Nearly 20 years ago I was among more than 13,000 North Otago people who marched through Oamaru to protest against the removal of surgical services from the local hospital.
That was more than half the population of the district and about the total population of the town and we were wrong.
There were very good clinical reasons for closing the hospital’s operating theatre. Increased specialisation and technological advances meant the hospital and its surgeon simply weren’t able to offer the modern, and often less invasive, surgical services available in Dunedin.
That was a local battle lost for clinical reasons. Now the whole of Otago and Southland is fighting a bigger battle with clinical support.
More than 1000 people gathered for a meeting in Dunedin Town Hall last night to support the retention of neurological services in the city’s hospital. Many more thousands of people are marching as I type for the cause and will form a chain of support around the hospital at lunch time.
I can’t be with there but I’m marching with them in spirit.
The south’s four National MPs, Jacqui Dean, Bill English, Eric Roy and Michael Woodhouse, sent a message of support to last night’s meeting.
Jacqui pointed out in a media release that recent heavy workloads for the Otago Rescue Helicopter Trust highlighted the need for the people of Otago and Southland to have access to neurosurgery services in Dunedin.
Last month the rescue trust experienced what was the busiest day in its 11-year history, when its’ helicopter conducted six rescue trips, over 1934km, including four to Wanaka, one to Dunstan Hospital and one to Ranfurly.
While none of the emergencies related to head injury, Mrs Dean said the call-outs highlighted how essential it was for there to be access to health services which could meet the ever-increasing needs of the Otago and, particularly, the Central Otago communities.
“When we have an emergency helicopter service that can make six rescue missions in one day, it sends a pretty clear message to me that ours is a region that needs access to health services as close at hand as possible.
“We have people living in these areas which at times can be quite isolated. We need to have health services in place to meet their demands and to do it in a time frame in which lives are saved – not lost.
“The majority of the rescue trust’s missions relate to accidents – that is the nature of the Central Otago region, with its adventure tourism, skifields and challenging roads.
“This, in my opinion, reinforces the need for neurosurgery services to remain in a centrally located position at Dunedin.
“A shift in neurosurgery services to Christchurch is only likely to jeapardise lives and negatively disadvantage the people of this region.”
A widely scattered population can’t expect to get specialist services in local secondary hospitals but providing there’s no clinical evidence to the contrary, the nearly 300,00 people in the south ought to be able to get most of them in our nearest tertiary hospital, Dunedin.
Credo Quia Absurdum Est has a report:
which shows the agreement to have a single site for neurology for the Southland Island was taken by the Canterbury DHB to mean it would be based in Christchurch. As such the CDHB has spent considerable time and resources focusing on that and ignoring the single service, two sites approach.
The report is here and in another post CQAE points out :
“That the recommended neurological service for the South Island is one service based in Christchurch, with a comprehensive Outreach programme.”
Hang on a minute. Dunedin does outreach services, but how does Christchurch perform in that regard at the moment?
“Christchurch’s record on outreach is poor. Christchurch does not provide outpatient clinics outside Christchurch, while Dunedin’s record is impressive.”
Canterbury DHB would no doubt be happy to have all South Island tertiary services in Christchurch and on purely financial grounds there may be a case for that.
However, patients are almost always better off if they can get the treatment they need closer to home providing it is clincially safe and in this case it is.
Dunedin clinicians are confident the neurological services can be provided safely. This is a turf war with the Canterbury DHB which should back down and take a South Island-wide view.