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Speaker 1: So the government is growing about getting closer to hitting

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Speaker 1: its health targets. Cancer treatment, access, childhood immunization, ed stays

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Speaker 1: and wait times all improved in the latest quarter trouble

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Speaker 1: as though postcode lottery is still a problem. So for example,

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Speaker 1: in the Lakes District, timely cancer treatment for patients plunged

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Speaker 1: from ninety seven percent down to eighty three percent. Malcolm

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Speaker 1: will Holland from Patient Voice ALTI it or is with

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Speaker 1: maham Malcolm, Hey, Heather, isn't this isn't it the case

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Speaker 1: that the reality is and reality always will be that

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Speaker 1: if you live in different parts of the country you

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Speaker 1: will get different treatment.

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Speaker 2: Yeah, very much so, although what I would say is

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Speaker 2: we're starting to see a bit of a creep. We

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Speaker 2: normally bad holth outcomes what happen mainly in the rural areas.

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Speaker 2: We're now starting to see doctors speak out who operate

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Speaker 2: in some of our largest cities and centers. So that's

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Speaker 2: got to be an area of real concern.

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Speaker 1: Why is it just lack of workforce?

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Speaker 2: It is primarily yes, I would definitely say that, And

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Speaker 2: we don't seem to have a long term plan by

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Speaker 2: which we can get the doctors and the specialists that

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Speaker 2: we need not only just to service our current population,

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Speaker 2: but a growing population, one that is getting older by

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Speaker 2: the year and also has a lot more morbidity issues

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Speaker 2: with that population.

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Speaker 1: What's the problem lack of money?

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Speaker 2: It is, Yeah, lack of money and also I think

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Speaker 2: we need to get some accurate picture around where the

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Speaker 2: money is going. It's been some years since the government

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Speaker 2: have put in the data to the OECD. I've seen

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Speaker 2: some challenging research around how much we actually do spend

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Speaker 2: on health and how it has been spent. I think

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Speaker 2: we need to get to the numb of that before

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Speaker 2: we can have an honest conversation about where it needs

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Speaker 2: to go.

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Speaker 1: Is the problem that we're facing right now, Malcolm that

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Speaker 1: instead of lift changing, instead of fixing the postcode lottery

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Speaker 1: by lifting the parts of the country that are not

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Speaker 1: performing that well, we're actually we're actually seeing everything fall

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Speaker 1: back to the same position as those performing the worst.

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Speaker 2: Yeah. I think so. And I think too that the

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Speaker 2: measures you know, the data is only good as the

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Speaker 2: data that you provide. There are a number of issues

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Speaker 2: around the metrics that the government are operating under. We

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Speaker 2: know that there is a very high threshold by which

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Speaker 2: to be seen, and we know that triarching happens even

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Speaker 2: before you get to see a specialist. We know that

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Speaker 2: the data doesn't catch everything, for example, patients who leave VD.

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Speaker 2: We know that the system can be gained in is

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Speaker 2: gained and we've seen evidence of that. And also they've

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Speaker 2: got to have the right metrics in place. So when

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Speaker 2: it comes to Kenser care, for example, Heather, many oncologists

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Speaker 2: would say that's the wrong metric. The right metric is

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Speaker 2: from the date of diagnosis to the date you are

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Speaker 2: first scene by a specialist.

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Speaker 1: Hey, thank you very much, Malcolm, appreciate it. Malcolm will

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Speaker 1: Holland Patient voice outs here at all.

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Speaker 2: For more from Heather Duplessy Alan Drive, listen live to

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Speaker 2: news talks the'd be from four pm weekdays, or follow

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Speaker 2: the podcast on iHeartRadio