03
Jun 2025
NSW Elective Surgery Backlog Grows: Thousands Wait Beyond Recommended Times
Published in General on June 03, 2025
 
                                                            The Bureau of Health Information (BHI) has published its latest Healthcare Quarterly report covering January to March 2025, revealing a concerning escalation in elective surgery demand across New South Wales. Despite performing 52,973 elective procedures in this period—a 3.6% increase compared to the same quarter last year—there’s been a sharper rise in the overall waiting list burden.
As of March-end, 100,678 patients were awaiting elective surgery, marking a 7.3% uptick—an additional 6,881 individuals seeking care—bringing the list close to pandemic-era peaks seen during early COVID-19 disruptions. Most alarmingly, 8,587 patients had waited beyond clinically recommended timeframes, a staggering 151.3% surge—or 5,170 more people—than at the same point in 2024.
Delays affected both semi-urgent (Category 2) and non-urgent (Category 3) surgeries. Those in Category 2, which include procedures like hernia repairs, ovarian cyst removals, and non-healing fractures, waited a median 65 days—9 days longer than last year. Non-urgent cases faced even greater delays, averaging 322 days—32 days longer than the previous March quarter. Category 1 patients, who require surgery within 30 days, were not flagged in overdue statistics, though broader sector concerns persist.
Emergency department data paints a mixed picture. While there were 785,266 attendances—a 3.1% drop year-on-year—waiting times remain high. The overall median stay was 3 hours and 40 minutes, with discharged patients typically spending 3 hours and 5 minutes, and those admitted or transferred clocking in at around 8 hours and 11 minutes. Short-stay unit patients averaged about 4 hours and 10 minutes.
Ambulance services reflect similar drops: 366,146 responses were recorded—a 4.5% decline compared to the previous year. For life-threatening emergencies (Category 1), median response time held steady at 8.3 minutes.
BHI also examined virtual care delivery. By 2024, 18% of public hospital outpatient services were conducted virtually—up from 12% in 2019. Surveys revealed high patient satisfaction, with about 90% rating their experience as “good” or “very good.” The proportion reporting virtual care “definitely helped” rose from 67% to 72% between 2020 and 2024, and those who would “definitely use it again” grew from 37% to 47%. Notably, virtual care ratings were lower among households where English isn’t the primary language, those with chronic illness, or individuals holding postgraduate qualifications.
Why the waiting list is ballooning
Despite more operations, demand continues to outstrip capacity. Rising waitlists imply patients are being added faster than they can be treated. Contributing factors may include limited operating room availability, staff shortages, and infrastructure bottlenecks. Seasonal pressures, such as floods or cyclones, can also disrupt services and exacerbate backlogs. In addition, access to short-term accommodation for patients and their families—especially those travelling from regional areas—can affect the timing and scheduling of elective procedures. Limited hospital-affiliated or nearby accommodation options may delay surgery for those needing to stay overnight before or after treatment.
What happens next?
NSW Health is expected to respond with targeted funding and capacity measures. Previous efforts included forming surgical taskforces and boosting theatre hours, which reduced the overdue list from approximately 14,000 in March 2023 to 2,000 by mid-2024. Still, the latest figures indicate renewed strain, signalling the need for further investment in surgical capability, workforce expansion, and efficiency improvements.
As NSW approaches 100,000 patients on waitlists, with over 8,500 breaching clinical standards, these trends underscore significant pressure points in the healthcare system. Delivering timely elective surgery remains a critical priority, and the latest data highlights a pressing need for targeted solutions.
 
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                    ![“Surprise Noises Can Feel Like Pain”: New Airport Rule Eases Travel for Autistic Passengers Emma Beardsley once dreaded going through airport security. “I used to panic every time they made me take my headphones off at security,” she recalls. “The noise and the unpredictability can be overwhelming.” Now, thanks to a new policy allowing noise-cancelling headphones to remain on during security checks, Beardsley says she can “travel more confidently and safely.”
In Australia, one in four people lives with a disability, yet the travel system has often failed to accommodate varied needs. Autism-inclusion advocates at Aspect Autism Friendly have welcomed the government’s updated guidelines that let autistic travellers keep their noise-reducing headphones on during screening, calling it a “major step” toward more accessible air travel.
Dr Tom Tutton, head of Aspect Autism Friendly, emphasises the significance of travel in people’s lives: it connects them with family, supports work and learning, and offers new experiences. But he notes the typical airport environment can be especially intense for autistic travellers:
“Airports are busy, noisy, random and quite confusing places … you’ve got renovations, food courts, blenders, coffee grinders, trolleys clattering … and constant security announcements. It’s really, really overwhelming.”
“What might be an irritation for me is something that would absolutely destroy my colleague [who has autism]. Surprise noises of a certain tone or volume can genuinely be experienced as painful.”
Under the new policy — now published on the Australian Government’s Department of Home Affairs website — passengers who rely on noise-cancelling headphones as a disability support may request to wear them through body scanners. The headphones may undergo secondary inspection instead of being forcibly removed.
Dr Tutton describes this adjustment as small in procedure but huge in impact: it removes a key point of sensory distress at a critical moment in the journey. Aspect Autism Friendly is collaborating with airports to ensure that all security staff are informed of the change.
For many autistic travellers, headphones aren’t just optional — they are essential to navigating loud, unpredictable environments. Until now, being required to remove them during security has caused distress or even deterred travel.
Aspect Autism Friendly also works directly with airports, offering staff training, autism-friendly audits, visual stories, sensory maps, and other accommodations. Their prior collaborations include autism-friendly initiatives with Qantas. Dr Tutton notes:
“Airports have become this big focus for us of trying to make that little bit of travel easier and better.”
He advises people planning trips for travellers with disabilities to consult airport websites ahead of time. Some airports already offer quiet rooms or sensory zones — Adelaide, for instance, provides spaces where travellers can step away from the noise and regroup before boarding.
Beyond helping autistic individuals, Dr Tutton believes that more accessible airports benefit everyone. “These supports help lots of other people too,” he says. “When people are more patient, kind and supportive, the benefits flow to everyone. We all prefer environments that are well-structured, sensory-friendly, predictable and easy to navigate.”](https://c3eeedc15c0611d84c18-6d9497f165d09befa49b878e755ba3c4.ssl.cf4.rackcdn.com/photos/blogs/article-1061-1759742013.jpg) 
                                                                                    