June 2015

Delivering a Healthy WA

Date issued: 22 July 2015

© Department of Health, Western Australia This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced without prior written permission from the Department of Health, Western Australia.

Requests and enquiries concerning reproduction and rights should be directed to -

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

A list of the Department’s publications concerning outpatient activity is available from - http://ww2.health.wa.gov.au/Reports-and-publications

ISSN 1836-9677 (print)

Suggested citation Department of Health, Western Australia. Outpatient Monthly Activity, Western Australian Metropolitan Hospitals: June 2015. Perth: Performance Reporting Branch, Purchasing & System Performance Division Department of Health, 2015.

Report produced by Performance Reporting Branch, Purchasing & System Performance Division, Department of Health.

Copies of this publication available at: http://ww2.health.wa.gov.au/Reports-and-publications

Abbreviations

CAHS Child and Adolescent Health Service

DNA did not attend

FH Fremantle Hospital

FSH Fiona Stanley Hospital

KEMH King Edward Memorial Hospital

NA not available

NAPAAWL DC Non-admitted patient activity and wait list data collection

NMHS North Metropolitan Health Service includes:

Kalamunda Hospital, King Edward Memorial Hospital for Women, Osborne Park Hospital, Sir Charles Gairdner Hospital and Swan District Hospital

PMH Princess Margaret Hospital for Children

RPH Royal Perth Hospital Wellington Street Campus

RPRH Royal Perth Hospital Shenton Park Campus

SCGH Sir Charles Gairdner Hospital

SMHS South Metropolitan Health Service includes:

Armadale-Kelmscott Memorial Hospital, Bentley Hospital, Fremantle Hospital, Rockingham General Hospital, Royal Perth Hospital Wellington Street Campus and Royal Perth Hospital Shenton Park Campus

TOPAS The Open Patient Administration System

WA Western Australia webPAS Web-based Patient Administration System

i

Notes

Data extraction date

All data in this report is based on appointment dates up to the end of the last day in each month. Data revision Minor variations for totals published in previous reports are likely to occur as the outpatient databases are continuously updated. Variations may occur for a number of reasons, such as updates to procedure codes, lags in data processing or other types of errors detected after publication.

There is ongoing revision of the data from January 2013 to the current month. Therefore, the most recent edition of a report should always be consulted, as data is not revised in previously published editions.

As part of the reconfiguration of the South Metropolitan Health Service, patients have been transferred between hospitals or have been discharged. Outpatient cases have also been reviewed as part of administrative and clinical processes.

Data source

The data sources are TOPAS (The Open Patient Administration System) and webPAS (web- based Patient Administration System). Data from these patient administration systems are extracted into the Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC), which is a central reporting data collection.

Data limitations

As of the July 2014 report, all outpatient data except ‘Did not attend’ (DNA) appointments are reported as Service Events to align this report with national definitions. DNA appointments are still reported as Occasions of Service as they are considered non-service events, and hence they cannot be compared to other outpatient activity figures.

The main differences between Occasions of Service and Service Events are that Service Events include only clinical activity and a single event within the one day and are auditable, whereas Occasions of Service may include non-clinical activity and possible multiple events within the one day and are not auditable. These differences result in the number of Service Events always being lower than the number of Occasions of Service, that is, the number of Service Events is a subset of the number of Occasions of Service.

ii

A new patient administration system (webPAS) was implemented at Fremantle Hospital on 23 May 2012, Swan District Hospital on 4 July 2012 and Kalamunda Hospital on 4 July 2012 to replace TOPAS. As a result of this implementation, some specialty codes have been modified resulting in specialty data for these hospitals not being comparable against prior periods and across hospitals.

Royal Perth Hospital Shenton Park Campus (RPRH) was closed in early October 2014. Kaleeya Hospital was closed in early November 2014. Fiona Stanley Hospital (FSH) opened in early October 2014. Initial monthly wait time data from October 2014 to January 2015 for Fiona Stanley Hospital is affected by a small count number from specialties with high wait times. Increasing counts and establishment of normal clinic operations has normalised the wait times from February 2015.

Data exclusion

Counts are based on selected specialties for both teaching and non-teaching hospitals. This means, for example, that some types of appointments, such as physiotherapy, are not counted. As the data in this report refers only to medical and surgical outpatient activity, it does not include data related to allied health and diagnostic outpatient services.

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.

Booked appointment

Due to inconsistencies in the process used for classifying booked appointments for outpatient services, separate data is provided with respect to both first and new appointments.

First time appointment

A first time appointment refers to an appointment where a patient has never before attended a clinic of that specialty at that hospital.

New appointment

New appointments can have multiple entries, as the appointment recording system allocates a maximum of 45 minutes per appointment. If a further extended appointment is required, this attendance is also recorded as a ‘new’ appointment until a follow up session is required.

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Follow up appointment

A follow-up appointment refers to an appointment subsequent to and typically shorter than a new appointment e.g. 15 to 20 minutes in duration.

Waiting time

Calculation of waiting time is based on first appointments, in preference to new appointments, as the latter include multiple counts of attendance at an outpatient clinic.

Specialty

The list of outpatient specialties refers to clinically related provision of services, as defined by each hospital.

Definition of appointment

Attendance at an outpatient appointment is based on counts of medical and surgical appointments, as recorded within the NAPAAWL data collection.

Metropolitan public hospitals

The term ‘metropolitan public hospital’ refers to Princess Margaret Hospital for Children and the public hospitals located in the North Metropolitan and South Metropolitan Health Services.

Teaching hospitals

Encompasses adult metropolitan teaching hospitals Fremantle Hospital, Fiona Stanley Hospital, King Edward Memorial Hospital for Women, Royal Perth Hospital Shenton Park Campus (now closed), Royal Perth Hospital Wellington Street Campus, Sir Charles Gairdner Hospital and the metropolitan children’s hospital (Princess Margaret Hospital for Children).

Non-teaching hospitals

Encompasses the following metropolitan hospitals: Armadale-Kelmscott Memorial Hospital, Bentley Hospital, Kalamunda Hospital, Osborne Park Hospital, Rockingham General Hospital and Swan Hospital District Hospital.

iv

Glossary

Mean: This refers to the arithmetic mean, being the sum of all values in the list divided by the number of items in the list. The mean is the most commonly used type of average and can also be referred to simply as the average.

Median: This refers to the value separating the higher half of a sample, a population, or a probability distribution, from the lower half. This statistic is used, in preference to the mean, when the distribution of the values is skewed by a small number of very high values.

90th percentile: This refers to the value in the list below which there are 90 percent of numbers and enables waiting times to be expressed as a percentile rank.

As percentile ranks are not on equal interval scales, the difference between two percentile scores is not necessarily the same as the difference between two other similarly separated percentiles. e.g. 90th percentile score subtract 40th percentile score does not necessarily equal 80th percentile score subtract 30th percentile score. Symbols

- nil

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Table of Contents

1. Executive summary ...... 1

1.1 Key points ...... 1 2. Metropolitan teaching hospitals...... 2

2.1 Types of appointments ...... 2 2.1.1 All (new and follow up appointments) ...... 2 2.1.2 New appointments ...... 2 2.1.3 Follow up appointments ...... 3 2.1.4 Did not attend appointments ...... 4 2.1.5 First time appointments ...... 4 2.2 Waiting times ...... 5 3. Metropolitan non-teaching hospitals ...... 6

4. Individual Hospitals ...... 8

4.1 Appointments ...... 8 4.1.1 All appointments ...... 8 4.1.2 New appointments ...... 9 4.1.3 Follow up appointments ...... 10 4.1.4 Did not attend appointments ...... 11 4.1.5 First time appointments ...... 12 4.2 Waiting times ...... 13 4.3 Individual hospitals - at a glance ...... 14 5. Specialty ...... 21

Appendix ...... 22

vi

List of Tables

Table 1: Counts of new, follow up & DNA outpatient appointments at all metropolitan teaching hospitals, WA, June 2014, May 2015 & June 2015 ...... 2 Table 2: Counts & waiting times for first time outpatient appointments at all metropolitan teaching hospitals, WA, June 2014, May 2015 & June 2015 ...... 5 Table 3: New and total outpatient appointments at metropolitan non-teaching hospitals, all specialties, January 2013 - June 2015 ...... 7

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List of Figures

Figure 1: All & new outpatient appointments & proportion (%) of new outpatient appointments at all metropolitan teaching hospitals, WA, June 2013 - June 2015 ...... 3 Figure 2: Number & proportion (%) of follow up outpatient appointments at all metropolitan teaching hospitals, WA, June 2013 - June 2015 ...... 3 Figure 3: DNA outpatient appointments at all metropolitan teaching hospitals, WA, June 2013 - June 2015 ...... 4 Figure 4: First time outpatient appointments & median waiting time (months) at all metropolitan teaching hospitals, WA, June 2013 - June 2015 ...... 5 Figure 5: New & total outpatient appointments at all metropolitan non-teaching hospitals, WA, June 2013 - June 2015 ...... 6 Figure 6: All outpatient appointments at metropolitan adult teaching hospitals, WA, June 2013 - June 2015 ...... 8 Figure 7: All outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015 ...... 8 Figure 8: Proportion (%) of new outpatient appointments (of all appointments) at metropolitan adult teaching hospitals, WA, June 2013 - June 2015 ...... 9 Figure 9: Proportion (%) of new outpatient appointments (of all appointments) at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015 ...... 9 Figure10: Proportion (%) of follow up outpatient appointments (of all appointments) at metropolitan adult teaching hospitals, WA, June 2013 - June 2015 ...... 10 Figure 11: Proportion (%) of follow up outpatient appointments (of all appointments) at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015 ...... 10 Figure 12: DNA outpatient appointments at metropolitan adult teaching hospitals, WA, June 2013 - June 2015 ...... 11

viii

Figure 13: DNA outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015 ...... 11 Figure 14: First time outpatient appointments at metropolitan adult teaching hospitals, WA, June 2013 - June 2015 ...... 12 Figure 15: First time outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015 ...... 12 Figure 16: Median waiting time (months) to first time outpatient appointments at metropolitan adult teaching hospitals, WA, June 2013 - June 2015 ...... 13 Figure 17: Median waiting time (months) to first time outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015 ...... 13 Figure 18: Trends of outpatient appointments at Royal Perth Hospital Wellington Street Campus, June 2013 - June 2015 ...... 15 Figure 19: Trends of outpatient appointments at Fremantle Hospital, June 2013 - June 2015 ...... 16 Figure 20: Trends of outpatient appointments at Sir Charles Gairdner Hospital, June 2013 - June 2015 ...... 17 Figure 21: Trends of outpatient appointments at Fiona Stanley Hospital, June 2013 - June 2015 ...... 18 Figure 22: Trends of outpatient appointments at Princess Margaret Hospital, June 2013 - June 2015 ...... 19 Figure 23: Trends of outpatient appointments at King Edward Memorial Hospital, June 2013 - June 2015 ...... 20

ix

1. Executive summary

The purpose of this report is to provide summary information about attendances at outpatient clinics operating at metropolitan teaching hospitals, including Fremantle Hospital (FH), Fiona Stanley Hospital (FSH), King Edward Memorial Hospital for Women (KEMH), Princess Margaret Hospital for Children (PMH), Royal Perth Hospital Shenton Park Campus (RPRH – now closed), Royal Perth Hospital Wellington Street Campus (RPH) and Sir Charles Gairdner Hospital (SCGH).

In addition to activity at metropolitan teaching hospitals, which accounts for the greatest proportion of outpatient clinics, information is also presented for outpatient clinics at metropolitan non-teaching hospitals.

1.1 Key points

June 2014 to June 2015

Appointments At metropolitan teaching hospitals:

 all (new and follow up) appointments, decreased by 1,728 (2.7%), from 63,177 to 61,449

 new appointments increased by 1,323 (9.0%), from 14,636 to 15,959

 follow up appointments decreased by 3,051 (6.3%), from 48,541 to 45,490

 first time appointments increased by 937 (7.4%), from 12,612 to 13,549

 DNA appointments decreased by 550 (6.4%), from 8,629 to 8,079

Waiting times to first appointment

At metropolitan teaching hospitals:

 median waiting time increased from 0.92 to 0.95 months - an increase of 3.6%

 waiting time at the 90th percentile increased from 7.40 to 9.83 months - an increase of 32.9%.

1

2. Metropolitan teaching hospitals

This section provides details of outpatient appointments and waiting times at metropolitan teaching hospitals. It compares the current reporting month to the previous month, and to the same month last year. Time series data from January 2013 up to the current reporting month is provided in appendix pages A-1 to A-8.

2.1 Types of appointments

2.1.1 All (new and follow up) appointments

Table 1 (page 2) shows that in June 2015 there were 61,449 all (new and follow up) appointments - a decrease of 857 compared to the previous month (62,306) and 1,728 fewer than the same month last year (63,177). See also Table A-1 (page A-1) for a breakdown of all appointments for each hospital.

Table 1: Counts of new, follow up & DNA outpatient appointments at all metropolitan teaching hospitals, WA, June 2014, May 2015 & June 2015 New Follow up All Did not attend

% % (new & n n n (of all) (of all) follow up )

June 2014 14,636 23.2 48,541 76.8 63,177 8,629 May 2015 15,904 25.5 46,402 74.5 62,306 7,423 June 2015 15,959 26.0 45,490 74.0 61,449 8,079

2.1.2 New appointments

Table 1 (page 2) shows that in June 2015 there were 15,959 new appointments - an increase of 55 compared to the previous month (15,904) and 1,323 more than the same month last year (14,636).

See also Table A-2 (page A-2) for a breakdown of new appointments at each hospital. See Table A-5 (page A-5) for the proportion of new appointments at each hospital. Figure 1 (page 3) provides an overview of both new and all appointments over the past two years.

2

Figure 1: All & new outpatient appointments & proportion (%) of new outpatient appointments at all metropolitan teaching hospitals, WA, June 2013 – June 2015

All appointments (new + follow up) New appointments New appointments as % of all appointments Linear trendline of all appointments Linear trendline of new appointments Linear trendline of % of new appointments 70,000 27%

60,000 26%

50,000 25% s

40,000 24% Appointment

% new appointments 30,000 23%

20,000 22%

10,000 21%

0 20% Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

2.1.3 Follow up appointments Table 1 (page 2) shows that in June 2015 there were 45,490 follow up appointments - a decrease of 912 compared to the previous month (46,402) and 3,051 fewer than the same month last year (48,541).

See also Table A-3 (page A-3) for a breakdown of follow up appointments at each hospital. Figure 2 (page 3) provides an overview of follow up appointments over the past two years.

Figure 2: Number & proportion (%) of follow up outpatient appointments at all metropolitan teaching hospitals, WA, June 2013 - June 2015

Follow up appointments Follow up appointments as % of all appointments 55,000 Linear trendline of follow up appointments Linear trendline of % of all appointments 80%

50,000 79%

45,000

78% 40,000

35,000 77%

30,000 76% 25,000

20,000 75% Follow up appointments

15,000 74% % follow up appointments

10,000

73% 5,000

0 72% Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

3

2.1.4 Did not attend appointments11

There were 8,079 DNA appointments in June 2015 - an increase of 656 compared to the previous month (7,423) and 550 fewer than the same month last year (8,629). See also Table A-4 (page A-4) for a breakdown of DNA appointments for each hospital. Figure 3 (page 4) provides an overview of DNA outpatient appointments over the past two years.

Figure 3: DNA outpatient appointments at all metropolitan teaching hospitals, WA, June 2013 - June 2015

DNA appointments Linear trendline of DNA appointments 10,000

9,000

8,000

7,000

6,000 Appointments

5,000

4,000

3,000

2,000

1,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

2.1.5 First time appointments

Table 2 (page 5) shows that in June 2015 there were 13,549 first time appointments - an increase of 122 compared to the previous month (13,427) and 937 more than the same month last year (12,612). See also Table A-6 (page A-6) for a breakdown of first time appointments for each hospital. Figure 4 (page 5) provides an overview of first time appointments over the past two years.

1 DNA figures are presented as a component of the occasions of service model and are specifically excluded under the service event model, hence the DNA figures cannot be compared with other outpatient activity figures.

4

Table 2: Counts & waiting times for first time outpatient appointments at all metropolitan teaching hospitals, WA, June 2014, May 2015 & June 2015 First time appointments Waiting time (months) Median 90th percentile Count

June 2014 0.92 7.40 12,612

May 2015 0.95 9.67 13,427

June 2015 0.95 9.83 13,549

Figure 4: First time outpatient appointments & median waiting time (months) at all metropolitan teaching hospitals, WA, June 2013 - June 2015

First appointments First appointment median wait time 14,000 1.3 Trendline first appointments Trendline median waiting time

1.2

12,000 1.1

1.0

10,000 0.9

0.8 8,000

0.7 First appointments 0.6

6,000 Waiting time (months) 0.5

0.4 4,000

0.3

2,000 0.2

0.1

0 0.0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

2.2 Waiting times

Table 2 (page 5) provides data on the median and 90th percentile waiting times to first appointment at metropolitan teaching hospitals. Figure 4 (page 5) shows the median waiting time to first appointment over the past two years.

This figure shows a steady trend over the two year period up to the current reporting month. See Tables A-7 (page A-7) and A-8 (page A-8) for a breakdown of waiting times to first appointment for each hospital.

5

3. Metropolitan non-teaching hospitals

This section provides outpatient clinic data from metropolitan non-teaching hospitals. This data includes all service events at these hospitals that may or may not match the specialty services at metropolitan teaching hospital outpatient clinics.

There were 8,954 new appointments at metropolitan non-teaching hospitals for June 2015 – a decrease of 5 compared to the previous month (8,959) and 1,000 more than the same time last year (7,954). See Table 3 (page 7). There were 27,557 total appointments at metropolitan non- teaching hospitals for June 2015 – a decrease of 255 compared to the previous month (27,812) and 480 more than the same time last year (27,077). See Table 3 (page 7) for the data breakdown since January 2013. Figure 5 (Page 6) provides an overview of new and all appointments at metropolitan non-teaching hospitals over the past two years.

Figure 5: New & total outpatient appointments at all metropolitan non-teaching hospitals, WA, June 2013 - June 2015

Total appointments New appointments

Linear trendline of total appointments Linear trendline of new appointments 35,000

30,000

25,000 s

20,000 Appointment

15,000

10,000

5,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

6

Table 3: New and total outpatient appointments at metropolitan non-teaching hospitals, all specialties, January 2013 - June 2015 All specialties New Total 2013 January 6,276 18,292 February 6,255 18,379 March 6,267 18,848 April 6,267 19,196 May 7,341 22,088 June 6,280 19,008 July 7,421 26,259 August 7,587 25,994 September 7,191 24,748 October 8,457 28,155 November 8,383 27,363 December 6,751 23,003 2014 January 7,984 25,375 February 8,247 27,732 March 8,403 28,089 April 7,650 26,732 May 8,812 29,485 June 7,954 27,077 July 9,059 29,509 August 8,260 27,450 September 8,683 28,057 October 9,220 29,880 November 8,554 27,101 December 7,543 24,808 2015 January 8,225 25,988 February 8,864 27,364 March 9,027 28,956 April 7,979 25,912 May 8,959 27,812 June 8,954 27,557 July August September October November December

7

4. Individual hospitals This section provides a breakdown of outpatient appointments at FH, FSH, KEMH, PMH, RPH and SCGH over the past two years. It should be noted that some of the variation between hospitals is related to demographics and casemix.

4.1 Appointments

4.1.1 All appointments Figures 6 and 7 (page 8) provide an overview of trends in all appointments over the past two years. See also Table A-1 (page A-1) for a breakdown of all appointments at each hospital.

Figure 6: All outpatient appointments at metropolitan adult teaching hospitals, WA, June 2014 - June 2015

FH RPH SCGH FSH

20,000 Trendline FH Trendline RPH Trendline SCGH

18,000

16,000

14,000

12,000

10,000 8,000

6,000 All (new + follow up) appointments 4,000

2,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

Figure 7: All outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2014 - June 2015

KEMH PMH

12,000 Trendline KEMH Trendline PMH

11,000

10,000

9,000

8,000

7,000

6,000

5,000

4,000

3,000 All (new + follow up) appointments 2,000

1,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

8

4.1.2 New appointments Figures 8 and 9 (page 9) provide an overview of trends in the proportion of new appointments (of all appointments) over the past two years.

These figures show that the trend for RPH, FH and PMH is increasing, the trend for SCGH is steady while the trend for KEMH is decreasing. See also appendix Table A-2 (page A-2) and Table A-5 (page A-5) for a breakdown of the number and proportion of new appointments for each hospital. Trends for FSH are yet to be established.

Figure 8: Proportion (%) of new outpatient appointments (of all appointments) at metropolitan adult teaching hospitals, WA, June 2013 - June 2015

55% FH RPH SCGH FSH

Trendline FH Trendline RPH Trendline SCGH

50%

45%

40%

35%

30% % New appointments

25%

20%

15% Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

Figure 9: Proportion (%) of new outpatient appointments (of all appointments) at metropolitan women’s & children’s teaching hospitals, WA, June 2013 – June 2015

KEMH PMH 24% Trendline KEMH Trendline PMH

22%

20%

18%

16% % New appointments

14%

12%

10% Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

9

4.1.3 Follow up appointments Figures 10 and 11 (page 10) provide an overview of trends in the proportion of follow up appointments (of all appointments) over the past two years.

The trend for RPH, FH and PMH is decreasing, the trend for SCGH is steady and the trend for KEMH is increasing. See also Table A-3 (page A-3) for a breakdown of follow up appointments at each hospital. Trends for FSH are yet to be established.

Figure 10: Proportion (%) of follow up outpatient appointments (of all appointments) at metropolitan adult teaching hospitals, WA, June 2013 - June 2015

FH RPH SCGH FSH 85% Trendline FH Trendline RPH Trendline SCGH

80%

75%

70%

65%

% Follow up appointments 60%

55%

50% Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month Figure 11: Proportion (%) of follow up outpatient appointments (of all appointments) at metropolitan women’s & children’s teaching hospitals, WA, June 2013 – June 2015

86% KEMH PMH Trendline KEMH Trendline PMH

84%

82%

80%

78%

76% % Follow up appointments

74%

72%

70% Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

10

4.1.4 Did not attend appointments21 Figures 12 and 13 (page 11) provide an overview of trends in DNA appointments over the past two years.

The trend for all metropolitan teaching hospitals is decreasing (trends for FSH are yet to be established). See also Table A-4 (page A-4) for a breakdown of the number of DNA appointments for each hospital.

Figure 12: DNA outpatient appointments at metropolitan adult teaching hospitals, WA, June 2013 - June 2015

FH RPH SCGH FSH 3,500 Trendline FH Trendline RPH Trendline SCGH

3,000

2,500

2,000 Did not attend 1,500

1,000

500

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month Figure 13: DNA outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015

2,200 KEMH PMH

Trendline KEMH Trendline PMH 2,000

1,800

1,600

1,400

1,200

Did not attend 1,000

800

600

400

200

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

2 DNA figures are presented as a component of the occasions of service model and are specifically excluded under the service event model, hence the DNA figures cannot be compared with other outpatient activity figures. 11

4.1.5 First time appointments Figures 14 and 15 (page 12) provide an overview of trends in first time appointments over the past two years.

The trend for SCGH is increasing while the trends for all other metropolitan teaching hospitals (trends for FSH are yet to be established) are decreasing. See also appendix Table A-6 (page A-6) for a breakdown of first time appointments for each hospital.

Figure 14: First time outpatient appointments at metropolitan adult teaching hospitals, WA, June 2013 - June 2015

FH RPH SCGH FSH 4,500 Trendline FH Trendline RPH Trendline SCGH

4,000

3,500

3,000

2,500

First appointments 2,000

1,500

1,000

500

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

Figure 15: First time outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2013 - June 2015

KEMH PMH 2,400 Trendline KEMH Trendline PMH

2,000

1,600

1,200 First appointments

800

400

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

12

4.2 Waiting times

Figures 16 and 17 (page 13) provide an overview of median waiting time (months) to first time appointment over the past two years. The lowest median waiting times across all hospitals were reported by RPH.

See also Table A-7 (page A-7) for a breakdown of median wait times to first appointment for each hospital.

Figure 16: Median waiting time (months) to first time outpatient appointments at metropolitan adult teaching hospitals, WA, June 2013 - June 20152

4.0 FH RPH SCGH FSH 3.8

3.6

3.4

3.2

3.0

2.8

2.6

2.4

2.2

2.0

1.8 Median waiting time (months) 1.6

1.4

1.2

1.0

0.8

0.6

0.4 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

Figure 17: Median waiting time (months) to first time outpatient appointments at metropolitan women’s & children’s teaching hospitals, WA, June 2013 – June 2015

2.0 KEMH PMH

1.8

1.6

1.4

1.2 Median waiting time (months)

1.0

0.8

0.6 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

2 Initial monthly wait time data from October 2014 to January 2015 for Fiona Stanley Hospital is affected by a small count number from specialties with high wait times. Increasing counts and establishment of normal clinic operations has normalised the wait times from February 2015. 13

4.3 Individual hospitals - at a glance

Figures 18 to 23 (pages 15 to 20) display actual and trend information on: follow up, new, did not attend, and ratio of follow up to new appointments for FH, FHS, KEMH, PMH, RPH, and SCGH.

14

Figure 18: Trends of outpatient appointments at Royal Perth Hospital Wellington Street Campus, June 2013 - June 2015

RPH follow up to new ratio Trendline follow up to new ratio 4.5 4.0 3.5 3.0 2.5

Ratio 2.0 1.5 1.0 0.5 0.0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month RPH follow up appointments Trendline follow up appointments

18,000

15,000

12,000

9,000

6,000 Appointments

3,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

RPH new appointments Trendline new appointments

4,500 4,000 3,500 3,000 2,500 2,000

1,500 Appointments 1,000 500 0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

RPH did not attend appointments Trendline DNA appointments

3,500

3,000

2,500

2,000

1,500

Appointments1,000

500

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

15

Figure 19: Trends of outpatient appointments at Fremantle Hospital, June 2013 - June 2015

FH follow up to new ratio Trendline follow up to new ratio 3.5

3.0

2.5

2.0

Ratio 1.5 1.0

0.5

0.0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

FH follow up appointments Trendline follow up appointments

12,000

10,000

8,000

6,000

4,000 Appointments

2,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

FH new appointments Trendline new appointments 4,000

3,500

3,000

2,500

2,000 1,500 Appointments1,000

500

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

FH did not attend appointments Trendline DNA appointments

1,800 1,600 1,400 1,200 1,000 800

600 Appointments 400 200 0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

16

Figure 20: Trends of outpatient appointments at Sir Charles Gairdner Hospital, June 2013 - June 2015

SCGH follow up to new ratio Trendline follow up to new ratio 3.5

3.0

2.5

2.0

Ratio 1.5 1.0

0.5

0.0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

SCGH follow up appointments Trendline follow up appointments

16,000

14,000

12,000

10,000 8,000

6,000 Appointments 4,000

2,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

SCGH new appointments Trendline new appointments

4,500 4,000 3,500 3,000 2,500 2,000

1,500 Appointments 1,000 500 0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

SCGH did not attend appointments Trendline DNA appointments

2,500

2,000

1,500

1,000 Appointments 500

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

17

Figure 21: Trends of outpatient appointments at Fiona Stanley Hospital, June 2013 - June 20153

FSH follow up to new ratio 3.5

3.0

2.5

2.0

Ratio 1.5 1.0

0.5

0.0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

FSH follow up appointments

10,000 9,000 8,000 7,000 6,000 5,000 4,000

Appointments 3,000 2,000 1,000 0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

FSH new appointments

6,000

5,000

4,000

3,000

2,000 Appointments

1,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

FSH did not attend appointments

1,600

1,400

1,200

1,000 800 600

Appointments 400

200

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

3 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

18

Figure 22: Trends of outpatient appointments at Princess Margaret Hospital, June 2013 - June 2015

PMH follow up to new ratio Trendline follow up to new ratio 5.0

4.0

3.0

Ratio 2.0

1.0

0.0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

PMH follow up appointments Trendline follow up appointments

10,000

8,000

6,000

4,000 Appointments 2,000

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

PMH new appointments Trendline new appointments

2,500

2,000

1,500

1,000 Appointments 500

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

PMH did not attend appointments Trendline DNA appointments

2,000 1,800 1,600 1,400 1,200 1,000 800

Appointments 600 400 200 0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

19

Figure 23: Trends of outpatient appointments at King Edward Memorial Hospital, June 2013 - June 2015

KEMH follow up to new ratio Trendline follow up to new ratio 5.0 4.5 4.0 3.5 3.0 2.5 Ratio 2.0 1.5 1.0 0.5 0.0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

KEMH follow up appointments Trendline follow up appointments

6,000

5,800

5,600

5,400

5,200

Appointments5,000

4,800

4,600 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

KEMH new appointments Trendline new appointments

1,600

1,400

1,200

1,000 800 600

Appointments 400

200

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

KEMH did not attend appointments Trendline DNA appointments

800

700

600

500 400 300

Appointments200

100

0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2013 2014 2015 Month

20

5. Specialty

Table A-9 (pages A-9 and A-10) shows a quarterly breakdown of new outpatient appointments for metropolitan teaching hospital outpatient clinics by specialty. Tables A-10 to A-15 (pages A- 11 to A-22) show a quarterly breakdown of new outpatient appointments for metropolitan hospitals by hospital and specialty.

21

Appendix

Table A-1: All (new & follow up) outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-1 Table A-2: New outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-2 Table A-3: Follow up outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-3 Table A-4: Did not attend outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-4 Table A-5: Proportion (%) of all appointments that were new outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-5 Table A-6: First time outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-6 Table A-7: Median waiting time (months) of first time outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-7 Table A-8: 90th percentile waiting time (months) of first time outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 2015 ...... A-8 Table A-9: Quarterly new outpatient appointments by specialty, metropolitan teaching hospitals summary, March 2014 quarter - June 2015 quarter ...... A-9 Table A-10: Quarterly new outpatient appointments by specialty, Royal Perth Hospital Wellington Street Campus, March 2014 quarter - June 2015 quarter ...... A-11 Table A-11:Quarterly new outpatient appointments by specialty, Fiona Stanley Hospital, March 2014 quarter - June 2015 quarter ...... A-13 Table A-12: Quarterly new outpatient appointments by specialty, Fremantle Hospital, March 2014 quarter - June 2015 quarter ...... A-15 Table A-13: Quarterly new outpatient appointments by specialty, Sir Charles Gairdner Hospital, March 2014 quarter - June 2015 quarter...... A-17 Table A-14: Quarterly new outpatient appointments by specialty, Princess Margaret Hospital, March 2014 quarter - June 2015 quarter...... A-19 Table A-15: Quarterly new outpatient appointments by specialty, King Edward Memorial Hospital, March 2014 quarter - June 2015 quarter...... A-21

22

Table A-1: All (new & follow up) outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 20154 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 1,456 15,385 8,462 14,222 39,525 9,055 6,281 54,861 February 1,782 15,710 11,626 15,432 44,550 9,308 5,691 59,549 March 1,516 14,790 10,768 14,425 41,499 9,681 6,263 57,443 April 1,843 15,786 11,100 14,948 43,677 10,362 6,389 60,428 May 1,833 17,615 12,693 16,597 48,738 11,491 7,039 67,268 June 1,684 14,692 10,639 13,783 40,798 9,873 6,179 56,850 July 1,838 17,662 12,229 16,608 48,337 10,858 6,958 66,153 August 1,960 16,989 12,228 15,898 47,075 10,575 6,818 64,468 September 1,669 15,322 11,374 14,897 43,262 10,103 6,488 59,853 October 1,998 17,822 12,522 16,661 49,003 10,649 7,138 66,790 November 1,934 16,571 12,057 16,409 46,971 10,349 6,977 64,297 December 1,373 13,895 9,881 13,378 38,527 8,646 6,549 53,722 2014 January 1,636 15,727 10,818 12,672 40,853 9,268 6,639 56,760 February 1,679 16,990 11,884 16,155 46,708 10,387 6,573 63,668 March 1,575 16,741 11,907 15,957 46,180 10,467 6,697 63,344 April 1,598 16,555 10,800 15,514 44,467 9,546 6,604 60,617 May 1,816 18,179 12,826 16,651 49,472 11,193 7,229 67,894 June 1,699 16,808 11,728 15,626 45,861 10,592 6,724 63,177 July 1,672 18,066 12,532 17,237 49,507 11,304 7,114 67,925 August 1,651 17,061 11,694 16,383 46,789 11,003 6,933 64,725 September 1,029 17,522 11,768 17,073 47,392 11,248 6,821 65,461 October 29 19,123 12,290 18,732 146 50,320 10,523 7,057 67,900 November 17,164 11,535 17,581 204 46,484 9,650 6,794 62,928 December 15,482 8,826 15,358 261 39,927 8,190 6,737 54,854 2015 January 16,489 5,679 13,521 556 36,245 7,299 6,906 50,450 February 11,677 2,456 17,345 8,095 39,573 8,509 6,728 54,810 March 12,033 2,952 17,988 13,258 46,231 8,987 7,035 62,253 April 11,506 2,913 16,397 12,514 43,330 7,884 6,310 57,524 May 12,224 3,175 17,203 13,863 46,465 9,298 6,543 62,306 June 12,014 3,220 17,346 13,775 46,355 8,740 6,354 61,449 July August September October November December

4 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

A-1

Table A-2: New outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 20155 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 466 2,825 2,213 3,714 9,218 1,733 1,069 12,020 February 587 2,945 3,176 3,981 10,689 1,774 1,138 13,601 March 493 2,778 2,850 3,788 9,909 1,955 1,084 12,948 April 614 3,037 3,019 3,825 10,495 2,049 1,109 13,653 May 640 3,391 3,443 4,244 11,718 2,180 1,256 15,154 June 560 2,833 2,855 3,322 9,570 1,964 1,055 12,589 July 634 3,473 3,382 4,284 11,773 2,248 1,379 15,400 August 688 3,290 3,432 3,999 11,409 2,133 1,278 14,820 September 590 2,987 3,106 3,734 10,417 1,978 1,147 13,542 October 677 3,486 3,380 4,185 11,728 1,989 1,403 15,120 November 660 3,282 3,124 4,136 11,202 2,213 1,322 14,737 December 448 2,784 2,367 3,210 8,809 1,848 1,109 11,766 2014 January 538 3,186 2,813 2,918 9,455 1,933 1,227 12,615 February 528 3,393 3,176 3,709 10,806 2,132 1,291 14,229 March 524 3,319 3,296 3,867 11,006 2,117 1,281 14,404 April 512 3,167 2,873 3,825 10,377 2,014 1,171 13,562 May 560 3,533 3,430 4,214 11,737 2,329 1,272 15,338 June 521 3,451 3,226 4,013 11,211 2,141 1,284 14,636 July 576 3,713 3,309 4,401 11,999 2,198 1,346 15,543 August 470 3,389 3,162 4,106 11,127 2,157 1,323 14,607 September 238 3,460 3,151 4,461 11,310 2,250 1,255 14,815 October 2 3,935 3,161 4,608 61 11,767 2,157 1,363 15,287 November 3,400 2,949 4,526 59 10,934 1,935 1,225 14,094 December 3,019 1,972 3,788 115 8,894 1,746 1,129 11,769 2015 January 3,094 1,369 3,427 294 8,184 1,560 1,147 10,891 February 2,488 783 4,415 3,121 10,807 1,727 1,269 13,803 March 2,739 998 4,530 4,508 12,775 1,863 1,260 15,898 April 2,485 997 3,997 4,328 11,807 1,637 1,118 14,562 May 2,712 1,029 4,182 4,795 12,718 1,919 1,267 15,904 June 2,732 1,098 4,247 4,759 12,836 1,966 1,157 15,959 July August September October November December

5 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals. A-2

Table A-3: Follow up outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 20156 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 990 12,560 6,249 10,508 30,307 7,322 5,212 42,841 February 1,195 12,765 8,450 11,451 33,861 7,534 4,553 45,948 March 1,023 12,012 7,918 10,637 31,590 7,726 5,179 44,495 April 1,229 12,749 8,081 11,123 33,182 8,313 5,280 46,775 May 1,193 14,224 9,250 12,353 37,020 9,311 5,783 52,114 June 1,124 11,859 7,784 10,461 31,228 7,909 5,124 44,261 July 1,204 14,189 8,847 12,324 36,564 8,610 5,579 50,753 August 1,272 13,699 8,796 11,899 35,666 8,442 5,540 49,648 September 1,079 12,335 8,268 11,163 32,845 8,125 5,341 46,311 October 1,321 14,336 9,142 12,476 37,275 8,660 5,735 51,670 November 1,274 13,289 8,933 12,273 35,769 8,136 5,655 49,560 December 925 11,111 7,514 10,168 29,718 6,798 5,440 41,956 2014 January 1,098 12,541 8,005 9,754 31,398 7,335 5,412 44,145 February 1,151 13,597 8,708 12,446 35,902 8,255 5,282 49,439 March 1,051 13,422 8,611 12,090 35,174 8,350 5,416 48,940 April 1,086 13,388 7,927 11,689 34,090 7,532 5,433 47,055 May 1,256 14,646 9,396 12,437 37,735 8,864 5,957 52,556 June 1,178 13,357 8,502 11,613 34,650 8,451 5,440 48,541 July 1,096 14,353 9,223 12,836 37,508 9,106 5,768 52,382 August 1,181 13,672 8,532 12,277 35,662 8,846 5,610 50,118 September 791 14,062 8,617 12,612 36,082 8,998 5,566 50,646 October 27 15,188 9,129 14,124 85 38,553 8,366 5,694 52,613 November 13,764 8,586 13,055 145 35,550 7,715 5,569 48,834 December 12,463 6,854 11,570 146 31,033 6,444 5,608 43,085 2015 January 13,395 4,310 10,094 262 28,061 5,739 5,759 39,559 February 9,189 1,673 12,930 4,974 28,766 6,782 5,459 41,007 March 9,294 1,954 13,458 8,750 33,456 7,124 5,775 46,355 April 9,021 1,916 12,400 8,186 31,523 6,247 5,192 42,962 May 9,512 2,146 13,021 9,068 33,747 7,379 5,276 46,402 June 9,282 2,122 13,099 9,016 33,519 6,774 5,197 45,490 July August September October November December

6 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

A-3

Table A-4: Did not attend outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 20157 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 204 2,811 912 1,737 5,664 1,261 551 7,476 February 266 3,134 1,282 2,232 6,914 1,194 649 8,757 March 221 2,836 1,195 2,077 6,329 1,218 623 8,170 April 280 2,850 1,318 2,134 6,582 1,274 552 8,408 May 244 3,361 1,266 2,395 7,266 1,343 684 9,293 June 225 2,893 1,074 1,958 6,150 1,138 570 7,858 July 258 3,241 1,561 2,277 7,337 1,567 709 9,613 August 277 3,121 1,308 2,109 6,815 1,206 693 8,714 September 279 2,903 1,220 1,795 6,197 1,359 563 8,119 October 290 3,189 1,442 2,079 7,000 1,479 702 9,181 November 281 3,169 1,144 1,965 6,559 1,409 610 8,578 December 201 2,351 951 1,574 5,077 1,212 567 6,856 2014 January 242 2,927 1,117 1,436 5,722 1,352 605 7,679 February 271 3,000 1,219 1,875 6,365 1,499 550 8,414 March 242 3,014 1,165 1,863 6,284 1,364 630 8,278 April 242 2,984 1,136 1,780 6,142 1,385 535 8,062 May 270 3,234 1,334 1,935 6,773 1,948 616 9,337 June 277 3,093 1,317 1,757 6,444 1,623 562 8,629 July 249 3,115 1,327 2,006 6,697 1,638 685 9,020 August 250 3,053 1,346 1,859 6,508 1,486 568 8,562 September 172 3,157 1,327 2,050 6,706 1,613 541 8,860 October 8 3,478 1,570 2,156 10 7,222 1,642 577 9,441 November 3,038 1,237 1,912 16 6,203 1,470 518 8,191 December 2,627 991 1,562 34 5,214 1,446 531 7,191 2015 January 3,253 578 1,381 51 5,263 1,350 588 7,201 February 2,583 266 1,873 678 5,400 1,370 578 7,348 March 2,266 364 1,916 1,186 5,732 1,450 625 7,807 April 2,327 375 1,954 1,147 5,803 1,330 545 7,678 May 2,494 368 1,926 1,198 5,986 895 542 7,423 June 2,468 441 2,010 1,410 6,329 1,237 513 8,079 July August September October November December

7 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals. A-4

Table A-5: Proportion (%) of all appointments that were new outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 20158 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 32.0 18.4 26.2 26.1 23.3 19.1 17.0 21.9 February 32.9 18.7 27.3 25.8 24.0 19.1 20.0 22.8 March 32.5 18.8 26.5 26.3 23.9 20.2 17.3 22.5 April 33.3 19.2 27.2 25.6 24.0 19.8 17.4 22.6 May 34.9 19.3 27.1 25.6 24.0 19.0 17.8 22.5 June 33.3 19.3 26.8 24.1 23.5 19.9 17.1 22.1 July 34.5 19.7 27.7 25.8 24.4 20.7 19.8 23.3 August 35.1 19.4 28.1 25.2 24.2 20.2 18.7 23.0 September 35.4 19.5 27.3 25.1 24.1 19.6 17.7 22.6 October 33.9 19.6 27.0 25.1 23.9 18.7 19.7 22.6 November 34.1 19.8 25.9 25.2 23.8 21.4 18.9 22.9 December 32.6 20.0 24.0 24.0 22.9 21.4 16.9 21.9 2014 January 32.9 20.3 26.0 23.0 23.1 20.9 18.5 22.2 February 31.4 20.0 26.7 23.0 23.1 20.5 19.6 22.3 March 33.3 19.8 27.7 24.2 23.8 20.2 19.1 22.7 April 32.0 19.1 26.6 24.7 23.3 21.1 17.7 22.4 May 30.8 19.4 26.7 25.3 23.7 20.8 17.6 22.6 June 30.7 20.5 27.5 25.7 24.4 20.2 19.1 23.2 July 34.4 20.6 26.4 25.5 24.2 19.4 18.9 22.9 August 28.5 19.9 27.0 25.1 23.8 19.6 19.1 22.6 September 23.1 19.7 26.8 26.1 23.9 20.0 18.4 22.6 October 6.9 20.6 25.7 24.6 41.8 23.4 20.5 19.3 22.5 November 19.8 25.6 25.7 28.9 23.5 20.1 18.0 22.4 December 19.5 22.3 24.7 44.1 22.3 21.3 16.8 21.5 2015 January 18.8 24.1 25.3 52.9 22.6 21.4 16.6 21.6 February 21.3 31.9 25.5 38.6 27.3 20.3 18.9 25.2 March 22.8 33.8 25.2 34.0 27.6 20.7 17.9 25.5 April 21.6 34.2 24.4 34.6 27.2 20.8 17.7 25.3 May 22.2 32.4 24.3 34.6 27.4 20.6 19.4 25.5 June 22.7 34.1 24.5 34.5 27.7 22.5 18.2 26.0 July August September October November December

8 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

A-5

Table A-6: First time outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 20159 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 430 2,634 1,809 2,611 7,484 1,632 837 9,953 February 544 2,771 2,625 2,834 8,774 1,672 891 11,337 March 465 2,596 2,433 2,677 8,171 1,855 851 10,877 April 581 2,841 2,597 2,724 8,743 1,961 859 11,563 May 597 3,186 2,962 3,077 9,822 2,068 1,005 12,895 June 523 2,660 2,391 2,456 8,030 1,876 838 10,744 July 593 3,299 2,857 3,185 9,934 2,144 1,100 13,178 August 643 3,082 2,956 2,957 9,638 2,016 1,010 12,664 September 546 2,835 2,692 2,671 8,744 1,884 908 11,536 October 632 3,288 2,897 3,029 9,846 1,898 1,097 12,841 November 616 3,081 2,648 3,068 9,413 2,102 1,007 12,522 December 411 2,611 2,039 2,349 7,410 1,764 847 10,021 2014 January 496 2,979 2,409 2,037 7,921 1,843 901 10,665 February 468 3,100 2,757 2,782 9,107 2,048 1,025 12,180 March 470 3,046 2,828 2,959 9,303 2,045 1,007 12,355 April 464 2,975 2,486 2,899 8,824 1,938 905 11,667 May 511 3,212 2,979 3,220 9,922 2,249 987 13,158 June 480 3,191 2,853 3,066 9,590 2,051 971 12,612 July 551 3,443 2,882 3,220 10,096 2,097 1,015 13,208 August 443 3,124 2,796 3,056 9,419 2,069 970 12,458 September 228 3,191 2,780 3,270 9,469 2,140 931 12,540 October 2 3,646 2,758 3,348 60 9,814 2,035 1,037 12,886 November 3,173 2,626 3,177 59 9,035 1,842 898 11,775 December 2,828 1,753 2,576 111 7,268 1,668 807 9,743 2015 January 2,914 1,247 2,299 281 6,741 1,488 802 9,031 February 2,358 698 3,147 2,960 9,163 1,650 885 11,698 March 2,587 931 3,251 4,028 10,797 1,769 888 13,454 April 2,345 917 2,888 3,744 9,894 1,547 789 12,230 May 2,563 968 3,029 4,161 10,721 1,804 902 13,427 June 2,599 1,024 3,165 4,077 10,865 1,864 820 13,549 July August September October November December

9 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

A-6

Table A-7: Median waiting time (months) of first time outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 201510 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 1.53 0.66 0.79 0.85 0.76 1.38 1.15 0.89 February 0.89 0.66 1.18 0.99 0.92 1.71 1.08 1.02 March 1.05 0.69 1.02 0.85 0.89 0.99 0.95 0.92 April 1.25 0.69 1.08 0.92 0.92 1.18 1.08 0.92 May 1.18 0.66 0.99 0.92 0.89 1.15 1.18 0.92 June 1.12 0.69 1.15 0.99 0.95 1.50 1.02 1.02 July 1.15 0.69 1.02 0.92 0.89 1.38 0.69 0.92 August 1.35 0.66 1.15 0.95 0.95 1.07 0.84 0.95 September 1.28 0.76 1.12 1.02 0.95 1.22 0.92 0.99 October 1.15 0.66 1.15 1.02 0.92 1.35 0.92 0.95 November 1.00 0.66 1.15 1.08 0.92 1.18 0.89 0.95 December 1.25 0.56 0.95 0.85 0.76 1.22 0.82 0.82 2014 January 1.63 0.79 1.18 0.85 0.99 1.87 0.89 1.08 February 1.84 0.79 1.15 1.17 1.05 1.87 0.95 1.12 March 1.15 0.72 1.05 0.99 0.92 1.38 1.12 0.99 April 1.58 0.72 0.99 0.89 0.89 1.23 0.92 0.92 May 1.74 0.77 1.02 0.76 0.89 0.89 0.95 0.89 June 1.23 0.82 0.95 0.92 0.92 0.79 0.92 0.92 July 1.35 0.72 0.92 0.79 0.82 0.95 0.92 0.85 August 1.68 0.87 1.02 0.82 0.92 0.95 1.08 0.92 September 1.87 0.79 0.99 0.85 0.92 1.08 1.15 0.92 October 1.08 0.82 0.95 0.92 3.45 0.92 1.18 0.99 0.95 November 0.79 0.89 0.89 3.16 0.89 1.38 0.92 0.92 December 0.56 0.59 0.66 3.22 0.62 1.27 0.92 0.69 2015 January 0.84 0.49 1.05 3.65 0.89 1.38 1.15 0.95 February 0.72 1.22 1.22 1.30 1.08 1.78 1.12 1.15 March 0.76 1.41 1.02 0.89 0.92 1.12 1.15 0.95 April 0.62 1.12 1.12 0.92 0.92 1.18 0.95 0.95 May 0.79 1.41 0.95 0.95 0.95 0.85 1.20 0.95 June 0.76 1.45 1.08 0.79 0.92 0.84 1.22 0.95 July August September October November December

10 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

A-7

Table A-8: 90th percentile waiting time (months) of first time outpatient appointments at metropolitan teaching hospitals, WA, January 2013 - June 201511 Adult teaching hospitals Princess King Total RPH RPH Fremantle Sir Fiona Sub Margaret Edward Shenton Wellington Hospital Charles Stanley total Hospital Memorial Park Street Gairdner Hospital Hospital Campus Campus Hospital 2013 January 5.72 4.80 5.33 7.33 5.98 11.08 4.87 6.77 February 6.41 5.98 7.04 7.56 6.84 10.22 6.35 7.53 March 4.87 5.49 7.92 7.82 7.04 9.50 6.71 7.53 April 5.82 5.49 8.45 7.82 7.33 11.87 4.57 7.73 May 5.79 6.18 7.96 7.96 7.36 9.67 5.10 7.66 June 7.50 6.00 7.89 7.99 7.36 11.34 5.56 7.76 July 7.36 5.79 8.65 8.02 7.63 11.47 4.77 7.99 August 6.61 5.92 10.26 7.46 7.79 10.29 8.70 8.35 September 7.36 6.21 9.34 6.90 7.07 10.45 6.41 7.59 October 7.10 5.69 7.10 6.84 6.44 10.55 6.94 7.10 November 7.00 5.98 8.45 7.56 7.17 10.09 7.10 7.50 December 6.44 5.13 7.17 6.18 6.13 10.62 6.90 7.00 2014 January 7.13 6.48 6.71 6.21 6.51 11.70 6.97 7.59 February 7.66 5.98 7.36 7.53 7.13 11.18 7.82 7.89 March 7.36 5.79 7.53 7.10 6.87 10.75 7.89 7.50 April 8.32 5.95 8.02 6.64 6.84 11.64 7.30 7.53 May 8.94 6.21 8.48 6.46 7.13 8.05 7.07 7.30 June 9.06 6.38 7.53 7.30 7.22 8.68 7.86 7.40 July 9.50 5.29 7.86 6.87 6.97 8.75 8.91 7.43 August 9.17 5.95 7.00 6.84 6.74 9.24 8.27 7.33 September 9.57 5.95 7.36 7.74 7.04 10.19 6.84 7.36 October 1.94 6.41 6.51 8.45 6.38 7.04 10.85 7.36 7.59 November 6.41 6.02 8.71 14.04 6.77 12.16 5.39 7.33 December 5.42 5.88 6.67 10.42 5.95 12.69 5.98 6.84 2015 January 6.15 4.34 8.02 11.51 6.84 13.28 5.46 7.73 February 6.48 13.25 8.02 19.13 10.52 10.36 6.44 10.19 March 6.77 10.92 6.44 17.23 9.83 12.16 6.87 9.76 April 7.17 8.81 6.87 12.85 8.81 12.43 4.80 9.01 May 7.96 9.01 6.58 15.75 9.57 12.89 5.65 9.67 June 9.57 9.86 7.53 13.74 9.83 12.49 4.49 9.83 July August September October November December

11 Initial data from October 2014 to January 2015 for Fiona Stanley Hospital reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

A-8

Table A-9: Quarterly new outpatient appointments by specialty, metropolitan teaching hospitals summary, March 2014 quarter - June 2015 quarter 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Adolescent ------Amputee 28 32 28 9 1 - Anaesthetic 33 47 47 89 20 15 Antenatal 2,794 2,754 2,924 2,718 2,297 2,138 Breast clinic 794 813 1,093 1,414 1,690 1,630 Burns 324 368 299 346 326 389 Cardiology 1,240 1,287 1,320 1,220 2,020 3,587 Cardiothoracic 200 203 224 184 300 438 Colorectal 88 94 95 77 65 65 Colposcopy 242 230 262 205 186 185 Dental 263 223 240 273 283 184 Dermatology 971 916 958 917 827 890 Developmental 113 115 122 70 - - Diabetic 431 408 392 389 360 288 Diabetic education 150 159 164 187 67 29 Endocrinology 530 608 557 518 623 961 Endoscopy 56 75 77 45 47 54 Ear, nose & throat 1,871 1,668 2,010 1,864 1,584 1,733 Family planning 59 49 41 42 46 58 Fertility 94 121 135 93 58 49 Gastroenterology 1,038 1,084 1,142 1,035 1,118 1,261 General medicine 494 473 422 365 453 556 General surgery 1,416 1,355 1,447 1,269 1,091 1,424 Geriatrics 419 404 607 563 506 434 Gynaecology 824 783 857 718 1,129 1,258 Haematology 745 812 882 744 851 826 Hepatology 187 153 194 192 232 191 Hyperbaric 31 27 38 29 36 41 Hypertension 88 83 84 71 86 96 Immunology 794 818 759 824 767 930 Infectious diseases 679 731 757 663 498 659 Menopause 110 106 116 107 103 77 Neurogenetic 43 26 27 26 14 16 Neurology 1,183 1,147 1,197 976 973 1,180 Neurosurgery 578 714 681 779 659 607 Oncology 2,011 2,045 2,227 2,292 2,350 2,105

A-9

Table A-9: Quarterly new outpatient appointments by specialty, metropolitan teaching hospitals summary, March 2014 quarter - June 2015 quarter (continued) 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Ophthalmology 2,382 2,732 2,905 2,763 2,384 2,535 Oral surgery 139 161 167 140 148 221 Orthopaedics 3,942 4,654 4,335 3,765 3,777 4,812 Orthopaedics - trauma 783 862 805 769 706 716 Osteoporosis 40 41 37 22 12 - Paediatric neurology ------Paediatric surgery 44 40 48 45 36 85 Paediatrics 500 539 488 387 303 497 Pain 618 639 723 598 618 579 Palliative care 49 49 53 46 38 45 Plastic dressings ------Plastic surgery 2,571 2,779 2,979 2,854 2,977 3,147 Podiatry 172 202 182 209 226 276 Preadmission 3,197 3,551 3,518 2,833 3,273 4,620 Radiation oncology 550 675 685 648 91 23 Radiotherapy 489 526 668 581 512 606 Rehabilitation medicine 30 17 28 - - - Renal 831 850 798 822 674 526 Respiratory medicine 1,048 1,064 837 686 459 610 Rheumatology 466 483 528 428 443 448 Scoliosis 56 67 43 19 39 33 Sexual health 583 694 657 568 587 608 Spinal 222 232 237 151 200 76 Thoracic surgery ------Ulcer ------Urology 1,151 1,304 1,265 993 995 1,046 Vascular surgery 464 444 554 510 428 562 Total 41,248 43,536 44,965 41,150 40,592 46,425

A-10

Table A-10: Quarterly new outpatient appointments by specialty, Royal Perth Hospital Wellington Street Campus, March 2014 quarter - June 2015 quarter 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Adolescent ------Amputee ------Anaesthetic ------Antenatal ------Breast clinic 164 167 148 154 117 69 Burns 219 195 171 212 96 - Cardiology 349 353 423 345 241 237 Cardiothoracic 36 40 61 46 9 0 Colorectal 88 94 95 77 65 65 Colposcopy ------Dental 243 194 207 250 268 157 Dermatology 254 231 253 264 193 218 Developmental ------Diabetic 92 94 121 90 67 61 Diabetic education ------Endocrinology 98 89 101 88 81 89 Endoscopy ------Ear, nose & throat 238 233 277 308 238 306 Family planning ------Fertility ------Gastroenterology 474 505 451 465 421 473 General medicine 21 36 31 28 20 18 General surgery 217 208 239 207 149 158 Geriatrics ------Gynaecology ------Haematology 298 307 288 280 132 168 Hepatology 35 32 40 60 80 37 Hyperbaric ------Hypertension 88 83 84 71 86 96 Immunology 230 232 183 259 138 101 Infectious diseases 27 38 36 30 27 29 Menopause ------Neurogenetic 43 26 27 26 14 16 Neurology 231 245 262 217 190 208 Neurosurgery 43 50 15 11 12 6 Oncology 301 292 274 282 93 -

A-11

Table A-10: Quarterly new outpatient appointments by specialty, Royal Perth Hospital Wellington Street Campus, March 2014 quarter - June 2015 quarter (continued) 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Ophthalmology 911 901 1,052 953 826 774 Oral surgery ------Orthopaedics 127 134 154 232 227 194 Orthopaedics - trauma 783 862 805 769 706 716 Osteoporosis 40 41 37 22 12 - Paediatric neurology ------Paediatric surgery ------Paediatrics ------Pain - - - 57 81 56 Palliative care 28 16 19 23 13 22 Plastic dressings ------Plastic surgery 987 990 1,061 1,046 1,038 894 Podiatry 47 54 59 57 35 28 Preadmission 1,059 1,108 1,160 1,202 996 1,181 Radiation oncology 486 621 625 587 91 - Radiotherapy ------Rehabilitation medicine ------Renal 190 155 155 127 107 93 Respiratory medicine 318 281 333 258 150 220 Rheumatology 92 108 132 58 65 84 Scoliosis - - - 19 39 33 Sexual health 568 678 640 548 572 595 Spinal ------Thoracic surgery ------Ulcer - - - 151 200 76 Urology 305 363 352 306 318 333 Vascular surgery 168 95 191 169 108 118 Total 9,898 10,151 10,562 10,354 8,321 7,929

A-12

Table A-11: Quarterly new outpatient appointments by specialty, Fiona Stanley Hospital, March 2014 quarter - June 2015 quarter12 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Adolescent - - - Amputee - - - Anaesthetic - - - Antenatal - - - Breast clinic - - - Burns - 168 320 Cardiology - 1,235 2,723 Cardiothoracic - 152 337 Colorectal - - - Colposcopy - - - Dental - - - Dermatology - 220 391 Developmental - - - Diabetic 1 65 - Diabetic education - - - Endocrinology - 197 464 Endoscopy - - - Ear, nose & throat - 378 616 Family planning - - - Fertility - - - Gastroenterology - 332 393 General medicine - 57 154 General surgery - 153 291 Geriatrics - - - Gynaecology - - - Haematology - 297 300 Hepatology - - - Hyperbaric 13 36 41 Hypertension - - - Immunology - 139 273 Infectious diseases - 61 182 Menopause - - - Neurogenetic - - - Neurology - 361 523 Neurosurgery - - - Oncology - 454 251

12 Fiona Stanley Hospital opened in early October 2014 and initial data from this month to January 2015 reflects clinics not being fully operational and the transfer of referrals and patients from other hospitals.

A-13

Table A-11: Quarterly new outpatient appointments by specialty, Fiona Stanley Hospital, March 2014 quarter - June 2015 quarter (continued) 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Ophthalmology - 88 107 Oral surgery - 135 221 Orthopaedics - 482 1,179 Orthopaedics - trauma - 36 85 Osteoporosis - 115 323 Paediatric neurology - - - Paediatric surgery - 36 85 Paediatrics - 115 323 Pain - 70 124 Palliative care - - - Plastic dressings - - - Plastic surgery - 374 852 Podiatry - 46 115 Preadmission 9 1,166 2,081 Radiation oncology - - 23 Radiotherapy - - - Rehabilitation medicine - - - Renal - 97 204 Respiratory medicine - - - Rheumatology 94 147 161 Scoliosis - - - Sexual health - - - Spinal - - - Thoracic surgery - - - Ulcer - - - Urology 79 254 325 Vascular surgery - 124 234 Total 235 7,923 13,882

A-14

Table A-12: Quarterly new outpatient appointments by specialty, Fremantle Hospital, March 2014 quarter - June 2015 quarter13313 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Adolescent ------Amputee 15 21 14 9 1 - Anaesthetic ------Antenatal 517 523 552 378 - - Breast clinic ------Burns ------Cardiology 288 300 227 199 10 - Cardiothoracic 64 63 67 50 14 - Colorectal ------Colposcopy ------Dental ------Dermatology 337 298 323 280 22 - Developmental ------Diabetic 73 58 50 44 10 31 Diabetic education 150 159 164 187 67 29 Endocrinology 101 104 65 88 26 15 Endoscopy ------Ear, nose & throat 555 470 621 433 63 - Family planning ------Fertility ------Gastroenterology 249 244 316 242 6 - General medicine 73 44 57 50 16 26 General surgery 531 544 496 422 169 327 Geriatrics ------Gynaecology 243 238 298 136 - - Haematology 88 106 96 93 13 - Hepatology ------Hyperbaric 31 27 38 16 - - Hypertension ------Immunology 163 177 162 147 27 - Infectious diseases 593 615 636 580 350 368 Menopause ------Neurogenetic ------Neurology 436 413 401 316 2 - Neurosurgery ------Oncology 53 61 58 49 12 -

13 See ‘Data Limitations’ on page ii in regards to comparing data from Fremantle Hospital to other hospitals. A-15

Table A-12: Quarterly new outpatient appointments by specialty, Fremantle Hospital, March 2014 quarter - June 2015 quarter (continued)14 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Ophthalmology 618 691 750 609 494 656 Oral surgery 139 161 167 140 13 - Orthopaedics 1,167 1,302 1,141 1,257 904 773 Orthopaedics - trauma ------Osteoporosis ------Paediatric neurology ------Paediatric surgery 44 40 48 45 - - Paediatrics 243 258 239 209 6 - Pain 94 76 89 52 - - Palliative care ------Plastic dressings ------Plastic surgery 303 268 309 342 110 4 Podiatry 57 52 36 62 45 54 Preadmission 1,365 1,452 1,479 1,094 688 822 Radiation oncology 64 54 60 61 - - Radiotherapy ------Rehabilitation medicine ------Renal 102 88 105 76 17 - Respiratory medicine ------Rheumatology 73 81 87 28 4 - Scoliosis ------Sexual health ------Spinal ------Thoracic surgery ------Ulcer ------Urology 284 368 299 240 38 - Vascular surgery 172 173 172 148 23 19 Total 9,285 9,529 9,622 8,082 3,150 3,124

14 See ‘Data Limitations’ on page ii in regards to comparing data from Fremantle Hospital to other hospitals.

A-16

Table A-13: Quarterly new outpatient appointments by specialty, Sir Charles Gairdner Hospital, March 2014 quarter - June 2015 quarter 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Adolescent ------Amputee ------Anaesthetic 25 25 23 23 20 15 Antenatal ------Breast clinic 630 646 945 1,260 1,573 1,561 Burns ------Cardiology 366 395 450 485 343 449 Cardiothoracic 49 67 58 42 49 58 Colorectal ------Colposcopy ------Dental ------Dermatology 161 185 174 151 141 134 Developmental ------Diabetic 266 256 220 253 217 195 Diabetic education ------Endocrinology 188 220 209 197 190 226 Endoscopy ------Ear, nose & throat 304 434 387 366 321 306 Family planning ------Fertility ------Gastroenterology 154 161 200 195 203 230 General medicine 101 138 113 83 136 164 General surgery 297 281 355 318 303 288 Geriatrics 419 404 607 563 506 434 Gynaecology ------Haematology 328 370 472 336 381 321 Hepatology 152 121 154 132 152 154 Hyperbaric ------Hypertension ------Immunology 141 185 178 155 189 256 Infectious diseases 21 43 43 26 20 20 Menopause ------Neurogenetic ------Neurology 242 258 277 233 246 274 Neurosurgery 500 635 636 753 647 601 Oncology 1,462 1,517 1,725 1,778 1,626 1,684

A-17

Table A-13: Quarterly new outpatient appointments by specialty, Sir Charles Gairdner Hospital, March 2014 quarter - June 2015 quarter (continued) 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Ophthalmology 438 602 634 749 535 544 Oral surgery ------Orthopaedics 797 1,038 973 793 842 1,079 Orthopaedics - trauma ------Osteoporosis ------Paediatric neurology ------Paediatric surgery ------Paediatrics ------Pain 382 439 490 483 428 379 Palliative care 21 33 34 23 25 23 Plastic dressings ------Plastic surgery 621 702 766 778 879 580 Podiatry 64 89 84 90 100 79 Preadmission 278 438 530 528 423 536 Radiation oncology ------Radiotherapy 489 526 668 581 512 606 Rehabilitation medicine ------Renal 447 532 491 560 406 176 Respiratory medicine 573 624 307 332 309 390 Rheumatology 107 139 172 160 159 149 Scoliosis ------Sexual health ------Spinal ------Thoracic surgery ------Ulcer ------Urology 347 373 402 303 318 324 Vascular surgery 124 176 191 193 173 191 Total 10,494 12,052 12,968 12,922 12,372 12,426

A-18

Table A-14: Quarterly new outpatient appointments by specialty, Princess Margaret Hospital, March 2014 quarter - June 2015 quarter 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Adolescent ------Amputee ------Anaesthetic 8 22 24 66 - - Antenatal ------Breast clinic ------Burns 105 173 128 134 62 69 Cardiology 237 239 220 191 191 178 Cardiothoracic 51 33 38 46 76 43 Colorectal ------Colposcopy ------Dental ------Dermatology 219 202 208 222 251 147 Developmental 113 115 122 70 - - Diabetic ------Diabetic education ------Endocrinology 143 195 182 145 129 167 Endoscopy ------Ear, nose & throat 774 531 725 757 584 505 Family planning ------Fertility ------Gastroenterology 161 174 175 133 156 165 General medicine 299 255 221 204 224 194 General surgery 371 322 357 322 317 360 Geriatrics ------Gynaecology 36 39 33 17 40 32 Haematology 31 29 26 35 28 37 Hepatology ------Hyperbaric ------Hypertension ------Immunology 260 224 236 263 274 300 Infectious diseases 38 35 42 27 40 60 Menopause ------Neurogenetic ------Neurology 207 191 205 210 174 175 Neurosurgery 35 29 30 15 - - Oncology 16 16 11 16 10 14

A-19

Table A-14: Quarterly new outpatient appointments by specialty, Princess Margaret Hospital, March 2014 quarter - June 2015 quarter (continued) 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Ophthalmology 415 538 469 452 441 454 Oral surgery ------Orthopaedics 1,523 1,841 1,822 1,483 1,322 1,587 Orthopaedics - trauma ------Osteoporosis ------Paediatric neurology ------Paediatric surgery ------Paediatrics 141 154 151 94 100 90 Pain - - - 4 39 20 Palliative care ------Plastic dressings ------Plastic surgery 660 819 843 688 576 817 Podiatry ------Preadmission ------Radiation oncology ------Radiotherapy ------Rehabilitation medicine ------Renal 92 75 47 59 47 53 Respiratory medicine 157 159 197 96 - - Rheumatology 90 74 92 88 68 54 Scoliosis ------Sexual health ------Spinal ------Thoracic surgery ------Ulcer ------Urology ------Vascular surgery ------Total 6,182 6,484 6,605 5,838 5,150 5,522

A-20

Table A-15: Quarterly new outpatient appointments by specialty, King Edward Memorial Hospital, March 2014 quarter - June 2015 quarter 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Adolescent ------Amputee ------Anaesthetic ------Antenatal 2,277 2,231 2,372 2,340 2,297 2,138 Breast clinic ------Burns ------Cardiology ------Cardiothoracic ------Colorectal ------Colposcopy 242 230 262 205 186 185 Dental 20 29 33 23 15 27 Dermatology ------Developmental ------Diabetic ------Diabetic education ------Endocrinology ------Endoscopy 56 75 77 45 47 54 Ear, nose & throat ------Family planning 59 49 41 42 46 58 Fertility 94 121 135 93 58 49 Gastroenterology ------General medicine ------General surgery ------Geriatrics ------Gynaecology 545 506 526 526 605 637 Haematology ------Hepatology ------Hyperbaric ------Hypertension ------Immunology ------Infectious diseases ------Menopause 110 106 116 107 103 77 Neurogenetic ------Neurology ------Neurosurgery ------Oncology 179 159 159 167 155 156

A-21

Table A-15: Quarterly new outpatient appointments by specialty, King Edward Memorial Hospital, March 2014 quarter - June 2015 quarter (continued) 2014 2015 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Ophthalmology ------Oral surgery ------Orthopaedics ------Orthopaedics - trauma ------Osteoporosis ------Paediatric neurology ------Paediatric surgery ------Paediatrics 116 127 98 84 82 84 Pain ------Palliative care ------Plastic dressings ------Plastic surgery ------Podiatry ------Preadmission ------Radiation oncology ------Radiotherapy ------Rehabilitation medicine ------Renal ------Respiratory medicine ------Rheumatology ------Scoliosis ------Sexual health 15 16 17 20 15 13 Spinal ------Thoracic surgery ------Ulcer ------Urology 86 78 88 65 67 64 Vascular surgery ------Total 3,799 3,727 3,924 3,717 3,676 3,542

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