Why the wait for surgery in NSW is the worst it's been in years
Thousands of patients are overdue for time-critical procedures as surgery waiting lists soar to levels not seen since the pandemic, forcing the NSW government to pour another $23 million into the state's hospitals to avoid breaking a post-election promise.
The hospital performance results, released on Wednesday, follow a two-year effort by the Minns government to slash waiting lists and will place further pressure on the state's public hospitals to tackle the problem, after doctors accused hospital administrators of 'buffing the numbers' to meet their publicly reported targets.
There were 100,678 patients waiting for surgery in NSW public hospitals at the end of March, just 346 short of the record peak hit when elective surgeries were paused in the first months of the COVID pandemic (101,024).
Patients needing urgent surgery waited an average of 13 days, while those needing non-urgent surgery could expect to wait 322 days – more than a month longer than the same time last year.
More than 8000 of those patients had waited longer than clinically recommended by their surgeon, including 3000 patients requiring semi-urgent surgery within three months.
Both figures are more than double the number of patients overdue at the same time last year.
Health Minister Ryan Park made cutting the backlog a key priority when he announced a 'surgical care taskforce' in his first day on the job, but said the 'disappointing' figures did not mean he had broken his promise.
'I'm confident that we can turn that around,' he said.

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The Advertiser
18 hours ago
- The Advertiser
Extra cash needed to solve spiralling surgery crisis
Only a continued funding boost can halt a growing crisis in public hospitals, as more patients wait longer for elective surgeries, officials concede. The waitlist in NSW has grown to more than 100,000 people, just shy of the all-time peak that was reached after widespread cancellations during the COVID-19 pandemic. Crucially, those waiting longer than critically recommended for a surgery jumped a whopping 151 per cent over the year to 8857. A "concerned" Health Minister Ryan Park responded to the latest quarterly performance report from the NSW Bureau of Health Information on Wednesday by announcing a $23 million injection to facilitate 3500 extra surgeries. But he said similar investments that employ more staff, fund medical supplies and allow surgeries to be shifted to private hospitals would be needed. "We need investment to be consistent (so) local health districts can predict, can allocate the funds and get those surgeries done as quickly as possible," the minister said. The waitlist grew seven per cent from a year earlier despite 3.6 per cent more surgeries taking place in the March quarter, compared to the same quarter last year. Reducing the waitlist after the pandemic only occurred with major extra resources, general surgeon and Australian Medical Association NSW vice president Fred Betros said. "That's just not sustainable under the current resourcing that we have," the surgeon told AAP. Overdue surgeries were 14,000 when Labor was elected in 2023 and dipped as low as 1850 nine months ago. Opposition health spokeswoman Kellie Sloane labelled the government's additional spend "like putting a band-aid on a broken arm". "It's not going to fix the problem ... and behind every one of those numbers is a patient that is sick, that is in pain or waiting for diagnosis," she told 2GB. Wait times are also blowing out, reaching 65 days for semi-urgent surgeries and 322 days for non-urgent procedures. Reality could be even worse than the quarterly figures suggest, with reports alleging major NSW public hospitals have manipulated surgery wait data to hit key performance indicators. Clinicians were often asked to class surgeries as less serious than they were to provide the hospital more time, Dr Betros told AAP. "The people that make these requests are often the meat in the sandwich, with pressure coming from above to meet KPIs, and pressure from doctors coming from below who won't recategorise," he said. The AMA said better funding of public hospitals, improved work conditions and specialist positions and a focus on preventative measures, including a sugar tax, would improve the health system. The NSW Nurses and Midwives' Association, which has been in pay talks with the government for more than a year, said the upcoming state budget must help hospital workers get a wage boost. "Our public hospitals are struggling to cope with the population demands and we are yet to see meaningful efforts by the government to address the ongoing recruitment and retention issues," assistant general secretary Michael Whaites said. Only a continued funding boost can halt a growing crisis in public hospitals, as more patients wait longer for elective surgeries, officials concede. The waitlist in NSW has grown to more than 100,000 people, just shy of the all-time peak that was reached after widespread cancellations during the COVID-19 pandemic. Crucially, those waiting longer than critically recommended for a surgery jumped a whopping 151 per cent over the year to 8857. A "concerned" Health Minister Ryan Park responded to the latest quarterly performance report from the NSW Bureau of Health Information on Wednesday by announcing a $23 million injection to facilitate 3500 extra surgeries. But he said similar investments that employ more staff, fund medical supplies and allow surgeries to be shifted to private hospitals would be needed. "We need investment to be consistent (so) local health districts can predict, can allocate the funds and get those surgeries done as quickly as possible," the minister said. The waitlist grew seven per cent from a year earlier despite 3.6 per cent more surgeries taking place in the March quarter, compared to the same quarter last year. Reducing the waitlist after the pandemic only occurred with major extra resources, general surgeon and Australian Medical Association NSW vice president Fred Betros said. "That's just not sustainable under the current resourcing that we have," the surgeon told AAP. Overdue surgeries were 14,000 when Labor was elected in 2023 and dipped as low as 1850 nine months ago. Opposition health spokeswoman Kellie Sloane labelled the government's additional spend "like putting a band-aid on a broken arm". "It's not going to fix the problem ... and behind every one of those numbers is a patient that is sick, that is in pain or waiting for diagnosis," she told 2GB. Wait times are also blowing out, reaching 65 days for semi-urgent surgeries and 322 days for non-urgent procedures. Reality could be even worse than the quarterly figures suggest, with reports alleging major NSW public hospitals have manipulated surgery wait data to hit key performance indicators. Clinicians were often asked to class surgeries as less serious than they were to provide the hospital more time, Dr Betros told AAP. "The people that make these requests are often the meat in the sandwich, with pressure coming from above to meet KPIs, and pressure from doctors coming from below who won't recategorise," he said. The AMA said better funding of public hospitals, improved work conditions and specialist positions and a focus on preventative measures, including a sugar tax, would improve the health system. The NSW Nurses and Midwives' Association, which has been in pay talks with the government for more than a year, said the upcoming state budget must help hospital workers get a wage boost. "Our public hospitals are struggling to cope with the population demands and we are yet to see meaningful efforts by the government to address the ongoing recruitment and retention issues," assistant general secretary Michael Whaites said. Only a continued funding boost can halt a growing crisis in public hospitals, as more patients wait longer for elective surgeries, officials concede. The waitlist in NSW has grown to more than 100,000 people, just shy of the all-time peak that was reached after widespread cancellations during the COVID-19 pandemic. Crucially, those waiting longer than critically recommended for a surgery jumped a whopping 151 per cent over the year to 8857. A "concerned" Health Minister Ryan Park responded to the latest quarterly performance report from the NSW Bureau of Health Information on Wednesday by announcing a $23 million injection to facilitate 3500 extra surgeries. But he said similar investments that employ more staff, fund medical supplies and allow surgeries to be shifted to private hospitals would be needed. "We need investment to be consistent (so) local health districts can predict, can allocate the funds and get those surgeries done as quickly as possible," the minister said. The waitlist grew seven per cent from a year earlier despite 3.6 per cent more surgeries taking place in the March quarter, compared to the same quarter last year. Reducing the waitlist after the pandemic only occurred with major extra resources, general surgeon and Australian Medical Association NSW vice president Fred Betros said. "That's just not sustainable under the current resourcing that we have," the surgeon told AAP. Overdue surgeries were 14,000 when Labor was elected in 2023 and dipped as low as 1850 nine months ago. Opposition health spokeswoman Kellie Sloane labelled the government's additional spend "like putting a band-aid on a broken arm". "It's not going to fix the problem ... and behind every one of those numbers is a patient that is sick, that is in pain or waiting for diagnosis," she told 2GB. Wait times are also blowing out, reaching 65 days for semi-urgent surgeries and 322 days for non-urgent procedures. Reality could be even worse than the quarterly figures suggest, with reports alleging major NSW public hospitals have manipulated surgery wait data to hit key performance indicators. Clinicians were often asked to class surgeries as less serious than they were to provide the hospital more time, Dr Betros told AAP. "The people that make these requests are often the meat in the sandwich, with pressure coming from above to meet KPIs, and pressure from doctors coming from below who won't recategorise," he said. The AMA said better funding of public hospitals, improved work conditions and specialist positions and a focus on preventative measures, including a sugar tax, would improve the health system. The NSW Nurses and Midwives' Association, which has been in pay talks with the government for more than a year, said the upcoming state budget must help hospital workers get a wage boost. "Our public hospitals are struggling to cope with the population demands and we are yet to see meaningful efforts by the government to address the ongoing recruitment and retention issues," assistant general secretary Michael Whaites said. Only a continued funding boost can halt a growing crisis in public hospitals, as more patients wait longer for elective surgeries, officials concede. The waitlist in NSW has grown to more than 100,000 people, just shy of the all-time peak that was reached after widespread cancellations during the COVID-19 pandemic. Crucially, those waiting longer than critically recommended for a surgery jumped a whopping 151 per cent over the year to 8857. A "concerned" Health Minister Ryan Park responded to the latest quarterly performance report from the NSW Bureau of Health Information on Wednesday by announcing a $23 million injection to facilitate 3500 extra surgeries. But he said similar investments that employ more staff, fund medical supplies and allow surgeries to be shifted to private hospitals would be needed. "We need investment to be consistent (so) local health districts can predict, can allocate the funds and get those surgeries done as quickly as possible," the minister said. The waitlist grew seven per cent from a year earlier despite 3.6 per cent more surgeries taking place in the March quarter, compared to the same quarter last year. Reducing the waitlist after the pandemic only occurred with major extra resources, general surgeon and Australian Medical Association NSW vice president Fred Betros said. "That's just not sustainable under the current resourcing that we have," the surgeon told AAP. Overdue surgeries were 14,000 when Labor was elected in 2023 and dipped as low as 1850 nine months ago. Opposition health spokeswoman Kellie Sloane labelled the government's additional spend "like putting a band-aid on a broken arm". "It's not going to fix the problem ... and behind every one of those numbers is a patient that is sick, that is in pain or waiting for diagnosis," she told 2GB. Wait times are also blowing out, reaching 65 days for semi-urgent surgeries and 322 days for non-urgent procedures. Reality could be even worse than the quarterly figures suggest, with reports alleging major NSW public hospitals have manipulated surgery wait data to hit key performance indicators. Clinicians were often asked to class surgeries as less serious than they were to provide the hospital more time, Dr Betros told AAP. "The people that make these requests are often the meat in the sandwich, with pressure coming from above to meet KPIs, and pressure from doctors coming from below who won't recategorise," he said. The AMA said better funding of public hospitals, improved work conditions and specialist positions and a focus on preventative measures, including a sugar tax, would improve the health system. The NSW Nurses and Midwives' Association, which has been in pay talks with the government for more than a year, said the upcoming state budget must help hospital workers get a wage boost. "Our public hospitals are struggling to cope with the population demands and we are yet to see meaningful efforts by the government to address the ongoing recruitment and retention issues," assistant general secretary Michael Whaites said.

The Age
a day ago
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Is your house making you sad? This guide to anti-depressive living will help
We all know by now that our living environments can make us sick. From toxic mould to poor indoor air quality, plenty has been written about the risks of unhealthy homes to our physical wellbeing. Less, however, is known about the impact of our homes on our mental wellbeing. Lockdown experiences during COVID-19 would indicate that some residential environments can make us happier than others. Indeed, while some Australians enjoyed time spent in spacious homes on large estates, others struggled in less luxurious surrounds. And although the restrictions lifted long ago, for many, their homes still leave a lot to be desired so that rather than feeling rejuvenated, comforted or invigorated by their spaces, they feel, well, a bit sad. But is it possible for your home to be designed for happiness? Stefania Reynolds, project director and head of interiors at Sydney-based firm Studio Johnston Design, says the answer is firmly 'yes'. 'Design has a profound impact on how we feel at home. It shapes our emotional responses, mental wellbeing, and even our physical comfort,' says Reynolds. 'Spaces that balance openness with intimacy help foster deeper connections without being overwhelming.' Creating a home that nurtures, she says, is less about size and more about understanding the elements that make it a pleasure to come home to, and to live in. Loading 'A lot of the time during those early days of exploring the brief we need to draw out the 'why' behind the client's wishlist,' she says. 'We try to translate practical needs into emotional outcomes.'

Sydney Morning Herald
a day ago
- Sydney Morning Herald
Is your house making you sad? This guide to anti-depressive living will help
We all know by now that our living environments can make us sick. From toxic mould to poor indoor air quality, plenty has been written about the risks of unhealthy homes to our physical wellbeing. Less, however, is known about the impact of our homes on our mental wellbeing. Lockdown experiences during COVID-19 would indicate that some residential environments can make us happier than others. Indeed, while some Australians enjoyed time spent in spacious homes on large estates, others struggled in less luxurious surrounds. And although the restrictions lifted long ago, for many, their homes still leave a lot to be desired so that rather than feeling rejuvenated, comforted or invigorated by their spaces, they feel, well, a bit sad. But is it possible for your home to be designed for happiness? Stefania Reynolds, project director and head of interiors at Sydney-based firm Studio Johnston Design, says the answer is firmly 'yes'. 'Design has a profound impact on how we feel at home. It shapes our emotional responses, mental wellbeing, and even our physical comfort,' says Reynolds. 'Spaces that balance openness with intimacy help foster deeper connections without being overwhelming.' Creating a home that nurtures, she says, is less about size and more about understanding the elements that make it a pleasure to come home to, and to live in. Loading 'A lot of the time during those early days of exploring the brief we need to draw out the 'why' behind the client's wishlist,' she says. 'We try to translate practical needs into emotional outcomes.'