1 00:00:00,480 --> 00:00:03,240 Speaker 1: Heather do for Seelan government is today announced forty two 2 00:00:03,240 --> 00:00:06,480 Speaker 1: million dollars for fifty new senior doctors and more specialist nurses, 3 00:00:06,840 --> 00:00:10,039 Speaker 1: minor repairs for hospitals, replacement appliances for patients and stuff, 4 00:00:10,080 --> 00:00:12,360 Speaker 1: and also new books or toys for kitties who are 5 00:00:12,360 --> 00:00:14,319 Speaker 1: in the hospital. Shane that Ittsi is the Health minister. 6 00:00:14,360 --> 00:00:16,920 Speaker 2: Hey Shane, good afternoon. Heither Shane. 7 00:00:17,000 --> 00:00:19,040 Speaker 1: Is this new money or is this money that the 8 00:00:19,040 --> 00:00:20,920 Speaker 1: Health Commissioner has found and freed up? 9 00:00:21,760 --> 00:00:23,919 Speaker 2: Oh? This is new places. So this is on top 10 00:00:23,920 --> 00:00:27,000 Speaker 2: of the existing basseline and it's a combination of two things. 11 00:00:27,080 --> 00:00:29,640 Speaker 2: Up when it is reprioritize money and two it's part 12 00:00:29,680 --> 00:00:31,440 Speaker 2: of the one point four billion of new money that 13 00:00:31,520 --> 00:00:32,520 Speaker 2: was put into health this year. 14 00:00:32,640 --> 00:00:35,080 Speaker 1: Okay, so where did he free this money up from? 15 00:00:35,120 --> 00:00:36,400 Speaker 1: What has he cut spending on? 16 00:00:37,560 --> 00:00:39,680 Speaker 2: So we've been talking for some period of time about 17 00:00:39,760 --> 00:00:43,479 Speaker 2: how we're reprioritizing back office to front line without looking 18 00:00:43,479 --> 00:00:46,280 Speaker 2: to impact clinical delivery, and so some of the savings 19 00:00:46,320 --> 00:00:48,760 Speaker 2: are coming from that and some of the funding is 20 00:00:48,800 --> 00:00:50,240 Speaker 2: coming from the new money into health. 21 00:00:50,840 --> 00:00:54,800 Speaker 1: Have we had any redundancies voluntary redundancies taken up by 22 00:00:55,000 --> 00:00:58,320 Speaker 1: doctors senior doctors and specialist nurses at all. 23 00:00:58,560 --> 00:01:02,600 Speaker 2: Oh, it hasn't actually been offered to senior doctors and nurses. 24 00:01:02,600 --> 00:01:05,640 Speaker 2: It's only been offered to back officer at this point, 25 00:01:05,680 --> 00:01:07,440 Speaker 2: So I would have to say not that I'm aware of. 26 00:01:07,560 --> 00:01:11,040 Speaker 1: Okay, have you caught up on this business going on 27 00:01:11,120 --> 00:01:14,880 Speaker 1: with people being rejected from specialists so that they don't 28 00:01:14,880 --> 00:01:16,000 Speaker 1: get added to the weightlist? 29 00:01:16,800 --> 00:01:19,160 Speaker 2: Yes, I did see that story, and I haven't seen 30 00:01:19,200 --> 00:01:22,000 Speaker 2: the letter in health. The zelands looking to see that 31 00:01:22,200 --> 00:01:25,959 Speaker 2: letter as well. What they've said to me is that 32 00:01:26,040 --> 00:01:28,200 Speaker 2: as the tweitty DHBs came together, there are a lot 33 00:01:28,200 --> 00:01:31,240 Speaker 2: of different protocols. Bringing them all into one place is 34 00:01:31,240 --> 00:01:34,080 Speaker 2: what they're looking to do, But certainly that is not 35 00:01:34,160 --> 00:01:36,640 Speaker 2: the policy, and they're looking to investigate their further. 36 00:01:36,720 --> 00:01:39,040 Speaker 1: Are you worried that this is just gaming the weightlist? 37 00:01:41,080 --> 00:01:43,320 Speaker 2: Well, I wouldn't be worried, of course, except we've spent 38 00:01:43,400 --> 00:01:46,200 Speaker 2: a lot of time looking at what's called the balances 39 00:01:46,240 --> 00:01:49,480 Speaker 2: to make sure all of the targets aren't gained. For example, 40 00:01:49,960 --> 00:01:53,360 Speaker 2: the shortest days in the emergency department, the challenge there 41 00:01:53,480 --> 00:01:56,560 Speaker 2: is bed block, so maybe you just discharge people home earlier, 42 00:01:56,600 --> 00:01:58,600 Speaker 2: free up the beds and improved that shortest days in 43 00:01:58,600 --> 00:02:01,400 Speaker 2: an emergency department time. Here's the thing though, if people 44 00:02:01,400 --> 00:02:04,280 Speaker 2: are readmitted inside a thirty day, maybe they were sent 45 00:02:04,320 --> 00:02:06,760 Speaker 2: home early. Okay, well, one of the balances is that readmitted. 46 00:02:07,280 --> 00:02:09,840 Speaker 1: So how do you then prevent gaming of a weightlist? 47 00:02:09,880 --> 00:02:09,960 Speaker 2: Right? 48 00:02:10,240 --> 00:02:13,240 Speaker 1: So let's say I need some orthopedic surgery. I need 49 00:02:13,320 --> 00:02:15,880 Speaker 1: to go see an orthopedic specialist. They say no, sorry, 50 00:02:15,919 --> 00:02:17,679 Speaker 1: the weight list is so long I can't even add 51 00:02:17,720 --> 00:02:20,240 Speaker 1: you to it. How do you prevent that gaming happening? 52 00:02:20,720 --> 00:02:23,000 Speaker 2: So there's several things are First of all, decline referrals 53 00:02:23,040 --> 00:02:26,000 Speaker 2: are something that's assessed by Health New Zealand. And if 54 00:02:26,000 --> 00:02:29,120 Speaker 2: we were able to see decline referrals referrals for a 55 00:02:29,240 --> 00:02:31,160 Speaker 2: level of care, which is measured messioned by what's called 56 00:02:31,160 --> 00:02:32,920 Speaker 2: a SEAPAC score, depends you know that the level of 57 00:02:33,040 --> 00:02:35,200 Speaker 2: urgency and how serious a condition is. If we were 58 00:02:35,200 --> 00:02:38,880 Speaker 2: seeing declines for SEAPAC levels, it really should be treated 59 00:02:39,000 --> 00:02:40,560 Speaker 2: and that would be something we'd bring to the Intention 60 00:02:40,720 --> 00:02:41,520 Speaker 2: of Health U Zeeland. 61 00:02:41,600 --> 00:02:43,519 Speaker 1: Kay, do you agree with the Prime Minister that David 62 00:02:43,560 --> 00:02:46,320 Speaker 1: Seymour needs to butt out of the Ycutter Union Medical School? 63 00:02:48,520 --> 00:02:51,680 Speaker 2: I am more focused on getting an updated cost benefit 64 00:02:51,720 --> 00:02:54,160 Speaker 2: analysis across the line. We want to make the right 65 00:02:54,200 --> 00:02:57,960 Speaker 2: decision with the right information. That's what Cabinet has instructed 66 00:02:58,040 --> 00:02:59,920 Speaker 2: us to do, to bring the best information to get 67 00:03:00,240 --> 00:03:02,120 Speaker 2: so that we can make the best call. And I'm 68 00:03:02,120 --> 00:03:05,040 Speaker 2: sure that's actually what David and and Chris are saying. 69 00:03:05,160 --> 00:03:07,480 Speaker 1: Good stuff, Shane, Thanks very much, Shane Rittie, the Health Minister. 70 00:03:08,160 --> 00:03:11,360 Speaker 1: For more from Hither Duplessy, Allen Drive, listen live to 71 00:03:11,440 --> 00:03:14,480 Speaker 1: news talks it'd be from four pm weekdays, or follow 72 00:03:14,520 --> 00:03:16,280 Speaker 1: the podcast on iHeartRadio.