06 April 2020
Amy S Van Wey Lovatt
E-mail: [FYI request #12505 email]
Dear Ms Van Wey Lovatt
Official Information Act (1982) Request
I write in response to your Official Information Act request, received by us on 23 March 2020 You
requested the fol owing information:
The Royal Col ege of Pathologists Australasia has a policy titled "Provision of second opinions with
particular reference to morphological examination", which addresses the best practice with regards
to referral for second and subsequent opinion of pathology specimens.
• I respectful y request your DHB's policy on Second Opinions requested by a third party who is a
medical practitioner, currently involved in the medical care of the patient from whom the
pathological material was original y obtained.
• In the event that your DHB deviates from the aforementioned RCPA policy, I request an
explanation for why your DHB deviates from best practice.
Please note, my request does not reflect the standard of care provided at your DHB, but is to ascertain
whether there is consistent adherence to RCPA best practice amongst all NZ DHBs.
For context on our response, CM Health Services provide health and support services to more than
569,400 people residing in South Auckland, both in hospitals and community settings. Our services
are delivered via hospital, outpatient/ ambulatory and community-based models of care. We also
provide regional and supra-regional specialist services for Burns, Plastics and Orthopaedics. Some
services are provided to our community by other DHBs for the entire Auckland region.
Our responses are below:
CM Health follows the Royal College of Pathologists Australasia policy "Provision of second opinions
with particular reference to morphological examination
" and the linked policies within that
Counties Manukau District Health Board
Private Bag 93311, Otahuhu, Auckland
T: 09 276 0000 | cmdhb.org.nz
For clarity, we provide the link to the document, which is publicly available:
• https://www.rcpa.edu.au/Library/Col ege-Policies/Policies/Provision-of-Second-and-
I trust this information satisfactorily answers your query. If you are not satisfied with this response
you are entitled to seek a review of the response by the Ombudsman under section 28(3) of the
Official Information Act.
Please note that this response or an edited version of this may be published on the Counties
Manukau DHB website.
Fepulea’i Margie Apa
Chief Executive Officer
Counties Manukau Health