Elective Surgery Wait List report WA health system

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© Department of Health, Western Australia

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Performance Reporting Branch Purchasing and System Performance Division Department of Health, Western Australia PO Box 8172 Business Centre Western Australia 6849

The Department’s publications on elective surgery are available online at: http://ww2.health.wa.gov.au/Reports-and-publications/Elective-Surgery-Wait-List-ESWL-reports

ISSN 1836-1617 (online) ISSN 1836-1609 (print)

Suggested Citation:

Department of Health, Western Australia (2017): Elective Surgery Wait List Report, WA health system, September 2017.

Date Issued:

1 November 2017.

Contents

Abbreviations ...... iv Notes ...... v Glossary ...... vii 1. Introduction ...... 1 2. Executive summary ...... 1 3. Cases on wait lists and waiting times ...... 2 3.1 Number of cases ...... 2 3.2 Waiting times ...... 4 3.3 WA Elective Services Target ...... 3 4 Admissions from wait list ...... 5 4.1 Number of cases ...... 5 Appendix A: Monthly ESWL by specialty tables ...... 6 Appendix B: Statewide ESWL tables from January 2015 to current month ...... 15

iii

Abbreviations

AIHW Australian Institute of Health and Welfare ASI Ambulatory Surgery Initiative CHEs Contracted health entities DNA did not attend DOH Department of Health ESWLDC Elective Services Wait List Data Collection ESWL Elective surgery wait list HCARe Health Care and Related Information System JHC n number of cases PHC Peel Health Campus RFC ready for care TOPAS The Open Patient Administration System WA Western Australia webPAS Web-based Patient Administration System WEST Western Australia Elective Services Target

iv

Notes

WA health system WA health system refers to the public health system in WA as defined in Section 19(1) of the Health Services Act 2016. The WA health system comprises the Department of Health, Health Service Providers and contracted health entities (CHEs), to the extent that CHEs provide health services to the State.

Contracted health entities The term ‘CHEs’ refers to the following hospitals - Joondalup Health Campus, Peel Health Campus and St John of God Midland Public Hospital.

Public hospitals Public hospitals include Armadale Hospital, Bentley Hospital, , , King Edward Memorial Hospital, Osborne Park Hospital, Princess Margaret Hospital, Rockingham General Hospital, , Sir Charles Gairdner Hospital, Albany Hospital, Bridgetown Hospital, Broome Hospital, Bunbury Hospital, Busselton Hospital, Carnarvon Hospital, Collie Hospital, Derby Hospital, Esperance Hospital, Geraldton Hospital, Hedland Health Campus, Kalgoorlie Hospital, Katanning Hospital, Kununurra Hospital, Margaret River Hospital, Merredin Hospital, Narrogin Hospital, Nickol Bay Hospital, Northam Hospital and Warren Hospital. Kaleeya Hospital, Royal Perth Rehabilitation Hospital and Swan District Hospital are now closed, however historical data from these hospitals are contained within this report.

Data extraction date All data in this report is as at the end of the last day of each reported month.

Data revision The most recent edition of reports should be consulted in case previously published data have been revised. Revisions can be due to updates to procedure codes, lags in data processing or other types of errors detected after publication.

Data sources Wait list data in ESWL reports are from the HCARe (Health Care and Related Information System), TOPAS (The Open Patient Administration System), webPAS (Web-based Patient Administration System) and Joondalup Health Campus, Peel Health Campus and St. John of God Midland Public Hospital data systems. Data in this report is extracted from the Elective Services Wait List Data Collection (ESWLDC).

Data coverage All WA health system’s hospitals with elective surgery wait lists are included. Royal Perth Rehabilitation Hospital closed in early October 2014. Fiona Stanley Hospital data has been included in the report since its opening in October 2014. Kaleeya Hospital closed in early December 2014. Swan District Hospital closed on 24 November 2015. St John of God Midland Public Hospital data has been included in the report since its opening on 24 November 2015.

v

Notes (continued)

Data definitions Data in ESWL reports are based on Australian Institute of Health and Welfare (AIHW) reporting guidelines.

Effects of rounding Where figures have been rounded, discrepancies may occur between sums of the component items and totals. Published percentages are calculated prior to rounding of the figures and therefore some discrepancy may exist between these percentages and those that could be calculated from the rounded figures.

Western Australia Elective Services Target On 1 April 2016, WA health system introduced a new statewide performance target for the provision of elective services. The WA Elective Services Target (WEST) aims to ensure timely and equitable access to public elective services. It replaced the National Elective Surgery Target (NEST), following the expiry of the National Partnership Agreement on Improving Public Hospital Services in 2015.

The WEST indicator refers to the percentage of cases on elective surgery wait lists which wait longer than the clinically recommended time for their procedure, according to their urgency category. The current statewide target is 0%.

Data for On List cases are preliminary as they are snapshots as at the end of each month.

Cases For the purposes of this report, patients are referred to as cases. This is because a patient may be on an elective surgery waiting list for multiple procedures requiring admission on more than one occasion. For example, if a patient is on a waiting list twice, for two different procedures, this will be counted as two cases.

Within boundary cases A patient who has been waiting less than the recommended period for their clinical urgency category is defined as being within boundary. The clinical urgency categories prioritise patients from least urgent (Category 3) to most urgent (Category 1), as determined by the treating Specialist.

Over boundary cases A patient who has been waiting more than the recommended period in one of the three clinical urgency categories is defined as being over boundary.

Category 1 Procedures that are clinically indicated within 30 days.

Category 2 Procedures that are clinically indicated within 90 days.

Category 3 Procedures that are clinically indicated within 365 days.

vi

Notes (continued)

Admissions to hospital from the elective surgery wait lists  All elective surgery admissions are reported, including Ambulatory Surgery Initiative (ASI) cases.  Admitted coded cases are excluded where the wait listed procedure does not meet the AIHW definition of elective surgery.  Admitted uncoded cases (i.e. where procedure name is not provided) are included if the wait list type is ‘Surgical’ and the wait list category is ‘Elective’.

Number on wait list at the end of period  On List cases (including ASI) are included where the patient’s status is “ready for care” (RFC).  On List RFC coded cases are excluded when the wait list procedures are on the AIHW ‘Excluded procedures’ list.  On List uncoded cases are included if the wait list type is ‘Surgical’ and the wait list category is ‘Elective’.

Confidentiality Table cells are marked with (*) to indicate when data has been suppressed to protect patient and clinician confidentiality. This occurs when:

 the procedure or specialty in a hospital that has only one surgeon and the number of cases in that indicator procedure or specialty is less than 10, or any data cells with fewer than five cases.  Then, all suppressed number of cases are included in the “Uncoded/other” procedure category to maintain the actual total number.

Note: For Tables A-1 to A-21, the data suppression will not impact the calculation of the median waiting time.

Glossary

Median This refers to 50% of the elective surgery waiting times found at or below this value.

90th percentile This refers to 90% of the elective surgery waiting times found at or below this value.

Specialty Specialty refers to “The area of clinical expertise held by the doctor who will perform the elective surgery”. (Source: Australian Institute of Health and Welfare 2015. Elective surgery waiting times 2014 -15: Australian hospital statistics. Health services series no. 64. Cat. no. HSE 166. Canberra: AIHW.)

vii

1. Introduction

This report provides information on elective surgery wait lists for WA health system. The report shows current activity and trends pertaining to the elective surgery wait lists, including performance against the WA Elective Services Target (WEST). Unless otherwise indicated, data relates to all procedures meeting the national definition of elective surgery.

The WEST indicator refers to the percentage of cases on elective surgery waiting lists who wait longer than the clinically recommended time for their procedure, according to their urgency category. The current statewide target is 0%. Clinically recommended times for procedures are listed below.

Category 1 cases are procedures that are clinically indicated within 30 days. Category 2 cases are procedures that are clinically indicated within 90 days. Category 3 cases are procedures that are clinically indicated within 365 days.

2. Executive summary

Current activity: September 2017

Cases on Wait Lists At the end of September 2017, there were a total of 21,355 cases on elective surgery wait lists (ESWLs) in the WA health system. Of these, 1,132 (5.3%) were Category 1, 5,164 (24.2%) were Category 2 and 15,059 (70.5%) were Category 3.

Table 1 below shows that the trend of overall WEST performance has been improving since the end of January 2017 with over boundary cases decreasing from 7.3% (n=1,460) to 6.2% (n=1,328) at the end of September 2017.

Table 1: Statewide WEST performance by urgency category from as at the end of January 2017 to September 2017 Over boundary cases on wait list as at the end of month Category 1 Category 2 Category 3 Overall n % n % n % n % 2017 Jan 124 13.8% 931 19.8% 405 2.8% 1,460 7.3% Feb 89 8.3% 856 18.6% 361 2.6% 1,306 6.6% Mar 124 11.6% 801 16.7% 317 2.3% 1,242 6.2% Apr 211 19.7% 707 14.5% 358 2.5% 1,276 6.4% May 97 8.7% 604 12.4% 332 2.3% 1,033 5.0% Jun 171 14.3% 572 11.6% 367 2.5% 1,110 5.3% Jul 222 18.4% 606 12.4% 417 2.8% 1,245 5.9% Aug 204 17.8% 636 12.9% 438 2.9% 1,278 6.1% Sep 216 19.1% 659 12.8% 453 3.0% 1,328 6.2%

Specialties with the highest volume of elective surgery over boundary cases were Plastic Surgery (417), Urology (316), Ear, Nose and Throat Surgery (181), General Surgery (78) and Ophthalmology (75).

1

Median waiting times Current median waiting times are well within the clinically recommended times:

 Category 1: 13 days (recommended time ≤30 days).  Category 2: 37 days (recommended time ≤90 days).  Category 3: 104 days (recommended time ≤365 days).

Admissions In September 2017, there were 6,963 admissions from ESWLs.

For the 12 months October 2016 to September 2017, there were 87,234 admissions from WA health system ESWLs. This represents 2,120 (2.5%) more admissions than October 2015 to September 2016, and 3,878 (4.7%) more admissions than October 2014 to September 2015.

3. Cases on wait lists and waiting times 3.1 Number of cases

Table 2 (page 3) displays the number of cases waiting on WA health system ESWLs by urgency category as at 30 September 2017, compared to the previous month (31 August 2017) and the same month last year (30 September 2016).

This table shows that as at 30 September 2017, there were 21,355 cases on WA health system ESWLs, which was an increase of 295 (1.4%) from 31 August 2017 (21,060) and an increase of 1,828 (9.4%) from 30 September 2016 (19,527). See Table B-1 (page 21) for monthly data from January 2015 for all ESWLs.

Table B-2 (page 22) provides a breakdown of WA health system wait list cases by within and over boundary status and by urgency category from January 2015 to September 2017.

Table 2: Statewide ESWL cases waiting by urgency category as at 30 September 2016, 31 August 2017 and 30 September 2017 On list cases as at the end of month September 2016 August 2017 September 2017 Category 1 1,015 1,144 1,132 Category 2 4,991 4,936 5,164 Category 3 13,521 14,980 15,059 Total 19,527 21,060 21,355

2

3.2 WA Elective Services Target Statewide WEST performance (Target = 0%)

Table 3 below shows that overall, Category 1 and Category 2 WEST performance has improved as at the end of September 2017 compared to the same time last year.

Table 3: Statewide WEST performance as at the end of September 2016 and September 2017 Over boundary cases on wait list as at the end of month September 2016 September 2017 n % n % Category 1 204 20.1% 216 19.1% Category 2 921 18.5% 659 12.8% Category 3 369 2.7% 453 3.0% Total 1,494 7.7% 1,328 6.2%

Specialties with the highest volume of elective surgery over boundary cases were Plastic Surgery (417), Urology (316), Ear, Nose and Throat Surgery (181), General Surgery (78) and Ophthalmology (75).

Tables A-1 to A-21 (pages 8 to 19) provide ESWL On List cases by specialty and by urgency category for statewide and reporting hospitals.

Figure 1 (page 3) shows the percentage (%) of cases that were over boundary by urgency category over the past two years.

Figure 1: Statewide WEST performance: percentage of all cases on the wait list longer than the clinically recommended time by urgency category, September 2015 - September 2017

Category 1 Category 2 Category 3 Total (all categories)

25%

20%

15%

10%

5% Percentage of over boundary cases boundary over of Percentage

0%

Jul-16 Jul-17

Oct-15 Apr-16 Oct-16 Apr-17

Jan-16 Jun-16 Jan-17 Jun-17

Feb-16 Mar-16 Feb-17 Mar-17

Nov-15 Dec-15 Nov-16 Dec-16

Sep-15 Aug-16 Sep-16 Aug-17 Sep-17

May-16 May-17

3

3.3 Waiting times

Table 4 below shows the median and 90th percentile waiting times for cases on waiting lists as at 30 September 2017, compared to previous month and the same month last year, by urgency category.

The 90th percentile waiting times for all urgency categories were lower than the same month last year.

Table 4: Statewide ESWL waiting times by urgency category as at 30 September 2016, 31 August 2017 and 30 September 2017 Waiting time (days) for on-list cases as at the end of month September 2016 August 2017 September 2017 median 11 13 13 Category 1 90th percentile 53 43 43 median 37 34 37 Category 2 90th percentile 143 104 106 median 104 100 104 Category 3 90th percentile 287 283 286 median 71 71 72 Total 90th percentile 252 259 247

Figure 2 shows six monthly statewide ESWL cases waiting and median waiting time from the end of June 2012 to the end of June 2017.

Figure 2: Statewide ESWL cases and median waiting time (days) as at the end of six monthly periods, June 2012 - June 2017

On wait list Median Wait Time (Days)

22,500 150

20,000 130

17,500 110

15,000 90

Median Median wait time (days) All All cases on list wait 12,500 70

10,000 50

Jun-12 Jun-13 Jun-14 Jun-15 Jun-16 Jun-17

Dec-12 Dec-13 Dec-14 Dec-15 Dec-16

4

4 Admissions from wait list 4.1 Number of cases

Table 5 below provides comparative data on the number of admissions from statewide ESWLs for the months of, and the 12 months to, September 2017, September 2016 and September 2015.

Table 5: Admissions from WA health system ESWLs for the months of, and the 12 months to, September 2017, September 2016 and September 2015 Monthly admission All admissions in last 12 months Cases (n) Cases (n) September 2015 7,549 83,356 September 2016 6,914 85,114 September 2017 6,963 87,234

For the 12 months October 2016 to September 2017, there were 87,234 admissions from WA health system ESWLs. This represents 2,120 (2.5%) more admissions than October 2015 to September 2016 and 3,878 (4.7%) more admissions than October 2014 to September 2015.

Figure 3 below shows statewide admissions from WA health system ESWLs over the past two years.

Figure 3: Statewide ESWL admissions, September 2015 - September 2017

Admissions - Statewide

9,000

8,000

7,000

6,000

5,000

4,000

3,000 Admissions from ESWLs 2,000

1,000

0

Jul-16 Jul-17

Oct-15 Apr-16 Oct-16 Apr-17

Jan-16 Jun-16 Jan-17 Jun-17

Mar-16 Mar-17

Feb-16 Feb-17

Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16 Aug-17 Sep-17

May-16 May-17

Table B-3 (page 23) shows admissions by urgency category from January 2015 for statewide ESWLs.

5

Appendix A: Monthly ESWL by specialty tables

Table A-1: Statewide summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 8 Table A-2: Armadale Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 8 Table A-3: Bentley Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 9 Table A-4: Fiona Stanley Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 9 Table A-5: Fremantle Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 10 Table A-6: Joondalup Health Campus summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 10 Table A-7: King Edward Memorial Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 11 Table A-8: Osborne Park Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 11 Table A-9: Peel Health Campus summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 12 Table A-10: Princess Margaret Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 12 Table A-11: Rockingham General Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 13 Table A-12: Royal Perth Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 13 Table A-13: Sir Charles Gairdner Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 14 Table A-14: St John of God Midland Public Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 14 Table A-15: Albany Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 15

6

Table A-16: Broome Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 15 Table A-17: Bunbury Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 16 Table A-18: Geraldton Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 16 Table A-19: Hedland Health Campus summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 17 Table A-20: Kalgoorlie Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 17 Table A-21: Integrated District Health Service and Small Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) ...... 18

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Table A-1: Statewide summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery - - 6 28 414 195 420 193 Burns - - 47 44 80 100 127 67 Cardiology 51 8 121 24 23 106 195 18 Cardiothoracic Surgery 41 25 23 25 34 92 98 34 Dermatology 9 46 44 84 5 134 58 78 Ear, Nose & Throat 38 12 526 37 2,336 131 2,900 106 Endocrinology * 17 49 87 12 186 64 93 Gastroenterology 7 11 13 22 7 171 27 19 General / Physical Medicine - - - - * 108 * 108 General Practitioner * 9 13 15 74 94 89 73 General Surgery 134 10 900 31 1,576 78 2,610 52 Gynaecology 47 11 378 25 607 72 1,032 39 Medical Oncology 32 11 36 15 9 190 77 15 Neurosurgery 11 8 37 23 135 92 183 66 Obstetrics - - 28 32 44 94 72 58 Ophthalmology 40 10 427 33 3,623 101 4,090 88 Oral Surgery 5 18 43 26 99 143 147 94 Orthopaedic Surgery 46 10 686 33 3,466 99 4,198 75 Paediatric Surgery 13 8 135 33 295 123 443 72 Plastic Surgery 265 25 480 60 882 150 1,627 85 Radiology * 13 10 21 12 62 26 23 Rehabilitative Medicine 5 10 9 45 20 119 34 77 Spinal Surgery - - * 183 82 226 86 226 Urology 307 15 997 50 1,054 115 2,358 59 Vascular Surgery 33 12 115 39 144 53 292 32 Others 39 6 37 19 25 66 101 17 Total 1,132 13 5,164 37 15,059 104 21,355 72 - no cases; * data suppressed to protect confidentiality

Table A-2: Armadale Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - * 35 161 156 163 142 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery 12 8 54 23 46 67 112 26 Gynaecology 5 17 32 24 62 109 99 53 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology ------Oral Surgery ------Orthopaedic Surgery * 1 33 40 212 93 248 70 Paediatric Surgery - - * 12 33 165 34 165 Plastic Surgery - - 6 37 9 80 15 64 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 7 11 30 30 28 124 65 60 Vascular Surgery - - 9 10 14 58 23 25 Others ------Total 27 12 167 26 565 106 759 71 - no cases; * data suppressed to protect confidentiality

8

Table A-3: Bentley Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - * 17 8 129 12 62 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 16 15 41 15 58 32 43 Gynaecology - - 8 31 7 30 15 30 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology * 17 49 47 882 107 933 102 Oral Surgery ------Orthopaedic Surgery ------Paediatric Surgery ------Plastic Surgery * 28 14 40 10 231 26 62 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology - - * 78 * 86 * 82 Vascular Surgery ------Others ------Total 6 17 91 41 923 107 1,020 98 - no cases, * data suppressed to protect confidentiality

Table A-4: Fiona Stanley Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns - - 16 42 21 87 37 65 Cardiology 28 10 69 39 13 116 110 29 Cardiothoracic Surgery 36 31 13 33 5 66 54 31 Dermatology 9 46 37 109 * 89 49 86 Ear, Nose & Throat 11 19 64 106 82 168 157 124 Endocrinology ------Gastroenterology - - * 18 - - * 18 General / Physical Medicine ------General Practitioner ------General Surgery 17 16 73 60 58 157 148 79 Gynaecology * 33 * 11 7 32 11 25 Medical Oncology * 18 - - - - * 18 Neurosurgery * 1 9 36 37 127 47 99 Obstetrics - - * 29 - - * 29 Ophthalmology ------Oral Surgery * 19 5 51 21 220 27 172 Orthopaedic Surgery - - * 3 * 24 6 23 Paediatric Surgery ------Plastic Surgery 68 26 96 123 100 151 264 96 Radiology - - * 1 - - * 1 Rehabilitative Medicine ------Spinal Surgery ------Urology 79 25 260 66 190 143 529 72 Vascular Surgery 9 12 23 39 * 98 34 35 Others 13 9 11 17 * 160 28 15 Total 277 19 684 64 546 144 1,507 68 - no cases, * data suppressed to protect confidentiality

9

Table A-5: Fremantle Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - * 18 25 18 29 18 Endocrinology ------Gastroenterology * 10 * 9 * 248 * 101 General / Physical Medicine ------General Practitioner ------General Surgery 5 10 85 39 102 95 192 56 Gynaecology * 21 25 33 63 46 92 44 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology 14 11 150 39 364 108 528 73 Oral Surgery - - 26 25 41 135 67 81 Orthopaedic Surgery 13 9 139 35 535 80 687 61 Paediatric Surgery ------Plastic Surgery 20 56 11 59 * 199 35 58 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology ------Vascular Surgery * 18 14 38 20 106 37 43 Others ------Total 60 17 455 37 1,156 94 1,671 61 - no cases, * data suppressed to protect confidentiality

Table A-6: Joondalup Health Campus summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery - - * 36 387 194 389 193 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - 7 34 136 148 143 144 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 5 28 23 28 184 57 55 Gynaecology - - 10 29 10 130 20 54 Medical Oncology ------Neurosurgery ------Obstetrics - - 19 38 35 94 54 66 Ophthalmology - - - - 280 137 280 137 Oral Surgery ------Orthopaedic Surgery - - 41 37 265 158 306 134 Paediatric Surgery - - * 40 18 200 19 200 Plastic Surgery * 9 11 19 * 63 19 19 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 9 11 37 34 75 68 121 50 Vascular Surgery * 5 10 46 9 123 20 52 Others - - - - * 152 * 152 Total 15 9 166 32 1,249 149 1,430 130 - no cases, * data suppressed to protect confidentiality

10

Table A-7: King Edward Memorial Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery 0 ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat ------Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery ------Gynaecology 9 8 83 23 127 39 219 25 Medical Oncology 17 9 10 16 * 80 30 14 Neurosurgery ------Obstetrics - - * 25 * 134 * 80 Ophthalmology ------Oral Surgery ------Orthopaedic Surgery ------Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 16 17 31 22 51 40 40 Vascular Surgery ------Others ------Total 27 9 111 22 155 44 293 25 - no cases, * data suppressed to protect confidentiality

Table A-8: Osborne Park Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery - - - - * 155 * 155 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology - - * 12 - - * 12 Ear, Nose & Throat ------Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 2 54 31 199 70 254 59 Gynaecology * 13 46 22 29 39 79 25 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - 10 24 42 28 52 28 Oral Surgery ------Orthopaedic Surgery - - 58 37 258 74 316 65 Paediatric Surgery ------Plastic Surgery * 9 11 52 32 115 44 92 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 6 7 57 39 114 95 177 66 Vascular Surgery - - * 53 24 33 25 33 Others ------Total 12 6 238 32 701 74 951 57 - no cases, * data suppressed to protect confidentiality

11

Table A-9: Peel Health Campus summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - 6 27 160 118 166 114 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery 11 4 27 26 38 44 76 24 Gynaecology * 9 24 20 43 90 69 62 Medical Oncology ------Neurosurgery ------Obstetrics - - * 17 6 55 9 17 Ophthalmology - - 24 23 386 79 410 73 Oral Surgery ------Orthopaedic Surgery - - 19 18 94 54 113 47 Paediatric Surgery - - - - 16 26 16 26 Plastic Surgery * 5 10 33 7 61 20 33 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 25 9 42 20 68 62 135 24 Vascular Surgery - - * 13 * 13 * 13 Others * 4 - - - - * 4 Total 42 6 157 23 819 82 1,018 59 - no cases, * data suppressed to protect confidentiality

Table A-10: Princess Margaret Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns - - 31 44 59 100 90 79 Cardiology - - * 3 * 108 6 57 Cardiothoracic Surgery - - 7 25 24 92 31 75 Dermatology - - 6 1 * 174 8 1 Ear, Nose & Throat 5 18 285 33 715 120 1,005 86 Endocrinology ------Gastroenterology - - * 31 * 204 * 118 General / Physical Medicine ------General Practitioner ------General Surgery ------Gynaecology - - * 30 * 130 * 80 Medical Oncology 9 18 23 15 6 263 38 18 Neurosurgery * 11 - - * 28 * 19 Obstetrics ------Ophthalmology * 11 42 33 161 134 204 93 Oral Surgery ------Orthopaedic Surgery * 16 78 37 184 104 263 67 Paediatric Surgery 13 8 132 33 228 113 373 68 Plastic Surgery * 3 23 29 135 92 160 81 Radiology ------Rehabilitative Medicine 5 10 9 45 20 119 34 77 Spinal Surgery ------Urology ------Vascular Surgery ------Others 11 9 6 37 7 179 24 16 Total 48 10 646 33 1,549 113 2,243 75 - no cases, * data suppressed to protect confidentiality

12

Table A-11: Rockingham General Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - 16 97 90 191 106 163 Endocrinology ------Gastroenterology - - * 7 - - * 7 General / Physical Medicine ------General Practitioner ------General Surgery * 2 42 28 227 72 273 65 Gynaecology * 9 38 24 81 123 121 74 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology ------Oral Surgery ------Orthopaedic Surgery * 10 17 43 203 100 223 99 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 50 9 122 60 155 152 327 92 Vascular Surgery ------Others - - 7 18 * 43 9 18 Total 59 9 243 46 758 110 1,060 86 - no cases, * data suppressed to protect confidentiality

Table A-12: Royal Perth Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology 7 8 17 18 * 71 25 18 Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat 8 13 45 79 80 107 133 82 Endocrinology ------Gastroenterology * 15 - - * 171 * 19 General / Physical Medicine ------General Practitioner ------General Surgery 21 17 119 43 52 80 192 46 Gynaecology ------Medical Oncology ------Neurosurgery * 3 - - - - * 3 Obstetrics ------Ophthalmology 7 8 64 40 400 148 471 131 Oral Surgery * 13 12 23 37 129 53 78 Orthopaedic Surgery 21 10 82 36 290 114 393 68 Paediatric Surgery ------Plastic Surgery 138 29 184 88 298 249 620 103 Radiology * 22 - - - - * 22 Rehabilitative Medicine ------Spinal Surgery - - * 183 82 226 86 226 Urology 71 16 242 51 151 129 464 59 Vascular Surgery 10 10 42 53 11 102 63 51 Others 5 3 8 23 * 96 15 19 Total 298 18 819 51 1,405 142 2,522 86 - no cases, * data suppressed to protect confidentiality

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Table A-13: Sir Charles Gairdner Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery - - * 16 19 408 22 390 Burns ------Cardiology 16 8 33 11 5 10 54 10 Cardiothoracic Surgery 5 8 * 1 5 102 13 18 Dermatology ------Ear, Nose & Throat * 7 30 35 223 137 257 130 Endocrinology * 17 49 87 12 186 64 93 Gastroenterology * 7 9 29 * 75 16 21 General / Physical Medicine ------General Practitioner ------General Surgery 19 3 79 24 62 71 160 31 Gynaecology * 7 - - - - * 7 Medical Oncology * 4 * 9 - - 6 9 Neurosurgery 8 9 28 22 96 67 132 53 Obstetrics ------Ophthalmology 5 17 43 22 230 44 278 40 Oral Surgery ------Orthopaedic Surgery * 23 123 30 292 76 418 52 Paediatric Surgery ------Plastic Surgery 24 12 64 21 171 130 259 59 Radiology * 3 9 23 12 62 22 24 Rehabilitative Medicine ------Spinal Surgery ------Urology 48 18 72 44 36 110 156 31 Vascular Surgery 9 12 8 23 6 190 23 23 Others 8 4 * 16 5 33 17 9 Total 162 10 560 30 1,177 88 1,899 46 - no cases, * data suppressed to protect confidentiality

Table A-14: St John of God Midland Public Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery - - - - * 90 * 90 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - * 17 110 83 112 82 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery 5 12 21 31 131 53 157 46 Gynaecology * 11 39 25 30 137 73 57 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - * 12 64 18 66 16 Oral Surgery ------Orthopaedic Surgery - - 5 37 225 47 230 47 Paediatric Surgery - - * 16 - - * 16 Plastic Surgery * 7 13 61 12 117 27 61 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 16 13 33 31 23 47 23 Vascular Surgery - - * 40 16 151 19 143 Others - - * 38 * 38 * 38 Total 14 11 100 31 624 53 738 48 - no cases, * data suppressed to protect confidentiality.

14

Table A-15: Albany Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery - - * 39 * 100 * 92 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - 19 29 42 226 61 130 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner - - * 81 34 70 36 70 General Surgery 11 * 72 25 69 74 152 36 Gynaecology 5 9 12 39 17 58 34 46 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology * * 17 24 264 101 284 95 Oral Surgery ------Orthopaedic Surgery - - 35 44 167 131 202 109 Paediatric Surgery ------Plastic Surgery * 25 37 25 46 207 84 126 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 16 72 79 81 199 157 113 Vascular Surgery ------Others ------Total 24 9 267 38 722 115 1,013 88 - no cases, * data suppressed to protect confidentiality.

Table A-16: Broome Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - * 32 33 80 35 80 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 11 17 23 54 81 73 73 Gynaecology * 11 7 12 15 29 24 16 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - * 52 25 57 26 55 Oral Surgery ------Orthopaedic Surgery - - - - 10 108 10 108 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology - - 7 65 - - 7 65 Vascular Surgery - - * 17 35 18 37 18 Others ------Total * 11 36 23 172 75 212 58 - no cases, * data suppressed to protect confidentiality.

15

Table A-17: Bunbury Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery - - - - * 66 * 66 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat * * 7 36 298 189 306 184 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 10 35 29 241 93 280 74 Gynaecology - - 16 39 52 66 68 52 Medical Oncology ------Neurosurgery ------Obstetrics - - * 15 - - * 15 Ophthalmology - - - - 24 34 24 34 Oral Surgery ------Orthopaedic Surgery * * 7 38 428 144 436 142 Paediatric Surgery ------Plastic Surgery - - - - 13 171 13 171 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * * * 35 52 54 57 54 Vascular Surgery ------Others ------Total 7 * 71 36 1,109 124 1,187 117 - no cases, * data suppressed to protect confidentiality.

Table A-18: Geraldton Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat 5 9 18 31 79 100 102 43 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner - - * 15 * 95 * 55 General Surgery 7 10 38 30 41 83 86 40 Gynaecology * 10 9 33 21 65 32 50 Medical Oncology ------Neurosurgery ------Obstetrics - - * 32 - - * 32 Ophthalmology 8 11 16 34 178 129 202 108 Oral Surgery ------Orthopaedic Surgery - - 21 43 181 95 202 81 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 10 18 30 7 96 28 31 Vascular Surgery - - * 47 6 200 7 200 Others ------Total 25 10 123 31 514 101 662 70 - no cases, * data suppressed to protect confidentiality.

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Table A-19: Hedland Health Campus summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat * 16 6 18 6 59 16 18 Endocrinology ------Gastroenterology ------General / Physical Medicine - - - - * 108 * 108 General Practitioner ------General Surgery * 7 46 37 44 95 92 52 Gynaecology * 5 9 22 11 106 22 51 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - * 64 34 59 35 59 Oral Surgery ------Orthopaedic Surgery - - * 8 8 132 9 128 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology - - * 25 15 50 17 38 Vascular Surgery ------Others * 12 - - - - * 12 Total 9 12 65 31 119 89 193 52 - no cases, * data suppressed to protect confidentiality.

Table A-20: Kalgoorlie Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Bariatric Surgery ------Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - - - * 60 * 60 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery 6 17 21 26 48 66 75 46 Gynaecology * 15 * 15 - - 5 15 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - - - 7 80 7 80 Oral Surgery ------Orthopaedic Surgery * * 16 32 7 54 24 38 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology ------Vascular Surgery * 22 - - - - * 22 Others ------Total 10 17 40 26 63 75 113 45 - no cases, * data suppressed to protect confidentiality.

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Table A-21: Integrated District Health Service and Small Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Integrated District Health Service Busselton General Practitioner - - - - * * * * General Surgery * 15 11 26 14 42 27 36 Gynaecology - - * 34 20 42 24 34 Ophthalmology - - * 9 145 43 148 39 Orthopaedic Surgery - - * 23 50 46 54 43 Plastic Surgery - - - - 35 103 35 103 Urology - - * 66 23 22 24 22 Total * 15 24 24 289 47 315 44 Carnarvon General Surgery - - 9 59 13 129 22 78 Gynaecology - - * 73 * 73 * 73 Urology - - - - * 191 * 191 Total - - 10 59 18 129 28 73 Collie General Practitioner - - * * - - * * Total - - * * - - * * Derby Ear, Nose & Throat - - * 48 38 122 41 122 General Surgery - - * 28 7 72 9 67 Gynaecology - - - - * 63 * 63 Ophthalmology - - * 46 24 115 25 100 Orthopaedic Surgery - - - - 12 61 12 61 Total - - 6 47 83 102 89 100 Esperance Ear, Nose & Throat - - - - * 61 * 61 General Practitioner * * * 28 30 120 34 103 General Surgery * 15 10 72 11 65 22 69 Gynaecology - - * 16 * 96 * 16 Ophthalmology - - * 55 49 137 53 136 Orthopaedic Surgery - - * 44 25 99 28 89 Urology - - - - * 225 * 225 Total * 8 22 51 121 106 145 98 Katanning General Surgery - - - - * 131 * 131 Ophthalmology - - - - * 180 * 180 Total - - - - 5 131 5 131 Kununurra Ear, Nose & Throat - - 6 11 44 66 50 43 General Surgery - - 18 32 27 99 45 61 Gynaecology - - * 30 * 54 7 50 Ophthalmology - - - - 25 80 25 80 Orthopaedic Surgery - - - - 14 129 14 129 Total - - 28 20 113 99 141 66 Margaret River General Practitioner * 16 * 9 5 256 9 67 General Surgery - - * 53 9 46 10 50 Total * 16 * 9 14 126 19 53 - no cases, * data suppressed to protect confidentiality.

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Table A-21: Integrated District Health Service and Small Hospital summary by specialty and by urgency category, as at the end of September 2017, total cases On List and median waiting time (days) (Continued) Total Cases On List Cat 1 Cat 2 Cat 3 Total Specialty of Clinician Cases On Median Cases On Median Cases On Median Cases On Median List Wait Time List Wait Time List Wait Time List Wait Time

Integrated District Health Service Merredin General Surgery - - - - * 18 * 18 Total - - - - * 18 * 18 Narrogin General Surgery * * 10 8 6 57 17 23 Gynaecology - - * 27 - - * 27 Total * * 13 8 6 57 20 26 Nickol Bay Ear, Nose & Throat - - - - * 115 * 115 General Surgery - - 11 24 16 50 27 29 Gynaecology - - - - * 107 * 107 Ophthalmology - - - - 37 26 37 26 Orthopaedic Surgery - - * 25 * 122 * 74 Plastic Surgery - - - - 6 * 6 * Total - - 12 24 66 37 78 26 Northam General Surgery - - - - 6 12 6 12 Ophthalmology - - - - * 59 * 59 Total - - - - 7 12 7 12 Warren General Practitioner - - - - * 25 * 25 General Surgery - - * 47 * 12 * 23 Total - - * 47 * 24 5 24 Small Hospital Bridgetown General Surgery - - - - 6 26 6 26 Gynaecology - - - - * 38 * 38 Total - - - - 7 30 7 30 - no cases, * data suppressed to protect confidentiality.

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Appendix B: Statewide ESWL tables from January 2015 to current month

Table B-1: Statewide on-list cases waiting and waiting times, as at the end of January 2015 - September 2017 ...... 21 Table B-2: Statewide on-list cases within and over boundary by urgency category, as at the end of January 2015 - September 2017 ...... 22 Table B-3: Statewide elective surgery admissions by urgency category, January 2015 - September 2017...... 23

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Table B-1: Statewide on-list cases waiting and waiting times, as at the end of January 2015 - September 2017 Cases on ESWLs at end of month Within boundary Over boundary Total Waiting time Waiting time Waiting time Cases Cases 90th Cases Median Median Median percentile Days n % Days n % Days Days n 2015 Jan 71 16,552 93.2 136 1,213 6.8 75 247 17,765 Feb 71 16,898 92.7 141 1,328 7.3 75 240 18,226 Mar 56 16,663 92.6 144 1,335 7.4 63 244 17,998 Apr 62 16,821 91.9 163 1,485 8.1 69 248 18,306 May 62 16,668 92.4 173 1,363 7.6 69 249 18,031 Jun 56 16,995 93.0 180 1,287 7.0 62 251 18,282 Jul 58 16,559 93.6 161 1,133 6.4 65 251 17,692 Aug 59 16,578 94.4 157 991 5.6 63 237 17,569 Sep 53 16,375 94.8 153 895 5.2 57 231 17,270 Oct 56 16,249 95.7 149 724 4.3 59 229 16,973 Nov 54 16,327 95.1 152 842 4.9 59 228 17,169 Dec 59 16,816 94.4 142 1,000 5.6 63 232 17,816 2016 Jan 68 17,168 93.3 139 1,227 6.7 73 237 18,395 Feb 70 17,113 93.4 143 1,204 6.6 76 242 18,317 Mar 56 17,314 93.7 153 1,166 6.3 62 234 18,480 Apr 60 17,499 94.3 158 1,063 5.7 65 241 18,562 May 61 17,781 94.2 152 1,097 5.8 68 244 18,878 Jun 59 18,639 93.8 150 1,235 6.2 64 247 19,874 Jul 65 18,416 93.3 160 1,312 6.7 69 255 19,728 Aug 66 17,943 92.8 175 1,387 7.2 72 264 19,330 Sep 64 18,033 92.3 178 1,494 7.7 71 252 19,527 Oct 65 18,271 92.3 182 1,527 7.7 73 252 19,798 Nov 59 18,177 93.3 194 1,315 6.7 68 253 19,492 Dec 67 18,110 93.3 178 1,301 6.7 73 260 19,411 2017 Jan 76 18,479 92.7 175 1,460 7.3 82 265 19,939 Feb 76 18,467 93.4 168 1,306 6.6 82 263 19,773 Mar 59 18,689 93.8 157 1,242 6.2 67 252 19,931 Apr 65 18,762 93.6 157 1,276 6.4 68 255 20,038 May 62 19,504 95.0 181 1,033 5.0 65 249 20,537 Jun 59 19,900 94.7 169 1,110 5.3 63 252 21,010 Jul 67 19,921 94.1 159 1,245 5.9 70 258 21,166 Aug 66 19,782 93.9 163 1,278 6.1 71 259 21,060 Sep 66 20,027 93.8 164 1,328 6.2 72 247 21,355 Oct Nov Dec 21

Table B-2: Statewide on-list cases within and over boundary by urgency category, as at the end of January 2015 - September 2017 Category 1 Category 2 Category 3 Within 30 Within 90 Within 365 > 365 > 30 days Total > 90 days Total Total days days days days n % n % n % n % n % n % 2015 Jan 702 94.2 43 5.8 745 4,033 80.7 962 19.3 4,995 11,817 98.3 208 1.7 12,025 Feb 768 96.0 32 4.0 800 4,157 79.7 1,061 20.3 5,218 11,973 98.1 235 1.9 12,208 Mar 809 88.6 104 11.4 913 3,887 80.3 954 19.7 4,841 11,967 97.7 277 2.3 12,244 Apr 826 88.8 104 11.2 930 3,952 78.6 1,074 21.4 5,026 12,043 97.5 307 2.5 12,350 May 810 91.7 73 8.3 883 4,040 80.2 997 19.8 5,037 11,818 97.6 293 2.4 12,111 Jun 926 93.3 67 6.7 993 4,299 82.4 917 17.6 5,216 11,770 97.5 303 2.5 12,073 Jul 787 91.6 72 8.4 859 4,215 83.9 810 16.1 5,025 11,557 97.9 251 2.1 11,808 Aug 861 92.6 69 7.4 930 4,308 85.6 723 14.4 5,031 11,409 98.3 199 1.7 11,608 Sep 872 93.2 64 6.8 936 4,313 87.1 641 12.9 4,954 11,190 98.3 190 1.7 11,380 Oct 883 91.9 78 8.1 961 4,307 90.2 467 9.8 4,774 11,059 98.4 179 1.6 11,238 Nov 932 91.6 85 8.4 1,017 4,029 88.0 550 12.0 4,579 11,366 98.2 207 1.8 11,573 Dec 653 83.1 133 16.9 786 4,282 87.0 639 13.0 4,921 11,881 98.1 228 1.9 12,109 2016 Jan 744 86.1 120 13.9 864 4,128 82.8 859 17.2 4,987 12,296 98.0 248 2.0 12,544 Feb 845 88.3 112 11.7 957 4,012 82.8 834 17.2 4,846 12,256 97.9 258 2.1 12,514 Mar 782 83.4 156 16.6 938 4,115 84.4 761 15.6 4,876 12,417 98.0 249 2.0 12,666 Apr 865 84.2 162 15.8 1,027 4,105 85.6 688 14.4 4,793 12,529 98.3 213 1.7 12,742 May 919 84.7 166 15.3 1,085 4,025 84.8 719 15.2 4,744 12,837 98.4 212 1.6 13,049 Jun 972 82.7 204 17.3 1,176 4,172 84.5 767 15.5 4,939 13,495 98.1 264 1.9 13,759 Jul 930 79.8 236 20.2 1,166 4,155 83.9 797 16.1 4,952 13,331 98.0 279 2.0 13,610 Aug 909 82.5 193 17.5 1,102 3,979 82.3 857 17.7 4,836 13,055 97.5 337 2.5 13,392 Sep 811 79.9 204 20.1 1,015 4,070 81.5 921 18.5 4,991 13,152 97.3 369 2.7 13,521 Oct 885 83.3 178 16.7 1,063 4,027 81.1 941 18.9 4,968 13,359 97.0 408 3.0 13,767 Nov 943 87.6 134 12.4 1,077 3,877 83.0 794 17.0 4,671 13,357 97.2 387 2.8 13,744 Dec 537 81.5 122 18.5 659 3,890 82.8 809 17.2 4,699 13,683 97.4 370 2.6 14,053 2017 Jan 773 86.2 124 13.8 897 3,776 80.2 931 19.8 4,707 13,930 97.2 405 2.8 14,335 Feb 979 91.7 89 8.3 1,068 3,736 81.4 856 18.6 4,592 13,752 97.4 361 2.6 14,113 Mar 944 88.4 124 11.6 1,068 3,997 83.3 801 16.7 4,798 13,748 97.7 317 2.3 14,065 Apr 861 80.3 211 19.7 1,072 4,156 85.5 707 14.5 4,863 13,745 97.5 358 2.5 14,103 May 1,015 91.3 97 8.7 1,112 4,255 87.6 604 12.4 4,859 14,234 97.7 332 2.3 14,566 Jun 1,023 85.7 171 14.3 1,194 4,371 88.4 572 11.6 4,943 14,506 97.5 367 2.5 14,873 Jul 986 81.6 222 18.4 1,208 4,284 87.6 606 12.4 4,890 14,651 97.2 417 2.8 15,068 Aug 940 82.2 204 17.8 1,144 4,300 87.1 636 12.9 4,936 14,542 97.1 438 2.9 14,980 Sep 916 80.9 216 19.1 1,132 4,505 87.2 659 12.8 5,164 14,606 97.0 453 3.0 15,059 Oct Nov Dec

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Table B-3: Statewide elective surgery admissions by urgency category, January 2015 - September 2017

Urgency category Total 1 2 3 2015 Jan 1,210 1,592 1,941 4,743 Feb 1,605 2,230 2,745 6,580 Mar 1,749 2,535 3,040 7,324 Apr 1,512 2,097 2,391 6,000 May 1,817 2,458 3,050 7,325 Jun 1,784 2,494 3,163 7,441 Jul 1,932 2,686 3,251 7,869 Aug 1,714 2,621 3,293 7,628 Sep 1,838 2,665 3,046 7,549 Oct 1,748 2,740 3,228 7,716 Nov 1,848 2,665 3,107 7,620 Dec 1,665 2,054 2,315 6,034 2016 Jan 1,281 2,087 2,110 5,478 Feb 1,723 2,711 3,184 7,618 Mar 1,750 2,496 2,939 7,185 Apr 1,668 2,302 2,649 6,619 May 1,950 2,626 3,436 8,012 Jun 1,928 2,382 2,832 7,142 Jul 1,780 2,204 2,968 6,952 Aug 2,010 2,418 3,396 7,824 Sep 1,776 2,144 2,994 6,914 Oct 1,767 2,181 3,196 7,144 Nov 1,957 2,550 3,483 7,990 Dec 1,831 1,907 2,722 6,460 2017 Jan 1,353 1,816 2,152 5,321 Feb 1,780 2,342 3,180 7,302 Mar 2,062 2,402 3,448 7,912 Apr 1,690 2,031 2,882 6,603 May 2,162 2,632 3,458 8,252 Jun 1,972 2,330 3,119 7,421 Jul 1,924 2,411 3,344 7,679 Aug 2,128 2,474 3,585 8,187 Sep 1,792 2,085 3,086 6,963 Oct Nov Dec

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