1 00:00:00,120 --> 00:00:01,880 Speaker 1: We have for you this Friday morning, yet another review 2 00:00:01,880 --> 00:00:04,120 Speaker 1: of the health system. It is the Clinical Quality and 3 00:00:04,160 --> 00:00:08,039 Speaker 1: Safety Reviewed Longitudinal Data Report. Now this examines quality and safety, 4 00:00:08,039 --> 00:00:11,319 Speaker 1: patient experience and harms data over the past decade. The 5 00:00:11,360 --> 00:00:13,920 Speaker 1: Royal New Zealand College of GP's medical director, Luke Bradford 6 00:00:13,920 --> 00:00:16,720 Speaker 1: has will us look very good morning to you, Mike. 7 00:00:16,960 --> 00:00:20,080 Speaker 1: From my first glance, we seem to be doing okay. 8 00:00:20,360 --> 00:00:20,919 Speaker 1: Is that fear? 9 00:00:21,960 --> 00:00:23,800 Speaker 2: Yeah? I think there are some positive things in here. 10 00:00:23,880 --> 00:00:27,400 Speaker 2: Once people actually can access care, and we're seeing decrease 11 00:00:27,440 --> 00:00:31,520 Speaker 2: surgical complications, decreased fools, and better experiences had by patients 12 00:00:31,520 --> 00:00:32,519 Speaker 2: once they're in the system. 13 00:00:33,240 --> 00:00:36,000 Speaker 1: How much are we doing not to help ourselves? I 14 00:00:36,360 --> 00:00:39,240 Speaker 1: knowe there's the increasing population issue, and I know there's 15 00:00:39,240 --> 00:00:42,880 Speaker 1: the increasing chronic disease issue, some of which falls on us, doesn't. 16 00:00:44,680 --> 00:00:48,120 Speaker 2: Half the population thing is obviously government controlled, the chronic 17 00:00:48,240 --> 00:00:51,040 Speaker 2: disease somewhat. Some of it is just that because we 18 00:00:51,120 --> 00:00:53,640 Speaker 2: live longer, If you live longer, you're going to get 19 00:00:53,680 --> 00:00:56,520 Speaker 2: more illnesses in general. The other thing that is in 20 00:00:56,560 --> 00:00:59,080 Speaker 2: there which is interesting is we're seeing less people choose 21 00:00:59,080 --> 00:01:02,440 Speaker 2: to access care, especially since COVID real drop off in 22 00:01:02,600 --> 00:01:05,240 Speaker 2: ends a real drop off in cancer screening, and I 23 00:01:05,240 --> 00:01:08,200 Speaker 2: think that speaks to a lack of trust in the 24 00:01:08,240 --> 00:01:09,360 Speaker 2: system which is concerned. 25 00:01:09,520 --> 00:01:11,360 Speaker 1: Do you know that? How do you know that? Why 26 00:01:11,360 --> 00:01:13,800 Speaker 1: would I not come for a scan or a screen? 27 00:01:14,000 --> 00:01:16,640 Speaker 1: I mean, would it be partly? I would argue because 28 00:01:16,720 --> 00:01:18,600 Speaker 1: I think why would I bother? Because I know I'll 29 00:01:18,600 --> 00:01:20,479 Speaker 1: never get access to it because the cues a mile long? 30 00:01:20,600 --> 00:01:23,080 Speaker 1: Is there that not? Something like that to it? 31 00:01:23,080 --> 00:01:26,399 Speaker 2: It may be maybe some self filling prophecy there in 32 00:01:26,440 --> 00:01:28,280 Speaker 2: them sort of. You know, if you hear all the 33 00:01:28,319 --> 00:01:30,440 Speaker 2: time that the system doesn't work, you just choose not 34 00:01:30,520 --> 00:01:33,000 Speaker 2: to engage in it. It's really important to say with 35 00:01:33,120 --> 00:01:34,760 Speaker 2: the cancer screening, if you do get picked up with 36 00:01:34,840 --> 00:01:36,040 Speaker 2: something you are seeing quickly. 37 00:01:36,240 --> 00:01:39,240 Speaker 1: Yeah. See that's my assessment. For Get this report for 38 00:01:39,280 --> 00:01:41,319 Speaker 1: a moment. This is my assessment of the public health service. 39 00:01:41,680 --> 00:01:44,120 Speaker 1: If you need it badly, like really badly, it's there 40 00:01:44,160 --> 00:01:46,040 Speaker 1: for you if you want to doabble around the edges 41 00:01:46,080 --> 00:01:48,640 Speaker 1: and things that you think would be nice if we could, 42 00:01:48,640 --> 00:01:51,040 Speaker 1: but we can't. That's where it fails, is that fear 43 00:01:51,120 --> 00:01:51,320 Speaker 1: or not. 44 00:01:52,440 --> 00:01:54,640 Speaker 2: I think it's what you'd define as badly. So we're 45 00:01:54,680 --> 00:01:57,200 Speaker 2: pretty good at urging cancer that can be managed. But 46 00:01:57,320 --> 00:02:00,560 Speaker 2: some of the stuff that causes really severe pain disability, 47 00:02:00,640 --> 00:02:03,720 Speaker 2: especially around the arthritis, is they're not getting seen. 48 00:02:03,880 --> 00:02:05,920 Speaker 1: And let's before you get to the regional aspect of it, 49 00:02:05,960 --> 00:02:08,680 Speaker 1: which I'm assuming is just as bad as it depends 50 00:02:08,720 --> 00:02:09,280 Speaker 1: on where you are. 51 00:02:09,320 --> 00:02:11,920 Speaker 2: Basically, Yeah, yeah, there is still some of that. 52 00:02:12,240 --> 00:02:14,880 Speaker 1: Do you hold out hope because here's my other observation 53 00:02:14,960 --> 00:02:17,000 Speaker 1: of public health services around the world, especially in the 54 00:02:17,000 --> 00:02:20,240 Speaker 1: Western world. They will never meet what we want and 55 00:02:20,280 --> 00:02:22,440 Speaker 1: there will always be just a level right, all the 56 00:02:22,440 --> 00:02:24,239 Speaker 1: reports you want, there will just always be a level 57 00:02:24,240 --> 00:02:24,919 Speaker 1: of disappointment. 58 00:02:26,840 --> 00:02:29,720 Speaker 2: Yeah. I mean, it's human nature to want the very 59 00:02:29,760 --> 00:02:31,640 Speaker 2: best for you and your loved ones in terms of health, 60 00:02:31,680 --> 00:02:34,600 Speaker 2: isn't it? And it is. We can do more and more, 61 00:02:34,720 --> 00:02:37,280 Speaker 2: and it's skidding harder and harder to supply the population 62 00:02:37,400 --> 00:02:37,640 Speaker 2: for that. 63 00:02:38,400 --> 00:02:42,320 Speaker 1: Do you think within our means we are doing okay? 64 00:02:42,440 --> 00:02:43,919 Speaker 1: And does this report confirm that? 65 00:02:44,960 --> 00:02:47,360 Speaker 2: Ah? I still think there's problems with access, and I 66 00:02:47,400 --> 00:02:50,639 Speaker 2: think that's really clear. If you're being referred, you're being 67 00:02:50,639 --> 00:02:52,720 Speaker 2: referred to something matters, and you're not being seen for 68 00:02:53,520 --> 00:02:55,800 Speaker 2: up to a year, same for operations, and if you 69 00:02:55,880 --> 00:02:57,919 Speaker 2: can't get in and see a GP in a first place, 70 00:02:58,160 --> 00:03:00,880 Speaker 2: then that is a problem. We can improve those good stuff. 71 00:03:00,919 --> 00:03:02,800 Speaker 1: Louke, appreciate your time. Luke Bradford, who's the Royal New 72 00:03:02,840 --> 00:03:05,239 Speaker 1: Zealand College of General Practitioners Medical Officer. I went to 73 00:03:05,240 --> 00:03:06,760 Speaker 1: see the doctor yesday. In fact, I went to see 74 00:03:06,760 --> 00:03:09,120 Speaker 1: the nurse. And I've had no problem getting to a nurse, 75 00:03:09,120 --> 00:03:10,680 Speaker 1: and I've had no problem getting to a doctor. And 76 00:03:10,720 --> 00:03:12,720 Speaker 1: I had myself yesterday. I believe it was the first 77 00:03:12,720 --> 00:03:16,600 Speaker 1: time ever an ECG and that's It's not as exciting 78 00:03:16,639 --> 00:03:20,600 Speaker 1: as it sounds. But I just don't get I've never 79 00:03:20,639 --> 00:03:22,640 Speaker 1: had problems getting to a doctor and ringing a doctor, 80 00:03:22,639 --> 00:03:25,560 Speaker 1: making an appointment with the doctor. Yes, the doctor's away. Yes, 81 00:03:25,600 --> 00:03:28,200 Speaker 1: I've had to change doctors. Yes, doctors only seem to 82 00:03:28,200 --> 00:03:30,440 Speaker 1: work two or three days a week. But I've never 83 00:03:30,440 --> 00:03:32,320 Speaker 1: actually had problem getting to a doctor. So I don't 84 00:03:32,360 --> 00:03:35,480 Speaker 1: experience this. I can't see a doctor. For more from 85 00:03:35,520 --> 00:03:38,640 Speaker 1: the my Casking Breakfast, listen live to news talks. It'd 86 00:03:38,640 --> 00:03:42,520 Speaker 1: be from six am weekdays, or follow the podcast on iHeartRadio.