What are the overall quarter two 2012/13 Health Target
Four Health Targets have been met this quarter: Improved access
to elective surgery target; Shorter waits for cancer treatment;
Increased immunisation; and the Better help for smokers to quit
hospital target has been achieved for the first time. All other
national Health Target results have improved compared with quarter
How did each health target perform?
Shorter stays in emergency departments
National performance in the Shorter stays in emergency
departments target increased by 1.8 percent to 93.3 percent this
quarter with nine DHBs achieving the target of 95 percent. Quarter
two results have been improving year on year with the current
performance showing a 1.1 percent increase on the result for the
same period last year.
Improved access to elective surgery
The Improved access to elective surgery target has been achieved
this quarter with 78,731 elective surgical discharges provided,
against a target of 74,799 discharges. This is 3932 (5
percent) more than planned.
Shorter waits for cancer treatment
Nationally 100 percent of patients, who were ready for
treatment, received their radiotherapy and chemotherapy within four
weeks of the decision to treat in the Shorter waits for cancer
The national eight-month national immunisation coverage for the
second quarter is 89 percent, a 1.9 percent increase from the
previous quarter and 4 percent above the national Increased
immunisation target. Fifteen DHBs exceeded the 85 percent
Better help for smokers to quit
The hospital component of the Better help for smokers to quit
target was 94.6 percent; this is the first time the national result
will be shown as achieved in published target tables (rounded to 95
percent). Twelve DHBs achieved the target.
Performance for the primary care target was 42.6 percent.
Although no DHBs met the primary care target, 16 DHBs improved
their performance (13 have improved their results by more than 1
Why is achieving the Better help for smokers to quit
target so important?
In New Zealand, tobacco smoking is the leading cause of
preventable morbidity and mortality. Each year approximately 5,000
New Zealanders die from a smoking-related disease, including 350
who die as a result of second hand smoke. Helping New
Zealanders who smoke to stop is a leading health priority in New
Zealand, which is why the government has committed to the
aspirational goal of a smokefree nation by 2025.
In 2009, the Better help for smokers to quit target was
introduced to encourage doctors, nurses and other health
- routinely ask the people they see whether they smoke; and
- provide brief advice and support to quit to those who do
Research has shown that approximately one in 40 smokers will
make a quit attempt as a result of receiving brief advice from a
health professional, which makes this a successful intervention
when implemented on a national scale.
Unlike other Health Targets, this target started from scratch as
the provision of brief advice and support to smokers to quit was
not previously recorded or routinely offered. The first set of data
collected on the target for the month of September 2009 showed that
only 17 percent of hospitalised smokers had been given brief advice
and support to quit. Three and a half years later, this percentage
has increased to 95 and the Health Target has been achieved.
This significant shift in practice has been achieved as a result
of the commitment and consistent improvement by DHBs since
2009. DHBs have implemented a wide variety of activities to
improve performance, including:
- strengthening clinical leadership for smoking cessation within
wards and departments
- increasing the visibility of smoking cessation
- improving the quality of smoking cessation education and
- refining data recording, coding and documentation processes;
- ensuring that the entire sector is dedicated to providing
better help for smokers to quit regardless of what part of the
hospital system they work within.
More than 400,000 hospitalised smokers have been identified
since the Ministry began reporting on this target and over 300,000
of those have been offered brief advice and support to quit.
Because of this success, the provision of better help to smokers to
quit has been extended to the primary care sector, and to pregnant
women who smoke when booking with a Lead Maternity Carer.
More heart and diabetes checks
The national quarter one result for the More heart and diabetes
check target is 55.3 percent, an increase of 3.1 percent on last
quarter. Although no DHBs met the target, 19 have improved their
performance (18 DHBs improved their performance by more than 1
percent from quarter one).
August 13, 2015