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Speaker 1: There are questions over whether the budget funding for more

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Speaker 1: access to twenty four to seven urgent care clinics will

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Speaker 1: actually help if there aren't enough doctors to staff the

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Speaker 1: Hospital's Patient Voice outs here at or has published an

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Speaker 1: extensive list of the rural hospitals around the country that

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Speaker 1: are an urgent need of doctors, and some, it turns out,

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Speaker 1: have none at all. Malcolm will Holland's chair of Patient

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Speaker 1: Voice outs here a or A.

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Speaker 2: Hey Malcolm, Hi, Heather, Malcolm.

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Speaker 1: If we don't have doctors to keep these places running,

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Speaker 1: then what is the money going to do?

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Speaker 2: Yeah? Precisely. I don't have an answer to that.

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Speaker 3: I mean, I assume that they are looking to employ neurs,

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Speaker 3: practitioners and news prescribers and nurses. But even then you're

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Speaker 3: going to run into some problems because they're not going

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Speaker 3: to be able to diagnose every condition and many of

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Speaker 3: them will have.

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Speaker 2: To be referred on to the local Eed.

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Speaker 1: What about the paramedics, because apparently they will staff it two.

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Speaker 3: Yeah, I mean again, paramedics are probably great in dealing

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Speaker 3: with heart attacks and the like, but they're not trained

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Speaker 3: to doctors. And this is the problem that we've got.

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Speaker 3: Whether we're looking at GPS or specialists who operate within

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Speaker 3: our hospitals. We simply do not have enough.

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Speaker 1: How short are we?

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Speaker 3: Well, we're very short when it comes to GPS. Right

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Speaker 3: now we're about five hundred short and in a decade

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Speaker 3: or just under will be one thousand short and we

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Speaker 3: only produce one hundred and thirty and one hundred and forty.

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Speaker 3: So operating on the assumption that every single GP stays

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Speaker 3: in the country, we're still looking at five or so

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Speaker 3: years to catch up to our current shortage that we're

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Speaker 3: is that but is that now?

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Speaker 1: Is that a realistic way to work it out? Because

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Speaker 1: obviously not all our doctors stay here and actually we

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Speaker 1: do recruit quite a fair a few from overseas, don't.

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Speaker 3: We We do, and that is fear. But we have

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Speaker 3: to look at why we're not being competitive on the

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Speaker 3: international market, and that is simply because we don't pay

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Speaker 3: our doctors enough. We know that they can earn two

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Speaker 3: to three times more going to Australia and other parts

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Speaker 3: of the world.

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Speaker 1: Malcolm, is it? I mean, if you're turning up to

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Speaker 1: one of these rural twenty four seven clinics and you're

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Speaker 1: seeing a nurse practitioner or you're seeing a prescribing nurse

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Speaker 1: or you're seeing a paramedic. That is not a health

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Speaker 1: compromising situation, is it?

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Speaker 2: Oh? It is and we've had reports of that.

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Speaker 3: So when I recently went up to the Far North,

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Speaker 3: I met a lady whose husband had suffered a stroke.

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Speaker 2: They presented to the Eddy department in Katia.

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Speaker 3: They were given a telehealth appointment with a doctor in

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Speaker 3: America who told just monitor your husband. The husband's condition

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Speaker 3: deteriorated and rather than taking him back to Klytire, she

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Speaker 3: actually had to take him through to Auckland.

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Speaker 1: Okay, Malcolm, thanks very much, appreciate your time, mate, Malcolm

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Speaker 1: will Holland patient voice outsiad or chair. As I said,

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Speaker 1: he has put on an extensive list of rural hospitals

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Speaker 1: advertising for locums now when it says open to any availability,

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Speaker 1: it basically means the hospital is an extreme need of

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Speaker 1: one or more locums. Dargaville open to any availability, fung

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Speaker 1: A Nui, same Gisbon, same Southland, same Bay of Islands

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Speaker 1: open to availability, Ashburton open to availability, Gore open to availability.

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Speaker 1: From May Westport contact for details to mat and New

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Speaker 1: contact for details talking to us soon for Katani needed

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Speaker 1: for seventy one ed shifts from May to July, Tens

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Speaker 1: sixty seven shifts from May to August, Katya sixty five

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Speaker 1: shifts from July to December, and it just goes on

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Speaker 1: and on, and some hospitals and have pointed out our

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Speaker 1: dargable Bay of Islands, Kaitaia no doctors, so when you

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Speaker 1: get there, you just get put on a zoom call

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Speaker 1: basically to somebody.

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Speaker 2: For more from Heather 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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