Govt eyes cuts to elective surgery

In a recent article in the Herald ,the NZ National Health Committee has to find savings of $30 million this financial year from elective procedures deemed to be of little benefit. The New Zealand Government are using data from a  similar committee in Wales. The Welsh Committee has come up with a specific procedures list, under 17 surgical and dental headings, including tonsillectomy, grommets, varicose veins, haemorrhoids, dilatation and curettage, hysterectomy, gallbladder removal, caesarean section, lower-back procedures, circumcision, eye-lid surgery, nose surgery and surgery to correct protruding ears.

The committee said it had completed a technological note on the use of ventilation tube grommets for treating middle-ear infections (otitis media).

"The evidence indicates that the use of ventilation tubes is of limited value in treating otitis media with effusion, although it does not suggest that it should be stopped completely."

BUT when you look at what has happened in UK I found a well written article from the Daily Mail. This talks about the dangers of delaying grommet insertion. New research shows the number of referrals in UK to hospital for treatment of glue ear - a chronic condition that is the biggest single cause of hearing loss in children - has plummeted in the past few years.

The article also  includes information on a New Zealand Study.

"The study of more than 1,000 children born in New Zealand in the early Seventies suggests early glue ear affects behaviour, IQ and reading, into late teens.

It found that compared with 'normal' children, those with a history of glue ear had lower IQ up to the age of 13, more hyperactive and inattentive behaviour up to 15, and reduced reading ability up to 18.

It concluded that 'early middle ear disease history appears to have a deleterious effect on reading ability, verbal IQ and behaviour problems'."

The people of Northland need to be very wary of a new breed of Health Administrator in Wellington, many of whom have recently been exported from UK, who have plans to cut services particularly to the  poorest children in New Zealand.

New Zealand Balance and Dizziness Centre

A few weeks ago I attended the opening of the NZ Balance and Dizziness Centre (NZBDC) in Auckland.

The services on offer include everything from initial assessment through objective diagnosis to rehabilitation. Initial assessment will be by experienced Neuro-Otologists, followed by directed investigations by the Vestibular Audiologist and Vestibular Physiotherapist to allow confirmation of diagnosis and documentation of the degree and severity of the underlying problem.


I was impressed by the quality of the staff running this new clinic as well as the new equipment for diagnosis and treatment.

This is a private facility but may be well worth a patient attending particularly with dizziness of uncertain origin.