Midland Gynaecological Cancer Model of Service Project

It Takes a Team…Report to the Ministry of Health on a proposed national service improvement plan for gynaecological cancer services (Sapere. 2011)


The Ministry of Health proposed a hub and spoke model for delivering gynaecological cancer services involving four regional centres.  Waikato DHB has not established a regional hub.  In 2014 a national group proposed a three centre model is the most appropriate approach within the current resources.


The Midland gynaecological cancer model of service project 2014/15 objectives are to:

  • refer all Waikato ovarian cancers RMI>200 to Auckland MDM and surgery

  • improve the coverage and functionality of MDMs between Auckland and Midland DHBs

  • improve ensure Midland DHBs receive timely information from Auckland i.e. MDM summary and full MDM report, discharge summaries

  • ensure pathology slides are sent to Auckland, particularly if held by Dunedin, in agreed timeframes

  • align systems and processes with the Bay of Plenty new radiation oncology service, the Kathleen Kilgour Centre opened 1/10/14

  • develop clinical pathways and improve the referral and diagnostic work-up pathway

  • agree the processes when Auckland DHB makes requests to Midland DHBs for additional investigations and/or pre-operative workup, including management of the revenue/cost

  • improve the systems and processes related to transport and accommodation for Midland women who need to have services in Auckland

  • ensure Auckland data related to FCT is obtained for Midland FCT database for reporting and monitoring

  • work towards ensuring Midland women achieve the FCT health target/wait time indicator

  • to implement strategies to ensure coverage for Waikato generalist gynaecologist when on leave and establish succession plan

  • meet with HWNZ regarding medical recruitment, retention and advanced training issues

  • undertake feasibility on Waikato developing a regional gynaecological cancer centre hub in five years.

Project: 1 June 2014 – 30 June 2015    


This project links to the Midland DHBs gynae-oncology review against national standards (link) and the Auckland DHB gynae-oncology FCT service improvement project 2014/15 and the Northern Cancer Network DHBs review against the national gynaecological cancer standards 2014/15.