700 surgeries postponed as Auckland hospitals struggle to cope

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At a glance

More than 700 Aucklanders had their elective surgeries postponed in four weeks as the city’s hospitals struggle to cope with the increase in patients flooding their emergency departments.With thousands of extra patients needing immediate attention for serious illnesses, the only way hospitals can treat those people is to put off non-essential surgeries like hip replacements and cataract removal.

A spike in the number of severe cases of the flu seems to be behind the jump but with August typically the busiest month, it is possible hospitals will continue to feel the pinch in the coming weeks.

More than 700 Aucklanders had their elective surgeries postponed in just four weeks as the city’s hospitals struggle to cope with more patients flooding through their emergency departments.

Across Auckland City, Middlemore, Waitakere and North Shore hospitals, 320 more elective surgeries were postponed in a four-week period from mid-June to mid-July than during the same period last year.

The hospitals said it was largely because of unusually high numbers of acutely unwell people arriving at the hospitals. During the same period the four hospitals saw an extra 2336 people arrive in the emergency department compared to last year.

Last month all four hospitals asked people to stay away unless it was an emergency to help make sure those who really needed treatment could be seen to quickly.

Both Auckland City and Middlemore hospitals have seen record number of patients seeking care through their emergency departments this winter.

Auckland City Hospital director of adult medical services Barry Snow said in March the emergency department had seen a 7 per cent growth on last year while the inpatient unit was up 3 per cent.

“We are as busy as we’ve ever been,” he said. “We’ve never treated so many people.”

An Auckland DHB spokeswoman said the unprecedented numbers had led to an increase in the number of acute admissions so some elective surgeries had been postponed, she said.

The postponements would have an impact on some others waiting for treatment but staff were working to minimise the flow-on effect, she said.

The number of patients coming through the Auckland City emergency department in recent days had dropped but with August usually the busiest month for the city’s hospitals, it was too early to say what was in store for the rest of winter.

Phillip Balmer, director of Middlemore Hospital services, said demand had been higher than predicted this year. Photo/File

Counties Manukau director of hospital services Phillip Balmer said every winter beds were reallocated between services to meet the heavier medical demand.

“This year demand has been much higher than anticipated and so meeting this demand has been challenging,” he said.

During the four-week period there were an extra 147 people on the waiting list for acute procedures compared to last year.

Unusually, the number of people arriving at hospital with flu-like symptoms started earlier this year, he said.

A Waitemata DHB spokesperson said both North Shore and Waitakere hospitals had been seeing a high demand for emergency service, due to a wide range of medical presentations including winter illnesses.

Environmental Science and Research figures showed 188 people a week had been admitted to hospitals around the country and diagnosed with the flu since mid-June, roughly double what it was at the same time last year.

The highest flu rates this season had been recorded in Auckland, Waikato and Wellington.

The most prevalent strain of flu this year, Influenza A, was a particularly nasty one which made people much sicker, ESR public health physician Dr Jill Sherwood said.

Elective surgeries are being postponed as Auckland's hospitals struggle to keep up with demand. Photo/File

Auckland DHB’s chief nursing officer Margaret Dotchin said Auckland City Hospital had the busiest July ever this year, with 136 influenza hospital admissions recorded, compared to 41 in July 2016.

“The flu season this year is very different to last year – it has come much earlier and with vastly greater numbers.”

An Auckland anaesthetist, who spoke on the condition he was not identified, said at peak times of the day occupancy often hit about 115 per cent and patients were forced to sleep in waiting rooms because there were no spaces available for them.

“It isn’t uncommon now to have 65 patients waiting for acute (not elective) surgery,” he said. “Nobody is getting elective surgery at the moment. It’s not a sustainable system.”

Elective surgery patients who had their treatment postponed were bound to be frustrated and angry but staff worked extra hard to make sure those who were treated got top quality care.

“Staff are more likely to burn out and think about quitting and think about why you do it and wanting a holiday. It’s not a sustainable way to work.”

He said hospitals needed more operating theatres, more specialist doctors and more beds and the only way that was going to happen was through more funding.

Association of Salaried Medical Specialists executive director Ian Powell said not did the surge mean specialists were dealing with more patients but their workload was also being increased by the need for immediate treatments.

“Acute operations and acute treatments are invariably more complex than elective surgery,” he said.


Source  :  New Zealand Herald

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