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Speaker 1: We're going to get more detail today, apparently on the

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Speaker 1: government's health targets fiber unveiled back in March. If you remember,

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Speaker 1: they focused on cancer treatment, immunizations, eedy time, specialist appointments

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Speaker 1: and elective surgeries. Today is about how we do that,

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Speaker 1: how do we reach those goals? What's needed? Royal New

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Speaker 1: Zealand College of GP's medical director Luke Bradford with US

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Speaker 1: Morning Morning Mike, broadly speaking, what they're looking to do

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Speaker 1: the government on health. Do you get it? Does it

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Speaker 1: seem real? Is it achievable?

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Speaker 2: I do get it. It makes sense to have some targets

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Speaker 2: that people, especially if public, can relate to and the

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Speaker 2: system can work towards achievable. Yes, that we're a long

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Speaker 2: way off at the moment.

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Speaker 1: Do you shame Ritti's quoted this morning is saying he

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Speaker 1: can't guarantee these targets won't be gained by the sector.

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Speaker 1: I think the references there are people working against them.

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Speaker 1: Do you see that or feel that in your particular

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Speaker 1: area or not?

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Speaker 2: No, No, I don't think it's that people are working

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Speaker 2: against them. I think it's that without the tools to

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Speaker 2: actually deliver and make them achievable, people look at other options.

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Speaker 2: So traditionally one of the ways you manage waiting list

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Speaker 2: is to just accept less people onto them. And actually

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Speaker 2: that's not what the idea of the target would be.

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Speaker 2: It would be that people who need see and are

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Speaker 2: seen in a reasonable time. But one way to do

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Speaker 2: it is to just take.

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Speaker 1: Less on how much of it's about money when you

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Speaker 1: talk about these tools, how much of it about straight

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Speaker 1: up and down hift of money versus the 's inefficiencies

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Speaker 1: in the system that we can tweak.

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Speaker 2: Yeah, there's definitely an efficiency look at the ED thing,

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Speaker 2: and there is some stuff around patient flow, but a

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Speaker 2: lot of that is actually on how do you get

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Speaker 2: patients out of possible once they've been there, especially into

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Speaker 2: a nursing home system, and how to stop them from

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Speaker 2: arriving in d in the first place. So getting them

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Speaker 2: seen in a timely way and looked after in general practice,

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Speaker 2: it's not all that needs investment. That there are efficiencies

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Speaker 2: too that can.

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Speaker 1: Happen, okay, And so how do you see it from

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Speaker 1: your side of the sector, the GP sector, And so

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Speaker 1: you see more people, you treat them earlier, they don't

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Speaker 1: get to ED. All of the seems to have been

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Speaker 1: jawboned for about a hundred years, and yet it doesn't

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Speaker 1: seem to be changing, is it.

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Speaker 2: No? I mean, we've talked about it. The evidence is

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Speaker 2: really clear. It's global literature that if you look after people,

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Speaker 2: we have a continuity of care, a regular relationship where

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Speaker 2: you get far less admissions need for bed less people

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Speaker 2: needing operations. And we're like, but it's a big jump

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Speaker 2: to do it. People won't make that jump.

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Speaker 1: Do you think someone like Ritty being from the sector,

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Speaker 1: actually does get it, has a good intent or he

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Speaker 1: knows secretly that's part of the answer, but just can't

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Speaker 1: do it. What's your view?

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Speaker 2: I think he knows it's part of the answer. He's

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Speaker 2: certainly he's a GP, he's lived and worked that, but

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Speaker 2: I think trying to move the system into making those

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Speaker 2: changes is difficult for him.

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Speaker 1: Are you optimistic?

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Speaker 2: Good? All? Yeah? Yeah I am, because I actually think

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Speaker 2: there's some really good people working in the jobs and

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Speaker 2: doing their best for the patients and we're carry on

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Speaker 2: delivering there.

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Speaker 1: All right, Look, appreciate it. Look Bradford down to the

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Speaker 1: Royal and New Zealand College of GPS.

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