Managing Elective Surgery patients in act public hospitals contents


Appendix 7 – Letter to GP advising of patient who smokes



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Appendix 7 – Letter to GP advising of patient who smokes


Patient ID:






Dear Dr

I am writing to advise you that your patient





has been placed on the elective surgery waiting list for under the care of . This surgery will be performed at .

When your patient is booked for their procedure, they will be advised of the proposed admission date and given further information to prepare for surgery.


has stated in their patient health questionnaire that they are currently smoking and it is preferable that patients cease smoking 6 - 8 weeks before the admission date to help prevent complications.

A copy of the patient’s operation report and discharge summary will be sent to you following their surgery.

Yours sincerely

Central Wait List Team

Territory Wide Surgical Services

ACT Health

Tel: (02) 6205 1122




Appendix 8 – GP Notification Letter


Patient ID:






Dear Dr

I am writing to advise you that your patient




has been placed on the elective surgery waiting list for under the care of . This surgery will be performed at .

When your patient is booked for their procedure, they will be advised of the proposed admission date and given further information to prepare for surgery.

A copy of the patient’s operation report and discharge summary will be sent to you following their surgery.

Yours sincerely

Central Wait List Team

Territory Wide Surgical Services

ACT Health

Tel: (02) 6205 1122


Appendix 9 – Minimum Data Set Incomplete



Patient ID:






Dear Dr

Please find attached a Request for Admission (RFA) form for received by the central Wait List team on the . This RFA has not been processed as the minimum requirements for accepting a RFA have not been completed.

As per the Waiting Time and Elective Surgery Access Policy 2016, RFAs will only be accepted if the minimum data set is complete.

Please complete the required information on the RFA as indicated below and return to the central Wait List team for processing.







Thank you for your cooperation.

Yours sincerely

Central Wait List Team

Territory Wide Surgical Services

ACT Health

Tel: (02) 6205 1122




Appendix 10 – Paediatric Notification Letter


Patient ID:

Parent/Guardian of







Dear Parent/Guardian of

I am writing to confirm that as of your child has been placed on the elective surgery waiting list for a under the care of at .



Your surgeon has determined your child’s clinical priority category to ensure their surgery is completed in the recommended timeframe. Every attempt will be made for your child to have their procedure under the care of the referring surgeon and to provide your surgery within the clinically recommended timeframe; however this may involve referring you to another doctor or hospital in the ACT.

Once a planned admission date has been allocated for your child’s procedure, you will be notified of the date and provided with further information to help you prepare for your child’s hospital stay.

Sometimes it is necessary to delay booked surgery to make way for life-threatening cases that are admitted through the hospital’s emergency department. These emergency cases will always receive priority over elective surgery. However, the hospital will make every effort to avoid such postponements and to reschedule delayed patients as soon as practicable.

Should your child’s clinical condition change, you should notify your general practitioner. Changes in your child’s condition or general health may have implications for the timing of your child’s procedure or lead to the clinical priority category being re-assessed.

Due to the high demand on the elective surgery waiting list we aim to book the surgery lists as efficiently as possible. One way you can help us in reducing delays is to ensure you provide us with any updated information. Therefore:

As your child is a patient on the waiting list, you have a responsibility to inform the hospital:


  • If you decide not to proceed with the procedure for any reason. For example, if the procedure has been conducted at another hospital or you have decided to seek treatment privately or to opt for an alternative treatment

  • Of any changes to your contact details

  • If you are going to be unavailable for any extended period

The hospital may remove your child from the waiting list in consultation with your specialist if:

  • The hospital is unable to contact you because you have not informed them of a change in you contact details

  • You fail to present for the procedure without providing the hospital with prior notice

  • You postpone your surgery on two occasions for personal or social reasons

The attached brochure ACT Elective Surgery Access provides additional information about the elective surgery waiting list. Please take the time to read this brochure.

Should you have any questions, please do not hesitate to contact us on the number below.

Yours sincerely

Central Wait List Team

Territory Wide Surgical Services

ACT Health

Tel: (02) 6205 1122



Appendix 11 – Excluded Procedure notification

Patient ID:





Dear Dr

Please find attached a Request for Admission (RFA) form for received by the central Wait List team on the .

This RFA has not been processed as the proposed procedure has been noted to be listed within the Waiting Time and Surgery Access Policy 2016 as an excluded procedure and is not accompanied with a clinical rationale for the procedure and/or approval from the Director of Territory Wide Surgical Services.

Please return the RFA with the required documentation and approval or contact the Director Territory Wide Surgical Services for further discussion.

Yours sincerely

Central Wait List Team

Territory Wide Surgical Services

ACT Health



Tel: (02) 6205 1122



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