1 00:00:00,120 --> 00:00:02,320 Speaker 1: New health data out this morning. In March, the government 2 00:00:02,360 --> 00:00:04,600 Speaker 1: committed to an extra ten thousand, five hundred and seventy 3 00:00:04,680 --> 00:00:06,960 Speaker 1: nine procedures before the end of June. Right did they 4 00:00:07,040 --> 00:00:10,840 Speaker 1: hit that? Dye it? Sixteen thousand and five were completed, 5 00:00:10,880 --> 00:00:13,280 Speaker 1: which is fifty one percent more than they actually planned. 6 00:00:13,320 --> 00:00:15,920 Speaker 1: Just over five thousand of those were cataracts, six hundred 7 00:00:15,920 --> 00:00:17,840 Speaker 1: and thirty eight hips, seven hundred and fifty one knees. 8 00:00:17,920 --> 00:00:20,920 Speaker 1: Chris Wakeman as General Surgeon also at the University of Waikato, 9 00:00:21,360 --> 00:00:24,200 Speaker 1: University of a Targo, rather in christ Church, where is 10 00:00:24,200 --> 00:00:25,760 Speaker 1: a senior lecturer Chris, morning to. 11 00:00:25,720 --> 00:00:27,080 Speaker 2: You, Good morning. 12 00:00:27,240 --> 00:00:30,520 Speaker 1: In the grand scheme of things? How effective has this 13 00:00:31,480 --> 00:00:35,200 Speaker 1: group of procedures been in the overall idea of getting 14 00:00:35,280 --> 00:00:36,040 Speaker 1: rid of a wait list? 15 00:00:37,720 --> 00:00:40,040 Speaker 2: It clears a lot of cases off the weightlist. I 16 00:00:40,080 --> 00:00:44,880 Speaker 2: mean the chosen cases which are hard turned over quick 17 00:00:45,240 --> 00:00:47,600 Speaker 2: efficient and there is a wait time for it. Have 18 00:00:47,680 --> 00:00:49,560 Speaker 2: you've got a cataract and you've been waiting? Of course 19 00:00:49,560 --> 00:00:50,879 Speaker 2: you're very grateful. 20 00:00:52,200 --> 00:00:54,760 Speaker 1: What's the value of a target? Is it just money? 21 00:00:54,880 --> 00:00:57,920 Speaker 1: Is it space? Is it labor? Is it the organization? 22 00:00:58,120 --> 00:00:59,440 Speaker 1: Is it where you are in the country? 23 00:00:59,440 --> 00:01:03,360 Speaker 2: What is it? I think the value of the number 24 00:01:03,400 --> 00:01:06,080 Speaker 2: is just to try and clear people off. Just it 25 00:01:06,160 --> 00:01:09,640 Speaker 2: looks good. It is good clearing ten thousand, fifteen thousand 26 00:01:09,640 --> 00:01:11,480 Speaker 2: patients off weightless. 27 00:01:12,000 --> 00:01:14,200 Speaker 1: What is it they do in that case? Then, in 28 00:01:14,200 --> 00:01:15,680 Speaker 1: the sense, why don't we just have a whole lot 29 00:01:15,720 --> 00:01:18,000 Speaker 1: of targets all the time and you know, crack. 30 00:01:17,800 --> 00:01:21,600 Speaker 2: On, Well, we used to have targets and they were 31 00:01:21,600 --> 00:01:23,520 Speaker 2: removed and that gave you something to aim for and 32 00:01:23,560 --> 00:01:26,360 Speaker 2: you knew what we were standing compared to last year 33 00:01:26,440 --> 00:01:28,560 Speaker 2: or the year before. So I think I think it's 34 00:01:28,600 --> 00:01:30,800 Speaker 2: beneficial to have a target, to know what you're trying 35 00:01:30,840 --> 00:01:32,319 Speaker 2: to do, what you're trying to achieve. 36 00:01:32,720 --> 00:01:35,600 Speaker 1: Cataracts at five thousand strikes me as being they're an 37 00:01:35,600 --> 00:01:37,679 Speaker 1: easy hit. Is that fair if you want to drum 38 00:01:37,720 --> 00:01:39,080 Speaker 1: some numbers up cataracts? 39 00:01:40,120 --> 00:01:43,880 Speaker 2: Yeah, definitely, And they're chosen, chosen the easy headers have 40 00:01:43,959 --> 00:01:44,240 Speaker 2: to say. 41 00:01:44,480 --> 00:01:48,640 Speaker 1: Okay, So the northern regions, I'm looking at the numbers. 42 00:01:48,960 --> 00:01:51,360 Speaker 1: I don't know whether this means anything. The Northern, the 43 00:01:51,360 --> 00:01:53,560 Speaker 1: mid Central, the Southern, the South Island. I mean, is 44 00:01:53,920 --> 00:01:56,160 Speaker 1: this this post code healthcare or not. 45 00:01:57,400 --> 00:01:59,360 Speaker 2: It's a bit had to know, because I mean I 46 00:01:59,360 --> 00:02:02,200 Speaker 2: don't know of the Southern is that Tamaru or is 47 00:02:02,240 --> 00:02:06,160 Speaker 2: that Dunedin or asks in christ Jets doing all those operations. 48 00:02:06,160 --> 00:02:10,320 Speaker 2: I know we've been doing quite a few, and it's 49 00:02:10,400 --> 00:02:13,120 Speaker 2: interestingly easy hitters, as you say. I mean, Guyney was 50 00:02:13,120 --> 00:02:16,440 Speaker 2: the one which stuck stood out to me. There's not 51 00:02:16,720 --> 00:02:18,920 Speaker 2: much guyany been done, but there's a lot of unmet 52 00:02:18,919 --> 00:02:22,320 Speaker 2: need in gynecology and part of the problem is actually 53 00:02:23,360 --> 00:02:26,959 Speaker 2: getting people into into outpatients, assessing them, getting them ready 54 00:02:27,000 --> 00:02:29,600 Speaker 2: for surgery now in a rush, and then getting them 55 00:02:29,639 --> 00:02:33,120 Speaker 2: out contract so numbers down. 56 00:02:33,280 --> 00:02:35,079 Speaker 1: How does this work in the hospital. Do you get 57 00:02:35,120 --> 00:02:37,320 Speaker 1: an email from somebody going, hey, look we've got a 58 00:02:37,320 --> 00:02:39,800 Speaker 1: big target here, let's let's go for it. I mean, 59 00:02:39,800 --> 00:02:40,760 Speaker 1: how does it unfold? 60 00:02:41,760 --> 00:02:44,119 Speaker 2: No, it's a little bit secret, squirrel. We don't know. 61 00:02:44,520 --> 00:02:46,760 Speaker 2: With my public hat on, I don't know. I know 62 00:02:46,840 --> 00:02:51,640 Speaker 2: the contracting stuff out and private. The private hospitals then 63 00:02:51,680 --> 00:02:56,400 Speaker 2: contact the private institution rooms, so the surgical rooms, and 64 00:02:56,440 --> 00:03:01,920 Speaker 2: say you've got ten contra cases you need to do 65 00:03:01,919 --> 00:03:04,799 Speaker 2: do them with the next six weeks or whatever. And 66 00:03:05,000 --> 00:03:07,919 Speaker 2: they then send a hospital name and number and some 67 00:03:07,960 --> 00:03:09,920 Speaker 2: details and you contact that patient, get them into your 68 00:03:09,960 --> 00:03:13,119 Speaker 2: rooms and hopefully they're appropriate to be done. 69 00:03:13,080 --> 00:03:15,800 Speaker 1: Right and so you feel that things have been moving. 70 00:03:15,840 --> 00:03:17,600 Speaker 1: You can see that as a doctor on the front 71 00:03:17,639 --> 00:03:19,440 Speaker 1: line that you are doing some more work. 72 00:03:20,840 --> 00:03:24,720 Speaker 2: With my private hat. I'm definitely seeing every week I 73 00:03:24,800 --> 00:03:28,000 Speaker 2: get one or two cases come through the rooms which 74 00:03:28,080 --> 00:03:30,360 Speaker 2: need to be put on a private list to get 75 00:03:30,360 --> 00:03:32,080 Speaker 2: contracted out and get done efficiently. 76 00:03:32,360 --> 00:03:35,720 Speaker 1: The breakdown of kids fifteen percent, with children forty nine percent, 77 00:03:35,720 --> 00:03:38,640 Speaker 1: we're over sixty five sixty six percent with New Zealand Europeans. 78 00:03:38,840 --> 00:03:41,920 Speaker 1: Do we have any indication of whether that's how that's 79 00:03:41,960 --> 00:03:45,160 Speaker 1: approached or why that's approached that way, or you just 80 00:03:45,240 --> 00:03:47,600 Speaker 1: do as you're told them. 81 00:03:48,560 --> 00:03:52,480 Speaker 2: My feeling is that they're just they're not worried about 82 00:03:52,720 --> 00:03:54,920 Speaker 2: if you're on the waiting list. There's no check up 83 00:03:55,280 --> 00:03:59,520 Speaker 2: of trying to get rid of certain targets for ethnicities 84 00:03:59,560 --> 00:04:04,840 Speaker 2: or ages like the previous institution, previous years we've done. 85 00:04:05,320 --> 00:04:07,640 Speaker 2: It is just a matter of trying to get as 86 00:04:08,160 --> 00:04:10,280 Speaker 2: many patients as soon as possible. 87 00:04:10,600 --> 00:04:12,800 Speaker 1: Very broadly, are we on the right track here? 88 00:04:15,080 --> 00:04:17,479 Speaker 2: Yes, I think it is a really good maneuver. Worries 89 00:04:17,520 --> 00:04:22,560 Speaker 2: me long term training. What are our doctors, surgeons and 90 00:04:22,640 --> 00:04:26,240 Speaker 2: ethotists in ten years time? Even theater nurses how are 91 00:04:26,320 --> 00:04:29,680 Speaker 2: they going to be able to handle the smaller cases 92 00:04:29,680 --> 00:04:32,040 Speaker 2: and the high turnover cases that they don't see them 93 00:04:32,040 --> 00:04:33,200 Speaker 2: in the public institutions. 94 00:04:33,400 --> 00:04:36,120 Speaker 1: Yeah, okay, Chris appreciate it very much. Chris Wakeman, General 95 00:04:36,120 --> 00:04:38,640 Speaker 1: Surgeon and at the University of Otiger's references. The more 96 00:04:38,640 --> 00:04:40,800 Speaker 1: you go the private, the training is done in the public, 97 00:04:40,800 --> 00:04:42,599 Speaker 1: and if they don't see as much in public, you 98 00:04:42,600 --> 00:04:44,200 Speaker 1: don't get as much training done. 99 00:04:44,480 --> 00:04:47,360 Speaker 2: For more from the Mic Asking Breakfast, listen live to 100 00:04:47,480 --> 00:04:50,559 Speaker 2: news talks that'd be from six am weekdays, or follow 101 00:04:50,600 --> 00:04:52,160 Speaker 2: the podcast on iHeartRadio.