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Speaker 1: Good news for Topel. It's the first North Island hospital

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Speaker 1: being given accreditation to train rural doctors and the Health

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Speaker 1: Minister Simon Brown is with us. Now, Hey, Simon, I

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Speaker 1: we are having bad luck with the phones, aren't we Anyway,

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Speaker 1: Simy and Brabe. We'll try and get him up or

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Speaker 1: everybody's just turned into Burmer's today. We'll try and get

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Speaker 1: Simmy and Brown up and he'll be with us shortly.

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Speaker 1: Keep heller do see Alan, I think we may have

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Speaker 1: Simmy and Brown with us right now. So many are there?

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Speaker 2: Yes, I'm here, Sorry about that.

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Speaker 1: That's okay. It's happened a lot today.

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Speaker 2: I'm just driving back from road.

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Speaker 1: Will are you doing Awayne Brown? Or are you your

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Speaker 1: hands free?

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Speaker 2: No? I'm I'm being driven.

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Speaker 1: Oh, I see much better even now listen, why have

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Speaker 1: you picked Topel?

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Speaker 2: Look, this is a process that the hospital has gone

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Speaker 2: through to get accredited. That's quite a rigorous process to

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Speaker 2: be accredited for this training pathway. And what it means

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Speaker 2: for that hospital now is that they are able to

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Speaker 2: attract specialists who were special generals who work in rural

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Speaker 2: medicine to that hospital as part of the Australian College

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Speaker 2: of rural and remote medicine and that opens up a

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Speaker 2: whole another pool of potential doctors who can go and

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Speaker 2: work in that hospital. And so this is the first

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Speaker 2: hospital in the North Island which has achieved that accreditation.

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Speaker 2: My hope is that Health News animal continue and expectations

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Speaker 2: they'll continue for further hospitals in our rural settings to

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Speaker 2: be able to get this accreditation so that we can

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Speaker 2: get the workforce we need into those rural hospitals, which

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Speaker 2: is really important.

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Speaker 1: How have they I mean, how do you do this

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Speaker 1: at toepl if Topal doesn't even have it has about

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Speaker 1: a third of the senior doctor's positions filled at the moment.

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Speaker 1: How can they possibly train these doctors coming in or

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Speaker 1: is it not the senior doctors doing the training.

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Speaker 2: Well, it's part of the Australian College of Rural Remote Medicine.

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Speaker 2: It's about making sure they've they've got the ability to

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Speaker 2: be accredited, means they're able to then train and yes,

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Speaker 2: of course there is challenges there at the hospital at

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Speaker 2: the moment, but this opens up a new workforce to

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Speaker 2: them that they are able to bring it and bring

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Speaker 2: into access to come to New Zealand. Whether that's trainees

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Speaker 2: or whether that's fellows, and that means they're able to

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Speaker 2: then stabilize that workforce and actually attract it's it's not.

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Speaker 1: Just about bringing the trainees, and it also attracts the

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Speaker 1: people who will do the training.

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Speaker 2: That's right. So it opens that ability up for that

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Speaker 2: hospital to be used as that that site in the

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Speaker 2: North Island. This model is used in the South Island

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Speaker 2: at Gray Hospital and Graymouse very effectively. It's meant they've

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Speaker 2: been able to attract and retain these doctors into that

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Speaker 2: area and actually see a reduction of locoms, which ultimately

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Speaker 2: means a more stable workforce, a more continuous care for

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Speaker 2: that community. And to be able to retain those doctors

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Speaker 2: really important to provide that level of service. So this

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Speaker 2: is a really important step forward for this hospital and

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Speaker 2: it's really important we use these types of models to

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Speaker 2: be able to attract and retain these doctors into these

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Speaker 2: communities which are hard to staff.

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Speaker 1: So I mean, is the strike still on for Thursday?

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Speaker 2: Well, unfortunately it is. I've been very clear in my

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Speaker 2: views on this. Our senior doctors play a really important

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Speaker 2: and critical role in our hospitals, but this is going

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Speaker 2: to have a significant impact on the care of thousands

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Speaker 2: of patients who have been waiting too long for care.

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Speaker 2: Have operations, neo operations, character operations are going to be

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Speaker 2: a delayed, about four and a half thousand of them.

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Speaker 2: Health New Zealand did put a new offer on the

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Speaker 2: table on Thursday which addressed a number of the key

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Speaker 2: concerns that the union raised, including twenty five thousand dollars

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Speaker 2: bonding payments for senior doctors taking up positions in hard

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Speaker 2: to staff rural hospitals. The union has decided not to

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Speaker 2: put that offer back to its members to let them

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Speaker 2: decide whether to accept it rather than strike. I would

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Speaker 2: have thought that would have been the right approach in

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Speaker 2: order to allow the unions to make that the members

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Speaker 2: to make that decision. The unions decided not to, and

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Speaker 2: that means the care of thousands of patients is going

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Speaker 2: to be delayed unfortunately.

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Speaker 1: I mean, you're a very good politician, so you're doing

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Speaker 1: a very good job of selling of certainly you know,

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Speaker 1: fighting this in public, but ultimately are you're not just

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Speaker 1: going to have to pony up the cash because otherwise

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Speaker 1: we're just not going to have enough doctors.

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Speaker 2: Well, we have more doctors working in New Zealand and

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Speaker 2: Health New Zealand now than when we came to government,

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Speaker 2: more nurses and now we came to government and yes,

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Speaker 2: and we've put a new offer on table on Thursday

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Speaker 2: last week and the union had the weekend.

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Speaker 1: So the other way for you to solve this other

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Speaker 1: than to just pony up cash and pay these people more.

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Speaker 2: Well, and it was an improved offer. It was an

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Speaker 2: improved offer and it addressed the number of the key

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Speaker 2: concerns such as as they're bonding for senior doctors in

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Speaker 2: hard to staff hospitals as twenty five thousand payment to

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Speaker 2: bond those doctors there for two years, and included removing

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Speaker 2: the bottom three rungs of the pay for senior doctors.

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Speaker 2: They don't get a pay cut when they become a

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Speaker 2: senior doctor from a junior doctor. It addressed a number

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Speaker 2: of their key concerns and the right thing for the

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Speaker 2: union to do it have been to put the offer

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Speaker 2: back to its members to let them decide whether to

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Speaker 2: accept it or not, rather than for them to unilaterally

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Speaker 2: decide to continue with strike action, which is going to

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Speaker 2: see thousands of patients who have been waiting too long,

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Speaker 2: have their key cans let's be waiting for hip operations,

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Speaker 2: knee operations, charact operations, or just their first special assessments.

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Speaker 2: They are now going to have that further delayed, which

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Speaker 2: I find frankly unacceptable.

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Speaker 1: Listen, Samon, thank you very much for your time. Appreciate

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Speaker 1: Simon Brown, the Minister of Health.

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Speaker 2: For more from Hither Duplessy Allen Drive listen live to

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Speaker 2: news Talks.

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Speaker 1: It'd be from four pm weekdays, or follow the podcast

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