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

Cycling Without Age raises funds for program

Free rides for seniors coming to Sidney

SidFest raises $1,500 for youth clinic

For the sixth year, SidFest has been an opportunity for talented high… Continue reading

Tanner’s Books owner is running for Sidney mayor

Cliff McNeil-Smith says managing growth is his top priority

Feast of Fields settles in for the summer of 2018

Vancouver Island Feast set for Kildara Farms in North Saanich on Aug. 26

CREST technology goes digital

System handles one call every four seconds

New stage highlight of Brentwood Bay Festival

Peninsula Country Market vendors and music accompany start of summer celebration

5 fun things to do this weekend in Greater Victoria

Car Free YYJ, family fishing, Sooke bluegrass, walk for cancer and a mascot’s birthday

Sidney painter also a preacher

Patrick Chu opens new studio; off to China this month

B.C. NHL prospect expected to make ‘full recovery’ after incident in Calgary

Jordy Bellerive was injured in a reported house fire Saturday night

BC Lions defensive back Marcell Young levels streaker in home opener

Young hit the fan near one of the 45-yard lines

Police: Taxi driver who hit 8 Moscow pedestrians fell asleep

Two Mexican World Cup fans were among those hit

B.C. VIEWS: Orphans of our urban drug culture neglected again

Child advocate Bernard Richard leaves B.C. with harsh message

From marijuana beer to pot cookies, Canadian companies creating cannabis edibles

Manufacturers think that edibles will do well with users who don’t want to smoke or vape

Privacy lawyer warns against victim blaming in recent sextortion scams

Perpetrators get sexual photos of the victim and threaten to share them with friends and families

Most Read