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Parliamentary Questions


Question Without Notice No. 416 asked in the Legislative Assembly on 16 June 2020 by Ms S.E. Winton

Parliament: 40 Session: 1

CORONAVIRUS — ELECTIVE SURGERY — REINSTATEMENT

416. Ms S.E. WINTON to the Minister for Health:

The SPEAKER: The member for Wanneroo missed her spot, so we will have two Labor Party questions in a row.

Ms S.E. WINTON: It is worth waiting for, Mr Speaker. Thank you and apologies.

I refer to the decision to suspend all non-urgent elective surgery to support Western Australian hospitals to prepare for the impact of COVID-19. Can the minister update the house on the work now underway to resume all elective surgery and get those patients who have been waiting for their elective surgery treated as soon as possible?

Mr R.H. COOK replied:

I thank the member for the question. I am very pleased to advise the house that as of yesterday, elective surgery has been scaled back to 100 per cent of pre-COVID-19 surgery levels. With elective surgery activity returning to pre-COVID-19 levels, this is a major milestone and a testament to the great work of the Department of Health's outstanding response to the disease. Less than three months after non-elective surgery was suspended to enable our health system to prepare for the impact of COVID-19, activity is back to 100 per cent of the historical average. Approximately 3 550 Western Australians will have either a surgery or their procedure undertaken this week.

Non-urgent category 2 and all category 3 procedures were suspended from 23 March 2020 to preserve personal protective equipment stocks and to ensure that beds would be available for COVID-19 patients. Those were regrettable decisions, but they were essential to ensure that we would be able to deal with the potentially large numbers of people who would be presenting to our hospitals if the pandemic became uncontrollable. The suspension of elective surgery, understandably, had a significant impact on our elective surgery waitlist numbers and the time that patients would normally have to wait for their surgery to be carried out. Western Australia is not alone in having to deal with this issue; its impact has been felt right across the nation. In fact, Western Australia's current figures show that 13.5 per cent of procedures are over boundary. To put that into context, 86.5 per cent of procedures are within boundary and conducted within the clinically recommended time. But that is not good enough. At this time last year, that number was just five per cent. The McGowan government puts patients first, so we are actively planning to deal with the backlog of cases, specifically the 13.5 per cent of patients who are over boundary. For members to appreciate how challenging the situation is, to see when numbers were last as challenging as this, we would have to go all the way back to 2010 under the previous Liberal–National government when its over-boundary waitlist was 14.3 per cent. Of course, we did not have a global pandemic at that time. Nevertheless, the situation is not good enough. It is not as bad as it was before, but it is not good enough. Just prior to the COVID-19 pandemic, we had a median wait time of 37 days, which was the second best in the country, so our health system was undertaking an outstanding effort. Thankfully, due to the McGowan government's careful management of COVID-19 activity, we have been able to ramp up elective surgery progressively since 28 April. This milestone is a significant achievement for WA's return to the new normal from COVID-19 and a testament to the great work of WA Health service providers.

I have asked the department to develop and coordinate a comprehensive plan to address the backlog of cases. I would like to thank everyone who was affected by the cancellation of elective surgery for their patience. I assure them that we will do everything we can to make sure that we address this backlog and get elective surgery back to pre-COVID-19 levels as soon as possible. The McGowan government is committed to taking action on behalf of those patients awaiting elective surgery. We will get to them as soon as possible, and we thank them for their patience while waiting for their surgery.