Dear Gloria,

Please accept this as acknowledgement of your Official Information request.

I will have a response to you on or before 21/06/2018.

Regards
Sarah

Sarah Byrne | OIA Coordinator| Southern DHB
Private Bag 1921, Dunedin 9054, New Zealand |DDI 03 4769454 ext 55454
[email address]

-----Original Message-----
From: Gloria Fraser [mailto:[FOI #7913 email]]
Sent: Wednesday, 23 May 2018 4:30 PM
To: OIA <[Southern District Health Board request email]>
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 Southern District Health Board.

Could you please advise whether the following gender-affirming healthcare services are funded by the Southern 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 Southern District Health Board does not offer this service? Does the Southern 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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Dear Gloria,

 

Please find attached the response to your Official Information request.

 

Regards

Sarah

 

 

Sarah Byrne | OIA Coordinator| Southern DHB

Private Bag 1921, Dunedin 9054, New Zealand |DDI 03 4769454 ext 55454

[1][email address]

 

 

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intended, is prohibited. If you received this email in error, please
notify the sender and remove all copies of the message, including any
attachments. Please note, the views expressed in this communication are
not necessarily those of the Southern DHB, unless expressly so stated or
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Dear Gloria,

Southern DHB has surgeons who can perform orchidectomy and breast reduction surgery, however these are not routinely available for gender reaffirming indications. Our data search for surgeries associated with gender reaffirming surgeries in response to your request did not highlight the reason for the surgery, but rather that these types of surgical interventions had been carried out (routinely for reasons associated with cancer treatment). Our apologies if this has been misleading.

Regards
Sarah

Sarah Byrne | OIA Coordinator| Southern DHB
Private Bag 1921, Dunedin 9054, New Zealand |DDI 03 4769454 ext 55454
[email address]

-----Original Message-----
From: Gloria Fraser [mailto:[FOI #7913 email]]
Sent: Friday, 15 June 2018 11:43 AM
To: Sarah Byrne <[email address]>
Subject: Re: Official Information response

Kia ora,

I wonder if you could please clarify a few details of this response:

Does this mean that all of the services I mentioned are available on a case by case basis, but none are routinely funded (or guaranteed to be funded)? I say this as you noted the Southern DHB has provided voice training, laparoscopic hysterectomy and oophorectomy in the past, but then went on to mention hormone therapy, orchidectomy, and breast reduction surgery. I am a little unclear as to what is currently available.

Ngā mihi,
Gloria

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

Dear Gloria,

Please find attached the response to your Official Information request.

Regards

Sarah

Sarah Byrne | OIA Coordinator| Southern DHB

Private Bag 1921, Dunedin 9054, New Zealand |DDI 03 4769454 ext 55454

[1][email address]

-------------------------------------------------------------------
Please use this email address for all replies to this request:
[FOI #7913 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.

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

________________________________

This email or attachments may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Please note, the views expressed in this communication are not necessarily those of the Southern DHB, unless expressly so stated or apparent from the context.

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