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Speaker 1: So the Health Minister filled in the blanks yesterday as

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Speaker 1: to how he's going to deliver the targets he set

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Speaker 1: out for the system back in March. More workers Bad's

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Speaker 1: theaters are on the way. Community and fusion centers are

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Speaker 1: also planned, allowing chemotherapy to take place closer to home.

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Speaker 1: Shane Retty is with this A very good morning to you.

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Speaker 2: Now, good mind, Mike good A couple of.

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Speaker 1: Things in the news this morning. The GP Owners' Association

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Speaker 1: are going to the ComCom They're arguing Health New Zealand

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Speaker 1: dictates contracts. Do they have a case do you reckon

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Speaker 1: or not? Yeah?

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Speaker 2: I met with them yesterday and we chatted about this. Look,

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Speaker 2: the Commerce Commission will determine that that this has been

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Speaker 2: standard policy for a number of years. Is nothing new

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Speaker 2: to happen. Negotiating around this year has happened, So we'll

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Speaker 2: see what the Commerce Commission that makes up it. Well.

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Speaker 2: I won't sort of interfere in that process, but we

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Speaker 2: had a good discussion around that yesterday.

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Speaker 1: Is there any way around it? I mean that the

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Speaker 1: public health it's where there is no competition, you hand

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Speaker 1: out the money. The money is the money, Isn't.

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Speaker 2: It that there is competition the marketplace. People choose who

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Speaker 2: they want to hear as a general practitioner, and there

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Speaker 2: are other alternative models to general practice. So there is

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Speaker 2: a market for primary care. But the issue here is

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Speaker 2: whether the contracting has effectively been a good faith or

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Speaker 2: they're fundamentally told this is what it is, and so

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Speaker 2: that's what they're taking to Commerce Commission.

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Speaker 1: Okay. Another thing that concerned me this week was the

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Speaker 1: Indian High Commission in Wellington who was warning nurses about

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Speaker 1: coming to New Zealand and they shouldn't unless they've got

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Speaker 1: a genuine job offer, and this debtails into more staff.

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Speaker 1: How is it there issuing warnings when we need nurses

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Speaker 1: but we're not hiring nurses and we're inundated with people

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Speaker 1: from overseas who can't get a job.

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Speaker 2: Look, that's partly true, and I did see this well.

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Speaker 2: But let's also remember we've got New Zealand graduates who

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Speaker 2: are still looking to find places. And I would make

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Speaker 2: the case that we do need to find a place

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Speaker 2: for our domestic pipeline. And so what we're seeing in

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Speaker 2: discussions we're having and I've been having with Nursing Council

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Speaker 2: is that the number of internationally qualified nurse application to

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Speaker 2: fallen away significantly, and so the High Commissioner has indicated

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Speaker 2: to them, Look, you need to know you need to

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Speaker 2: have a job off that a surety before you go

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Speaker 2: through the process and you leave home and come and

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Speaker 2: do the oski and all the things you need to

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Speaker 2: do and make sure you do have a job offer.

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Speaker 2: But I would say I am committed to making sure

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Speaker 2: our graduates are able to find a place I hope

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Speaker 2: at the high priority.

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Speaker 1: One of the things you said yesterday which surprised me,

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Speaker 1: is you're going to have discharge seven days a week.

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Speaker 1: Is health not seven days a week.

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Speaker 2: Yeah, it's a surprise, isn't that. That's correct that there

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Speaker 2: are some places where they don't do seven days discharge.

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Speaker 2: So imagine this. Let's say you've got an ebscess. For example,

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Speaker 2: you're getting an intravenous push of antibiotics and you need

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Speaker 2: one more on the set on Saturday. If you're not

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Speaker 2: in a dischargeable facility that can discharge on the Saturday Saturday,

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Speaker 2: you may wait for the ward round on Monday to

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Speaker 2: be discharged. Makes no sense time, No, it does not.

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Speaker 1: Takata tash Camp, who I watched in the Parliament yesterday

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Speaker 1: with the stories of whiteboards and privacy and hallways. How

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Speaker 1: real is that?

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Speaker 2: Sorry? Did you say wait?

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Speaker 1: Now, you were there, she was asking you questions in

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Speaker 1: the house. She's in the corridors. She's been covered by

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Speaker 1: white boards for privacy. Is that real or not?

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Speaker 2: I haven't seen the covering by whiteboards, but I have

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Speaker 2: seen people in corridors that is correct. And emergency department

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Speaker 2: particularly some of those that don't have obviously don't have

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Speaker 2: enough beds or there is bed block up on the wards.

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Speaker 2: So yes, as I said to her in the house,

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Speaker 2: actually I have seen that as well.

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Speaker 1: And does that get fixed?

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Speaker 2: Yes? Absolutely, several things like for example the seven day discharge.

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Speaker 2: If you can discharge a person from a wardbed, then

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Speaker 2: you can move someone from ed up into that wardbed.

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Speaker 1: Okay, just for clarification, when the Prime Minister says thirty

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Speaker 1: billion ish in what we spend on health, is enough?

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Speaker 2: Is it? Oh? So this is what the Commissioner has

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Speaker 2: said as well. Having the prime leaders to actually figure

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Speaker 2: out what we spend and where we spend it. Look,

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Speaker 2: it will never be enough. No country has enough in health.

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Speaker 2: That's the nature of things. But for the objectives that

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Speaker 2: we have and the task that we have in the

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Speaker 2: fiscook straints that we have. As you've heard the Commissioner say,

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Speaker 2: there was enough for us to deliver a high quality service.

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Speaker 2: We would always want to do more. Everyone wants to

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Speaker 2: do more, but deliver a high quality service. The funding

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Speaker 2: is the highest funding we've had ever in health.

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Speaker 1: Actually, I wish you a good weekend. Appreciate your time

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Speaker 1: as always, Shane reading Who's the Health Ministry? For more

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Speaker 1: from the Mic Asking Breakfast, listen live to news talks

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