Elective Surgery - Bureau of Health Information · 2012-07-31 · 2 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 If a person and their surgeon believe surgery is required

HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au 1

Elective, or planned, surgery is surgery that

a patient’s doctor considers necessary but

that can be delayed by at least 24 hours.

Hip replacement, cataract extraction and ligament

repairs are examples of elective surgery.

Compared with the same time one year ago, more

elective surgery was conducted in NSW (up 1%).

Less surgery was performed in the urgent category

(down 2%), although semi-urgent and non-urgent

surgery increased by 5% and 3% respectively.

Staged surgery decreased by 9% compared with

the same quarter last year.

Most patients (92%) continued to receive their

surgery on time. Compared to the same quarter

one year ago, the percentage of non-urgent

Elective SurgeryHospital Quarterly: Performance of NSW public hospitals

July to September 2011

From July to September 2011 ... Same period last year ... The difference ...

55,400 elective surgical procedures were performed 54,629 procedures +771 (+1%)

3,866 of these procedures were ‘staged procedures’ (including non-urgent cystoscopies)

4,236 procedures -370 (-9%)

The percentage of elective surgery patients treated on time was 92% 91% 1 percentage point increase

The percentage of urgent procedures treated on time was 93% 92% 1 percentage point increase

The percentage of semi-urgent procedures treated on time was 90% 90% unchanged

The percentage of non-urgent procedures treated on time was 92% 90% 2 percentage point increase

The median* waiting time for non-urgent surgery was 212 days 203 days +9 days (+4%)

patients receiving surgery on time improved,

up two percentage points. The percentage

of urgent and semi-urgent patients receiving

surgery on time remained largely unchanged.

The median* waiting times have changed little

since the same quarter in 2010 for patients

needing urgent and semi-urgent surgical

procedures (11 and 47 days respectively).

The waiting time for non-urgent procedures

was 212 days, up by 9 days when compared

with the same quarter last year.

This is one of three Hospital Quarterly modules.

For the Emergency Departments and Admitted

Patients modules visit www.bhi.nsw.gov.au

* Median waiting time: time for half of all patients to receive treatment. Excludes staged procedures and non-urgent cystoscopy.

2 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 www.bhi.nsw.gov.au

If a person and their surgeon believe surgery is

required but can be delayed by at least 24 hours,

the patient is ‘referred’ for their procedure and

placed on a waiting list.

At the time of referral, a patient’s surgeon

assigns them to one of three urgency categories.

Each category has its own target, which specifies

the desired maximum time (in days) the patient

should wait for their procedure. These are

outlined in the box below:

Urgency categories: Elective surgery guidelines

Category 1Urgent

Admission within 30 days desirable for a condition that hasthe potential to deteriorate quicklyand become an emergency

Category 2Semi-urgent

Admission within 90 days desirable for a condition not likely to deteriorate quickly

Category 3Non-urgent

Admission within 365 days acceptable for a condition unlikely to deteriorate quickly

Explaining staged procedures

There are times when surgery is deemed

necessary but should not, or cannot, take

place until a clinically appropriate time interval

has passed. This is called staged surgery and

is an essential concept in managing elective

surgery. It allows surgeons to place patients on

the surgery booking system but prevents them

from being admitted to hospital before it is

clinically appropriate.

Surgeons use clinical judgement to decide

whether a procedure should be categorised

as staged or not.

Examples of staged procedures include: waiting

for a broken bone to heal before removing pins

or plates; the time needed for hormone therapy

to work before egg harvesting takes place during

in-vitro fertilisation (IVF); and certain invasive

diagnostic procedures (such as cystoscopy) that

sometimes need to be conducted at set intervals.

Differences across hospitals

Because patients cannot, or should not, have

their staged procedure before the prescribed

date, they are not considered to be ‘waiting

for care’ unless they wait beyond that date.

For this reason, the Bureau has excluded staged

procedures from on-time surgery performance

and median waiting time in this report.

In addition, there are differences in how hospitals

manage cystoscopy procedures in the booking

systems. Because including these patients may

result in unfair or inequitable comparisons, the

Bureau also excludes all non-urgent cystoscopy

procedures from performance measures.

The Bureau is committed to providing clarity on

surgical waiting times in NSW. Further detail on

our methods can be found in the addendum

Technical Supplement: Elective surgery measures,

January to March 2011 available on the Bureau’s

website at www.bhi.nsw.gov.au

Our approach to elective surgery reporting

See the Appendices section of this

report (pages 8 to 19) for more detailed

performance information about each

public hospital providing elective surgery

in NSW. This includes Hawkesbury

Private Hospital, which is contracted

to supply surgery for public patients.


falls sharply across all urgency categories in

December and, to a greater extent, January,

and peaks during the July to September quarter.

The results presented in this section and in

Figure 1 exclude staged patients and

non-urgent cystoscopy, unless otherwise stated.

Urgent surgery (category 1): There were

13,493 procedures completed, compared with

13,835 at the same time in 2010 (down 2%).

Urgent procedures made up 24% of all

completed elective surgery.

During July to September 2011, the Waiting List

Collection On-line System (WLCOS) recorded

that 55,400 elective surgery procedures were

completed in NSW public hospitals or facilities

contracted by NSW hospitals. This is 6% higher

than the 52,085 conducted in the previous

quarter (in line with the usual seasonal pattern)

but up 1% from the 54,629 surgical procedures

completed in the same quarter last year (Figure 1).

Each year, there is a strong seasonal effect

on the number of elective surgery procedures

performed in NSW. The number of procedures

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.3. Including non-urgent cystoscopy.Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ

from those reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports published prior to May 2011.

Source: Waiting List Collection On-line System, NSW Health. Data extracted for the five quarters from July to September 2010 until July to September 2011 on 17 October 2011. Data extracted for all previous quarters on 15 July 2011.

Jul-Sep2009

Oct-Dec2009

Jan-Mar2010

Apr-Jun2010

Jul-Sep2010

Oct-Dec2010

Jan-Mar2011

Apr-Jun2011

Jul-Sep2011

All categories 51,148 48,134 45,603 53,064 54,629 50,810 46,488 52,085 55,400

Urgent1 13,654 12,934 11,379 13,013 13,835 13,304 11,432 12,577 13,493

Semi-urgent1 14,977 14,217 13,586 15,594 16,531 15,564 13,912 15,942 17,350

Non-urgent2 18,024 16,716 16,792 20,211 20,027 17,861 17,601 19,696 20,691

Staged procedures3 4,493 4,267 3,846 4,246 4,236 4,081 3,543 3,870 3,866

Figure 1: Total number of elective surgery procedures conducted, by urgency category, July 2009 to September 2011

0

5,000

10,000

15,000

20,000

25,000

Urgent11 Semi-urgent12 Non-urgent23 Staged procedures3

2009 2010 20112009 2010 20112009 2010 20112009 2010 2011

Number of elective surgery procedures performed


Semi-urgent surgery (category 2): There were

17,350 semi-urgent procedures completed,

compared with 16,531 in the same quarter of

2010 (an increase of 5%). Semi-urgent procedures

made up 31% of all completed elective surgery.

Non-urgent surgery (category 3): There were

20,691 procedures completed, compared with

20,027 in 2010 (an increase of 3%). Non-urgent

procedures made up 37% of all completed

elective surgery.

Staged surgery: There were 3,866 procedures,

compared with 4,236 in 2010 (a decrease of 9%).

Staged procedures made up 7% of all completed

elective surgery.

Num

ber

of p

atie

nts

Urgent11 Semi-urgent12 Non-urgent2 3 Staged procedures3

0

1,000

2,000

3,000

5,000

4,000

6,000

7,000

8,000

2007 2008 2009 2010 2011

Figure 2: Patients who received elective surgery, by urgency category, by month, January 2007 to September 2011

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. 3. Including non-urgent cystoscopy.Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ



Change over five years

The composition of surgical procedures

completed by urgency category has changed

greatly over the past five years (Figure 2).

Most of this shift in surgical composition

occurred during 2008 and early 2009.

Comparing the proportion that each surgical

category makes up of all completed procedures,

urgent surgery has decreased from comprising

33% of all surgical procedures in August 2006

to 25% in August 2011 (a decrease of 23% in the

number of completed urgent procedures).

Over the same period, non-urgent procedures

have increased from 29% of all surgical

procedures to 37% (an increase of 31% in the

number of completed non-urgent procedures).


In the July to September 2011 quarter, 92% of all

patients who were admitted to a public hospital

for elective surgery were admitted within the time

frame recommended by their surgeon (Figure 3),

unchanged from the preceding quarter.

A slight increase is evident when comparing this

quarter with the same quarter in 2010, up one

percentage point from 91%.

Figure 3 presents the percentage of patients

in each surgical category who received their

surgery on time for the most recent nine quarters.

These results exclude staged patients and

non-urgent cystoscopy procedures.

Patients admitted on time for elective surgery

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ



Figure 3: Percentage of elective surgery patients treated within recommended waiting time, by urgency category, July 2009 to September 2011

2009 2010 20112009 2010 20112009 2010 20110%

20%

40%

60%

80%

100%

Urgent11 Semi-urgent12 Non-urgent23

Jul-Sep2009

Oct-Dec2009

Jan-Mar2010

Apr-Jun2010

Jul-Sep2010

Oct-Dec2010

Jan-Mar2011

Apr-Jun2011

Jul-Sep2011

All categories 89% 88% 86% 87% 91% 91% 90% 92% 92%

Urgent1 91% 93% 93% 91% 92% 93% 92% 93% 93%

Semi-urgent1 86% 84% 80% 86% 90% 90% 87% 91% 90%

Non-urgent2 91% 88% 87% 85% 90% 91% 92% 92% 92%

Urgent surgery: 93% of patients were admitted

within the recommended 30 days, a result largely

unchanged over the past two years.

Semi-urgent surgery: 90% of patients were

admitted within 90 days. This is similar to the

preceding quarter (91%), and the July to September

quarter in 2010 (90%) but higher than the

2009 quarter (86%).

Non-urgent surgery: 92% of patients were

admitted within 365 days, similar to the

last quarter (92%) and the July to September

quarter in 2010 (90%), and 2009 (91%).


Median wait time is the number of days it took

for half the patients admitted for surgery during

July to September 2011 to receive their surgery.

The other half took longer than the median.

Figure 4 presents the median waiting time

to be admitted for surgery for the current

quarter and the eight quarters prior to this.

These results exclude staged patients and

non-urgent cystoscopy procedures.

Urgent surgery: The median wait was 11 days

– largely unchanged over the past two years,

when the median wait time ranged from

nine to 11 days.

Median waiting times for elective surgery

Semi-urgent surgery: The median wait time

for this category was 47 days – similar to the

preceding two years.

Non-urgent surgery: The median wait time for

this category was 212 days, nine days more than

the same quarter in 2010 (203 days).

In part due to the longer wait times, non-urgent

median waiting times appear as the most volatile

of the three urgency categories. Over the past

nine quarters, non-urgent procedure wait times have

increased from 162 days in July to September 2009,

peaking at 231 days in April to June 2010 before

falling to 212 days this quarter.

Figure 4: NSW elective surgery median waiting time (days), by urgency category, July 2009 to September 2011

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. Note: Patients recorded as ‘deferred’ when they received their surgery are allocated to ‘ready for care’ urgency categories

as appropriate. Note: Because of changes in methods and reporting, numbers of surgical procedures by urgency category will differ




0

50

100

150

200

250

Med

ian

wai

ting

time

(day

s)

2009 2010 20112009 2010 20112009 2010 2011

Jul-Sep2009

Oct-Dec2009

Jan-Mar2010

Apr-Jun2010

Jul-Sep2010

Oct-Dec2010

Jan-Mar2011

Apr-Jun2011

Jul-Sep2011

Urgent1 10 10 9 11 10 11 11 11 11

Semi-urgent1 46 47 54 49 48 46 50 48 47

Non-urgent2 162 183 207 231 203 205 217 221 212


Cumulative wait time

Greater detail on how long people waited

to be admitted for their elective surgery during

July to September 2011 is presented in Figure 5.

The graph’s slope indicates the rate at which

patients were admitted for surgery. A steep slope

indicates a high rate of completion of patients’

surgery over the period shown. A flat slope

shows a lower rate of completion of patients’

surgery over the period.

Urgent patients have the most rapid rate of

admission and almost all patients are admitted

for surgery within 45 days. Non-urgent patients

are admitted at a slower rate with almost all

patients admitted within 420 days.

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy. Note: Excludes the total number of days the patient was coded as ‘not ready for care’.Source: Waiting List Collection On-line System, NSW Health. Data extracted on 17 October 2011.

Figure 5: Cumulative percentage of patients who received elective surgery, by waiting time (days), July to September 2011

Pat

ient

s w

hore

ceiv

ed s

urge

ry (%

)

0

20

40

60

80

10090th percentile

Median

Days on waiting list1

0 30 60 90 120 150 180 210 240 270 300 330 360 390 420


Small number suppression

Some hospitals conduct few surgical procedures. Small numbers in any urgency group need to

be treated cautiously to protect patients’ identity. The Bureau suppresses information based on

very few patients. If there are fewer than 10 patients in any group, patient numbers or percentages

are replaced by a symbol, which refers to footnotes about small number suppression. The Bureau

may use its discretion to suppress the next smallest values, or results for an entire hospital with

few patients, if there is a risk of disclosing patient identities. Because the staged procedure

category is excluded from performance measure calculations, low counts in this group are not

automatically suppressed (Appendix table 1).


The following table presents the number

of elective surgery admissions, by urgency

category, for major hospitals in NSW.

The table is ordered by local health district

and includes all principal referral, paediatric

specialist, ungrouped acute – tertiary referral,

major metropolitan, major non-metropolitan,

and district groups 1 and 2 hospitals that

conduct elective surgery. These hospitals

account for 98% of all elective surgery recorded

as complete in the NSW booking system.

Surgery information from smaller hospitals is

presented for each local health district under

the ‘other’ category.

Number of elective surgical procedures

All categories Urgent1 Semi-urgent1 Non-urgent2 Staged procedures3

New South WalesTotal New South Wales 55,400 13,493 17,350 20,691 3,866

Central Coast Local Health District (CCLHD)Gosford Hospital 1,712 345 540 618 209

Wyong Hospital 979 121 369 444 45

Total CCLHD 2,691 466 909 1,062 254

Far West Local Health District (FWLHD)Broken Hill Base Hospital 323 53 124 118 28

Total FWLHD 323 53 124 118 28

Hunter New England Local Health District (HNELHD)Armidale and New England Hospital 312 39 155 110 8

Belmont Hospital 610 112 228 235 35

Calvary Mater Newcastle 269 154 94 16 5

Cessnock District Hospital 372 77 188 94 13

Gunnedah District Hospital 101 27 33 41 0

Inverell District Hospital 70 13 39 18 0

John Hunter Hospital 2,337 812 656 744 125

Kurri Kurri District Hospital 431 52 99 276 4

Maitland Hospital 760 145 294 294 27

Manning Base Hospital 670 110 196 325 39

Moree District Hospital 88 * 28 54 *

Muswellbrook District Hospital 127 10 41 76 0

Narrabri District Hospital 97 49 41 * *

Singleton District Hospital 157 21 50 84 2

Tamworth Base Hospital 916 182 327 333 74

Other HNELHD 164 24 57 83 0

Total HNELHD 7,481 1,827 2,526 2,783 332

Appendix table 1: NSW elective surgery activity, by hospital and local health district, July to September 2011

Appendix: Activity and performance data tables at hospital and local health district level




Illawarra Shoalhaven Local Health District (ISLHD)Bulli District Hospital 133 34 14 84 1

Milton and Ulladulla Hospital 22 * * * *

Shellharbour Hospital 782 99 202 480 1

Shoalhaven and District Memorial Hospital 850 143 186 469 52

Wollongong Hospital 1,209 372 206 274 357

Total ISLHD 2,996 648 608 1,307 411

Mid North Coast Local Health District (MNCLHD)Bellinger River District Hospital 46 * 12 28 *

Coffs Harbour Base Hospital 997 169 277 431 120

Kempsey Hospital 247 * 30 207 *

Macksville District Hospital 85 * 14 62 *

Port Macquarie Base Hospital 795 216 276 241 62

Other MNCLHD 219 26 75 80 38

Total MNCLHD 2,389 411 684 1,049 220

Murrumbidgee Local Health District (MLHD)Deniliquin Health Service 90 26 43 21 0

Griffith Base Hospital 254 80 78 79 17

Tumut Health Service 57 * 22 28 *

Wagga Wagga Base Hospital 1,126 290 352 459 25

Young Health Service 83 * 26 * 32

Other MLHD 120 28 41 51 0

Total MLHD 1,730 424 562 630 74

Nepean Blue Mountains Local Health District (NBMLHD)Blue Mountains District Anzac Memorial Hospital 93 10 40 42 1

Hawkesbury District Health Service 253 77 66 88 22

Lithgow Health Service 152 13 54 80 5

Nepean Hospital 1,406 462 431 482 31

Other NBMLHD 245 * 79 145 *

Total NBMLHD 2,149 562 670 837 59

Northern NSW Local Health District (NNSWLHD)Ballina District Hospital 169 40 78 42 9

Casino and District Memorial Hospital 241 32 78 120 11

Grafton Base Hospital 561 209 182 145 25

Lismore Base Hospital 1,216 369 383 371 93

Maclean District Hospital 11 * * * *

Murwillumbah District Hospital 395 38 90 197 70

The Tweed Hospital 835 264 208 238 125

Total NNSWLHD 3,428 952 1,019 1,113 333




Northern Sydney Local Health District (NSLHD)Hornsby and Ku-Ring-Gai Hospital 616 105 176 295 40

Manly District Hospital 264 75 108 73 8

Mona Vale and District Hospital 352 45 71 203 33

Royal North Shore Hospital 1,568 440 474 578 76

Ryde Hospital 402 46 146 198 12

Total NSLHD 3,202 711 975 1,347 169

South Eastern Sydney Local Health District (SESLHD)Prince of Wales Hospital 1,504 416 692 378 18

Royal Hospital for Women 596 239 245 107 5

St George Hospital 1,166 511 350 265 40

Sutherland Hospital 791 204 242 309 36

Sydney Hospital / Sydney Eye Hospital 1,219 247 369 600 3

Total SESLHD 5,276 1,617 1,898 1,659 102

South Western Sydney Local Health District (SWSLHD)Bankstown / Lidcombe Hospital 1,426 219 419 621 167

Bowral and District Hospital 375 52 88 218 17

Campbelltown Hospital 1,319 129 368 518 304

Fairfield Hospital 710 70 151 450 39

Liverpool Hospital 1,953 651 623 595 84

Total SWSLHD 5,783 1,121 1,649 2,402 611

Southern NSW Local Health District (SNSWLHD)Bateman's Bay District Hospital 186 * 33 144 *

Bega District Hospital 303 87 75 128 13

Cooma Health Service 61 12 21 28 0

Goulburn Base Hospital 380 86 97 192 5

Moruya District Hospital 172 46 63 62 1

Queanbeyan Health Service 192 29 98 65 0

Other SNSWLHD 25 13 * 11 *

Total SNSWLHD 1,319 273 387 630 19

St Vincent’s Health Network (SVHN)St Vincent's Hospital, Darlinghurst 1,040 445 254 287 54

Total SVHN 1,040 445 254 287 54

Sydney Children’s Hospitals Network (SCHN)Sydney Children’s Hospital 811 212 239 348 12

The Children’s Hospital at Westmead 1,655 403 477 643 132

Total SCHN 2,466 615 716 991 144




Sydney Local Health District (SYDLHD)Canterbury Hospital 659 106 303 197 53

Concord Hospital 2,195 413 537 903 342

RPAH Institute of Rheumatology and Orthopaedics 445 47 68 329 1

Royal Prince Alfred Hospital 3,060 1,139 1,131 506 284

Total SYDLHD 6,359 1,705 2,039 1,935 680

Western NSW Local Health District (WNSWLHD)Bathurst Base Hospital 468 91 164 178 35

Cowra District Hospital 135 21 28 86 0

Dubbo Base Hospital 799 137 194 404 64

Forbes District Hospital 129 13 37 79 0

Mudgee District Hospital 105 11 27 65 2

Orange Base Hospital 772 129 246 325 72

Parkes District Hospital 71 12 45 13 1

Other WNSWLHD 25 0 0 25 0

Total WNSWLHD 2,504 414 741 1,175 174

Western Sydney Local Health District (WSLHD)Auburn Hospital 792 160 277 351 4

Blacktown Hospital 870 170 386 281 33

Mount Druitt Hospital 565 71 250 232 12

Westmead Hospital (all units) 2,037 774 672 457 134

Total WSLHD 4,264 1,175 1,585 1,321 183

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.3. Including non-urgent cystoscopy.(*) Values suppressed due to small numbers and to protect privacy. Suppressed data have been excluded from local health

district totals.Note: All urgency categories include deferred patients as appropriate.Note: Because staged patients are now reported separately, numbers of surgical procedures by urgency category for this

quarter are not comparable to data reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports prior to May 2011.

Source: Waiting List Collection On-line System, NSW Health. Data extracted on 17 October 2011.


The following table presents the percentage

of elective surgery admissions within the

clinically recommended time for each urgency

category for July to September 2011. The table

is ordered by local health district and includes

all principal referral, paediatric specialist,

ungrouped acute – tertiary referral, major

metropolitan, major non-metropolitan and

district groups 1 and 2 hospitals that conduct

elective surgery. Surgery information from smaller

hospitals is presented for each local health

district under the ‘other’ category.

Percentage of patients treated on time

All categories1 Urgent1 Semi-urgent1 Non-urgent2

New South WalesTotal New South Wales 92 93 90 92

Central Coast Local Health District (CCLHD)Gosford Hospital 91 99 88 90

Wyong Hospital 96 99 95 97

Total CCLHD 93 99 91 93

Far West Local Health District (FWLHD)Broken Hill Base Hospital 96 100 90 100

Total FWLHD 96 100 90 100

Hunter New England Local Health District (HNELHD)Armidale and New England Hospital 97 95 96 100

Belmont Hospital 99 96 99 100

Calvary Mater Newcastle 73 72 72 88

Cessnock District Hospital 98 96 98 100

Gunnedah District Hospital 100 100 100 100

Inverell District Hospital 100 100 100 100

John Hunter Hospital 89 91 86 89

Kurri Kurri District Hospital 96 92 98 96

Maitland Hospital 93 88 97 90

Manning Base Hospital 92 97 93 90

Moree District Hospital 100 * 100 100

Muswellbrook District Hospital 100 100 100 100

Narrabri District Hospital 100 100 100 *

Singleton District Hospital 100 100 100 100

Tamworth Base Hospital 85 95 77 87

Other HNELHD 100 100 100 100

Total HNELHD 92 91 91 93

Appendix table 2: NSW on-time elective surgery performance, by hospital and local health district, July to September 2011




Illawarra Shoalhaven Local Health District (ISLHD)Bulli District Hospital 100 100 100 100

Milton and Ulladulla Hospital * * * *

Shellharbour Hospital 96 80 97 99

Shoalhaven and District Memorial Hospital 85 85 82 86

Wollongong Hospital 81 85 82 76

Total ISLHD 88 85 87 90

Mid North Coast Local Health District (MNCLHD)Bellinger River District Hospital 98 * 92 100

Coffs Harbour Base Hospital 76 70 79 77

Kempsey Hospital 98 * 87 100

Macksville District Hospital 78 * 86 76

Port Macquarie Base Hospital 86 93 82 87

Other MNCLHD 92 92 92 91

Total MNCLHD 84 84 82 85

Murrumbidgee Local Health District (MLHD)Deniliquin Health Service 99 96 100 100

Griffith Base Hospital 75 55 72 97

Tumut Health Service 86 * 68 96

Wagga Wagga Base Hospital 86 86 89 85

Young Health Service 80 * 65 *

Other MLHD 99 100 98 100

Total MLHD 86 82 86 89

Nepean Blue Mountains Local Health District (NBMLHD)Blue Mountains District Anzac Memorial Hospital 98 100 98 98

Hawkesbury District Health Service 63 84 64 44

Lithgow Health Service 99 92 100 100

Nepean Hospital 84 97 81 74

Other NBMLHD 94 * 100 90

Total NBMLHD 85 96 84 78

Northern NSW Local Health District (NNSWLHD)Ballina District Hospital 100 100 100 100

Casino and District Memorial Hospital 98 97 99 98

Grafton Base Hospital 96 99 96 92

Lismore Base Hospital 85 84 86 86

Maclean District Hospital * * * *

Murwillumbah District Hospital 91 79 92 93

The Tweed Hospital 85 83 80 92

Total NNSWLHD 89 88 89 91




Northern Sydney Local Health District (NSLHD)Hornsby and Ku-Ring-Gai Hospital 99 100 97 99

Manly District Hospital 96 95 94 100

Mona Vale and District Hospital 100 100 100 100

Royal North Shore Hospital 94 94 91 95

Ryde Hospital 95 93 95 95

Total NSLHD 96 95 94 97

South Eastern Sydney Local Health District (SESLHD)Prince of Wales Hospital 91 91 94 86

Royal Hospital for Women 99 100 99 100

St George Hospital 83 85 82 80

Sutherland Hospital 86 74 86 95

Sydney Hospital / Sydney Eye Hospital 97 100 96 96

Total SESLHD 91 89 92 91

South Western Sydney Local Health District (SWSLHD)Bankstown / Lidcombe Hospital 91 87 92 91

Bowral and District Hospital 97 100 100 95

Campbelltown Hospital 82 80 82 83

Fairfield Hospital 100 100 99 100

Liverpool Hospital 89 91 85 90

Total SWSLHD 90 90 88 91

Southern NSW Local Health District (SNSWLHD)Bateman's Bay District Hospital 97 * 88 100

Bega District Hospital 87 91 81 88

Cooma Health Service 87 92 76 93

Goulburn Base Hospital 95 100 93 93

Moruya District Hospital 95 93 90 100

Queanbeyan Health Service 97 97 95 100

Other SNSWLHD 96 100 * 91

Total SNSWLHD 93 95 89 95

St Vincent’s Health Network (SVHN)St Vincent's Hospital, Darlinghurst 93 98 92 88

Total SVHN 93 98 92 88

Sydney Children’s Hospitals Network (SCHN)Sydney Children’s Hospital 95 96 94 95

The Children’s Hospital at Westmead 93 99 88 93

Total SCHN 94 98 90 94




Sydney Local Health District (SYDLHD)Canterbury Hospital 88 99 82 93

Concord Hospital 97 97 95 99

RPAH Institute of Rheumatology and Orthopaedics 100 100 100 100

Royal Prince Alfred Hospital 100 100 100 100

Total SYDLHD 98 99 96 99

Western NSW Local Health District (WNSWLHD)Bathurst Base Hospital 96 96 94 98

Cowra District Hospital 99 95 96 100

Dubbo Base Hospital 96 98 92 98

Forbes District Hospital 100 100 100 100

Mudgee District Hospital 91 100 100 86

Orange Base Hospital 83 97 80 79

Parkes District Hospital 100 100 100 100

Other WNSWLHD 96 † † 96

Total WNSWLHD 92 97 90 93

Western Sydney Local Health District (WSLHD)Auburn Hospital 89 91 80 94

Blacktown Hospital 94 93 92 96

Mount Druitt Hospital 89 93 88 88

Westmead Hospital (all units) 96 99 97 90

Total WSLHD 93 96 92 92

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.(*) Values suppressed due to small numbers and to protect privacy. (†) This hospital or group conducted no surgery for this urgency category in this quarter and therefore has no on-time

performance value. Note: All urgency categories include deferred patients as appropriate. Note: Because staged patients are now reported separately, on-time performance by urgency category for this quarter are

not comparable to data reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports prior to May 2011.



The following table presents the median waiting

time (in days) of elective surgery admissions for

each urgency category for this quarter.

The table is ordered by local health district

and includes all principal referral, paediatric

specialist, ungrouped acute – tertiary referral,

major metropolitan, major non-metropolitan

and district groups 1 and 2 hospitals that

conduct elective surgery. Surgery information

from smaller hospitals is presented for each

local health district under the ‘other’ category.

Median waiting time (days)


New South WalesTotal New South Wales 11 47 212

Central Coast Local Health District (CCLHD)Gosford Hospital 15 54 324

Wyong Hospital 15 35 255

Total CCLHD 15 45 296

Far West Local Health District (FWLHD)Broken Hill Base Hospital 17 65 186

Total FWLHD 17 65 186

Hunter New England Local Health District (HNELHD)Armidale and New England Hospital 19 70 291

Belmont Hospital 13 44 154

Calvary Mater Newcastle 19 66 190

Cessnock District Hospital 11 16 63

Gunnedah District Hospital 7 35 77

Inverell District Hospital 27 77 299

John Hunter Hospital 11 51 235

Kurri Kurri District Hospital 8 45 195

Maitland Hospital 9 41 262

Manning Base Hospital 18 82 323

Moree District Hospital * 26 57

Muswellbrook District Hospital 4 8 19

Narrabri District Hospital 6 12 *

Singleton District Hospital 7 26 36

Tamworth Base Hospital 12 60 209

Other HNELHD 13 33 126

Total HNELHD 12 47 193

Appendix table 3: NSW median elective surgery waiting time performance, by hospital and local health district, July to September 2011




Illawarra Shoalhaven Local Health District (ISLHD)Bulli District Hospital 15 44 198

Milton and Ulladulla Hospital * * *

Shellharbour Hospital 22 56 190

Shoalhaven and District Memorial Hospital 16 56 336

Wollongong Hospital 11 68 350

Total ISLHD 14 57 284

Mid North Coast Local Health District (MNCLHD)Bellinger River District Hospital * 30 78

Coffs Harbour Base Hospital 22 72 350

Kempsey Hospital * 70 173

Macksville District Hospital * 72 357

Port Macquarie Base Hospital 15 71 290

Other MNCLHD 19 65 226

Total MNCLHD 19 71 315

Murrumbidgee Local Health District (MLHD)Deniliquin Health Service 15 43 119

Griffith Base Hospital 24 68 313

Tumut Health Service * 66 63

Wagga Wagga Base Hospital 17 56 320

Young Health Service * 81 *

Other MLHD 13 26 71

Total MLHD 18 57 302

Nepean Blue Mountains Local Health District (NBMLHD)Blue Mountains District Anzac Memorial Hospital 9 18 25

Hawkesbury District Health Service 16 74 382

Lithgow Health Service 10 54 220

Nepean Hospital 12 69 329

Other NBMLHD * 36 240

Total NBMLHD 12 62 301

Northern NSW Local Health District (NNSWLHD)Ballina District Hospital 14 21 98

Casino and District Memorial Hospital 8 31 66

Grafton Base Hospital 12 34 278

Lismore Base Hospital 14 57 328

Maclean District Hospital * * *

Murwillumbah District Hospital 21 56 300

The Tweed Hospital 18 60 164

Total NNSWLHD 14 48 230




Northern Sydney Local Health District (NSLHD)Hornsby and Ku-Ring-Gai Hospital 7 29 87

Manly District Hospital 7 41 97

Mona Vale and District Hospital 3 16 29

Royal North Shore Hospital 8 48 132

Ryde Hospital 14 49 155

Total NSLHD 7 41 113

South Eastern Sydney Local Health District (SESLHD)Prince of Wales Hospital 13 45 285

Royal Hospital for Women 9 30 89

St George Hospital 13 55 264

Sutherland Hospital 21 64 295

Sydney Hospital / Sydney Eye Hospital 12 42 187

Total SESLHD 13 45 227

South Western Sydney Local Health District (SWSLHD)Bankstown / Lidcombe Hospital 14 52 171

Bowral and District Hospital 14 38 175

Campbelltown Hospital 21 59 304

Fairfield Hospital 8 50 257

Liverpool Hospital 13 56 254

Total SWSLHD 14 53 246

Southern NSW Local Health District (SNSWLHD)Bateman's Bay District Hospital * 62 337

Bega District Hospital 18 70 331

Cooma Health Service 11 56 189

Goulburn Base Hospital 14 35 244

Moruya District Hospital 14 68 98

Queanbeyan Health Service 14 49 155

Other SNSWLHD 13 * 100

Total SNSWLHD 14 56 308

St Vincent’s Health Network (SVHN)St Vincent's Hospital, Darlinghurst 5 33 135

Total SVHN 5 33 135

Sydney Children’s Hospitals Network (SCHN)Sydney Children’s Hospital 7 35 130

The Children’s Hospital at Westmead 7 46 102

Total SCHN 7 42 112




Sydney Local Health District (SYDLHD)Canterbury Hospital 13 67 316

Concord Hospital 8 41 101

RPAH Institute of Rheumatology and Orthopaedics 4 33 36

Royal Prince Alfred Hospital 6 16 29

Total SYDLHD 7 30 71

Western NSW Local Health District (WNSWLHD)Bathurst Base Hospital 12 53 293

Cowra District Hospital 7 61 203

Dubbo Base Hospital 8 36 300

Forbes District Hospital 7 48 279

Mudgee District Hospital 13 55 300

Orange Base Hospital 14 63 348

Parkes District Hospital 7 23 16

Other WNSWLHD † † 333

Total WNSWLHD 10 50 298

Western Sydney Local Health District (WSLHD)Auburn Hospital 11 61 245

Blacktown Hospital 10 39 120

Mount Druitt Hospital 14 55 257

Westmead Hospital (all units) 10 35 114

Total WSLHD 11 41 157

1. Excluding staged procedures. 2. Excluding staged procedures and non-urgent cystoscopy.(*) Values suppressed due to small numbers and to protect privacy. (†) This hospital or group conducted no surgery for this urgency category in this quarter and therefore has no on-time

performance value.Note: All urgency categories include deferred patients as appropriate. Note: Because staged patients are now reported separately, median waiting times by urgency category for this quarter are

not comparable to data reported in previous NSW Ministry of Health’s Quarterly Hospital Performance Reports and Bureau Hospital Quarterly reports prior to May 2011.



The report, Hospital Quarterly: Performance

of NSW public hospitals, July to September 2011

and related reports are available at

www.bhi.nsw.gov.au

The suite of products includes:

• Three core modules on

Admitted Patients, Elective Surgery

and Emergency Departments

• Performance Profiles: Elective surgery

(activity and performance reports for more

than 80 hospitals and NSW as a whole)

• Performance Profiles: Emergency

department care (activity and

performance reports for EDs in more

than 60 hospitals and NSW as a whole)

• Data Quality Assessments

• Technical Supplements

The Bureau of Health Information provides

the community, healthcare professionals and

the NSW Parliament with timely, accurate and

comparable information on the performance

of the NSW public health system in ways that

enhance the system’s accountability and inform

efforts to increase its beneficial impact on the

health and wellbeing of the people of NSW.

The Bureau is an independent, board-governed

statutory health corporation. The conclusions in

this report are those of the Bureau and no official

endorsement by the NSW Minister for Health,

the NSW Ministry of Health or any other

NSW public health organisation is intended

or should be inferred.

Download our reports About the Bureau

Copyright Bureau of Health Information 2011

State Health Publication Number: (BHI) 110253ISSN 1838-3238

Suggested citation: Bureau of Health Information. Hospital Quarterly: Performance of NSW public

hospitals, July to September 2011. Elective Surgery. 2(3). Sydney (NSW); 2011.

Published December 2011

Please note that there is the potential for minor revisions of data in this report. Please check the online version

at www.bhi.nsw.gov.au for any amendments.

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Telephone: +61 2 8644 2100

Fax: +61 2 8644 2119

Email: [email protected]

Postal address:

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Chatswood

New South Wales 2057

Australia

Web: www.bhi.nsw.gov.au

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Elective Surgery - Bureau of Health Information · 2012-07-31 · 2 HOSPITAL QUARTERLY: Elective Surgery July to September 2011 If a person and their surgeon believe surgery is required