23 August 2022
Emma Vitz
By email: [FYI request #19607 email]
Dear Emma
Re: Official Information Act request – Outsourced Elective Surgery Data - (ADHB
Ref: 20220615-1243)
I refer to your Official Information Act (OIA) request dated 15 June 2022 requesting
the following information:
I would like to request the following information for each of the DHBs in New
Zealand, split by DHB.
1. The total number of procedures outsourced by year (including the year to
date) for the past five years.
2. For each year, provide a breakdown of the type of procedure.
3. For each year, provide the total spend on outsourced elective surgeries.
4. For each year, provide the amount that these surgeries would have cost the
DHBs if they had not been outsourced.
Response
The following information covers both the adult and child health services at Te Toka Tumai
Auckland.
1. The total number of procedures outsourced by year (including the year to date)
for the past five years.
FY2017-18 FY2018-19 FY2019-20 FY2020-21 YTD FY2021-22
Total number of Procedures
1,316
1,984
1,772
2,801
1,843
2. For each year, provide a breakdown of the type of procedure.
Procedure
FY2017- FY2018- FY2019- FY2020- FY2021-
18
19
20
21
22
Appendectomy
0
0
0
0
3
Hernia Procedures
0
0
0
0
2
Laparoscopic Cholecystectomy
0
0
0
0
1
Procedures for Malignant Breast Disorders
0
0
0
0
4
Lower Limb Procedure W/O Ulcer/Cellulitis
0
0
0
0
3
Other Skin, Subcutaneous Tissue and Breast
Procedures
0
0
0
0
2
Dental Extractions and Restorations
0
0
0
303
85
Sleep Study (PSG)
0
0
24
23
12
Paediatric Ear Nose and Throat
0
0
0
0
14
Paediatric Orthopaedics
0
0
0
0
4
Paediatric Gastroenterology
0
0
0
0
14
Insertion of Neurostimulator Device
0
0
0
0
3
Other Back and Neck Procedures
0
0
0
0
1
Cranial Procs W/O Cerebral Haem
0
0
0
0
8
Cranial or Peripheral Nerve
0
0
0
0
2
Other Musculoskeletal Procedures
0
0
0
0
1
Pituitary Procedures
0
0
0
0
11
Retinal Procedures
24
24
8
4
10
Cataract Surgery
948
1549
1344
2023
1378
Parathyroid Procedures
0
0
0
0
2
Spinal Procedures
28
27
10
19
24
Carpal Tunnel Release
7
5
17
12
5
Hip Replacement
129
130
124
146
76
Knee Replacement
108
132
149
157
78
Other Orthopaedic Procedures
72
117
96
114
78
Urology Procedures
0
0
0
0
22
Total
1316
1984
1772
2801
1843
3. For each year, provide the total spend on outsourced elective surgeries.
FY2017-18
FY2018-19
FY2019-20
FY2020-21
FY2021-22
Total spend $7,179,043
$10,597,950
$9,372,917
$13,797,964
$8,351,489
4. For each year, provide the amount that these surgeries would have cost the
DHBs if they had not been outsourced.
It is not possible to create the information to answer this question. Given these variabilities
and the number of surgical procedures involved we are declining to retrospectively create
assumptive comparative prices.
We are therefore refusing your request under section 18(g) of the Official Information Act
because the information is not held.
I trust you find this information useful. If you have any questions, you can contact us at
[email address] .
If you are not happy with this response, you have the right to make a complaint to the
Ombudsman. Information about how to do this is available at
www.ombudsman.parliament.nz or by phoning 0800 802 602.
Nāku iti noa, nā
Dr Michael Shepherd
Interim Director
Te Whatu Ora Te Toka Tumai Auckland
TeWhatuOra.govt.nz
Private Bag 92024, Auckland Mail Centre, Auckland, 1142
Waea pūkoro: +64 9 347 9999