DHB gender-affirming healthcare services

Gloria Fraser made this Official Information request to Hawke's Bay District Health Board

The request was successful.

From: Gloria Fraser

Tēnā koutou,

I am writing to request information about the gender-affirming healthcare services provided by the Hawke’s Bay District Health Board. The DHB Gender Reassignment Services Stocktake in October 2015 indicated that the Hawke’s Bay District Health Board previously did not provide gender affirming healthcare services (see the Briefing on GRS attached to this previous request https://fyi.org.nz/request/7586-grs-wait...).

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

- Hormone therapy
- Mastectomy
- Hysterectomy
- Orchidectomy
- Facial hair removal
- Breast augmentation
- Voice training

Could you please provide information about the process of accessing those services that are available?

- Specifically, is an assessment by a mental health professional required in order to access gender-affirming healthcare services? If so, which services?
- In the case of hormone therapy, can primary health providers prescribe hormones, or does this have to be initially approved by an endocrinologist?
- Is any period of real life experience required to access surgery?

Finally, could you please advise what the process is if transgender patients require one of the above services, but the Hawke’s Bay District Health Board does not offer this service? Does the Hawke’s Bay District Health Board currently fund patients to travel to other areas to access this healthcare?

If any part of my request is unclear, please don't hesitate to contact me.

If any of the information that I have requested is unavailable or would be difficult to retrieve, but similar information might be readily available, I would be happy to discuss altering or refining my request.

Ngā mihi,
Gloria Fraser

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From: Annie Quinlivan
Hawke's Bay District Health Board


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Attachment 03 OIA2018064 Signed Ackn Letter.pdf
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Good afternoon Ms Fraser

 

On behalf of Anna Kirk, Communications Manager at the HBDHB, please find
attached an acknowledgement letter to the Official Information Act request
received at this office on 22 May 2018.

 

Kind regards

 

Annie Quinlivan

PA to Communications Manager

Hawke’s Bay District Health Board

Private Bag 9014, Hastings 4156

T: +64 6 878 8109 extn 4683

W: [1]www.hawkesbay.health.nz

Tauwhiro   Rāranga te tira   He kauanuanu   Ākina

 

Please note my hours are: Monday – Wednesday 8.30am-2.30pm; Thursday &
Friday 9.30am – 2.30pm

 

[2]BTB email sig red (002)

 

 

 

 

 

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From: Annie Quinlivan
Hawke's Bay District Health Board


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Attachment 04 OIA2018064 HBDHB CEO Response Final June 2018.doc
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Kia ora Ms Fraser

 

Further to your Official Information Act request below, HBDHB advises that
it will require an extension in time to provide its response back to you. 
Therefore, please be advised that a response will be provided back to you
by 29th June.

 

Kind regards

 

Annie Quinlivan

PA to Communications Manager

Hawke’s Bay District Health Board

Private Bag 9014, Hastings 4156

T: +64 6 878 8109 extn 4683

W: [1]www.hawkesbay.health.nz

Tauwhiro   Rāranga te tira   He kauanuanu   Ākina

 

Please note my hours are: Monday – Wednesday 8.30am-2.30pm; Thursday &
Friday 9.30am – 2.30pm

 

[2]BTB email sig red (002)

 

 

 

 

 

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From: Annie Quinlivan
Hawke's Bay District Health Board


Attachment image001.jpg
8K Download

Attachment 05 OIA2018064 Signed HBDHB CEO response.pdf
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Dear Ms Fraser

 

Please find attached a response to your Official Information Act request
dated 22^nd May 2018.

 

Regards

 

Annie Quinlivan

PA to Communications Manager

Hawke’s Bay District Health Board

Private Bag 9014, Hastings 4156

T: +64 6 878 8109 extn 4683

W: [1]www.hawkesbay.health.nz

Tauwhiro   Rāranga te tira   He kauanuanu   Ākina

 

Please note my hours are: Monday – Wednesday 8.30am-2.30pm; Thursday &
Friday 9.30am – 2.30pm

 

[2]BTB email sig red (002)

 

 

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From: Gloria Fraser

Kia ora,

Could you please confirm I have interpreted this response correctly:

Of the services I listed, Hawke's Bay DHB only provides hormone therapy. For patients 19 and under, CAHMS may provide a mental health assessment for hormone eligibility, then HBDHB provides hormone therapy through a publicly funded endocrinologist. For patients older than 19, they must be "confirmed transgender" by a mental health professional (privately funded), then HBDHB provides hormone therapy through a publicly funded endocrinologist.

Ngā mihi,
Gloria

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From: Annie Quinlivan
Hawke's Bay District Health Board

Dear Ms Fraser,

Thank you for your email.

I have checked with the team that prepared your response and wish to advise that the first part of your query is correct. HBDHB only provides hormone therapy to the services that you listed.

The second part of your question, needs to be clarified in that HBDHB is not specifically referring to patients up to 19 years of age. All services provided to people over the age of 19 years of age, are funded privately.

Regards
Annie Quinlivan

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