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Coronavirus: Elective surgeries postponed as Central Coast Health doubles ICU capacity

Patients waiting for elective surgery will be contacted while outpatient appointments will be done over the phone as the local health system braces for an influx of COVID-19 and winter flu cases.

Hospitals will double intensive care capacity to brace for an influx of COVID-19 outbreak. (AAP Image/Sue Graham)
Hospitals will double intensive care capacity to brace for an influx of COVID-19 outbreak. (AAP Image/Sue Graham)

Some elective surgeries will be postponed as Central Coast Local Health District (CCLHD) works to free up intensive care capacity in the face of a looming COVID-19 crisis.

It comes as public hospitals across the state aim to double intensive care capacity as NSW Health responds to the virus pandemic and the upcoming winter flu season.

In a statement CCLHD said it had been planning for this for many weeks and was

adjusting its response according to its increasing knowledge about the impact of COVID-19 and the emergence of evidence about its clinical management.

Some elective surgeries will be postponed. Picture: Supplied
Some elective surgeries will be postponed. Picture: Supplied

A key component of these plans is ensuring that patients with the highest clinical urgency are prioritised.

The District has implemented changes to non-urgent surgery and outpatient clinics as part of

its response. This includes working with clinicians to prioritise surgery cases which will include the rescheduling of some cases to allow us to enhance intensive care capacity.

It will also conduct outpatient clinic appointments over the phone or video where possible to

reduce close contact.

Central Coast Health is working to free up intensive care space. Picture: iStock
Central Coast Health is working to free up intensive care space. Picture: iStock

Chief executive Dr Andrew Montague said there would be no impact to emergency and

trauma patients, as well as urgent surgery cases.

“Emergency, trauma and urgent surgery cases will occur with our clinicians assessing each

patient’s clinical need as to the urgency of care needed,” he said.

“This move will free up staff working in or supporting our operating theatres to immediately

undertake more specialised training so they can be redeployed to work in intensive care or

other critical care areas.

“The aim is to double our current intensive care capacity.

“Meanwhile, to further reduce any possible risk for patients and staff, outpatient clinics will be

moving to phone consultations and telehealth review, where possible, and if face-to-face

consultations are required, social distancing measures will be implemented in waiting areas.”

The new changes will not affect emergency or trauma cases. (AAP Image/Sue Graham)
The new changes will not affect emergency or trauma cases. (AAP Image/Sue Graham)

Dr Montague said CCLHD staff would communicate directly with affected patients to advise

them of any changes to their upcoming surgery or outpatient clinic appointment.

“As has been foreshadowed from the outset of this crisis, it is anticipated that significant

adjustments will be required as we prepare our facilities for the coming weeks and months,”

he said.

“While we appreciate any rescheduling is regrettable, we hope the community will

understand it is necessary to ensure those with the most urgent need are attended to first.

“As part of the pandemic plans in place, we are also working with local private providers to

outsource some of our non-urgent elective surgeries, helping to minimise the impact on

those currently waiting for a procedure.”

Gosford Hospital will double its intensive care capacity. (AAP Image/Sue Graham)
Gosford Hospital will double its intensive care capacity. (AAP Image/Sue Graham)

It comes after restrictions were already been put in place limiting the number of people who can visit patients during reduced visiting hours from 6pm to 8pm and visitors not entering hospitals or healthcare facilities if they were feeling unwell.

“We urge everyone to be part of the solution by practising good hygiene, staying home if you

are sick and keeping your distance from others as much as possible by social distancing,” Dr

Montague said.

NSW Health will receive $700 million extra funding as part of a $2.3 billion health boost announced by the NSW Government last week which will double ICU capacity, prepare for additional COVID-19 testing, purchasing of additional ventilators and medical equipment, establishing acute respiratory clinics and bringing forward elective surgeries to private hospitals.

Original URL: https://www.dailytelegraph.com.au/newslocal/central-coast/coronavirus-elective-surgeries-postponed-as-central-coast-health-doubles-icu-capacity/news-story/555043e0845e233106b2eda21041b523