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{{Use New Zealand English|date=April 2024}}
{{Infobox hospital
{{Infobox hospital
| name = Auckland City Hospital
| name = Auckland City Hospital
| org/group = [[Auckland District Health Board]]
| org/group = [[Te Whatu Ora - Te Toka Tumai Auckland]]
| image = Image:Auckland City Hospital 01.jpg
| image = Image:Auckland City Hospital 01.jpg
| alt =
| alt =
| image_size = 225
| image_size = 256
| caption = The new 2003 section of the hospital
| caption = The new 2003 section of the hospital
| map_type =
| map_type =
| relief = <!-- any non-blank value (yes, 1, etc.) will cause the template to display a relief map image, where available -->
| relief = <!-- any non-blank value (yes, 1, etc.) will cause the template to display a relief map image, where available -->
| map_size = <!-- width of the map in pixels (do not include "px"); default is 225 -->
| map_size = <!-- width of the map in pixels (do not include "px"); default is 225 -->
| map_alt = <!-- alternative text for map image, see WP:ALT for details -->
| map_alt = <!-- alternative text for map image, see WP:ALT for details -->
| map_caption = <!-- Optional. Gives a small caption under the map such as "Shown in region, country" -->
| map_caption = <!-- Optional. Gives a small caption under the map such as "Shown in region, country" -->
| latitude = <!-- used for adding a map, with map_type, and for displayed coordinates -->
| latitude = <!-- used for adding a map, with map_type, and for displayed coordinates -->
| longitude = <!-- used for adding a map, with map_type, and for displayed coordinates -->
| longitude = <!-- used for adding a map, with map_type, and for displayed coordinates -->
| logo = <!-- Please conform to copyright -->
| logo = <!-- Please conform to copyright -->
| logo_size = <!-- Use to limit the logo size -->
| logo_size = <!-- Use to limit the logo size -->
| location = [[Grafton, New Zealand|Grafton]]
| location = [[Grafton, New Zealand|Grafton]]
| region = [[Auckland]]
| region = [[Auckland]]
| state = <!-- optional UK: England, Wales, Scotland, Northern Ireland. US: The US State - NB autolinked -->
| state = [[Auckland]]<!-- optional UK: England, Wales, Scotland, Northern Ireland. US: The US State - NB autolinked -->
| country = NZ
| country = NZ
| coordinates = <!-- (alternative to latitude/longitude) use template {{coord}} with 'display=inline, title' -->
| coordinates = <!-- (alternative to latitude/longitude) use template {{coord}} with 'display=inline, title' -->
| address = 2 Park Rd, Grafton, Auckland 1142
| address = 2 Park Rd, Grafton, Auckland 1142
| healthcare = <!-- UK:NHS. AU/CA: Medicare. ELSE freetext, e.g. Private -->
| healthcare = <!-- UK:NHS. AU/CA: Medicare. ELSE freetext, e.g. Private -->
| funding = Public
| funding = Public
| type = <!-- Community, District, General, District General, Teaching, Specialist -->
| type = [[Hospital#General and acute care|General]], [[Teaching Hospital|Teaching]] <!-- Community, District, General, District General, Teaching, Specialist -->
| speciality = <!-- if devoted to a speciality (i.e. not a broad spectrum of specialities) and Type=Specialist/Teaching -->
| speciality = <!-- if devoted to a speciality (i.e. not a broad spectrum of specialities) and Type=Specialist/Teaching -->
| standards = <!-- optional if no national standards -->
| standards = <!-- optional if no national standards -->
| emergency = <!-- UK/IR/HK/SG: Yes/No, CA/IL/US: I/II/III/IV/V for Trauma certification level -->
| emergency = Yes <!-- UK/IR/HK/SG: Yes/No, CA/IL/US: I/II/III/IV/V for Trauma certification level -->
| helipad = <!-- Yes, No, or use "Template:Airport codes" with p=n. Only list if verifiable, leave blank if unknown. -->
| helipad = Yes <!-- Yes, No, or use "Template:Airport codes" with p=n. Only list if verifiable, leave blank if unknown. -->
| affiliation = <!-- 'None' or Medical School and university affiliations (medical or paramedical) -->
| affiliation = [[University of Auckland Faculty of Medical and Health Sciences]] <!-- 'None' or Medical School and university affiliations (medical or paramedical) -->
| patron = <!-- 'None' or the individual who acts as the hospital patron -->
| patron = <!-- 'None' or the individual who acts as the hospital patron -->
| network = <!-- Hospital network, non-owner -->
| network = <!-- Hospital network, non-owner -->
| beds = <!-- Cite in article as well -->
| beds = 1,171<ref name="MoH"/>
| founded = 1846
| founded = 1846
| closed = <!-- Use if defunct, please also add to Category:Defunct hospitals -->
| closed = <!-- Use if defunct, please also add to Category:Defunct hospitals -->
| demolished = <!-- Use if demolished at a different time from closure -->
| demolished = <!-- Use if demolished at a different time from closure -->
| website = [http://www.adhb.govt.nz/about/ach/ach.htm Official Website]
| website = [http://www.adhb.health.nz/ Official Website]
| other_links = <!-- Creates "See also" field -->
| other_links = <!-- Creates "See also" field -->
}}
}}


The '''Auckland City Hospital''' is one of the largest hospitals in [[New Zealand]],<ref name="Medical">''[http://www.news-medical.net/?id=2897 Largest hospital in New Zealand...]'' - News-Medical.Net, Tuesday 29 June 2004</ref> as well as one of the oldest medical facilities of the country. It is a publicly funded hospital, run by the [[Auckland District Health Board]] since 2001. Located in the suburb of [[Grafton, New Zealand|Grafton]], east of the CBD, it has 3,500 rooms and provides a total of 710 beds.<ref name="Fletcher"/>
'''Auckland City Hospital''' is a [[public hospital]] located in [[Grafton, New Zealand|Grafton]], [[Auckland]], New Zealand. It is the largest hospital in New Zealand,<ref name="Medical">''[http://www.news-medical.net/?id=2897 Largest hospital in New Zealand...]'' - News-Medical.Net, Tuesday 29 June 2004</ref> as well as one of the oldest medical facilities in the country. It provides a total of 1,165 beds ({{as of|2021|lc=on}}).<ref name="MoH">{{cite web |title=Auckland City Hospital |url=https://www.health.govt.nz/your-health/certified-providers/public-hospital/auckland-city-hospital |publisher=Ministry of Health NZ |access-date=24 October 2021 |date=24 October 2021 |language=en-NZ}}</ref> It was established in 2003 as an amalgam of '''Auckland Hospital''' (acute adult care), [[Starship Hospital]] (acute children's care), '''[[Green Lane Hospital, Auckland|Green Lane Hospital]]''' (cardio-thoracic care) and '''[[National Women's Hospital]]''' (maternity, newborn and obstetrics and gynecology). Public hospitals in Auckland have been run by [[Health New Zealand|Te Whatu Ora – Health New Zealand]] since 2022.


==Importance==
==Importance==
The emergency department alone sees about 47,000 patients annually (over 55,000 as of 2008),<ref name="HER08">''[http://www.nzherald.co.nz/location/story.cfm?l_id=117&objectid=10528642 Gridlock on the hospital frontline]'' - ''[[The New Zealand Herald]]'', Sunday 24 August 2008</ref> of which 44% are treated as in-patients. Colocated with its emergency department is the children's emergency department, which sees another 30,000 patients annually, making the campus one of the busiest in [[Australasia]].<ref>[http://www.akhdem.co.nz/ Department of Emergency Medicine] {{wayback|url=http://www.akhdem.co.nz/ |date=20070712165837 }} (from the official department website. Retrieved 2008-08-22.)</ref>
The emergency department alone sees about 47,000 patients annually (over 55,000 as of 2008),<ref name="HER08">''[http://www.nzherald.co.nz/location/story.cfm?l_id=117&objectid=10528642 Gridlock on the hospital frontline]'' - ''[[The New Zealand Herald]]'', Sunday 24 August 2008</ref> of which 44% are treated as in-patients. Colocated with its emergency department is the [[Starship Hospital]] children's emergency department, which sees another 30,000 patients annually, making the campus one of the busiest in [[Australasia]].<ref>[http://www.akhdem.co.nz/ Department of Emergency Medicine] {{webarchive |url=https://web.archive.org/web/20070712165837/http://www.akhdem.co.nz/ |date=July 12, 2007 }} (from the official department website. Retrieved 2008-08-22.)</ref>


The hospital is a research and teaching facility as well, providing training for future doctors, nurses, midwives and other health professionals. Rare or complex medical conditions from all over New Zealand may get referred here. The hospital is closely associated with [[Starship Children's Health]], a separate subsidiary facility on the same grounds, located just to the northwest of the City Hospital.
The hospital is a research and teaching facility as well, providing training for future doctors, nurses, midwives and other health professionals. Rare or complex medical conditions from all over New Zealand may get referred here. The hospital is closely associated with [[Starship Children's Health]], a separate subsidiary facility on the same grounds, located just to the northwest of the City Hospital. The hospital is adjacent to [[University of Auckland Faculty of Medical and Health Sciences|Auckland Medical School]].

To secure the best quality possible all-around the clock, in 2005 there was commissioned a 3,600&nbsp;kW (3.6 MW) strong emergency power generation system. This amount for 710 beds is a high one and the hospital can continue all work going on with that much capacity.


==History==
==History==
===Previous buildings===

===Smaller beginnings===
[[File:Auckland Hospital Italianate Style.jpg|thumb|Auckland Hospital, 1910]]
[[File:Auckland Hospital Italianate Style.jpg|thumb|Auckland Hospital, 1910]]
Originally, a timber hospital occupied the Auckland City Hospital site from 1846 to 1877, providing four wards of 10 beds each, and having been designed by [[Frederick Thatcher]], the architect of the [[Holy Trinity Cathedral, Auckland#St Mary.27s Church|St Mary's Church]] in [[Parnell, New Zealand|Parnell]]. The hospital treated both Europeans and [[Māori people|Māori]], though the diseases were different, with the Pakeha treated mostly for the effects of alcohol abuse, while the Māori came for [[tuberculosis]] and [[rheuma]] treatment.<ref name="GRAFT"/> [[Thomas Moore Philson]] was superintendent of the hospital from 1859 to 1883.<ref name="DNZB Philson">{{DNZB|Erlam|H. D.|2p16|Thomas Moore Philson|December 2011}}</ref>
Initially, the '''Auckland Hospital''' was housed in a timber building which occupied the Auckland City Hospital site from 1846 to 1877, providing four wards of 10 beds each, and having been designed by [[Frederick Thatcher]], the architect of the [[Holy Trinity Cathedral, Auckland#St Mary.27s Church|St Mary's Church]] in [[Parnell, New Zealand|Parnell]]. The hospital treated both Europeans and [[Māori people|Māori]], though the diseases were different, with the Pakeha treated mostly for the effects of alcohol abuse, while the Māori came for [[tuberculosis]] and [[rheuma]] treatment.<ref name="GRAFT"/> [[Thomas Moore Philson]] was superintendent of the hospital from 1859 to 1883.<ref name="DNZB Philson">{{DNZB|last=Erlam|first=H. D.|id=2p16|title=Thomas Moore Philson|access-date=23 April 2017}}</ref>


In 1877, a new building in an [[Italianate architecture|italianate style]] was constructed for ₤25,000, designed by [[Philip Herepath]], architect to the Provincial Government. Administered by T M Philson, the new hospital became known for taking on many charity cases, but partly in response to this was also continually understaffed and overcrowded. There were also complaints about the limited training of the staff, which only changed with the hiring of a new matron, Miss Crisp, in 1883. Having trained in the new tradition of [[Florence Nightingale]], she is credited with turning the hospital from an 'old men with alcoholism institution' into a real hospital, and with instituting real nurse training.<ref name="GRAFT"/>
In 1877, a new building in an [[Italianate architecture|Italianate style]] was constructed for £25,000, designed by Philip Herepath, architect to the provincial government. Administered by T M Philson, the new hospital became known for taking on many charity cases but, partly in response, was also continually understaffed and overcrowded. There were also complaints about the limited training of the staff, which changed only with the hiring of a new matron, [[Annie Crisp]], in 1883.<ref>{{Cite web|last=|first=|date=2018|title=Auckland Hospital staff, 1880s|url=https://teara.govt.nz/en/photograph/27546/auckland-hospital-staff-1880s|url-status=live|access-date=2021-07-18|website=teara.govt.nz|language=en|archive-url=https://web.archive.org/web/20180217022121/https://teara.govt.nz/en/photograph/27546/auckland-hospital-staff-1880s |archive-date=2018-02-17 }}</ref> Having trained in the new tradition of [[Florence Nightingale]], she is credited with turning the hospital from an 'old men with alcoholism institution' into a real hospital and instituting real nurse training.<ref name="GRAFT"/> Her title was Lady Superintendent and she was awarded the Royal Red Cross in 1894.<ref>{{Cite web|title=First royal honour for New Zealand woman|url=https://nzhistory.govt.nz/page/royal-honour-awarded-nz-woman-first-time|access-date=2021-07-18|website=nzhistory.govt.nz|language=en}}</ref>


===Modern times===
===Current buildings===
[[File:Auckland City Hospital 02.jpg|thumb|The older part of Auckland City Hospital, now the support building, as seen from the [[Auckland Domain]]. Visible in front is the smokestack of the complex's central heating.]]
The Herepath building was demolished in 1964 to make way for a new structure designed by architects [[Stephenson and Turner|Stephenson & Turner]], which was completed in 1967, and still remains.<ref name="GRAFT">[http://www.grafton.org.nz/grafton-residents-association-auckland-new-zealand/our-community/past/historical-articles/the-history-of-auckland-hospital/ Auckland Hospital] (from the Grafton Residents Association website)</ref>
The Herepath building was demolished in 1964 to make way for a new structure designed by architects [[Stephenson and Turner|Stephenson & Turner]], which was completed in 1967, and still remains.<ref name="GRAFT">[http://www.grafton.org.nz/grafton-residents-association-auckland-new-zealand/our-community/past/historical-articles/the-history-of-auckland-hospital/ Auckland Hospital] {{Webarchive|url=https://web.archive.org/web/20160122111110/http://www.grafton.org.nz/grafton-residents-association-auckland-new-zealand/our-community/past/historical-articles/the-history-of-auckland-hospital/ |date=2016-01-22 }} (from the Grafton Residents Association website)</ref>


During the health reforms of the New Zealand health system in the early 1990s, Auckland Hospital was run as a business - in the model of [[State-Owned Enterprises of New Zealand|state-owned enterprises of New Zealand]], i.e. with the instruction to return a profit. In accordance with this policy, Auckland Hospital was officially known as ''Auckland Crown Health Enterprise''.
During the health reforms of the New Zealand health system in the early 1990s, Auckland Hospital was run as a business - in the model of [[State-Owned Enterprises of New Zealand|state-owned enterprises of New Zealand]], i.e. with the instruction to return a profit. In accordance with this policy, Auckland Hospital was officially known as ''Auckland Crown Health Enterprise''.
<ref>''Big Bang and the Policy Prescription: Health Care Meets the Market in New Zealand'' - Gauld, R. D. C., ''Journal of Health Politics, Policy and Law'', 25(5), 2000, Pages 815–844</ref>
<ref>''Big Bang and the Policy Prescription: Health Care Meets the Market in New Zealand'' - Gauld, R. D. C., ''Journal of Health Politics, Policy and Law'', 25(5), 2000, Pages 815–844</ref>


The current hospital facility, opened in 2003, is an amalgam of four previously separate hospitals: Auckland Hospital (acute adult care), Starship (acute children's care), Green Lane Hospital (cardio-thoracic care) and National Women's Hospital (maternity, newborn and [[obstetrics and gynecology]]<ref name="Medical"/>
The current hospital facility, opened in 2003, is an amalgam of four previously separate hospitals: Auckland Hospital (acute adult care), Starship (acute children's care), Green Lane Hospital (cardio-thoracic care) and National Women's Hospital (maternity, newborn and [[obstetrics and gynecology]]).<ref name="Medical"/>


The hospital is situated in a NZ$180 million building which was built between 2000 and 2003.<ref name="Fletcher">[http://www.fletcherconstruction.co.nz/project/96 Auckland City Hospital] {{wayback|url=http://www.fletcherconstruction.co.nz/project/96 |date=20061214121043 }} (from the project database of [[Fletcher Construction]])</ref> It is nine levels high (ten including plant), five levels less than the older part of the hospital, which has now become the support building. The new structure with 75,575 m² <ref name="Fletcher"/> is one of New Zealand's largest public buildings. It was designed by [[Jasmax]] in conjunction with McConnel Smith and Johnson Architects Sydney, and built by [[Fletcher Construction]].<ref>[http://www.adhb.govt.nz/ach/ach.htm Auckland City Hospital] {{wayback|url=http://www.adhb.govt.nz/ach/ach.htm |date=20070109170333 }} (from the Auckland City Hospital Website)</ref>
The hospital is situated in a NZ$180 million building which was built between 2000 and 2003.<ref name="Fletcher">[http://www.fletcherconstruction.co.nz/project/96 Auckland City Hospital] {{webarchive |url=https://web.archive.org/web/20061214121043/http://www.fletcherconstruction.co.nz/project/96 |date=December 14, 2006 }} (from the project database of [[Fletcher Construction]])</ref> It is nine levels high (ten including plant), five levels less than the older part of the hospital, which has now become the support building. The new structure with 75,575 m<sup>2</sup> <ref name="Fletcher"/> is one of New Zealand's largest public buildings. It was designed by [[Jasmax]] in conjunction with McConnel Smith and Johnson Architects Sydney, and built by [[Fletcher Construction]].<ref>[http://www.adhb.govt.nz/ach/ach.htm Auckland City Hospital] {{webarchive |url=https://web.archive.org/web/20070109170333/http://www.adhb.govt.nz/ach/ach.htm |date=January 9, 2007 }} (from the Auckland City Hospital Website)</ref>

From 2001 until 2022, Auckland City Hospital was part of Auckland District Health Board. On 1 July 2022 [[Health New Zealand|Te Whatu Ora – Health New Zealand]] and [[Māori Health Authority|Te Aka Whai Ora – Māori Health Authority]] became Aotearoa’s new national health authorities and Auckland DHB as an entity was disestablished and became part of Health New Zealand.


==Facilities==
==Facilities==
Line 70: Line 71:


* Level 01 - Clinical record & [[medical waste]] / waste storage
* Level 01 - Clinical record & [[medical waste]] / waste storage
* Level 02 - Children’s & adults [[emergency department]]s
* Level 02 - Children's & adults [[emergency department]]s
* Level 03 - [[Cardiology]] general and specialist wards
* Level 03 - [[Cardiology]] general and specialist wards
* Level 04 - [[Operating theatre]]s (7), [[intensive care unit]]s
* Level 04 - [[Operating theatre]]s (7), [[Hybrid operating room]] (1), [[intensive care unit]]s
* Level 05 - [[Radiology]] centre
* Level 05 - [[Radiology]] centre, acute stroke unit
* Level 06 - General medicine, [[dermatology]], [[infectious diseases]], [[oncology]] and [[haematology]] wards
* Level 06 - General medicine, [[dermatology]], [[infectious diseases]], [[oncology]] and [[haematology]] wards
* Level 07 - General surgery, [[Physical trauma|trauma]], [[orthopaedic]], [[rheumatology]], [[gastroenterology]], [[urology]] and [[Respiratory medicine|respiratory]] wards
* Level 07 - General surgery, [[Physical trauma|trauma]], [[orthopaedic]], [[rheumatology]], [[gastroenterology]], [[urology]] and [[Respiratory medicine|respiratory]] wards
* Level 08 - Operating theatres (13), [[neurology]], [[neurosurgery]] wards, department of critical care medicine
* Level 08 - Operating theatres (13), [[neurology]], [[neurosurgery]] wards, department of critical care medicine
* Level 09 - Operating theatres (3), [[prenatal|pre-]] and [[postnatal]] care, [[neonatal intensive care unit]]s
* Level 09 - Operating theatres (4), [[prenatal|pre-]] and [[postnatal]] care, [[neonatal intensive care unit]]s
* Level 10 - [[Physical plant|Plant rooms]] (air conditioning etc...)
* Level 10 - [[Physical plant|Plant rooms]] (air conditioning etc...)


The support building (old hospital) mostly contains administrative offices, clinical and housekeeping support, [[physiotherapy|physio-]] and [[occupational therapy]], some inpatient and outpatient services as well as teaching and research facilities. The support building is a central part of the hospital complex and is linked to the new building section by a skywalk.<ref>[http://www.adhb.govt.nz/ACH/ach-old.htm Auckland City Hospital: Our History] {{wayback|url=http://www.adhb.govt.nz/ACH/ach-old.htm |date=20070227144616 }} (from the Auckland [[District Health Board]] website)</ref>
The support building (old hospital) mostly contains administrative offices, clinical and housekeeping support, [[physiotherapy|physio-]] and [[occupational therapy]], the bone marrow transplant ward, some inpatient and outpatient services as well as teaching and research facilities. The support building is a central part of the hospital complex and is linked to the new building section by a skywalk.<ref>[http://www.adhb.govt.nz/ACH/ach-old.htm Auckland City Hospital: Our History] {{webarchive |url=https://web.archive.org/web/20070227144616/http://www.adhb.govt.nz/ACH/ach-old.htm |date=February 27, 2007 }} (from the Auckland [[District Health Board]] website)</ref>


==See also==
==See also==
Line 92: Line 93:


==External links==
==External links==
* [https://web.archive.org/web/20080515023044/http://www.adhb.govt.nz:80/about/ach/ach.htm Auckland City Hospital] (hospital website)
* [http://www.adhb.health.nz/patients-and-visitors/hospitals-and-clinics/auckland-city-hospital/ Auckland City Hospital] (Auckland DHB website)
* [http://www.healthpoint.co.nz/default,31955.sm Auckland City Hospital] (database entry on healthpoint.co.nz website)
* [http://www.healthpoint.co.nz/default,31955.sm Auckland City Hospital] (database entry on healthpoint.co.nz website)
* [http://www.aucklandcity.govt.nz/dbtw-wpd/exec/dbtwpub.dll?AC=SEE_ALSO&QF0=Subjects&QI0==%22Auckland+Hospital%22&XC=/dbtw-wpd/exec/dbtwpub.dll&BU=http%3A%2F%2Fwww.aucklandcity.govt.nz%2Fdbtw-wpd%2Fheritageimages%2Findex.htm&TN=heritageimages&SN=AUTO16106&SE=747&RN=0&MR=20&TR=0&TX=1000&ES=0&CS=1&XP=&RF=HIOReport&EF=&DF=HIORecord&RL=0&EL=0&DL=0&NP=2&ID=&MF=WPEngMsg.ini&MQ=&TI=0&DT=&ST=0&IR=890&NR=1&NB=0&SV=0&SS=1&BG=&FG=&QS=index&OEX=ISO-8859-1&OEH=ISO-8859-1 Photographs of Auckland City Hospital] held in [[Auckland Libraries|Auckland Libraries']] heritage collections.
* [http://www.aucklandcity.govt.nz/dbtw-wpd/exec/dbtwpub.dll?AC=SEE_ALSO&QF0=Subjects&QI0==%22Auckland+Hospital%22&XC=/dbtw-wpd/exec/dbtwpub.dll&BU=http%3A%2F%2Fwww.aucklandcity.govt.nz%2Fdbtw-wpd%2Fheritageimages%2Findex.htm&TN=heritageimages&SN=AUTO16106&SE=747&RN=0&MR=20&TR=0&TX=1000&ES=0&CS=1&XP=&RF=HIOReport&EF=&DF=HIORecord&RL=0&EL=0&DL=0&NP=2&ID=&MF=WPEngMsg.ini&MQ=&TI=0&DT=&ST=0&IR=890&NR=1&NB=0&SV=0&SS=1&BG=&FG=&QS=index&OEX=ISO-8859-1&OEH=ISO-8859-1 Photographs of Auckland City Hospital] held in [[Auckland Libraries|Auckland Libraries']] heritage collections.
⚫
{{coord|-36.860549|174.76995|format=dms|type:landmark_region:NZ|display=title}}


{{Hospitals in New Zealand}}
{{Grafton, New Zealand}}
{{Authority control}}
⚫
{{Coord|-36.860549|174.76995|format=dms|type:landmark_region:NZ|display=title}}

[[Category:Grafton, New Zealand]]
[[Category:Hospital buildings completed in 1846]]
[[Category:Hospital buildings completed in 1846]]
[[Category:Hospital buildings completed in 1877]]
[[Category:Hospital buildings completed in 1877]]

Latest revision as of 01:36, 24 July 2024

Auckland City Hospital
Te Whatu Ora - Te Toka Tumai Auckland
The new 2003 section of the hospital
Map
Geography
LocationGrafton, Auckland, Auckland, New Zealand
Organisation
FundingPublic hospital
TypeGeneral, Teaching
Affiliated universityUniversity of Auckland Faculty of Medical and Health Sciences
Services
Emergency departmentYes
Beds1,171[1]
HelipadYes
History
Opened1846
Links
WebsiteOfficial Website
ListsHospitals in New Zealand

Auckland City Hospital is a public hospital located in Grafton, Auckland, New Zealand. It is the largest hospital in New Zealand,[2] as well as one of the oldest medical facilities in the country. It provides a total of 1,165 beds (as of 2021).[1] It was established in 2003 as an amalgam of Auckland Hospital (acute adult care), Starship Hospital (acute children's care), Green Lane Hospital (cardio-thoracic care) and National Women's Hospital (maternity, newborn and obstetrics and gynecology). Public hospitals in Auckland have been run by Te Whatu Ora – Health New Zealand since 2022.

Importance

[edit]

The emergency department alone sees about 47,000 patients annually (over 55,000 as of 2008),[3] of which 44% are treated as in-patients. Colocated with its emergency department is the Starship Hospital children's emergency department, which sees another 30,000 patients annually, making the campus one of the busiest in Australasia.[4]

The hospital is a research and teaching facility as well, providing training for future doctors, nurses, midwives and other health professionals. Rare or complex medical conditions from all over New Zealand may get referred here. The hospital is closely associated with Starship Children's Health, a separate subsidiary facility on the same grounds, located just to the northwest of the City Hospital. The hospital is adjacent to Auckland Medical School.

History

[edit]

Previous buildings

[edit]
Auckland Hospital, 1910

Initially, the Auckland Hospital was housed in a timber building which occupied the Auckland City Hospital site from 1846 to 1877, providing four wards of 10 beds each, and having been designed by Frederick Thatcher, the architect of the St Mary's Church in Parnell. The hospital treated both Europeans and Māori, though the diseases were different, with the Pakeha treated mostly for the effects of alcohol abuse, while the Māori came for tuberculosis and rheuma treatment.[5] Thomas Moore Philson was superintendent of the hospital from 1859 to 1883.[6]

In 1877, a new building in an Italianate style was constructed for £25,000, designed by Philip Herepath, architect to the provincial government. Administered by T M Philson, the new hospital became known for taking on many charity cases but, partly in response, was also continually understaffed and overcrowded. There were also complaints about the limited training of the staff, which changed only with the hiring of a new matron, Annie Crisp, in 1883.[7] Having trained in the new tradition of Florence Nightingale, she is credited with turning the hospital from an 'old men with alcoholism institution' into a real hospital and instituting real nurse training.[5] Her title was Lady Superintendent and she was awarded the Royal Red Cross in 1894.[8]

Current buildings

[edit]
The older part of Auckland City Hospital, now the support building, as seen from the Auckland Domain. Visible in front is the smokestack of the complex's central heating.

The Herepath building was demolished in 1964 to make way for a new structure designed by architects Stephenson & Turner, which was completed in 1967, and still remains.[5]

During the health reforms of the New Zealand health system in the early 1990s, Auckland Hospital was run as a business - in the model of state-owned enterprises of New Zealand, i.e. with the instruction to return a profit. In accordance with this policy, Auckland Hospital was officially known as Auckland Crown Health Enterprise. [9]

The current hospital facility, opened in 2003, is an amalgam of four previously separate hospitals: Auckland Hospital (acute adult care), Starship (acute children's care), Green Lane Hospital (cardio-thoracic care) and National Women's Hospital (maternity, newborn and obstetrics and gynecology).[2]

The hospital is situated in a NZ$180 million building which was built between 2000 and 2003.[10] It is nine levels high (ten including plant), five levels less than the older part of the hospital, which has now become the support building. The new structure with 75,575 m2 [10] is one of New Zealand's largest public buildings. It was designed by Jasmax in conjunction with McConnel Smith and Johnson Architects Sydney, and built by Fletcher Construction.[11]

From 2001 until 2022, Auckland City Hospital was part of Auckland District Health Board. On 1 July 2022 Te Whatu Ora – Health New Zealand and Te Aka Whai Ora – Māori Health Authority became Aotearoa’s new national health authorities and Auckland DHB as an entity was disestablished and became part of Health New Zealand.

Facilities

[edit]

The following information are excerpts from the construction company's database:[10]

The support building (old hospital) mostly contains administrative offices, clinical and housekeeping support, physio- and occupational therapy, the bone marrow transplant ward, some inpatient and outpatient services as well as teaching and research facilities. The support building is a central part of the hospital complex and is linked to the new building section by a skywalk.[12]

See also

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References

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  1. ^ a b "Auckland City Hospital". Ministry of Health NZ. 24 October 2021. Retrieved 24 October 2021.
  2. ^ a b Largest hospital in New Zealand... - News-Medical.Net, Tuesday 29 June 2004
  3. ^ Gridlock on the hospital frontline - The New Zealand Herald, Sunday 24 August 2008
  4. ^ Department of Emergency Medicine Archived July 12, 2007, at the Wayback Machine (from the official department website. Retrieved 2008-08-22.)
  5. ^ a b c Auckland Hospital Archived 2016-01-22 at the Wayback Machine (from the Grafton Residents Association website)
  6. ^ Erlam, H. D. "Thomas Moore Philson". Dictionary of New Zealand Biography. Ministry for Culture and Heritage. Retrieved 23 April 2017.
  7. ^ "Auckland Hospital staff, 1880s". teara.govt.nz. 2018. Archived from the original on 2018-02-17. Retrieved 2021-07-18.
  8. ^ "First royal honour for New Zealand woman". nzhistory.govt.nz. Retrieved 2021-07-18.
  9. ^ Big Bang and the Policy Prescription: Health Care Meets the Market in New Zealand - Gauld, R. D. C., Journal of Health Politics, Policy and Law, 25(5), 2000, Pages 815–844
  10. ^ a b c Auckland City Hospital Archived December 14, 2006, at the Wayback Machine (from the project database of Fletcher Construction)
  11. ^ Auckland City Hospital Archived January 9, 2007, at the Wayback Machine (from the Auckland City Hospital Website)
  12. ^ Auckland City Hospital: Our History Archived February 27, 2007, at the Wayback Machine (from the Auckland District Health Board website)
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36°51′38″S 174°46′12″E / 36.860549°S 174.76995°E / -36.860549; 174.76995

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