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Speaker 1: Onto something else altogether. North Shore Hospital, this place has

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Speaker 1: now got a ward for people who shouldn't be in hospital.

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Speaker 1: These are people who should be going to age care

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Speaker 1: or some other lower level care facilities, but they can't.

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Speaker 1: So the hospital set up a twenty bed ward in May.

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Speaker 1: Sarah Dalton is the executive director of the Association of

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Speaker 1: Salary Medical Specialists and with us. Hey, Sarah, Hey, Heather,

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Speaker 1: how are you doing. I'm very well, thank you. Why

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Speaker 1: have these people got nowhere to go?

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Speaker 2: It's a really good question, isn't it. But I think

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Speaker 2: it speaks to our failure to properly resource community based

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Speaker 2: care support in the home, and particularly age residential care.

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Speaker 2: You know, they're a big part of the health package.

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Speaker 2: We shouldn't just think about hospitals when we think about

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Speaker 2: access to healthcare.

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Speaker 1: And are these people unable to go there because they

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Speaker 1: can't afford it or because there's simply no space to

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Speaker 1: accept them into.

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Speaker 2: Look, I don't know about the details of the exact,

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Speaker 2: you know, those that particular cohort of people, but I

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Speaker 2: think it's either that they can't afford private aged residential care.

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Speaker 2: There isn't public aged residential care in place. I mean

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Speaker 2: probably I don't know if it would be a not,

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Speaker 2: a achieved or a D, but they would probably be

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Speaker 2: the grades that we would give the government on their

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Speaker 2: approach to elder care currently.

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Speaker 1: Oh why because not enough funding?

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Speaker 2: Yeah? Yeah, absolutely, And of course it's more expensive to

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Speaker 2: keep people in hospital than it is to care for

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Speaker 2: them in the community, particularly when they're going to be

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Speaker 2: worse off health wise by staying in hospital when they're

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Speaker 2: no longer medically required to be there.

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Speaker 1: Now, in some cases these people need rehab apparently and

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Speaker 1: are unable to get what are we talking about. Are

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Speaker 1: we talking like the people who've hurt their backs or

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Speaker 1: people with strokes or what.

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Speaker 2: Yeah. Also, if you've been in hospital in a hospital

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Speaker 2: bed for a long time, particularly if you're older, you

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Speaker 2: just need help getting mobile again. So rehab can be.

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Speaker 2: It's occupational therapy, it's physiotherapy. It's making sure you can

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Speaker 2: safely move about in your normal day to day environment.

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Speaker 2: You can dress yourself, you can feed yourself. You know,

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Speaker 2: you're doing the exercises that you need to do if

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Speaker 2: you've had an operation and you need to be back

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Speaker 2: and going again.

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Speaker 1: Now, the problem is this is obviously only been around

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Speaker 1: since May, right, so We're only a few months into it,

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Speaker 1: but I would say that this is probably more likely

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Speaker 1: to be permanent than temporary.

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Speaker 2: What do you think I fear that that is the case.

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Speaker 2: I mean, I think it's also ironic that I believe

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Speaker 2: that they are in Torturda hoo Maty, which was the

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Speaker 2: new hospital build, which was supposed to be the flagship

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Speaker 2: elective services hospital building in Auckland, where you know, the

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Speaker 2: elective surgical flow could be pushed through for the region,

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Speaker 2: and now it's already full of a ward full of

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Speaker 2: patients who not only don't need an operation, but they

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Speaker 2: don't need to be in hospital. So I just think

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Speaker 2: it really speaks to where the government needs to look

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Speaker 2: more holistically at our health system. These people won't be

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Speaker 2: captured by any of the targets that are currently dominating

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Speaker 2: the government's thinking about healthcare either.

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Speaker 1: Yeah. I mean what you need is a minister like

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Speaker 1: Erica Stanford. Don't you come in and change things up?

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Speaker 2: Well, we absolutely need to have some better conversations and

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Speaker 2: some reasons to go with because there's lots of people

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Speaker 2: out there that know what are the best things for

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Speaker 2: these people. The clinicians know what they need. In many cases,

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Speaker 2: there aren't the clinicians in place, There aunt the facilities

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Speaker 2: in place. We really need to look to this, particularly

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Speaker 2: in a large urban setting. You can understand it maybe

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Speaker 2: happening in a smaller rural or regional area, but in

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Speaker 2: our largest city it's ridiculous.

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Speaker 1: Yeah, Sarah, thanks very much, appreciate it. Sarah Dulton, Association

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Speaker 1: of Salary Medical Specialists, executive Director. She won't, she won't

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Speaker 1: going to go there. Ah, she know you can't be

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Speaker 1: saying that, And the next minute golden balls, your health

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Speaker 1: minister turns up and goes up. You picked derekas and Nah.

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Speaker 1: For more from Heather Duplessy Allen Drive. Listen live to

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Speaker 1: news talks the'd be from four pm weekdays, or follow

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