Middlemore Hospital
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Middlemore Hospital

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Middlemore Hospital

Middlemore Hospital is a major public hospital in the suburb of Ōtāhuhu, Auckland, New Zealand. The hospital has approximately 800 beds. There are 24 operating theatres across two sites.

In 1943, during World War II, construction commenced on a 300-bed hospital at Otahuhu near the Middlemore golf course. It was built to accommodate sick and injured servicemen from the war in the Pacific and known as the Otahuhu Military Hospital. Construction took three years but by 1945, when the war in the Pacific had ended, there was no need for a military hospital and it became a civilian hospital, administered by the Auckland Hospital Board. The Auckland Hospital Board decided in 1944 that the hospital would be known as Middlemore Hospital, the name of the Thompson family farm close to where the hospital was built, referencing a family member from the 18th Century. The hospital officially opened on 3 May 1947. Dr H.J.A. Colvin was appointed medical superintendent and Miss O.M. Hollan as matron in 1947.

A plastic surgery unit was established initially under the surgeons Percy Pickerill and Cecily Pickerill who commuted from Wellington from 1947 to 1950; they were followed by William Manchester (who had trained with Archibald McIndoe), John Peat (an orthodontist), Michael Flint (who had trained with Harold Gillies) and Joan Chapple.

Middlemore Hospital is the largest hospital in Auckland, with around 4,700 staff providing treatment to more than 91,000 inpatients and over 354,000 outpatients per year (data from 2007). The Emergency Department (ED) is the busiest mixed (adult / paediatric) ED in Australasia, with an annual census of 98,110 patients in 2011, and the rate of presentations to ED increasing at a rate of 5–8% per annum. In 2014, Middlemore Hospital treated more general surgical patients than any other hospital in the country (11,500 patients, or over 32 admissions per day), with approximately 75% of those being emergency presentations. This number has also been rising steadily over the past few years and makes the hospital the busiest emergency general surgical hospital in the country. It is also known to care for an above-average share of expecting mothers, staff generally delivering over 20 babies per day.

Middlemore is operated by Counties Manukau Health, offering tertiary hospital and specialist care, as well as a range of other health and social services, for the population of Counties Manukau. The defined catchment area stretches from Ōtāhuhu to Port Waikato, and has a population of 525,120 people. The population in this area of Auckland continues to expand at a faster rate than the rest of the country (3.2% per year), and this, in conjunction with increasing population age, is expected to require an expansion of inpatient bed numbers to over 1,500 by 2020.

Inpatient services are also provided at several affiliated facilities: Manukau Surgery Centre, Kidz First Children's Hospital, Pukekohe Hospital, Franklin Memorial Hospital, Botany Downs Maternity Unit and Papakura Maternity Unit as well as dedicated mental health and rehabilitation units. Outpatient services are primarily provided at Manukau SuperClinic and Botany SuperClinic. Tertiary specialisations include general surgery, vascular surgery, orthopaedic surgery, oral and maxillofacial surgery, burns and plastic surgery, dentistry, as well as specialised medicine, rehabilitation, renal dialysis, and neonatal intensive care.

An investigation into the death of a patient in the emergency department on 15 June 2022 concluded that the department was unsafe for both patients and its staff. On that night it was at least 30% over-capacity - but this was “…not an isolated day.” Margie Apa of Te Whatu Ora accepted the conclusions of the report.

A new five-storey clinical services block was formally opened in April 2014 at a cost of NZ$190 million. This includes: 14 new operating theatres, a 38-cot neonatal care unit, a 42-bed medical assessment unit, a 23-bed post-anaesthetic care unit, a 20-bed theatre admission and discharge unit, and a state-of-the-art central sterile supply department. The building was named after orthopaedic surgeon Harley Gray who was an orthopaedic surgeon at Middlemore until 2001 and was made a Companion of the New Zealand Order of Merit in 2003.

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