1 00:00:00,120 --> 00:00:02,400 Speaker 1: Health new Zealand has released the first of its quarterly 2 00:00:02,440 --> 00:00:05,600 Speaker 1: performance reports. It's winning with two of the measures. It's 3 00:00:05,640 --> 00:00:08,440 Speaker 1: gone backwards on to Health New Zealand's chief executive is 4 00:00:08,480 --> 00:00:14,240 Speaker 1: Marjorie upper Morning, Margie Apartments, you're winning with the shorter 5 00:00:14,280 --> 00:00:17,040 Speaker 1: wait times for elective elective treatment. What's going on with 6 00:00:17,079 --> 00:00:20,040 Speaker 1: the specialist appointment waiting time blowing out like it has? 7 00:00:21,280 --> 00:00:24,040 Speaker 2: Well, that's a real challenge because we have, of course, 8 00:00:24,720 --> 00:00:27,240 Speaker 2: it's a bit like a tank, more people coming in 9 00:00:27,360 --> 00:00:31,720 Speaker 2: or being referred into specialist assessments than people being referred 10 00:00:31,760 --> 00:00:34,040 Speaker 2: and then moved on to either treatment or back to 11 00:00:34,120 --> 00:00:37,159 Speaker 2: primary care. So that is a volume challenge that we 12 00:00:37,200 --> 00:00:39,040 Speaker 2: do need to try to get on top of. 13 00:00:39,400 --> 00:00:41,480 Speaker 1: Do you think it's even worse than that looks here, 14 00:00:41,520 --> 00:00:43,800 Speaker 1: because we've heard that some specialists are not even adding 15 00:00:43,800 --> 00:00:47,680 Speaker 1: people to the waiting list because it's already so Choker, well. 16 00:00:47,560 --> 00:00:50,360 Speaker 2: That's cool that maybe I'm true because we are looking 17 00:00:50,400 --> 00:00:56,280 Speaker 2: into the GP referrals that are declined because our services 18 00:00:56,280 --> 00:00:58,640 Speaker 2: believe they don't have a capacity, and it's really important 19 00:00:58,720 --> 00:01:01,760 Speaker 2: that we do accept patients to meet the clinical criteria 20 00:01:01,800 --> 00:01:04,520 Speaker 2: for a service, and actually the capacity issue of something 21 00:01:04,520 --> 00:01:06,319 Speaker 2: we need to work on as a service. 22 00:01:06,600 --> 00:01:08,280 Speaker 1: So why are they doing this, by the way, I mean, 23 00:01:08,520 --> 00:01:10,760 Speaker 1: why not take them on just add them to the 24 00:01:10,800 --> 00:01:12,120 Speaker 1: bottom of the list? Why say no? 25 00:01:13,400 --> 00:01:17,160 Speaker 2: Oh, look, I think our services feel quite challenged by 26 00:01:17,680 --> 00:01:20,720 Speaker 2: taking on patients and they're not being able to offer 27 00:01:20,760 --> 00:01:23,120 Speaker 2: them certainty and where they can book an appointment. And 28 00:01:23,160 --> 00:01:24,920 Speaker 2: this is a practice set's been going on in some 29 00:01:24,959 --> 00:01:28,480 Speaker 2: hospitals for many years. So we actually want to find 30 00:01:28,520 --> 00:01:30,959 Speaker 2: some light on that properly and look that in many 31 00:01:31,000 --> 00:01:33,959 Speaker 2: cases actually working with primary care to support them with 32 00:01:34,000 --> 00:01:38,000 Speaker 2: some more tools like diagnostics, or actually funding them to 33 00:01:38,040 --> 00:01:42,240 Speaker 2: actually get engaged in providing some other specialist support. You know, 34 00:01:42,240 --> 00:01:44,200 Speaker 2: there are lots of solutions that we could look at 35 00:01:44,240 --> 00:01:45,000 Speaker 2: to try to address that. 36 00:01:45,120 --> 00:01:46,720 Speaker 1: Yeah. Now, the second thing that you guys are going 37 00:01:46,720 --> 00:01:49,480 Speaker 1: backwards on is the immunization rates for kids around about 38 00:01:49,520 --> 00:01:51,080 Speaker 1: two years old. What's going on here? 39 00:01:52,280 --> 00:01:55,120 Speaker 2: Yeah, that's really stubborn and you know, we've got to 40 00:01:55,400 --> 00:01:58,600 Speaker 2: do a lot of work to get confidence back in 41 00:01:58,640 --> 00:02:02,280 Speaker 2: immunization is COVID. But there is some hope we have 42 00:02:02,320 --> 00:02:06,040 Speaker 2: a massive uplift and patussus boosters to deal that at 43 00:02:06,080 --> 00:02:07,800 Speaker 2: the moment. And so we do think that if we're 44 00:02:08,320 --> 00:02:12,320 Speaker 2: Our job is to get the information out, tell our patients, 45 00:02:12,320 --> 00:02:15,160 Speaker 2: get trusted people into communities to let them know that 46 00:02:15,200 --> 00:02:17,640 Speaker 2: these vaccines are safe. You know, we know that that 47 00:02:17,480 --> 00:02:20,440 Speaker 2: is that has booken in Potassas as we since November, 48 00:02:20,960 --> 00:02:23,160 Speaker 2: and you know we need to apply that across the country. 49 00:02:23,320 --> 00:02:24,120 Speaker 1: Is this a COVID thing? 50 00:02:24,280 --> 00:02:24,480 Speaker 2: Is this? 51 00:02:24,639 --> 00:02:27,120 Speaker 1: Is this a result of people not wanting you know, 52 00:02:27,280 --> 00:02:30,440 Speaker 1: forcing the jab on people during COVID, them not wanting that, 53 00:02:30,560 --> 00:02:32,320 Speaker 1: them going down the rabbit hole and now they've gone 54 00:02:32,320 --> 00:02:33,400 Speaker 1: off all jabs altogether. 55 00:02:34,880 --> 00:02:37,200 Speaker 2: Well, it's certainly what there's some of the surveys and 56 00:02:37,440 --> 00:02:41,680 Speaker 2: feedba we've had from consumer groups tell us that there 57 00:02:41,760 --> 00:02:45,320 Speaker 2: is this trust in vaccines in general because of COVID. 58 00:02:45,400 --> 00:02:47,840 Speaker 2: But you know, I need to remind people these vaccines 59 00:02:47,919 --> 00:02:51,280 Speaker 2: are well proven of them. We've been using them for 60 00:02:51,320 --> 00:02:53,640 Speaker 2: a long time in our health systems. The evidence is 61 00:02:53,639 --> 00:02:56,760 Speaker 2: pretty sound and so you know that the it's really 62 00:02:56,800 --> 00:02:59,080 Speaker 2: important that we do rebuild that trust. Yeah. 63 00:02:59,120 --> 00:03:01,240 Speaker 1: I mean it's not work saying that though, is it? 64 00:03:01,280 --> 00:03:04,080 Speaker 1: Because that's what Jasinda said about the vaccine and then 65 00:03:04,160 --> 00:03:06,400 Speaker 1: and then and then people kind of felt the opposite 66 00:03:06,400 --> 00:03:09,240 Speaker 1: about it. Is we probably lost them, haven't we? 67 00:03:09,240 --> 00:03:11,400 Speaker 2: Well, there are some that and and we are keeping 68 00:03:11,400 --> 00:03:13,720 Speaker 2: a close eye on the decline rates because we do 69 00:03:13,840 --> 00:03:16,200 Speaker 2: count to the people who are offered a vaccine and 70 00:03:16,200 --> 00:03:18,280 Speaker 2: then have declined, and then we want to understand why. 71 00:03:18,320 --> 00:03:21,600 Speaker 2: And it varies around the country. But certainly we've also 72 00:03:21,680 --> 00:03:24,000 Speaker 2: learned and communities have told us and we who also 73 00:03:24,080 --> 00:03:26,880 Speaker 2: learned this through COVID. If there's a trust person that 74 00:03:26,960 --> 00:03:30,000 Speaker 2: comes into your community, whether it's the mud, I know 75 00:03:30,080 --> 00:03:33,880 Speaker 2: that that as somebody who actually you know, is informed 76 00:03:34,040 --> 00:03:38,120 Speaker 2: and trained, that can be really helpful. The other opportunity 77 00:03:38,200 --> 00:03:41,680 Speaker 2: we're opening up as other people being able to vaccinel vaccinated. 78 00:03:41,680 --> 00:03:44,320 Speaker 2: So we've got pharmacies training to do. You know, there 79 00:03:44,320 --> 00:03:46,000 Speaker 2: are over two hundred now who can do a whole 80 00:03:46,040 --> 00:03:50,680 Speaker 2: of life vaccination, including under two midwives and vaccinates, but 81 00:03:50,720 --> 00:03:53,560 Speaker 2: also Plunket, So we're really pleased to see Plunkett joining 82 00:03:53,600 --> 00:03:54,960 Speaker 2: the vaccination team. 83 00:03:55,000 --> 00:03:56,960 Speaker 1: That be helpful. Are you getting a break to see. 84 00:03:56,760 --> 00:04:02,120 Speaker 2: You, Yes, yes, Sam, looking forward to finishing work early 85 00:04:02,200 --> 00:04:02,600 Speaker 2: next week. 86 00:04:02,760 --> 00:04:04,680 Speaker 1: I feel like you deserve it, Margie, after all of 87 00:04:04,680 --> 00:04:06,720 Speaker 1: the year that you've been through. Merry Christmas and go well, 88 00:04:06,760 --> 00:04:10,040 Speaker 1: that's Marjorie upper Health, New Zealand Commissioner hither the issue 89 00:04:10,040 --> 00:04:12,600 Speaker 1: with immunization rates is the funding model for providers. I 90 00:04:12,680 --> 00:04:15,480 Speaker 1: call absolute bs on that. The reason I call bs 91 00:04:15,520 --> 00:04:17,960 Speaker 1: on that is because as you know, having a baby, 92 00:04:17,960 --> 00:04:21,400 Speaker 1: Michael is going to arrive next year, you know, in 93 00:04:21,440 --> 00:04:25,240 Speaker 1: like about five weeks time. Thank god, Lord let it 94 00:04:25,279 --> 00:04:28,680 Speaker 1: go fast. Anyway, So when baby before baby Michael arrived, 95 00:04:28,760 --> 00:04:31,880 Speaker 1: I you know, well recently before, in preparation of baby 96 00:04:31,880 --> 00:04:34,600 Speaker 1: Michael arriving, I got in touch with various members of 97 00:04:34,640 --> 00:04:36,240 Speaker 1: the family and I said, listen's probably been a little 98 00:04:36,240 --> 00:04:38,640 Speaker 1: while since you had your hooping cough up. Your jab. 99 00:04:38,720 --> 00:04:40,760 Speaker 1: JAB got to get it every five years or so, 100 00:04:41,040 --> 00:04:43,039 Speaker 1: and we've got a hoop and coffe epidemic going on, 101 00:04:43,120 --> 00:04:45,200 Speaker 1: So can you just go get yourself like, you know whatever. 102 00:04:45,240 --> 00:04:47,120 Speaker 1: So my mum went and got her jab a couple 103 00:04:47,160 --> 00:04:49,600 Speaker 1: of days ago, done the right thing. Two members of 104 00:04:49,640 --> 00:04:52,680 Speaker 1: the family, which probably means it impacts about six members 105 00:04:52,720 --> 00:04:54,760 Speaker 1: of the family are not going to get the hooping 106 00:04:54,800 --> 00:04:58,240 Speaker 1: cough jabs because they have gone all weird because of 107 00:04:58,520 --> 00:05:02,280 Speaker 1: the owner. They've all they've gone totally lost their trust 108 00:05:02,720 --> 00:05:04,640 Speaker 1: and jabs will not get the hooping cough jab. And 109 00:05:04,640 --> 00:05:07,240 Speaker 1: the only way around that is basically we can't see 110 00:05:07,240 --> 00:05:09,400 Speaker 1: them for six weeks because it's sort of like, well, 111 00:05:09,440 --> 00:05:11,280 Speaker 1: you could see them, but then you could end up 112 00:05:11,279 --> 00:05:12,720 Speaker 1: with a dead baby, and who wants that. So I 113 00:05:12,720 --> 00:05:15,160 Speaker 1: don't want baby Michael to die because because somebody in 114 00:05:15,200 --> 00:05:16,480 Speaker 1: the family didn't want to get a job. So I 115 00:05:16,520 --> 00:05:18,040 Speaker 1: call base on that. I think what's gone on? And 116 00:05:18,080 --> 00:05:20,440 Speaker 1: I think this is when you sit there and you 117 00:05:20,480 --> 00:05:22,400 Speaker 1: sit in judgment, and you go, we did the right thing, 118 00:05:22,520 --> 00:05:25,560 Speaker 1: forcing people to get the JAB and do the mandates. 119 00:05:25,680 --> 00:05:27,680 Speaker 1: Just ask yourself if it really was the right thing, 120 00:05:27,720 --> 00:05:29,640 Speaker 1: because now we've got a really big problem trying to 121 00:05:29,640 --> 00:05:32,640 Speaker 1: givince people that we're right when we say trust the 122 00:05:32,680 --> 00:05:35,720 Speaker 1: hooping cough jab and go and get it. The father 123 00:05:35,800 --> 00:05:37,760 Speaker 1: also needs to get it. But that's the problem. There 124 00:05:37,839 --> 00:05:41,640 Speaker 1: is not JAB resistance. It's just male and competence, isn't 125 00:05:41,680 --> 00:05:44,279 Speaker 1: it In terms of organizing a doctor's visit. For more 126 00:05:44,360 --> 00:05:47,440 Speaker 1: from the Mic Asking Breakfast, listen live to news talks. 127 00:05:47,440 --> 00:05:50,640 Speaker 1: It'd be from six am weekdays, or follow the podcast 128 00:05:50,680 --> 00:05:51,560 Speaker 1: on iHeartRadio.