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Speaker 1: Protests over a lack of after ours medical care in

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Speaker 1: Napier will go ahead despite an agreement yesterday to enhance

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Speaker 1: the service. Napier currently has no doctor after APM, meaning

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Speaker 1: the closest medical care overnight is a twenty five minute

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Speaker 1: drive to Hastings. Yesterday, Health Minister Simon Brown announced an

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Speaker 1: increase in the overnight urgent care service in the area,

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Speaker 1: including access to nurse prescribers and medical support via Tallyhealth.

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Speaker 1: Patient Voice says it's not good enough and the planned

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Speaker 1: protest will be going forward. Chair and protest organizer Malcolm

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Speaker 1: mul Holland is worth me now. Good morning, Malcolm, good morning.

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Speaker 1: What did you make of the health minister's announcement yesterday?

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Speaker 2: Ah, I found it underwhelming. I don't think it as

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Speaker 2: a service that meets in the Napier community, and it

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Speaker 2: certainly doesn't seem to be a service that, if you like,

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Speaker 2: you know, is something that was promised to the community

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Speaker 2: when the hospital shove its stores back in nineteen ninety eight.

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Speaker 1: What do the people of Napier need?

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Speaker 2: I think in particular they want access to a GP

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Speaker 2: between those out of eight at nine to eight in

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Speaker 2: the morning. You know, that's been one of the ladin vehicles.

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Speaker 2: They would much rather see a GP in the flesh

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Speaker 2: if they are needing urgent care, and right now that's

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Speaker 2: not a service that's on the table.

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Speaker 1: So what would have you liked to have seen from

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Speaker 1: the Health Minister yesterday, a GP as opposed to a

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Speaker 1: nurse practitioner and a nurse put made available.

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Speaker 2: Yeah, yeah, absolutely there are gpp there in the flesh

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Speaker 2: because there are some issues around a nurse who is

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Speaker 2: a prescriber. So my understanding is that they can only

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Speaker 2: prescribe medication for common or for long term conditions. And

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Speaker 2: I would assume that many people who present to napier

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Speaker 2: for urgent care wouldn't be in the bracket as well

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Speaker 2: as the need. So some doctors are quite reluctant to

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Speaker 2: say via telehealth, this patient is in need of this

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Speaker 2: medication without actually seeing them in the flesh. So understanding

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Speaker 2: is depending on who the GP is at the under

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Speaker 2: end of the line will determine whether or not a

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Speaker 2: patient will actually receive the medication that they need.

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Speaker 1: You got anywhere that you can pick up a prescription after.

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Speaker 2: Ours a very good question. I don't believe that there is,

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Speaker 2: and I think that that is one of the services

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Speaker 2: that the minister has indicated he would like, you know,

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Speaker 2: there to be more work done and for that to

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Speaker 2: potentially happen at the Naper Health Center, but right now

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Speaker 2: there doesn't seem to be something that people who go

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Speaker 2: there can excess right now.

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Speaker 1: So where did the government It sounds like a series

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Speaker 1: of governments here go wrong with this new plan for Napier.

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Speaker 2: Well, I think they haven't appreciated. I guess that Napier

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Speaker 2: is first for a city of sixty seven thousand people

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Speaker 2: and that whilst there might be ed services available in Hastings,

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Speaker 2: which as a twenty five minute drive, the people of

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Speaker 2: Napier do deserve, you know, a robust after our place

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Speaker 2: with eighteen go to be seen for urgent care, and

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Speaker 2: that was something that was promised to them. So Napier

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Speaker 2: citizens do feel like they've been let down and that

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Speaker 2: the government have not come through with their end of

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Speaker 2: the deal.

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Speaker 1: I mean, Malcolm, there's probably a lot of places around

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Speaker 1: the country where we're having to drive twenty five minutes

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Speaker 1: to get to after our care. I mean, there will

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Speaker 1: be parts of Auckland where you know you'd be driving

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Speaker 1: at least that to reach care. Is it the issue

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Speaker 1: to drive or is the issue to fact that you know,

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Speaker 1: once again, we don't want to be overloading our ed

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Speaker 1: departments such as the one at hays Thing's Hospital with

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Speaker 1: cases of dat.

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Speaker 2: Well, that's right, it is absolutely that, because right now

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Speaker 2: they will tell you that it's very hard to be

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Speaker 2: seen hasting ZD. Hasting ZD more times than not is

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Speaker 2: absolutely full to the brim of not flowing out the door.

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Speaker 2: So there is the issue. But you've also got people

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Speaker 2: who I think quite rightfully who live in our city.

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Speaker 2: You should be able to be seen for urgent care,

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Speaker 2: not in an emergency situation, but for urgent care. And

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Speaker 2: keep in mind too that after cyclone Gabriel the city

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Speaker 2: was actually cut off and so people were able to

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Speaker 2: commute from Nature to Hastings and that's a big concent

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Speaker 2: amongst the community, Malcolm.

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Speaker 1: Is a lack of after ours medical service is an

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Speaker 1: issue in other areas of the country.

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Speaker 2: Yeah, No, most definitely, And it seems to be that

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Speaker 2: the preferred option is to go towards a telehealth model.

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Speaker 2: So I'm thinking for example, on the West Coast and

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Speaker 2: Buller where I come from, they've shut down thereafter our clinics.

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Speaker 2: They were about four or five method amongst the West

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Speaker 2: Coast there, and there was a real concern amongst some

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Speaker 2: via that Sellyhealths is not the solution for all. You've

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Speaker 2: got a predominantly older population, but you've also got pockets

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Speaker 2: for community that don't have interity or even self ane

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Speaker 2: access for that matter. So you know, often a lot

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Speaker 2: of communities are very anxious about in my time of need,

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Speaker 2: m I going to be able to get access to

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Speaker 2: in this case emergency services, not just urgent gear.

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Speaker 1: Malcolm, thank you so much for your time this morning.

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Speaker 1: That was Malcolm mule Holland there the chair and protest

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Speaker 1: for more.

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Speaker 2: From earlier edition with Ryan Bridge. Listen live to News

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Speaker 2: Talks it'd be from five am weekdays, or follow the

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