Otago Daily Times

Centre of research excellence

- MIKE HOULAHAN Health reporter mike.houlahan@odt.co.nz

A DAMNING report of Southern District Health Board urology services has national as well as regional implicatio­ns, the Urological Society of Australia and New Zealand says.

A week ago, the health and disability commission­er released an owninstiga­tion report into urology services in the South, following 38 complaints in the space of a few months.

The report highlighte­d major issues with management of the service and prioritisa­tion of its waiting lists, and found several patients had had their life expectanci­es lowered due to inappropri­ate care of their urological conditions.

USANZ president Stephen Mark said that the commission­er’s recommenda­tions were a message to all DHBs to ensure urology services were appropriat­ely resourced.

‘‘The report shines a spotlight on the DHB’s management inadequaci­es in responding to demand for necessary resources,’’ Dr

Mark said.

‘‘I hope that health services across the country will comply with the recommende­d guidelines to ensure the allocation of adequate personnel and resources.

‘‘This is an opportunit­y to learn from what happened in Dunedin and to ensure it never occurs again.’’

One of the initiative­s the SDHB put in place following a 2017 external review of the service were a series of ‘‘super clinics’’ to tackle huge waiting lists for specialist appointmen­ts and surgeries.

Dr Mark, who helped lead the clinics, said patients had previously been let down by the service but he had been impressed by the subsequent commitment to patient care to help resolve what had become a crisis in the system.

The SDHB last week acknowledg­ed the failings that led to unacceptab­le care being provided to patients in its urology service, and unreserved­ly apologised.

The Associatio­n of Salaried Medical Specialist­s said the commission­er’s report was distressin­g.

‘‘Medical specialist­s regularly raised concerns about waiting times and the lack of capacity within the service, but they fell on deaf ears,’’ ASMS executive director Ian Powell said.

‘‘It should serve as a broad reminder to DHB management to listen when specialist­s raise concerns.’’

Specialist­s had a duty to raise concerns over risks to patient safety, and health administra­tors had a similar duty to act promptly when they do so in order to address any such issues, Dr Powell said.

‘‘Until such time as DHB bosses take these concerns more seriously, these sorts of tragedies are going to get worse.’’

❛ This is an opportunit­y to learn from what happened in Dunedin

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