DAP 2009/10 Final 1 - Taranaki District Health Board

DAP 2009/10 Final8.0 Elective Services Plan – 2009/10 – Taranaki DHBOutcomeMinimum Service RequirementsSupporting Informationrequired:ActionsTimeframesMeasuresAccountabilityA 3.3 percent increase over totalplanned elective services in 2008/09;orA 20 percent increase over base,including minimum joint, cataract andcardiac surgery increasesAndA 5 percent increase in first specialistassessments (FSAs)Identified service level increases,including type and mix of procedureRegional agreement forIDF volumesPrivate arrangements foradditional capacityAny issues related toESPI compliance orfollow upsClinical endorsement ofplansMarginal analysis / localknowledgeSIR evidenceIdentified accessconstraintsTDHB have submitted the additional electivesinitiative template describing 21% increase inadditional elective discharges over and above the05/06 base volumes. This amounts to an additional844 discharges above the base of 3,921.See appendix 1 belowThis template also outlines plan to increase FSA’sby 5%.No further private arrangements are required toassist us in meeting these targets.ESPI compliance remains outstanding and ourintention is to maintain this.The documentation following this table receivedfrom the MoH, (appendix 2) identifies that TDHB isat or above the National Discharge Rate per 10,000for all services with the exception of cardiac andPlastics. We have addressed the issue of cardiacby increasing expected case weighted volume andFSAs over the 2005/06 base. Plastics is driven byIDF to tertiary hospital(s), we intend to review thedemand and referrals within this service over thecoming year.As a result we have spread the expected additionalvolumes across the following services:General Surgery (cwd & FSA) ,ENT (cwd),Orthopaedics (cwd & FSA from 08/09 delivery),Endoscopy procedures,Urology (FSA),Cardio Thoracic – modest increase over 2005/06base to partially meet MoH requirement for12 months 20%increaseddelivery inelectivesdischargesand 5%increase inFSAs12 months Evidence ofincreaseapplied to thevariousservices asoutlinedProvider Armof TDHBProvider Armof TDHB73