|Document ID:||Operational Directive OD 0472/13|
|Date of issue:||Wednesday, 6 November 2013|
|Status:||NO LONGER APPLICABLE|
|Description:||This Operational Directive is a guide to Public Hospitals and Health Services regarding excluded procedures. It advises Public Hospitals and Health Services on which procedures should not be performed without approval and indicates the clinical, cultural and religious exceptions. The Operational Directive also sets out the process for gaining approval to perform an excluded procedure, the appeal mechanism, and indicates the Department's position on Patient Assisted Travel for these procedures.|
|Applicable to:||Clinical and administrative staff of public hospitals and health services|
|Period of effect:||from 30 October 2013 to 30 October 2018|
|Review date:||6 November 2018|
|Authorised by:||Professor Bryant Stokes, A/DIRECTOR GENERAL, DEPARTMENT OF HEALTH WA, 22-Oct-2013|
|Print version:||View print version|
This Operational Directive outlines the recommendations of the Director General of Health in relation to surgical procedures that will not be undertaken in a Public Hospital in Western Australia. For the purposes of this Operational Directive, this also includes public patients in health campuses under public-private partnership arrangements, and private patients in Public Hospitals.
Additions to Elective Surgery Waiting List
As from 18 December 2003 the following list of surgical procedures cannot be performed in a Public Hospital in Western Australia except under approval by the Hospital’s Director of Medical/ Clinical Services.
Listings on the Elective Surgery Waiting List
If a medical practitioner believes that an excluded procedure is clinically indicated, approval for listing on the Elective Surgery Waiting List may be sought. In this case, the following procedure should be followed:
As of 15 September 2009 and as per the Patient Assisted Travel Scheme (PATS) Policy, patients travelling for excluded procedures as defined by this Operational Directive are not eligible for PATS assistance. This restriction will apply to patients who are travelling to a private facility for excluded procedures not available through their local public hospital.
Approval for assistance by the relevant Director of Medical/Clinical Services or their medically qualified delegate can be given in exceptional clinical circumstances. Should the decision of the Director of Medical/Clinical Services be disputed by the medical practitioner, the case should be referred by the Director of Medical/Clinical Services in writing, including all pertinent details, to the Chief Medical Officer who will review the circumstances.
Auditing and Reporting
Auditing, monitoring, and reporting of these excluded procedures will be undertaken by Inpatient Data Collections (IDC), Data Integrity Directorate and the Health Services to ensure compliance with this Operational Directive.
Audit will include;
General Practice Divisions and Royal Colleges
This Operational Directive will be provided to General Practice Divisions and Royal Colleges for the information of their members.
Professor Bryant Stokes
This circular last updated: Thursday, 7 November 2013 at 9:23am