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Increase in colonoscopy services

Dunedin Hospital has increased the number of elective colonoscopies available, but it is understood some general practitioners continue to be concerned about the level of access.

Chief medical officer (Otago) Richard Bunton, in a recent interview, said the hospital was investigating “perhaps two” complaints in 2010 involving patients who said they had been refused the procedure and then were later found to have cancer.

He could not give details about the cases, which were going through the hospital’s complaints process.

One was “quite recent”, but he was not sure about the other one.

The Health and Disability Commissioner’s office said it was unable to say whether it was investigating or had recently investigated any complaints regarding the colonoscopy service in Otago.

A spokeswoman said it was not the office’s usual practice to give complaint numbers or discuss complaints unless complainants had spoken to the media.

Asked if he was concerned some doctors were still sending their patients for barium enemas or other less reliable tests because they felt they would be denied a colonoscopy, Mr Bunton said it was not uncommon for doctors to seek other procedures in any service where access was limited.

Last financial year, the board had planned to carry out about 557 procedures, but received funding for an extra 200 procedures.

This followed concerns expressed by some GPs in 2009 about access for their patients and claims some patients, exhibiting all of the accepted signs of bowel cancer, had been denied colonoscopies.

Mr Bunton said this year’s planned 800 procedures meant the number would be similar to that carried out with the extra funding in the financial year ended last June.

Figures released by the health minister’s office show that in that year the board carried out 1089 procedures, but Mr Bunton said the extra 289 would be those done as part of diagnostic exploration done for hospital in-patients.

Hence, they were not counted in the elective data.

Mr Bunton said the hospital was about to put a proposed referral process template out for consultation with GPs.

It was also hoped it would improve the flow of information back to GPs about patients so they would have a better idea about why someone was not given a colonoscopy. 

It was reported in 2009 that work had begun on a referral template.

Increase in colonoscopy services

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