'Everything's on hold': Patients caught in surgery backlog

Kelly-Ann Webb is one of 9,500 Tasmanians on the elective surgery waitlist. (ABC News: Ebony ten Broeke) Tasmanians are facing long waits for elective surgery and pathology results, with patients describing pain, anxiety and disruption to their lives. Despite increased health funding in the state budget, inflation and $702 million in planned efficiency cuts have raised concerns about real‑world impacts on health services. The Health Department says it will be focusing on removing duplication and bureaucracy and does not expect mass lay-offs as it looks for savings. Link copiedShareShare articleSome days, Kelly-Ann says she can barely get out of bed, the pain in her face is so bad. "It's like a constant burning sensation, right through the top of my mouth into my nose … right through my gums," she said. The nerve damage is the lasting effect of multiple surgeries, some of those delayed, to fix a problem with her jaw. She is now waiting for elective surgery to help numb that pain, but has been waiting for two years, and has seen further cancellations in that time. Kelly-Ann Webb told her story to the ABC's Josh Duggan. (ABC News: Ebony ten Broeke) "I've become socially withdrawn, because I can't feel what my mouth's doing, so you know, I don't like to eat in front of people," she said. Health groups fear the impact of hundreds of millions of dollars in cuts expected to be found in the Health Department Tasmania's elective surgery waitlist is around 9,500 people long; 57 per cent of people are seen within clinically recommended time frames. Funding for health will increase year on year in the state budget, rising by 8 per cent over four years, thanks to extra federal money. However, inflation is forecast at 11 per cent over that same period, resulting in a funding decrease in real-world terms. And in order to meet its budget, the Health Department will also be required to find $702 million in efficiency cuts over four years. Health Minister Bridget Archer said the government is investing in the health system, and the efficiencies are about delivering a sustainable health system. Despite that, parliamentarians and health stakeholders have raised concerns about the impact of the cuts and subsequent service delivery for Tasmanians. Ms Webb said the health system already is not working for her. Penny* had a double mastectomy in early May after finding out she had an aggressive form of breast cancer. She is still waiting for pathology results to see if the cancer has spread to the rest of her body. Penny* said she felt dismayed by the level of health funding laid out in the budget. (ABC News: Luke Bowden) Penny said she had been told the wait for results, which will determine her treatment, could be six to 10 weeks in total. "I feel like everything's on hold … until I have some level of certainty about what, what the next few months will look like from a medical point of view," she said. She said she considered sending her samples interstate for testing, and was told the results would take one to two weeks in the New South Wales system. Within three months is the recommended time for surgery to remedy the painful health problem Timothy Smith has. But the 60-year-old has been forced to wait for years and still has no idea when he will get relief. Penny said having seen the Tasmanian health system close up, she said she was dismayed by the budget's funding for health services. "It's probably the staff that are going above and beyond that are kind of holding a place together," she said. "Some of our decision makers need to spend some time in the Royal [Hobart Hospital] and just see where the gaps are and just recognise that it does need more money and resourcing." The Department of Health said it would not comment on individual cases, but that it understood the frustration that cancelling elective surgery caused for patients. It also said the department was committed to improving timely access to pathology, and was in the process of recruiting for four additional full-time pathologist positions. Last week, health secretary Dale Webster said the department was "targeting revenue collection", by ensuring it collected money owed from private health insurers or Medicare. "We have actually employed additional officers … they're specific revenue officers to make sure that we're collecting this revenue," he told a parliamentary committee. He also pointed to removing "duplication". "That is about having different contracts that deliver pharmaceuticals on a just-in-time basis, rather than holding stock ourselves which then expire." Health Minister Bridget Archer said efficiency cuts are about delivering a sustainable health system. (ABC News: Jonny McNee) The state budget pointed to decreasing locum and agency costs and a revised executive structure as measures to help meet the $702 million target. It said the Health Department will be "prioritising frontline services and improving service d

'Everything's on hold': Patients caught in surgery backlog

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