Private clinics may be permitted to go beyond day surgery to multi-day patient stays.

Overnight stays would create ‘private hospitals’: NDP

Private surgical clinics may be hired for more than just day surgery if one proposed reform is adopted by the province

The province may let contracted private clinics keep patients overnight for as long as three days so they can take on more complex surgeries than the day procedures they’ve so far been permitted to perform.

That possibility is mentioned in a health ministry discussion paper of potential surgical reforms that’s gone out for stakeholder comment.

“Improved access to surgical services may include performing select surgical procedures which have length of stay up to three days, in private surgery centres using public funds,” the paper says, adding the change would require amending the Hospital Act.

RELATED:B.C. injects $10 million to cut surgery wait times

B.C. Health Minister Terry Lake announced an extra $10 million Monday to perform more day surgeries this summer – some through private clinics using public funds – in order to cut wait times.

But NDP health critic Judy Darcy said letting private surgery clinics go beyond day surgery to multi-day stays would be tantamount to turning them into full-fledged “private hospitals.”

Private surgery clinics so far perform barely one per cent of government-funded procedures in B.C. when public operating rooms aren’t available.

Longer patient stays would open the door to many more surgeries flowing to private facilities, Darcy said, adding critical staff may follow, further reducing capacity in public hospitals.

“Health professionals are in short supply – anaethesiologists, specialty nurses – and if we drain them out of the public system into the private system we effectively become captive to private for-profit clinics,” Darcy said.

She called the proposal a “game changer” that has been quietly advanced under the guise of a short-term “band-aid” to cut waits.

“They ought to be doing the innovation and the strategic investment to use our public system to the maximum.”

Fraser Health does not initially foresee hiring private clinics to supply the extra 500 surgeries it plans over the summer – it will open more of its own closed operating rooms.

But the Vancouver Island and and Vancouver Coastal health authorities have indicated they expect to make some extra use of private surgeons.

Health Minister Terry Lake was unavailable for an interview.

The ministry instead issued a statement defending extended private clinic stays as a successful method of handling more hernia surgeries in Toronto.

“This is just one option that is on the table for consideration,” it said. “Not all of these will be implemented.”

The policy paper indicates the main reason that about one in six hospital operating rooms are closed at any time is lack of funding, while staff shortages and lack of demand are also responsible in some cases.

The ministry says it’s working to increase training for specialist nurses and support recruitment and retention of key specialists, including anaethesiologists.

Doctors of B.C. president Dr. Bill Cavers said health watchdogs are right to be wary of the potential to drain staff from the public system, but said the association believes some increased use of private surgery clinics “can be a good idea” as long as it’s publicly administered and funded, and quality and safety standards are upheld.

Demand on hospitals can vary due to flu season or a backlog of patients waiting for a particular procedure, he said.

“We feel that utilizing different avenues of access to care can improve the overall efficiency of the  system,” Cavers said. “We have surgeons right now who can’t get enough operating room time.”

He said he doesn’t foresee large numbers of clinics opening to the extent that they might cause problems for the public system.

Just Posted

Shoebox Project reaches out to women in crisis

Boxes are distributed to transition homes

Bouquet sales support big dreams in Greater Victoria

Country Grocer features holiday bouquets for Help Fill a Dream

Emerald Gloves boxing brings fights to Langford

Langford’s Matt Daniels dropped weight for debut

West Shore RCMP seizes more than $16,000 worth of drugs

Suspected cocaine, pills and cash seized from a Greater Victoria home

UPDATED: $136M in transit funding coming to B.C.

The announcement was made at the BC Transit yard in Langford on Friday morning

VIDEO: Stan Lee leaves posthumous message for his fans

Marvel Comics’ co-creator died on Monday at the age of 95

Doctor’s note shouldn’t be required to prove you’re sick: poll

70% of Canadians oppose allowing employers to make you get a sick note

Port Alberni convenience store robbed

Police still searching for suspect

German-born B.C. man warns against a ‘yes’ vote on proportional representation

Agassiz realtor Freddy Marks says PR in his home country shows party elites can never be voted out

Fashion Fridays: 5 coats you need this winter!

Kim XO, lets you know the best online shopping tips during Fashion Fridays on the Black Press Media Network

Saskatchewan college honours memory of Humboldt Broncos coach

Darcy Haugan wore jersey No. 22 when he was a star player with the Briercrest College Clippers

Liberals to act quickly if Saturday midnight deal deadline breached: source

Oh Friday, Canadian Union of Postal Workers said it would not bring the latest offers to a vote of its members

Police probe several allegations of sex assault at Toronto school

Police say they have learned of other incidents of alleged assault and sexual assault

B.C. referendum ballot count jumps to 18% returned, Elections B.C. says

New count adds ballots received, but not screened for authenticity

Most Read