www.waitematadhb.govt.nz

 

[2]Legal Disclaimer

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Link to this

From: Dinah Nicholas (CMDHB)


Attachment image001.png
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Attachment OIA 04052020 VAN DEY LOVATT Inter district referrals final.pdf
144K Download View as HTML


Dear Amy

Please find attached our final response to your request for Information.

 

Kind regards,

Dinah

 

Dinah Nicholas

Executive Assistant to Margie Apa - Chief Executive

Board Secretary

show quoted sections

Link to this

From: Tina Anderson


Attachment image003.png
65K Download

Attachment OIA Response Amy Lovatt OIA Y20 951 referral pathway policies.pdf
208K Download View as HTML


Dear Ms Lovett

 

Thank you for your recent OIA request regarding Referral Pathway Policies.

 

Please see the attached letter for our response to your request.

 

Kind regards

Tina

 

Tina Anderson | Executive Assistant to: Acting Chief Medical Officer Dr
Jeff Brown & Allied Health Executive Director Gabrielle Scott

Address: MidCentral District Health Board, PO Box 2056, Heretaunga Street,
Palmerston North 4440

Office: 1^st floor Hospital Admin Building|Phone: +64 (6) 350 8821,
[mobile number] |Email: [1][email address]

 

[2]cid:image001.png@01D39C18.4D6B4460

MidCentral District Health Board

Quality Living - Healthy Lives - Well Communities”

“Kia pai te noho - Kia ora te tangata - Kia ora te hapori

 

 

show quoted sections

Link to this

From: OIA Request [WrDHB]


Attachment W20 451 signed response.pdf
763K Download View as HTML


Hi

 

Please find attached the signed response to your OIA request.

 

Thank you

 

Caroline van Deventer

OIA Coordinator

Link to this

From: OIA Request NMDHB


Attachment ATT00001.gif
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Attachment image001.jpg
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Dear Amy

 

Re: Official Information Act request – A copy of each referral pathway –
Clarification sought – Necessary extension of time

 

We refer to your official information request received by Nelson
Marlborough DHB on 1 May 2020.

 

The Official Information Act requires that we advise you of our decision
on your request no later than 20 working days after the day we received
your request. Unfortunately, it will not be possible to meet that time
limit and we are therefore writing to notify you of an extension of the
time of an additional 10 working days to make our decision, to 15 June
2020.

 

This extension is necessary because, and as specified under Section
15A(1)(b) of the Official Information Act 1982, ‘consultations necessary
to make a decision on the request are such that a proper response cannot
reasonably be made within the original time limit’.

 

On 15 May 2020, the DHB offered you the opportunity to consider narrowing
the scope of your request to selected pathways. Please let us know of a
revised scope of your request before 5 June 2020.

 

You have the right to seek an investigation by the Ombudsman of this
decision. Information about how to make a complaint is available at
[1]www.ombudsman.parliament.nz or free phone 0800 802 602.

 

Nelson Marlborough District Health Board | Private Bag 18 | Nelson 7040 |
| [2]www.nmdhb.govt.nz

 

DISCLAIMER: This electronic message together with any attachments is
confidential. If you are not the intended recipient, do not copy, disclose
or use the contents in any way.

Please also advise us by return e-mail that you have received the message
and then please destroy. NMDHB is not responsible for any changes made to
this message and / or

any attachments after sending by NMDHB. We use virus scanning software but
exclude all liability for viruses or anything similar in this email or any
attachment.

 

[3]nmh icon

 

From: OIA Request NMDHB
Sent: Friday, 15 May 2020 10:13 AM
To: '[FOI #12108 email]'
<[FOI #12108 email]>
Subject: Clarification sought RE: Acknowledgement NMDHB FW: Partial
transfer of official request for information

 

Dear Amy

Re: Official Information Act request – A copy of each referral pathway –
Clarification sought

 

The Nelson Marlborough District Health Board (DHB) refers to your request
for Information under the Official Information Act 1982 (“the Act”), as a
partial transfer from the Ministry of Health, and received on 1 May 2020.

 

The DHB HealthPathways is an online health information portal with around
800 pathways for a general practice audience, to be used at the point of
care and is not set up for use by the general public.  As such, the DHB
asks if you would consider narrowing the scope of your request to selected
pathways.

 

We will endeavour to respond to your request as soon as reasonably
practicable.

 

Thank you for your request.

 

Nelson Marlborough District Health Board | Private Bag 18 | Nelson 7040 |
| [4]www.nmdhb.govt.nz

 

DISCLAIMER: This electronic message together with any attachments is
confidential. If you are not the intended recipient, do not copy, disclose
or use the contents in any way.

Please also advise us by return e-mail that you have received the message
and then please destroy. NMDHB is not responsible for any changes made to
this message and / or

any attachments after sending by NMDHB. We use virus scanning software but
exclude all liability for viruses or anything similar in this email or any
attachment.

 

[5]nmh icon

 

From: OIA Request NMDHB
Sent: Tuesday, 5 May 2020 1:34 PM
To: '[FOI #12108 email]'
<[6][FOI #12108 email]>
Subject: Acknowledgement NMDHB FW: Partial transfer of official request
for information

 

Dear Amy

Re: Official Information Act request – Consumer rights and obligations

 

The Nelson Marlborough District Health Board acknowledges receipt of your
request for Information under the Official Information Act 1982 (“the
Act”), as a partial transfer of Part 1 (of 2) from the Ministry of Health,
and received on 1 May 2020.

 

Your request has been forwarded to the appropriate person/service for
response within 20 working days of receipt, and if we are unable to
respond to your request by 29 May 2020 we will notify you of an extension
of that timeframe.

 

Consistent with the purpose of the Act, the letter notifying you of the
decision on your request will confirm if we intend to publish the
information contained in the response online, with your
personal/identifying information redacted.

We will endeavour to respond to your request as soon as reasonably
practicable.

 

Thank you for your request.

 

Nelson Marlborough District Health Board | Private Bag 18 | Nelson 7040 |
| [7]www.nmdhb.govt.nz

 

DISCLAIMER: This electronic message together with any attachments is
confidential. If you are not the intended recipient, do not copy, disclose
or use the contents in any way.

Please also advise us by return e-mail that you have received the message
and then please destroy. NMDHB is not responsible for any changes made to
this message and / or

any attachments after sending by NMDHB. We use virus scanning software but
exclude all liability for viruses or anything similar in this email or any
attachment.

 

[8]nmh icon

 

 

From: On Behalf Of [9][email address]
Sent: Friday, 1 May 2020 1:03 PM
To: Subject: Partial transfer of official request for information

 

Kia ora

The Ministry of Health has received the attached OIA request from Ms Amy
Van Wey Lovatt.

I have been advised that this request should be partially transferred to
each DHB, in accordance with section 14 of the Act. Please note the
section of this request that we are transferring to you is "Request 1:
Thus, I request, under section 13 and 14 of the OIA that your please
assist me in obtaining these policies even if it requires transferring my
request to each and every DHB or another relevant agency, which would have
the required information".

As such, please find attached the following:

o A PDF copy of our letter notifying the requester that their request is
being transferred to you for response
o A PDF copy of the original OIA request

Also for your reference, please find attached below a prior request
submitted by Ms Lovatt that will assist in clarifying the current request
in question;

This emails serves as a formal transfer of this request under the Official
Information Act 1982.

Please confirm receipt of transfer.

Nga mihi

OIA Services
Government Services
Office of the Director-General
Ministry of Health
E: [10][email address]

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2. http://www.nmdhb.govt.nz/
4. http://www.nmdhb.govt.nz/
6. mailto:[FOI #12108 email]
7. http://www.nmdhb.govt.nz/
9. mailto:[email address]
10. mailto:[email address]

Link to this

From: Official Information Act

Dear Ms Van Wey Lovatt
 
Hawke’s Bay DHB has not received a response to our previous email (refer
below) seeking clarification of your information request.
 
You may already have located the information  you were looking for on our
website however as we have not heard anything further from you we advise
that under section 12 (2) of the Official Information Act 1982, relating
to requests being specified with due particularity, we are now
administratively closing out your request.
 
If you wish to reconsider and resubmit a refined request please do not
hesitate to do so.
 
Âku mihi nui ki a koe.
Nâku, nâ
Chris
Chris Lord
Content and Publications Advisor, Communications Team
Phone: 06 878 8109
Please note my usual hours of work are: Monday, Tuesday 8:00am – 12 noon;
Wednesday, Thursday, Friday 8:00am – 4:30pm
Hawke's Bay District Health Board
W: [1]www.hawkesbay.health.nz    [2]www.ourhealthhb.nz
 
_____________________________________________
From: Chris Lord
Sent: Monday, 4 May 2020 10:41
To: '[FOI #12108 email]'
<[FOI #12108 email]>
Cc: Official Information Act <[email address]>
Subject: Your OIA re referral pathways
 
 
Dear Ms Van Wey Lovatt
 
Hawke’s Bay DHB (HBDHB) has received a transfer in part from the Ministry
of Health an Official Information Act request, which has been logged with
us as HBDHB ref OIA2020064.
 
Can you please confirm the information you are seeking from us is as
follows (shown in italics below):
According to the MoH Operational Policy Framework 2019/20, available
through Nationwide Service Framework Library
[3]https://nsfl.health.govt.nz; section 7.5.2 "Regions should ensure that
clear referral pathways are in place and known to all clinicians." I
respectfully request a copy of each referral pathway for each region in
New Zealand.
 
If this is not correct please let us know what information you are
requesting from DHBs eg is there a specific referral pathway?  ‘
You may find what you are looking for on HBDHB’s health professionals
website where a number of clinical pathways are published:
[4]https://hawkesbay.health.nz/health-profe...
 
Thank you, I look forward to hearing back from you.
 
Chris Lord
Communications Service
Hawke’s Bay District Health Board
Phone 06 878 8109 ext 4658
 

show quoted sections

Link to this

From: Elaine Keenan (ADHB)


Attachment image001.png
32K Download

Attachment Signed OIA 564 Amy Lovatt OIA RESPONSE.pdf
217K Download View as HTML


Dear Amy

 

Attached please find ADHBs response to your OIA request dated 1 May 2020.

 

Regards

 

Elaine Keenan

Team Administrator/OIA Coordinator

Corporate Business Services

( (09) 630-9943  ext 22346 | * [email address]

Auckland District Health Board | Level 1 |  Building 37 | Auckland City
Hospital | Park Road | Auckland

[1]cid:image003.png@01D1E7F0.9ED324E0

 

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Link to this

From: Robyn Fitzgerald [CCDHB]

Dear Amy

 

We are in receipt of a transfer from Ministry of Health, received by this
office on 12 May 2020 regarding Reports of unlawful acts on the premises
of the DHB.

 

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 10 July 2020.

 

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.

 

Hutt Valley 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: H20_21-79.

 

Kind regards

 

Robyn Fitzgerald

 

Robyn Fitzgerald | Correspondence Officer | Hutt Valley District Health
Board |  Pilmuir House | Lower Hutt    

DDI: 04 570 9488  |   [1][email address]

 

 

 

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Link to this

From: OIA Request NMDHB


Attachment image001.jpg
6K Download

Attachment OIA 12884 Response NMDHB Copy referral pathways.pdf
384K Download View as HTML


Dear Amy

 

Please find attached the Nelson Marlborough DHB response to your Official
Information request regarding a copy of each referral pathway.

 

Nelson Marlborough District Health Board | Private Bag 18 | Nelson 7040 |
[1]www.nmdhb.govt.nz

 

[2]nmh icon                       

 

 

 

 

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Link to this

Things to do with this request

Anyone:
Ministry of Health only: