1 00:00:00,640 --> 00:00:02,560 Speaker 1: Nine two nine two is the text number standard text 2 00:00:02,600 --> 00:00:05,080 Speaker 1: fees applied. By the way, on that David Seymour, the 3 00:00:05,200 --> 00:00:07,280 Speaker 1: very guy who'd be dying to say no to him, 4 00:00:07,680 --> 00:00:09,360 Speaker 1: is going to be with us after five o'clock to 5 00:00:09,480 --> 00:00:12,840 Speaker 1: probably say no to him. Now, a leading colo rectal 6 00:00:12,880 --> 00:00:16,560 Speaker 1: surgeon says, now is a necessity that we established dedicated 7 00:00:16,600 --> 00:00:19,200 Speaker 1: cancer centers in New Zealand. Christ Church based Frank Frazel 8 00:00:19,239 --> 00:00:21,040 Speaker 1: has made the argument in an article in the New 9 00:00:21,120 --> 00:00:23,759 Speaker 1: Zealand Medical Journal. And he's with us now, Frank Hallo, 10 00:00:24,720 --> 00:00:27,320 Speaker 1: Hello Heaven. Would you set up am I right in 11 00:00:27,400 --> 00:00:29,360 Speaker 1: thinking you'd set this up in Auckland and christ Church? 12 00:00:30,360 --> 00:00:33,600 Speaker 2: Yes, I think it opened the nature of New Zealand. 13 00:00:33,600 --> 00:00:36,320 Speaker 2: B Lotlin, Thin and Upland at one end and christ 14 00:00:36,400 --> 00:00:39,480 Speaker 2: Church near at the bottom is probably our for better 15 00:00:39,800 --> 00:00:43,080 Speaker 2: geographical distribution of staff and resources. Okay. 16 00:00:43,120 --> 00:00:45,440 Speaker 1: And would these be cancer centers that would be for 17 00:00:45,560 --> 00:00:48,640 Speaker 1: the populations of Canterbury and Auckland or for the North 18 00:00:48,640 --> 00:00:49,560 Speaker 1: and South Island. 19 00:00:50,400 --> 00:00:53,040 Speaker 2: It would be at the moment already a lot of 20 00:00:53,080 --> 00:00:56,680 Speaker 2: cancers as are focused on the treatment for a lot 21 00:00:56,680 --> 00:00:59,120 Speaker 2: of cancers. I focused on Auckland and christ Church and 22 00:00:59,280 --> 00:01:04,080 Speaker 2: christ Churches here from Hawk's Bay across to Fonganui South 23 00:01:04,600 --> 00:01:09,520 Speaker 2: and Auckland provide care for these cancers north of that line, 24 00:01:09,880 --> 00:01:12,800 Speaker 2: and that kind of works, and I imagine such a 25 00:01:12,840 --> 00:01:15,520 Speaker 2: similar line would be drawn again across US. And it's 26 00:01:15,560 --> 00:01:19,520 Speaker 2: just about trying to give adequate volumes and concentrations of 27 00:01:20,200 --> 00:01:22,320 Speaker 2: resources to try and get the best value for money 28 00:01:22,319 --> 00:01:25,320 Speaker 2: out of providing cancer care, trying to get the best 29 00:01:25,400 --> 00:01:29,040 Speaker 2: care for patients, because we have several issues at the moment. 30 00:01:29,080 --> 00:01:32,760 Speaker 2: One is that without the centralization, you end up with 31 00:01:32,840 --> 00:01:35,720 Speaker 2: all these individual places just doing the best they can, 32 00:01:35,800 --> 00:01:40,080 Speaker 2: which leads to considerable variation in the quality of care, 33 00:01:40,680 --> 00:01:43,680 Speaker 2: the type of treatment, both under treatment and overtreatment, and 34 00:01:43,800 --> 00:01:48,880 Speaker 2: trying to get effectively a standard treatment for a particular 35 00:01:48,920 --> 00:01:52,200 Speaker 2: tremor would be best for the patients. We mean, they 36 00:01:52,200 --> 00:01:54,720 Speaker 2: wouldn't get the side effects of treatment and they wouldn't 37 00:01:55,880 --> 00:01:57,760 Speaker 2: miss I've been undertreated. 38 00:01:58,960 --> 00:02:01,560 Speaker 1: Also allow yeah, sorry, no, carry on please. 39 00:02:03,120 --> 00:02:06,360 Speaker 2: The other thing would be it allows a concentration to 40 00:02:06,360 --> 00:02:08,920 Speaker 2: be able to train people, because it's very hard to 41 00:02:09,240 --> 00:02:13,440 Speaker 2: retain people and people to generally like to work with 42 00:02:13,520 --> 00:02:15,720 Speaker 2: other people in the same sort of area, and so 43 00:02:16,200 --> 00:02:18,680 Speaker 2: it allows for a concentration of stuff and therefore training 44 00:02:18,919 --> 00:02:22,280 Speaker 2: and retaining of stuff. But as well as that allows 45 00:02:22,320 --> 00:02:25,880 Speaker 2: the ability to bring research into clinical practice, which is 46 00:02:26,480 --> 00:02:30,480 Speaker 2: shown that when research pairs to be appropriate, the transition 47 00:02:30,600 --> 00:02:33,960 Speaker 2: to clinical practice is much faster and therefore patients are 48 00:02:33,960 --> 00:02:37,600 Speaker 2: able to get the latest treatment, the most appropriate of 49 00:02:37,720 --> 00:02:39,840 Speaker 2: it and aiming at the most appropriate tras. 50 00:02:39,960 --> 00:02:41,400 Speaker 1: So tell me how it works at the moment, Frank, 51 00:02:41,440 --> 00:02:43,480 Speaker 1: If you get cancer and you get sent to Auckland, 52 00:02:43,520 --> 00:02:46,079 Speaker 1: where do you get sent Well. 53 00:02:45,880 --> 00:02:47,720 Speaker 2: At the moment, if you happen to be in a 54 00:02:47,800 --> 00:02:51,080 Speaker 2: posential place and don't get treated by your local oncologist 55 00:02:51,360 --> 00:02:53,600 Speaker 2: in whatever place you are in that area, you get 56 00:02:53,600 --> 00:02:55,760 Speaker 2: seen to Auckland. If you get seen to Aukland Hospital, 57 00:02:56,240 --> 00:02:59,480 Speaker 2: they would treat you in Auckland. But that means that 58 00:02:59,520 --> 00:03:02,320 Speaker 2: you're already being selected as someone who's got something unusual 59 00:03:02,360 --> 00:03:05,200 Speaker 2: about you. Yeah, because most of the people will get 60 00:03:05,240 --> 00:03:08,480 Speaker 2: treated by the local oncologists in their local community. 61 00:03:08,560 --> 00:03:10,600 Speaker 1: But are we then suggesting that we take all the 62 00:03:10,600 --> 00:03:14,200 Speaker 1: local oncologists and centralize stick everybody in Auckland. 63 00:03:15,120 --> 00:03:17,440 Speaker 2: No, not at all. This is a hub and spoke 64 00:03:17,520 --> 00:03:21,000 Speaker 2: model and you still need people locally. But what we 65 00:03:21,040 --> 00:03:24,680 Speaker 2: need is a concentration of people to determine. So people 66 00:03:24,720 --> 00:03:27,079 Speaker 2: can these days with the Internet and zoom and all 67 00:03:27,080 --> 00:03:30,040 Speaker 2: this sort of thing, it's very easy to have consultations 68 00:03:30,080 --> 00:03:34,320 Speaker 2: for people and in their in their home with their. 69 00:03:34,720 --> 00:03:37,280 Speaker 1: But aren't we already concentrating all the all the all 70 00:03:37,280 --> 00:03:40,240 Speaker 1: the oncologists in Auckland in Auckland Hospital or are they 71 00:03:40,320 --> 00:03:43,040 Speaker 1: also at Middlemore and also at my parkeety and all 72 00:03:43,080 --> 00:03:43,840 Speaker 1: over the show. 73 00:03:44,120 --> 00:03:45,320 Speaker 2: That they are all over the show? 74 00:03:45,400 --> 00:03:46,840 Speaker 1: Oh I see, okay, So where would you set this 75 00:03:46,920 --> 00:03:47,520 Speaker 1: up in Auckland? 76 00:03:48,720 --> 00:03:53,160 Speaker 2: Well, I don't know. It depends where Auckland's already got 77 00:03:53,560 --> 00:03:58,120 Speaker 2: space aside for a cancer center and in the central 78 00:03:58,160 --> 00:04:02,119 Speaker 2: Auckland City Hospital and so sore some somewhere somewhere near 79 00:04:02,160 --> 00:04:03,440 Speaker 2: that campus would make sense. 80 00:04:03,880 --> 00:04:06,440 Speaker 1: Yeah, well I can see the merits of this. Frank, 81 00:04:06,720 --> 00:04:08,480 Speaker 1: thanks very much for raising it with us. Appreciate it. 82 00:04:08,640 --> 00:04:12,000 Speaker 1: That is Frank Frazell, Professor. By the way, Frank Frazell, 83 00:04:12,560 --> 00:04:16,440 Speaker 1: christ Church based. For more from Heather Duplessy Allen Drive, 84 00:04:16,600 --> 00:04:20,040 Speaker 1: Listen live to news talks. It'd be from four pm weekdays, 85 00:04:20,120 --> 00:04:22,320 Speaker 1: or follow the podcast on iHeartRadio.