1 00:00:00,160 --> 00:00:02,520 Speaker 1: We've got the elective boost scheme that was announced by 2 00:00:02,520 --> 00:00:05,680 Speaker 1: the government while back as an elective surgery. They've come 3 00:00:05,760 --> 00:00:08,319 Speaker 1: up with or produced an additional nine and a half 4 00:00:08,480 --> 00:00:11,240 Speaker 1: thousand procedures. Top of the list has been cataracts, hernias 5 00:00:11,240 --> 00:00:14,720 Speaker 1: and hips. Chris Wakeman is a colorectal and general surgeon 6 00:00:14,760 --> 00:00:17,000 Speaker 1: and as with us now public the private. This is 7 00:00:17,040 --> 00:00:19,160 Speaker 1: the thing that's perplexed me. If I need a hip, 8 00:00:19,560 --> 00:00:21,520 Speaker 1: where I get it done is irrelevant, isn't it? 9 00:00:23,120 --> 00:00:24,720 Speaker 2: Yes? I think so. 10 00:00:24,720 --> 00:00:27,320 Speaker 1: So where does the ak where where does the angst 11 00:00:27,320 --> 00:00:28,520 Speaker 1: come from? I don't understand it. 12 00:00:31,120 --> 00:00:33,280 Speaker 2: We have a I work public, an private and for 13 00:00:33,360 --> 00:00:37,800 Speaker 2: the university Attago, so a little bit of anks comes 14 00:00:37,800 --> 00:00:43,120 Speaker 2: from training if we like yesterday, I did four public 15 00:00:43,640 --> 00:00:47,559 Speaker 2: cases on my private list and that was great. They 16 00:00:47,560 --> 00:00:51,560 Speaker 2: were very efficient. They've got done quickly. They got done 17 00:00:51,560 --> 00:00:54,920 Speaker 2: by consultant surgeon. But what about in fifteen years time 18 00:00:54,920 --> 00:01:01,160 Speaker 2: when I retire of the new surgeon coming through? Haven't 19 00:01:01,200 --> 00:01:03,800 Speaker 2: seen the simple stuff. The public hospitals are great for 20 00:01:03,880 --> 00:01:09,720 Speaker 2: doing complex multi surgeon procedures, but they are a dinosaur. 21 00:01:09,720 --> 00:01:11,000 Speaker 2: They're so inefficient. 22 00:01:11,520 --> 00:01:13,720 Speaker 1: Right, you're doing them in private at the same cost 23 00:01:13,760 --> 00:01:15,480 Speaker 1: as the public so the public pays X number of 24 00:01:15,480 --> 00:01:16,840 Speaker 1: dollars and you can cover that off, so it's not 25 00:01:16,880 --> 00:01:17,800 Speaker 1: more expensive in private. 26 00:01:17,840 --> 00:01:21,720 Speaker 2: In other words, while we as a surgeon and as 27 00:01:21,840 --> 00:01:25,000 Speaker 2: an ethist, as an atheist, we actually take a discount 28 00:01:25,360 --> 00:01:27,800 Speaker 2: price to do the public stuff, so a. 29 00:01:27,760 --> 00:01:29,440 Speaker 1: Little bit of charity work, so it's cheaper. 30 00:01:29,520 --> 00:01:33,160 Speaker 2: That was still it's cheap. Well, in public we're on 31 00:01:33,200 --> 00:01:36,800 Speaker 2: a feat we're on an hour on a yearly salary. 32 00:01:37,240 --> 00:01:41,160 Speaker 2: We're in private. It's a fee for service model, but 33 00:01:41,280 --> 00:01:44,120 Speaker 2: compared to my private operation, I'm getting paid less to 34 00:01:44,120 --> 00:01:44,920 Speaker 2: do public work. 35 00:01:46,080 --> 00:01:49,360 Speaker 1: The capacity is explained by the Health minister. Is there 36 00:01:49,360 --> 00:01:51,800 Speaker 1: is capacity in the private sector where there isn't capacity 37 00:01:51,800 --> 00:01:55,160 Speaker 1: in the public system? Is this the future and should 38 00:01:55,160 --> 00:01:56,360 Speaker 1: we have a problem if it is? 39 00:01:58,600 --> 00:01:59,800 Speaker 2: I think it is the future. I think it's a 40 00:02:00,080 --> 00:02:03,280 Speaker 2: lot more efficient. You can do a lot more work. 41 00:02:03,960 --> 00:02:07,680 Speaker 2: The rules on hours are not there. With the unions, 42 00:02:09,160 --> 00:02:11,760 Speaker 2: it's just so much more efficient. But we just need 43 00:02:11,800 --> 00:02:14,480 Speaker 2: to build a model where we can train our younger surgeons, 44 00:02:14,520 --> 00:02:16,560 Speaker 2: younger neathed us so they know how to do the 45 00:02:16,600 --> 00:02:19,080 Speaker 2: simple cases as well as the complex hard cases. 46 00:02:19,160 --> 00:02:21,840 Speaker 1: When you look at public is there anything obvious that 47 00:02:21,919 --> 00:02:24,760 Speaker 1: you can magic wand that would help or not. 48 00:02:26,600 --> 00:02:29,040 Speaker 2: We need to be more flexible in public about hours. 49 00:02:29,240 --> 00:02:32,519 Speaker 2: At public at four o'clock they start wandering around and 50 00:02:32,600 --> 00:02:34,360 Speaker 2: saying when will you be finished? Now? Will you be 51 00:02:34,400 --> 00:02:36,560 Speaker 2: closed in half an hour? They even come around at 52 00:02:36,560 --> 00:02:38,919 Speaker 2: one o'clock and say, it looks like you'll finish after 53 00:02:38,960 --> 00:02:41,120 Speaker 2: four four point thirty, so we won't let you do 54 00:02:41,200 --> 00:02:44,760 Speaker 2: your second case. You know as a color recorcision. You know, 55 00:02:44,840 --> 00:02:47,280 Speaker 2: I do sort of in public two major bower cases 56 00:02:47,320 --> 00:02:50,560 Speaker 2: a day. They take four to five hours. So if 57 00:02:50,560 --> 00:02:52,880 Speaker 2: I'm going slow in the first case, they might say 58 00:02:52,919 --> 00:02:55,040 Speaker 2: I can't do my second case, so that has to 59 00:02:55,080 --> 00:02:58,160 Speaker 2: wake a week until the next, which is just so inefficient. 60 00:02:58,200 --> 00:03:00,079 Speaker 2: You wouldn't close your factory at four o'clock if I 61 00:03:00,160 --> 00:03:00,679 Speaker 2: had work to do. 62 00:03:01,000 --> 00:03:04,000 Speaker 1: M groomore interesting insight Chris appreciated pretty much. Apologies with 63 00:03:04,000 --> 00:03:06,200 Speaker 1: the phone once again, Chris Wakeman, who's christ Chitch Collorector 64 00:03:06,240 --> 00:03:08,880 Speaker 1: and general surgeon are nine and a half thousand procedures. 65 00:03:08,880 --> 00:03:10,560 Speaker 1: The reason I keep asking is that the labor party 66 00:03:10,639 --> 00:03:13,320 Speaker 1: keeps coming up with objections. They hate it, and as 67 00:03:13,320 --> 00:03:15,519 Speaker 1: you've just heard, it's cheaper in the private sector. They've 68 00:03:15,520 --> 00:03:18,079 Speaker 1: got capacity in the private sector, and you've just heard 69 00:03:18,080 --> 00:03:20,680 Speaker 1: how they run the public sector, and you wonder why 70 00:03:20,720 --> 00:03:21,320 Speaker 1: we got troubles. 71 00:03:21,919 --> 00:03:24,840 Speaker 2: For more from the Mic Asking Breakfast, listen live to 72 00:03:24,919 --> 00:03:25,480 Speaker 2: news talks. 73 00:03:25,520 --> 00:03:28,720 Speaker 1: It'd be from six am weekdays, or follow the podcast 74 00:03:28,720 --> 00:03:29,600 Speaker 1: on iHeartRadio.