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 Perth 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, August 2017.

Date Issued:

6 October 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 Joondalup Health Campus 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, Fiona Stanley Hospital, Fremantle Hospital, King Edward Memorial Hospital, Osborne Park Hospital, Princess Margaret Hospital, Rockingham General Hospital, Royal Perth 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: August 2017

Cases on Wait Lists At the end of August 2017, there were a total of 21,062 cases on elective surgery wait lists (ESWLs) in the WA health system. Of these, 1,144 (5.4%) were Category 1, 4,936 (23.4%) were Category 2 and 14,982 (71.1%) 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 6.1% (n=1,278) at the end of August 2017.

Table 1: Statewide WEST performance by urgency category from as at the end of January 2017 to August 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%

Specialties with the highest volume of elective surgery over boundary cases were Plastic Surgery (371), Urology (267), Ear, Nose and Throat Surgery (186), General Surgery (97) and Ophthalmology (74).

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: 34 days (recommended time ≤90 days).  Category 3: 100 days (recommended time ≤365 days).

Admissions In August 2017, there were 8,187 admissions from ESWLs.

For the 12 months September 2016 to August 2017, there were 87,185 admissions from WA health system ESWLs. This represents 1,436 (1.7%) more admissions than September 2015 to August 2016, and 4,294 (5.2%) more admissions than September 2014 to August 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 31 August 2017, compared to the previous month (31 July 2017) and the same month last year (31 August 2016).

This table shows that as at 31 August 2017, there were 21,062 cases on WA health system ESWLs, which was a decrease of 105 (0.5%) from 31 July 2017 (21,167) and an increase of 1,732 (9.0%) from 31 August 2016 (19,330). 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 August 2017.

Table 2: Statewide ESWL cases waiting by urgency category as at 31 August 2016, 31 July 2017 and 31 August 2017 On list cases as at the end of month August 2016 July 2017 August 2017 Category 1 1,102 1,208 1,144 Category 2 4,836 4,890 4,936 Category 3 13,392 15,069 14,982 Total 19,330 21,167 21,062

2

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

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

Table 3: Statewide WEST performance as at the end of August 2016 and August 2017 Over boundary cases on wait list as at the end of month August 2016 August 2017 n % n % Category 1 193 17.5% 204 17.8% Category 2 857 17.7% 636 12.9% Category 3 337 2.5% 438 2.9% Total 1,387 7.2% 1,278 6.1%

Specialties with the highest volume of elective surgery over boundary cases were Plastic Surgery (371), Urology (267), Ear, Nose and Throat Surgery (186), General Surgery (97) and Ophthalmology (74).

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, August 2015 - August 2017

Category 1 Category 2 Category 3 Total (all categories)

25%

20%

15%

10%

5% Percentage of overboundary cases

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

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

Aug-15 Sep-15 Aug-16 Sep-16 Aug-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 31 August 2017, compared to previous month and the same month last year, by urgency category.

The total statewide 90th percentile and median waiting times were higher than previous month and the same month last year.

Table 4: Statewide ESWL waiting times by urgency category as at 31 August 2016, 31 July 2017 and 31 August 2017 Waiting time (days) for on-list cases as at the end of month August 2016 July 2017 August 2017 median 13 12 13 Category 1 90th percentile 48 40 43 median 37 38 34 Category 2 90th percentile 140 104 104 median 103 101 100 Category 3 90th percentile 283 285 283 median 72 70 71 Total 90th percentile 264 258 259

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

10,000 50

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

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

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, August 2017, August 2016 and August 2015.

Table 5: Admissions from WA health system ESWLs for the months of, and the 12 months to, August 2017, August 2016 and August 2015 Monthly admission All admissions in last 12 months Cases (n) Cases (n) August 2015 7,628 82,891 August 2016 7,824 85,749 August 2017 8,187 87,185

For the 12 months September 2016 to August 2017, there were 87,185 admissions from WA health system ESWLs. This represents 1,436 (1.7%) more admissions than September 2015 to August 2016 and 4,294 (5.2%) more admissions than September 2014 to August 2015.

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

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

Admissions - Statewide

9,000

8,000

7,000

6,000

5,000

4,000

3,000 Admissions from ESWLs from Admissions 2,000

1,000

0

Jul-16 Jul-17

Oct-15 Oct-16

Apr-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

Aug-15 Sep-15 Aug-16 Sep-16 Aug-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 August 2017, total cases On List and median waiting time ...... 8 Table A-2: Armadale Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 8 Table A-3: Bentley Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 9 Table A-4: Fiona Stanley Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 9 Table A-5: Fremantle Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 10 Table A-6: Joondalup Health Campus summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 10 Table A-7: King Edward Memorial Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 11 Table A-8: Osborne Park Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 11 Table A-9: Peel Health Campus summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 12 Table A-10: Princess Margaret Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 12 Table A-11: Rockingham General Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 13 Table A-12: Royal Perth Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 13 Table A-13: Sir Charles Gairdner Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 14 Table A-14: St John of God Midland Public Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 14 Table A-15: Albany Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 15 Table A-16: Broome Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 15 Table A-17: Bunbury Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 16 Table A-18: Geraldton Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 16

6

Table A-19: Hedland Health Campus summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time...... 17 Table A-20: Kalgoorlie Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 17 Table A-21: Integrated District Health Service and Small Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time ...... 18

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Table A-1: Statewide summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time 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 - - 5 11 379 207 384 202 Burns * 3 45 28 69 105 115 56 Cardiology 39 7 100 24 35 44 174 17 Cardiothoracic Surgery 41 9 21 20 32 74 94 20 Dermatology 11 35 56 99 7 183 74 78 Ear, Nose & Throat 27 15 455 34 2,340 122 2,822 104 Endocrinology * 4 49 70 13 164 64 81 Gastroenterology 8 11 12 31 9 142 29 23 General / Physical Medicine - - * 30 - - * 30 General Practitioner * 13 14 56 88 64 103 63 General Surgery 170 8 869 30 1,577 69 2,616 44 Gynaecology 52 9 335 24 610 72 997 42 Medical Oncology 25 1 24 19 9 212 58 15 Neurosurgery 6 11 35 27 135 85 176 63 Obstetrics * 5 36 37 43 88 83 48 Ophthalmology 28 7 416 30 3,588 95 4,032 85 Oral Surgery 9 3 32 33 94 141 135 99 Orthopaedic Surgery 57 8 689 27 3,542 96 4,288 76 Paediatric Surgery 13 8 158 30 281 116 452 65 Plastic Surgery 291 24 480 49 818 142 1,589 72 Radiology 7 2 15 15 11 64 33 16 Rehabilitative Medicine * 14 6 26 26 92 34 59 Spinal Surgery - - 5 230 89 230 94 230 Urology 298 17 937 45 1,044 108 2,279 58 Vascular Surgery 22 7 111 36 111 109 244 49 Others 30 7 30 27 32 136 92 22 Total 1,144 13 4,936 34 14,982 100 21,062 71 - no cases; * data suppressed to protect confidentiality

Table A-2: Armadale Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time 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 - - * 23 155 168 157 168 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 6 48 17 46 56 98 24 Gynaecology * 6 26 20 66 97 95 72 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology ------Oral Surgery ------Orthopaedic Surgery * 8 37 27 204 94 242 75 Paediatric Surgery * 11 * 10 41 135 46 134 Plastic Surgery - - 14 24 7 70 21 42 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 17 29 30 30 109 62 45 Vascular Surgery * 1 * 13 13 120 15 120 Others ------Total 14 9 160 22 562 107 736 70 - 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 August 2017, total cases On List and median waiting time 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 - - - - 12 101 12 101 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery 6 10 21 30 15 52 42 31 Gynaecology - - 5 14 7 24 12 23 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - 43 41 877 103 920 99 Oral Surgery ------Orthopaedic Surgery ------Paediatric Surgery ------Plastic Surgery 5 62 25 38 7 197 37 38 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology - - - - * 56 * 56 Vascular Surgery - - * 73 - - * 73 Others ------Total 11 27 95 36 919 103 1,025 93 - 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 August 2017, total cases On List and median waiting time 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 - - 7 30 19 64 26 58 Cardiology 31 8 67 43 14 83 112 31 Cardiothoracic Surgery 30 13 10 44 * 96 42 13 Dermatology 10 37 47 114 * 145 61 98 Ear, Nose & Throat 13 17 83 104 97 226 193 142 Endocrinology ------Gastroenterology - - * 3 - - * 3 General / Physical Medicine ------General Practitioner ------General Surgery 22 17 87 72 59 155 168 79 Gynaecology * 15 * 105 * 93 * 57 Medical Oncology * 17 - - - - * 17 Neurosurgery - - 12 48 38 102 50 85 Obstetrics ------Ophthalmology ------Oral Surgery * 10 6 68 22 206 30 141 Orthopaedic Surgery - - - - * 193 * 193 Paediatric Surgery ------Plastic Surgery 100 28 95 112 88 135 283 72 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 83 24 248 66 176 142 507 70 Vascular Surgery 9 9 19 43 * 99 30 37 Others 5 2 7 8 * 363 15 8 Total 310 20 690 70 526 142 1,526 71 - 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 August 2017, total cases On List and median waiting time 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 - - * 89 13 272 15 127 Endocrinology ------Gastroenterology - - - - * 218 * 218 General / Physical Medicine ------General Practitioner ------General Surgery 9 10 78 37 117 104 204 52 Gynaecology 6 12 26 39 62 100 94 51 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology 7 1 147 35 324 86 478 63 Oral Surgery * 10 18 39 37 112 59 72 Orthopaedic Surgery 12 3 147 29 553 91 712 71 Paediatric Surgery ------Plastic Surgery 10 37 11 70 * 169 25 45 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology ------Vascular Surgery - - 21 48 16 98 37 71 Others ------Total 48 10 450 36 1,128 92 1,626 64 - 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 August 2017, total cases On List and median waiting time 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 - - * 11 351 207 352 207 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat * 9 6 29 161 146 168 144 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery 6 9 32 20 33 167 71 40 Gynaecology * 5 7 41 11 186 19 81 Medical Oncology ------Neurosurgery ------Obstetrics * 10 31 37 36 88 68 50 Ophthalmology - - * 75 222 186 226 185 Oral Surgery ------Orthopaedic Surgery * 11 47 31 308 153 356 137 Paediatric Surgery - - * 12 15 172 17 103 Plastic Surgery 9 9 11 39 * 78 24 19 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 11 9 52 19 99 89 162 47 Vascular Surgery - - * 18 10 133 13 95 Others * 3 * 39 10 202 13 153 Total 31 9 198 27 1,260 170 1,489 144 - 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 August 2017, total cases On List and median waiting time 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 - - * 30 - - * 30 General Practitioner ------General Surgery ------Gynaecology 12 1 67 28 108 53 187 34 Medical Oncology 13 1 6 26 * 98 22 15 Neurosurgery ------Obstetrics * 3 - - * 104 * 3 Ophthalmology ------Oral Surgery ------Orthopaedic Surgery ------Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 2 14 22 19 21 37 22 Vascular Surgery ------Others ------Total 31 1 88 22 131 41 250 23 - 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 August 2017, total cases On List and median waiting time 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 - - * 26 * 125 5 42 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology * 3 * 31 - - 5 17 Ear, Nose & Throat ------Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery - - 51 20 187 65 238 51 Gynaecology 8 16 38 15 34 43 80 22 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - 8 36 59 22 67 22 Oral Surgery ------Orthopaedic Surgery * 10 64 27 268 66 334 56 Paediatric Surgery ------Plastic Surgery * 8 14 50 25 92 41 78 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 14 54 23 121 65 179 43 Vascular Surgery - - * 44 21 24 23 24 Others ------Total 17 10 237 23 718 64 972 46 - 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 August 2017, total cases On List and median waiting time 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 - - * 35 146 104 150 104 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery 12 5 18 12 34 60 64 22 Gynaecology - - 20 28 53 62 73 47 Medical Oncology ------Neurosurgery ------Obstetrics * 6 * 39 5 72 9 39 Ophthalmology * 6 20 13 396 84 417 76 Oral Surgery ------Orthopaedic Surgery * 12 18 19 96 48 115 34 Paediatric Surgery - - - - 14 63 14 63 Plastic Surgery - - 15 48 11 33 26 41 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 7 5 44 25 61 90 112 37 Vascular Surgery ------Others ------Total 22 5 142 23 816 80 980 62 - 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 August 2017, total cases On List and median waiting time 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 * 3 38 28 50 109 89 56 Cardiology - - - - * 78 * 78 Cardiothoracic Surgery * 2 7 20 21 114 32 52 Dermatology - - 5 13 * 183 8 34 Ear, Nose & Throat * 15 236 23 709 112 947 76 Endocrinology ------Gastroenterology * 1 * 90 * 174 * 46 General / Physical Medicine ------General Practitioner ------General Surgery ------Gynaecology - - * 23 * 100 * 44 Medical Oncology * 1 18 13 6 289 26 21 Neurosurgery - - - - * 118 * 118 Obstetrics ------Ophthalmology * 6 45 31 153 155 200 94 Oral Surgery ------Orthopaedic Surgery 8 3 68 30 163 91 239 63 Paediatric Surgery 11 8 151 30 210 114 372 58 Plastic Surgery - - 25 36 122 87 147 72 Radiology ------Rehabilitative Medicine * 14 6 26 26 92 34 59 Spinal Surgery ------Urology ------Vascular Surgery ------Others 11 8 7 34 6 158 24 27 Total 45 7 609 28 1,478 105 2,132 70 - 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 August 2017, total cases On List and median waiting time 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 - - 13 85 87 198 100 148 Endocrinology ------Gastroenterology - - * 64 - - * 64 General / Physical Medicine ------General Practitioner ------General Surgery * 4 45 29 235 64 282 55 Gynaecology * 14 28 37 82 105 112 75 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology ------Oral Surgery ------Orthopaedic Surgery * 9 16 37 211 112 228 99 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology 28 11 115 70 151 134 294 96 Vascular Surgery ------Others - - * 34 * 44 * 44 Total 33 9 220 50 767 101 1,020 84 - 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 August 2017, total cases On List and median waiting time 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 - - * 17 - - * 17 Burns ------Cardiology - - 8 24 * 106 10 24 Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat * 8 47 65 71 119 120 90 Endocrinology ------Gastroenterology - - - - * 141 * 141 General / Physical Medicine ------General Practitioner ------General Surgery 26 9 112 44 59 78 197 43 Gynaecology ------Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology 7 7 64 35 416 149 487 118 Oral Surgery * 2 8 29 35 142 46 86 Orthopaedic Surgery 9 8 84 29 277 111 370 86 Paediatric Surgery ------Plastic Surgery 126 29 176 72 310 232 612 102 Radiology * 2 * 126 - - * 2 Rehabilitative Medicine ------Spinal Surgery - - 5 230 89 230 94 230 Urology 87 21 215 57 162 108 464 62 Vascular Surgery 8 7 46 36 9 132 63 36 Others 6 14 10 50 * 108 20 23 Total 277 20 777 50 1,435 141 2,489 85 - no cases, * data suppressed to protect confidentiality

13

Table A-13: Sir Charles Gairdner Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time 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 - - - - 18 378 18 378 Burns ------Cardiology 8 1 25 10 15 14 48 10 Cardiothoracic Surgery 7 6 * 11 9 72 20 8 Dermatology ------Ear, Nose & Throat 6 6 30 26 220 122 256 113 Endocrinology * 4 49 70 13 164 64 81 Gastroenterology 5 15 6 15 * 56 15 23 General / Physical Medicine ------General Practitioner ------General Surgery 30 8 73 27 62 92 165 28 Gynaecology ------Medical Oncology 7 1 - - - - 7 1 Neurosurgery 6 11 23 16 94 65 123 49 Obstetrics ------Ophthalmology 7 6 35 23 220 41 262 36 Oral Surgery ------Orthopaedic Surgery 7 14 110 24 270 70 387 49 Paediatric Surgery ------Plastic Surgery 36 10 59 22 140 135 235 63 Radiology * 9 14 15 11 64 29 17 Rehabilitative Medicine ------Spinal Surgery ------Urology 66 17 64 35 35 126 165 28 Vascular Surgery * 2 5 34 7 167 14 65 Others 6 3 * 1 6 9 13 2 Total 199 8 498 27 1,124 86 1,821 44 - 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 August 2017, total cases On List and median waiting time 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 - - - - * 62 * 62 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - * 3 116 71 117 69 Endocrinology ------Gastroenterology * 12 * 75 - - * 44 General / Physical Medicine ------General Practitioner ------General Surgery * 6 25 20 117 51 145 39 Gynaecology 9 18 32 39 36 119 77 74 Medical Oncology ------Neurosurgery ------Obstetrics - - * 110 - - * 110 Ophthalmology - - * 26 99 19 103 19 Oral Surgery ------Orthopaedic Surgery - - 8 16 231 46 239 46 Paediatric Surgery - - * 26 * 19 * 23 Plastic Surgery * 12 18 36 12 106 31 48 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 7 13 19 19 9 34 11 Vascular Surgery - - 6 46 21 125 27 121 Others - - * 10 * 24 * 10 Total 16 12 111 31 656 49 783 44 - 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 August 2017, total cases On List and median waiting time 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 - - * 9 * 70 * 62 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat * 22 7 34 35 220 43 196 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner - - 5 72 41 52 46 54 General Surgery 17 7 54 22 66 49 137 35 Gynaecology * 16 18 29 22 37 43 29 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology * 13 15 27 271 90 288 84 Oral Surgery ------Orthopaedic Surgery * 23 32 22 162 142 198 100 Paediatric Surgery ------Plastic Surgery * * 16 43 34 151 52 89 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology - - 45 49 75 176 120 87 Vascular Surgery ------Others ------Total 29 8 193 30 708 100 930 76 - no cases, * data suppressed to protect confidentiality.

Table A-16: Broome Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time 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 50 35 50 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 18 19 28 51 57 72 49 Gynaecology * 6 * 23 12 54 17 38 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - * 28 23 56 27 31 Oral Surgery ------Orthopaedic Surgery - - - - 15 77 15 77 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology - - 8 42 - - 8 42 Vascular Surgery - - - - 8 14 8 14 Others ------Total * 14 35 31 144 57 182 50 - 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 August 2017, total cases On List and median waiting time 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 - - - - * 10 * 10 Burns ------Cardiology ------Cardiothoracic Surgery ------Dermatology ------Ear, Nose & Throat - - 5 20 313 177 318 171 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 6 34 30 235 77 273 65 Gynaecology - - 23 16 52 48 75 34 Medical Oncology ------Neurosurgery ------Obstetrics - - - - * 92 * 92 Ophthalmology - - * 19 28 29 30 26 Oral Surgery ------Orthopaedic Surgery 7 * 11 8 452 131 470 127 Paediatric Surgery ------Plastic Surgery - - - - 13 154 13 154 Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * 14 9 24 50 71 60 48 Vascular Surgery ------Others ------Total 12 * 84 20 1,147 114 1,243 105 - no cases, * data suppressed to protect confidentiality.

Table A-18: Geraldton Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time 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 * 9 14 13 74 71 90 64 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner - - - - * 65 * 65 General Surgery 8 7 48 22 48 73 104 30 Gynaecology - - 7 30 23 58 30 47 Medical Oncology ------Neurosurgery ------Obstetrics - - * * - - * * Ophthalmology * 8 19 14 180 128 201 115 Oral Surgery ------Orthopaedic Surgery - - 27 21 189 94 216 79 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology * * 20 35 7 133 29 49 Vascular Surgery * 17 * 17 * 178 7 170 Others ------Total 16 7 137 22 526 98 679 71 - 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 August 2017, total cases On List and median waiting time 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 - - - - * 190 * 190 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 19 38 29 44 102 84 59 Gynaecology - - 8 35 12 84 20 47 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - * 34 27 37 28 36 Oral Surgery ------Orthopaedic Surgery - - * 97 13 98 14 98 Paediatric Surgery ------Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology - - * 6 13 106 14 63 Vascular Surgery ------Others ------Total * 19 49 31 113 85 164 59 - no cases, * data suppressed to protect confidentiality.

Table A-20: Kalgoorlie Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time 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 - - - - * 30 * 30 Endocrinology ------Gastroenterology ------General / Physical Medicine ------General Practitioner ------General Surgery * 5 23 24 51 50 78 33 Gynaecology * 9 5 13 - - 6 11 Medical Oncology ------Neurosurgery ------Obstetrics ------Ophthalmology - - - - 9 50 9 50 Oral Surgery ------Orthopaedic Surgery * 8 15 10 10 65 28 21 Paediatric Surgery - - * 8 - - * 8 Plastic Surgery ------Radiology ------Rehabilitative Medicine ------Spinal Surgery ------Urology ------Vascular Surgery - - 6 9 - - 6 9 Others * 7 - - - - * 7 Total 9 7 50 16 71 50 130 30 - 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 August 2017, total cases On List and median waiting time 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 - - - - 5 * 5 * General Surgery * 6 5 10 13 37 21 14 Gynaecology - - 8 23 17 50 25 38 Ophthalmology - - - - 147 29 147 29 Oral Surgery ------Orthopaedic Surgery * 7 * * 55 69 57 66 Paediatric Surgery ------Plastic Surgery - - - - 37 99 37 99 Urology - - * * 17 41 20 36 Total * 7 17 13 291 37 312 36 Carnarvon General Practitioner - - * 7 - - * 7 General Surgery - - 11 29 9 100 20 65 Gynaecology - - * 43 * 43 * 43 Urology - - - - * 161 * 161 Total - - 13 29 13 100 26 54 Collie General Practitioner - - * 8 - - * 8 General Surgery - - * * * 63 * * Total - - * 5 * 63 5 7 Derby Ear, Nose & Throat - - * 18 39 92 41 92 General Surgery - - 9 38 7 51 16 38 Gynaecology - - * 68 * 49 * 59 Ophthalmology - - * 24 22 99 23 99 Orthopaedic Surgery - - * 31 15 43 16 37 Total - - 14 38 84 92 98 87 Esperance Ear, Nose & Throat - - - - * 76 * 76 Gastroenterology - - * 70 * 142 * 106 General Practitioner * 13 6 66 33 99 40 79 General Surgery - - 6 43 11 142 17 72 Gynaecology * * - - * 66 * 35 Ophthalmology - - * 25 49 107 53 107 Orthopaedic Surgery - - * 25 28 70 30 70 Urology - - * 38 5 174 8 45 Total * 8 22 42 129 104 153 73 Katanning General Surgery * 14 * 35 6 71 8 39 Ophthalmology - - - - 11 196 11 196 Total * 14 * 35 17 150 19 150 Kununurra Ear, Nose & Throat - - * 76 48 85 51 80 General Surgery * 15 17 29 28 70 48 36 Gynaecology - - * 42 5 115 9 62 Ophthalmology - - - - 23 66 23 66 Orthopaedic Surgery - - - - 16 99 16 99 Total * 15 24 31 120 80 147 78 Margaret River General Practitioner - - - - 8 92 8 92 General Surgery - - * 23 8 72 9 71 Total - - * 23 16 72 17 71 - no cases, * data suppressed to protect confidentiality. 18

Table A-21: Integrated District Health Service and Small Hospital summary by specialty and by urgency category, as at the end of August 2017, total cases On List and median waiting time (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 - - - - * 72 * 72 Total - - - - * 72 * 72 Narrogin General Surgery - - 5 21 9 56 14 27 Gynaecology - - * 16 - - * 16 Total - - 6 19 9 56 15 23 Nickol Bay Ear, Nose & Throat - - - - * 85 * 85 General Surgery 6 * 5 21 19 28 30 16 Gynaecology * 10 * 28 * 77 7 10 Ophthalmology - - - - 31 86 31 86 Orthopaedic Surgery - - - - 5 92 5 92 Plastic Surgery - - * 35 * 91 5 91 Total 9 6 9 28 63 79 81 55 Northam Gastroenterology - - * 16 - - * 16 Ophthalmology - - - - * 29 * 29 Urology - - - - * 28 * 28 Total - - * 16 * 29 * 28 Warren General Surgery - - * 8 * 19 * 8 Total - - * 8 * 19 * 8 Small Hospital Bridgetown General Surgery - - - - * 39 * 39 Gynaecology - - - - * 8 * 8 Total - - - - 5 21 5 21 - 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 - August 2017 ...... 21 Table B-2: Statewide on-list cases within and over boundary by urgency category, as at the end of January 2015 - August 2017 ...... 22 Table B-3: Statewide elective surgery admissions by urgency category, January 2015 - August 2017 ...... 23

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Table B-1: Statewide on-list cases waiting and waiting times, as at the end of January 2015 - August 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 19,922 94.1 159 1,245 5.9 70 258 21,167 Aug 66 19,784 93.9 163 1,278 6.1 71 259 21,062 Sep 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 - August 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 14,652 97.2 417 2.8 15,069 Aug 940 82.2 204 17.8 1,144 4,300 87.1 636 12.9 4,936 14,544 97.1 438 2.9 14,982 Sep Oct Nov Dec

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Table B-3: Statewide elective surgery admissions by urgency category, January 2015 - August 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 Oct Nov Dec

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