1. Performance by Department This section illustrates the year to date performance of each department to April 2009. Dental The dental department as at the end of April 2009 is 9 CW over budget for elective performance. Dental - Cumulative Total Of Elective Costweights 200 180 160 140 120 100 80 60 40 20 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr YTD 2008/09 20 34 46 58 78 100 113 128 143 153 M ay Jun A ctual 2007/08 10 20 30 37 53 66 80 97 115 B udget 2008/09 15 29 44 58 73 80 91 109 127 137 148 160 144 165 178 Ear Nose and Throat (ENT) The ENT department as at the end of April 2009 is 4 CW behind its plan. The addition of an ENT consultant from Otago is assisting with delivery of the plan. ENT - Cumulative Total Of Elective Costweights 350 300 250 200 150 100 50 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr 29 50 74 100 133 154 166 190 236 267 A ctual 2007/08 18 39 70 95 114 132 148 166 198 B udget 2008/09 29 59 88 118 147 163 181 213 245 YTD 2008/09 M ay Jun 225 253 277 271 305 325 Ophthalmology The ophthalmology department as at the end of April 2009 is 173 CW ahead of its plan. The ophthalmology service now has three consultants contributing to the delivery of the service. Ophthalmology - Cumulative Total Of Elective Costweights 350 300 250 200 150 100 50 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr YTD 2008/09 9 30 71 111 155 183 208 239 273 301 M ay Jun A ctual 2007/08 17 37 43 65 88 115 137 153 169 B udget 2008/09 15 29 44 59 73 81 88 103 118 197 211 223 128 143 151 General Surgery The general surgery department as at the end of April 2009 is 53 CW behind its plan. A fourth general surgeon has arrived in May for at least three months. The absence of a fourth general surgeon has until now impacted the delivery of the elective surgical target. General Surgery - Cumulative Total Of Elective Costweights 1,400 1,200 1,000 800 600 400 200 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr YTD 2008/09 90 181 277 380 478 548 617 694 784 882 M ay Jun A ctual 2007/08 130 226 324 420 548 646 737 837 934 1,034 1,125 1,216 B udget 2008/09 107 214 321 428 535 590 645 752 859 935 1,042 1,097 Gynaecology The gynaecology department as at the end of April 2009 is 3 CW ahead of its plan. A shortage of obstetric and gynaecology consultants continues to impact elective delivery. Gynaecology - Cumulative Total Of Elective Costweights 450 400 350 300 250 200 150 100 50 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr 14 27 67 91 135 171 200 233 263 291 A ctual 2007/08 4 23 55 89 131 160 179 198 226 B udget 2008/09 17 36 59 90 120 149 168 208 251 YTD 2008/09 M ay Jun 245 277 309 289 335 382 Orthopaedics The orthopaedic department as at the end of April 2009 is 40 CW ahead of its plan. Orthopaedics - Cumulative Total Of Elective Costweights 1,400 1,200 1,000 800 600 400 200 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr YTD 2008/09 36 129 216 314 408 490 608 690 793 865 M ay Jun A ctual 2007/08 24 92 157 190 277 397 550 661 783 907 996 1,131 B udget 2008/09 85 170 256 341 426 470 524 620 716 825 1,017 1,170 Paediatric Surgery The paediatric surgery as at the end of April 2009 is 4 CW ahead of its plan. Paediatric Surgery - Cumulative Total Of Elective Costweights 50 45 40 35 30 25 20 15 10 5 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr 5 5 10 10 14 22 22 25 31 37 A ctual 2007/08 - 4 10 15 18 23 23 29 33 B udget 2008/09 4 8 11 15 19 21 23 26 30 YTD 2008/09 M ay Jun 36 39 43 33 37 39 M ay Jun Urology The urology department as at the end of April 2009 is 6 CW behind its plan. Urology - Cumulative Total Of Elective Costweights 400 350 300 250 200 150 100 50 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr YTD 2008/09 26 61 99 132 174 192 227 244 272 307 A ctual 2007/08 20 39 79 107 140 187 211 249 256 302 345 367 B udget 2008/09 34 69 103 138 172 190 207 242 276 301 335 353 Plastics Plastics are procedures carried out by SDHB’s oral-maxillo facial surgeon who also contributes to the dental CW. For the end of April 2009 this specialty is 3 CW ahead of its plan. Plastics - Cumulative Total Of Elective Costweights 25 20 15 10 5 - Jul A ug Sep Oct No v Dec Jan Feb M ar A pr YTD 2008/09 1 7 9 10 12 14 14 15 20 22 M ay Jun A ctual 2007/08 4 4 7 7 9 11 14 15 15 B udget 2008/09 2 4 7 9 11 12 14 16 18 16 19 22 20 22 23 Medical Imaging Department Medical Imaging Waiting Times Department MRI urgent semi urgent routine outpatient CT urgent semi urgent routine outpatient Last month same day 2 to 3 weeks 5 weeks Target same day 2 to 3 weeks 6 to 8 weeks ASAP (within 24 hours) 1 to 2 weeks (OP) 4 weeks ASAP (within 24 hours) 1 to 2 weeks (OP) Same day 6 weeks 6 to 8 weeks 2 to 3 weeks Ultrasound all ultrasounds 18 to 20 weeks 16 to 20 weeks 8 weeks X-Ray appointments routine 18 weeks 18 weeks 8 weeks intravenous urograms barium procedures 6 weeks 6 to 8 weeks 4 to 6 weeks 6 weeks 6 to 8 weeks 4 to 6 weeks Mammography urgent semi-urgent recall patients 1 week 8 weeks 8 weeks 1 week 6 weeks 3 weeks 1 week 2 to 4 weeks 4 weeks Nuclear Medicine urgent * 2 days to 2 weeks 4 weeks 4 weeks * 2 days to 2 weeks 4 weeks 4 weeks * 2 days to 2 weeks 4 weeks 4 to 6 weeks semi urgent routine outpatient * April 09 same day 2 to 3 weeks 6 weeks If there is generator activity then urgent nuclear medicine scans would be performed within 2 days