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 ┬ęCopyright
 Published: 22/01/2014

Privacy statement
Published: 22/01/2014


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Auckland City HospitalAuckland DHB owns a provider arm which is made up of the Auckland City Hospital, Greenlane clinical centre and their related community-based services.

Auckland DHB has completed the $447 million building redevelopment and the new hospital on the Grafton site now combines all acute service into one setting.  Auckland City Hospital includes services provided by Starship Children's health and National Women's Health services (previously located on the Greenlane site).

Greenlane Clinical Centre provides an advanced day-care surgical hospital and a comprehensive medical centre focusing on outpatient service, rehabilitation and hospital in the home services.

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 of clinical management and support staff in the hospitals as well as corporate and their equivalent 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 to become resident 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 region (a population of about 1.3 million) and over 50 percent of services are provided to people outside the district (interdistrict flows)
  • providers of 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 (e.g. neurosurgery, clinical genetics and paediatric oncology) for patients in 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 who need elective surgery and manages their condition during the waiting time.

 

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