Patients "falling through the cracks". The Canterbury Charity Hospital: initial progress report.
OBJECTIVE
To present the early experience of establishing a community-funded and volunteer-staffed hospital in Christchurch, New Zealand. This was to provide free selected elective healthcare services to patients in the Canterbury region who were otherwise unable to access treatment in the public health system or afford private healthcare.


METHODS
Data were reviewed relating to the establishment, financing, staffing and running of the Canterbury Charity Hospital. Details were provided of patients referred by their general practitioners who were seen and treated during the first two and a half years of function.


RESULTS
Canterbury Charity Hospital Trust, established in 2004, completed the purchase of a residential villa in 2005 and converted it into the Canterbury Charity Hospital, which performed its first operations in 2007. By the end of December 2009, 115 volunteer health professionals and 79 non-medical volunteers had worked at the Hospital, provided a total of 966 outpatient clinic appointments, of which 609 were initial assessments, and performed 610 surgical procedures. Funding of $NZ4.3 million (end of last financial year) came from fundraising events, donations, grants and interest from investments. There has been no government funding.


CONCLUSIONS
There is a substantial unmet need for elective healthcare in Canterbury, and this has, in part, been addressed by the recently established Canterbury Charity Hospital. The overwhelming community response we have experienced in Canterbury raises the question of whether the current public health system needs attention to be re-focused on unmet need. We contend that unless this occurs it might be necessary to establish charity-type hospitals elsewhere throughout the country.
Bagshaw
Philip F
PF
Department of Surgery, Christchurch Hospital, University of Otago Christchurch, PO Box 4345, Christchurch, New Zealand. bagshaw@clear.net.nz
Allardyce
Randall A
RA
Bagshaw
Susan N
SN
Stokes
Brian W
BW
Shaw
Carl S
CS
Proffit
Lorraine J
LJ
Nicholls
M Gary
MG
Begg
Evan J
EJ
Frampton
Christopher M
CM
D000553:Ambulatory Care / Q000458:organization & administration; D000556:Ambulatory Surgical Procedures / Q000145:classification / Q000706:statistics & numerical data; D002608:Charities; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration*; D006758:Hospital Volunteers / Q000145:classification / Q000458:organization & administration*; D006764:Hospitals, Community / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration; D017664:Uncompensated Care / Q000706:statistics & numerical data*