1 00:00:00,040 --> 00:00:02,160 Speaker 1: Prebuds an announcement for US one hundred and sixty four 2 00:00:02,160 --> 00:00:04,440 Speaker 1: million dollars over four years for five new twenty four 3 00:00:04,480 --> 00:00:07,080 Speaker 1: to seven urgent healthcare clinics. That's forty one million dollars 4 00:00:07,080 --> 00:00:10,239 Speaker 1: a year. Counties Monaco, fung Rda, Palmston, North Totong and 5 00:00:10,280 --> 00:00:12,039 Speaker 1: Duneed and Health Minister Sime and Brown with me this 6 00:00:12,119 --> 00:00:13,440 Speaker 1: morning minutes A good morning. 7 00:00:13,680 --> 00:00:14,480 Speaker 2: Good morning Ryan. 8 00:00:14,720 --> 00:00:18,400 Speaker 1: So will these areas get a new clinic? 9 00:00:20,280 --> 00:00:24,760 Speaker 2: This will be about ensuring those communities have twenty four 10 00:00:24,760 --> 00:00:29,000 Speaker 2: to seven access to urgent and after ours care and 11 00:00:29,760 --> 00:00:32,840 Speaker 2: healthy animill grow through a procurement process. Most likely they'll 12 00:00:32,840 --> 00:00:36,519 Speaker 2: work with existing providers who may already be providing services, 13 00:00:36,560 --> 00:00:38,920 Speaker 2: say till eight o'clock or nine o'clock at night, and 14 00:00:39,000 --> 00:00:42,440 Speaker 2: look to extend those hours overnight to ensure that the 15 00:00:42,560 --> 00:00:45,400 Speaker 2: access to that service is there. It's for young parents 16 00:00:45,440 --> 00:00:48,240 Speaker 2: needing to have their children seen who come down sick. 17 00:00:48,520 --> 00:00:51,760 Speaker 2: It's about reducing pressure on emergency departments because we know 18 00:00:51,800 --> 00:00:54,320 Speaker 2: that around a third of patients who are turn up 19 00:00:54,360 --> 00:00:57,640 Speaker 2: at emergency departments are Triage four or five, which are 20 00:00:57,640 --> 00:00:59,960 Speaker 2: lower acuity. Many of those can be seen in urgent 21 00:01:00,040 --> 00:01:03,120 Speaker 2: and after ours care. Clinics, so reducing pressure on hospitals, 22 00:01:03,160 --> 00:01:05,920 Speaker 2: providing access and supporting particularly those young families. 23 00:01:06,080 --> 00:01:09,000 Speaker 1: So this is private clinics. We will pay to go 24 00:01:09,280 --> 00:01:12,639 Speaker 1: after hours if there was enough of a demand, wouldn't 25 00:01:12,640 --> 00:01:14,240 Speaker 1: maybe open now already. 26 00:01:15,160 --> 00:01:18,120 Speaker 2: Look, this is about providing access and ensuring that access 27 00:01:18,200 --> 00:01:22,080 Speaker 2: is there and ensuring that people can receive that care. 28 00:01:22,319 --> 00:01:25,640 Speaker 1: So when you pay them to stay open, basically even 29 00:01:25,680 --> 00:01:29,039 Speaker 1: if they're making a loss, you'll cover it, that's right. 30 00:01:29,080 --> 00:01:31,120 Speaker 2: It'll be about making sure that there is access to 31 00:01:31,240 --> 00:01:34,760 Speaker 2: these services. There will also be support for people who 32 00:01:34,760 --> 00:01:38,880 Speaker 2: do need that support to ensure they can. You know, 33 00:01:38,920 --> 00:01:42,119 Speaker 2: for lower income families, community services can't. But the cost 34 00:01:42,200 --> 00:01:44,880 Speaker 2: of the system is substantially cheaper if someone is seen 35 00:01:44,920 --> 00:01:47,200 Speaker 2: in primary care than if they turn up to an 36 00:01:47,200 --> 00:01:49,680 Speaker 2: emergency department. The cost difference to somewhere between like a 37 00:01:49,760 --> 00:01:52,600 Speaker 2: thousand dollars eight hundreds of thousand dollars if someone turns 38 00:01:52,680 --> 00:01:55,120 Speaker 2: up to an emergency department, whereas it's around one hundred 39 00:01:55,120 --> 00:01:57,360 Speaker 2: and fifty to two hundred dollars per person if they 40 00:01:57,400 --> 00:02:00,360 Speaker 2: turn up to an after ours care clinics. Cost of 41 00:02:00,400 --> 00:02:03,600 Speaker 2: the systems a lot longer, it's closer to home it's 42 00:02:03,600 --> 00:02:06,560 Speaker 2: more convenient. That's what we're trying to do. Well. 43 00:02:06,760 --> 00:02:08,440 Speaker 1: The friend of mine's a doctor. He works in an 44 00:02:08,480 --> 00:02:11,200 Speaker 1: emergency department. He said, the problem is that you've got 45 00:02:12,240 --> 00:02:14,840 Speaker 1: people who come to the emergency department go there because 46 00:02:14,880 --> 00:02:17,160 Speaker 1: they know eventually they will be seen and they don't 47 00:02:17,160 --> 00:02:20,239 Speaker 1: have to pay anything. He said, you give in the 48 00:02:20,280 --> 00:02:23,400 Speaker 1: emergency department waiting room. You give people a voucher that says, hey, 49 00:02:23,760 --> 00:02:26,440 Speaker 1: go to this after ours clinic. They can see you 50 00:02:26,280 --> 00:02:27,919 Speaker 1: and you and you won't have to pay because you 51 00:02:28,000 --> 00:02:31,320 Speaker 1: were giving you this voucher. They don't move because they 52 00:02:31,360 --> 00:02:34,160 Speaker 1: are already in a queue. How do you know you 53 00:02:34,200 --> 00:02:36,440 Speaker 1: can only do so much well. 54 00:02:36,480 --> 00:02:39,360 Speaker 2: One of the challenges though, in many communities across the country, 55 00:02:39,400 --> 00:02:42,280 Speaker 2: the access to those services is quite limited in terms 56 00:02:42,280 --> 00:02:46,320 Speaker 2: of the hours. So for example, Middlemoor Hospital emergency department 57 00:02:46,440 --> 00:02:49,360 Speaker 2: is one of our busiest emergency departments. There is no 58 00:02:49,639 --> 00:02:52,400 Speaker 2: after Ours twenty four to seven clinic in Counties Manicau. 59 00:02:52,440 --> 00:02:54,200 Speaker 2: So that's what we're doing here, making sure there isn't 60 00:02:54,240 --> 00:02:57,440 Speaker 2: after ours clinic in Counties Mancau. So there is an 61 00:02:57,480 --> 00:03:01,120 Speaker 2: ability for those patients to be seen elsewhere in the community. 62 00:03:00,720 --> 00:03:04,760 Speaker 1: But private one open at night. Yeah, that's right. 63 00:03:04,800 --> 00:03:07,080 Speaker 2: So that's what this is all about, making sure there's 64 00:03:07,080 --> 00:03:10,519 Speaker 2: more access and supporting reducing pressure in the regency. 65 00:03:10,560 --> 00:03:13,120 Speaker 1: Department had one very very quick question. Have you had 66 00:03:13,160 --> 00:03:15,920 Speaker 1: anyone or any unions or anyone approach you about this 67 00:03:16,000 --> 00:03:18,840 Speaker 1: new pay parody stuff? You know, the potential for a 68 00:03:18,919 --> 00:03:21,160 Speaker 1: deal being lodged or a case being lodged. 69 00:03:22,160 --> 00:03:26,880 Speaker 2: Look, though the legislation is very clear individuals unions are 70 00:03:26,960 --> 00:03:30,560 Speaker 2: able to lodge claims. There's a legislated process around that 71 00:03:31,480 --> 00:03:33,400 Speaker 2: and if parties can't agree, they can go to the 72 00:03:33,440 --> 00:03:34,639 Speaker 2: Employment Relations Authority. 73 00:03:35,040 --> 00:03:37,119 Speaker 1: Thanks your time, minister, appreciate it. Simming Brown, the Health 74 00:03:37,120 --> 00:03:38,080 Speaker 1: Minister with us this morning. 75 00:03:38,840 --> 00:03:41,800 Speaker 2: For more from Early Edition with Ryan Bridge. Listen live 76 00:03:41,960 --> 00:03:44,960 Speaker 2: to News Talks it'd be from five am weekdays, or 77 00:03:45,000 --> 00:03:46,920 Speaker 2: follow the podcast on iHeartRadio