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Speaker 1: Gps are warning that patients who desperately need hospital treatment

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Speaker 1: are increasingly not even making it onto waiting lists. A

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Speaker 1: later lea to the media from Palveston North Hospital's Orthopedic

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Speaker 1: Clinic to a GP earlier this year confirms referrals are

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Speaker 1: being knocked back due to a lack of resources. What

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Speaker 1: executive does this mean?

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Speaker 2: Look?

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Speaker 1: Bradford is the Royal New Zealand College of GP's medical

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Speaker 1: directors with us this morning.

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Speaker 2: Look, good morning morning, Ryan. How are you?

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Speaker 1: I'm well, thank you? What exactly is the problem here?

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Speaker 2: So there's always been a way of triaging patients according

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Speaker 2: to need, but traditionally that level and what society would

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Speaker 2: accept is that level of need would be justifiable, that

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Speaker 2: people would have conditions seen when they needed to be

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Speaker 2: seen to manage their symptoms. What's happening is as demands

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Speaker 2: go on the system and it's creaking and we know

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Speaker 2: the health targets. Have people been seen, have been four

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Speaker 2: months and operated on quickly. One way of managing that

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Speaker 2: is to not take patients onto lists in the first place.

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Speaker 1: So patients who would ordinarily go on to a list

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Speaker 1: are not being put onto a list. And this is

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Speaker 1: a new thing. After the targets have been introduced or

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Speaker 1: has this always happened?

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Speaker 2: So it's always happened the list, The acceptance level fluctuates,

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Speaker 2: it goes up and down according to demand. But when

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Speaker 2: the system is under pressure, often that threshold rises, and

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Speaker 2: so people have to have to be really, really unwell

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Speaker 2: or really disabled in order to be seen. What we're

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Speaker 2: not having is confirmation, but it's occurring. But it seems

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Speaker 2: anecdotally that that's likely.

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Speaker 1: When you say they have to be how disabled do

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Speaker 1: you have to be to need a knee replacement?

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Speaker 2: Ah? I mean it can be really bad at the moment.

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Speaker 2: I've had patients who are essentially in wheelchairs are still

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Speaker 2: waiting nine to twelve months having to go onto opioid medicines,

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Speaker 2: needing full time care. It can be quite severe.

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Speaker 1: And these people you're talking about, if you're on opioids

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Speaker 1: and you're in a wheelchair because you need a new replacement,

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Speaker 1: surely you're on the list.

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Speaker 2: Yeah, you're on the list. Just the list is long.

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Speaker 1: So if you could right, okay, listen is very long,

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Speaker 1: but if you can walk, you may not be on

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Speaker 1: the list.

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Speaker 2: Ah. I think that's it's not necessarily that black and white.

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Speaker 2: But often people will get put on the list and

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Speaker 2: then week so long with they'll end up in a

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Speaker 2: chair by the time they are operating them.

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Speaker 1: Okay, Luke, thank you for that. Luke Bradford, who's the

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Speaker 1: Royal New Zealand College of GP's medical director. I mean

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Speaker 1: it's not great, is it. If you're in a wheelchair

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Speaker 1: on opioids and not on a waiting list, please text

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Speaker 1: me because you should be for goodness sakes.

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Speaker 2: For more from Earlily Edition with Ryan Bridge, listen live

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Speaker 2: to news Talks.

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Speaker 1: It'd be from five am weekdays, or follow the podcast

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Speaker 1: on iHeartRadio.