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)

 

 

 

 

 

-----Original Message-----

From: Gloria Fraser
[[3]mailto:[FOI #7894 email]]

Sent: Tuesday, 22 May 2018 20:16

To: HBDHB CEO

Subject: Official Information request - DHB gender-affirming healthcare
services

 

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
[4]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

 

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

 

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

 

Please use this email address for all replies to this request:

[5][FOI #7894 email]

 

Is [6][Hawke's Bay District Health Board request email] the wrong address for Official Information
requests to Hawke's Bay District Health Board? If so, please contact
us using this form:

[7]https://fyi.org.nz/change_request/new?bo...

 

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:

[8]https://fyi.org.nz/help/officers

 

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.

 

 

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

 

____________
DISCLAIMER: This emailed information is private and protected by law. If you are not the intended recipient, you are hereby notified that any disclosure, copying, or distribution, or the taking of any action based on the content of this information, is strictly prohibited. Please let us know immediately if you have received this by mistake and destroy this message.

References

Visible links
1. http://www.hawkesbay.health.nz/
3. mailto:[FOI #7894 email]
4. https://fyi.org.nz/request/7586-grs-wait...
5. mailto:[FOI #7894 email]
6. mailto:[Hawke's Bay District Health Board request email]
7. https://fyi.org.nz/change_request/new?bo...
8. https://fyi.org.nz/help/officers

hide quoted sections

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)

 

 

 

 

 

-----Original Message-----

From: Gloria Fraser
[[3]mailto:[FOI #7894 email]]

Sent: Tuesday, 22 May 2018 20:16

To: HBDHB CEO

Subject: Official Information request - DHB gender-affirming healthcare
services

 

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
[4]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

 

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

 

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

 

Please use this email address for all replies to this request:

[5][FOI #7894 email]

 

Is [6][Hawke's Bay District Health Board request email] the wrong address for Official Information
requests to Hawke's Bay District Health Board? If so, please contact
us using this form:

[7]https://fyi.org.nz/change_request/new?bo...

 

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:

[8]https://fyi.org.nz/help/officers

 

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.

 

 

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

 

____________
DISCLAIMER: This emailed information is private and protected by law. If you are not the intended recipient, you are hereby notified that any disclosure, copying, or distribution, or the taking of any action based on the content of this information, is strictly prohibited. Please let us know immediately if you have received this by mistake and destroy this message.

References

Visible links
1. http://www.hawkesbay.health.nz/
3. mailto:[FOI #7894 email]
4. https://fyi.org.nz/request/7586-grs-wait...
5. mailto:[FOI #7894 email]
6. mailto:[Hawke's Bay District Health Board request email]
7. https://fyi.org.nz/change_request/new?bo...
8. https://fyi.org.nz/help/officers

hide quoted sections

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)

 

 

-----Original Message-----

From: Gloria Fraser
[[3]mailto:[FOI #7894 email]]

Sent: Tuesday, 22 May 2018 20:16

To: HBDHB CEO

Subject: Official Information request - DHB gender-affirming healthcare
services

 

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
[4]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

 

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

 

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

 

Please use this email address for all replies to this request:

[5][FOI #7894 email]

 

Is [6][Hawke's Bay District Health Board request email] the wrong address for Official Information
requests to Hawke's Bay District Health Board? If so, please contact
us using this form:

[7]https://fyi.org.nz/change_request/new?bo...

 

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:

[8]https://fyi.org.nz/help/officers

 

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.

 

 

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

 

____________
DISCLAIMER: This emailed information is private and protected by law. If you are not the intended recipient, you are hereby notified that any disclosure, copying, or distribution, or the taking of any action based on the content of this information, is strictly prohibited. Please let us know immediately if you have received this by mistake and destroy this message.

References

Visible links
1. http://www.hawkesbay.health.nz/
3. mailto:[FOI #7894 email]
4. https://fyi.org.nz/request/7586-grs-wait...
5. mailto:[FOI #7894 email]
6. mailto:[Hawke's Bay District Health Board request email]
7. https://fyi.org.nz/change_request/new?bo...
8. https://fyi.org.nz/help/officers

hide quoted sections

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

-----Original Message-----
From: Gloria Fraser [mailto:[FOI #7894 email]]
Sent: Tuesday, 10 July 2018 04:46
To: Annie Quinlivan <[email address]>
Subject: Re: FW: Official Information request - DHB gender-affirming healthcare services

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

-----Original Message-----

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)

 

 

-------------------------------------------------------------------
Please use this email address for all replies to this request:
[FOI #7894 email]

Disclaimer: This message and any reply that you make will be published on the internet. Our privacy and copyright policies:
https://fyi.org.nz/help/officers

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.

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

____________
DISCLAIMER: This emailed information is private and protected by law. If you are not the intended recipient, you are hereby notified that any disclosure, copying, or distribution, or the taking of any action based on the content of this information, is strictly prohibited. Please let us know immediately if you have received this by mistake and destroy this message.

hide quoted sections