    
 Auckland
DHB owns a provider arm which is made up of the Auckland City Hospital
and the Greenlane clinical centre and their related community-based
services.
Auckland DHB has completed the $447 million building
redevelopment. the new hospital on the Grafton site is now
completed and combines all acute service into one setting. The
Auckland City Hospital
includes services provided by Starship Children's health and National
Women's Health services (previously located on the Greenlane site).
The Greenlane
Clinical Centre provides an advanced day-care surgical hospital and
comprehensive medical centre focusing on outpatient service,
rehabilitation and hospital in the home services.
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Auckland DHB operates
New Zealand's largest public hospital with the following
characteristics:
- a total operating revenue of
approximately $600 million, about half of which is obtained
for services provided to people from other DHBs
- almost two million patient contacts
annually
- over 7,000 staff or approximately 6,800
full-time equivalents (FTE) positions including bureau
staff. The workforce comprises clinical, management
and support staff in the hospitals and corporate and support
functions
- Auckland DHB is the largest trainer of
doctors in the country with approximately 1,200 doctors, 630
of which are in various stages of training 9resident medical
officers)
- Auckland DHB is the largest clinical
research facility in New Zealand and engages in work that
attracts funding and participation from New Zealand and
overseas
- provides local hospital and outpatient
services for more than 400,000 people living in Auckland
city
- provides tertiary services for the
northern regional (a population of about 1.3 million).
Over 50 percent of services are provided to people outside
the district (interdistrict flows)
- providers specialist services for New
Zealand:
- organ transplant (heart, lung and liver)
- acute massive pulmonary embolism transferred for
thrombarterectomy or extra corporeal membrane oxygenation (ECMO)
- acute major airway obstruction transferred for laser or
stent placement
- massive haemoptysis transferred for surgery or bronchial
arterial embolisation
- hepatic laceration requiring acute hepatic surgery
- acute respiratory distress syndrome (ARDS) in adults or
children requiring extra corporeal membrane oxygenation (ECMO)
- paediatric intensive Care Unit transfers
- major head trauma requiring neurosurgery
- high risk obstetrics
- provides a number of tertiary services (eg
neurosurgery, clinical genetics and paediatric oncology) for
patient sin the Northern and Midland regions
- acute services are provided together
under one roof so patients can access the skills of
multidisciplinary teams of specialists and specialist
equipment
- many conditions are now treated at
day-care or outpatient centres so patients spend less time
in hospital
- major programmes are in progress within
the Auckland DHB Hospital:
- co-ordinating all treatment activities to enhance clinical
outcomes
- managing service contracting within the new Auckland DHB
environment
- co-ordinating the purchase of utilities, information
services, equipment, supplies, and consumables
- activities that ensure Treaty of Waitangi obligations are
met across all programmes
- achieving maximum efficiency through local, regional, or
national service co-ordination
- projects to integrate hospital services
with service provided by primary health care:
- streamlining processes relating to referrals and
discharges
- reducing admissions and readmissions for older people
- reducing waiting times for mental health patients
- implementing the booking system that creates certainty for
patients needing elective surgery and manages their
condition during the waiting time.
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Ministry of Health
