1 00:00:00,040 --> 00:00:02,759 Speaker 1: Tell you who's the growth industry here though Ambos. Last 2 00:00:02,840 --> 00:00:05,840 Speaker 1: year we had seven hundred and six thousand, one hundred 3 00:00:05,920 --> 00:00:08,440 Speaker 1: ninety four emergency calls for an ambulance, which is up 4 00:00:08,520 --> 00:00:10,680 Speaker 1: thirty percent in five years. Frontline cruise to ten to 5 00:00:10,680 --> 00:00:12,520 Speaker 1: five hundred and fifty one thousand, three hundred and ninety 6 00:00:12,560 --> 00:00:15,240 Speaker 1: nine incidents, that's a seventeen percent increase. Falls are your 7 00:00:15,240 --> 00:00:17,880 Speaker 1: biggest single call out. Ian Poulders a health commentator, of course, 8 00:00:17,920 --> 00:00:19,400 Speaker 1: and is back. Well, this is Ian, very good morning 9 00:00:19,440 --> 00:00:19,720 Speaker 1: to you. 10 00:00:20,440 --> 00:00:21,200 Speaker 2: Good morning mate. 11 00:00:21,239 --> 00:00:23,400 Speaker 1: So one in seven of us I did quick, Matt, 12 00:00:23,400 --> 00:00:25,280 Speaker 1: so I think that's right. One in seven of us 13 00:00:25,320 --> 00:00:27,080 Speaker 1: will call an ambulance. Is that normal? 14 00:00:28,400 --> 00:00:32,280 Speaker 2: Well, it's increasing and it's been increasing for some years. 15 00:00:32,320 --> 00:00:37,080 Speaker 2: What's happened with our ambulance services mirroring the mirrors what's 16 00:00:37,080 --> 00:00:40,280 Speaker 2: happening with our hospital system public hospital system in terms 17 00:00:40,320 --> 00:00:44,920 Speaker 2: of what we call acuta missions. Acuta missions are those 18 00:00:44,960 --> 00:00:48,239 Speaker 2: things that cannot be deferred. You can't sort of say, what, 19 00:00:48,680 --> 00:00:51,080 Speaker 2: we'll give you a procedure in a month's time, You've 20 00:00:51,080 --> 00:00:52,680 Speaker 2: got to do it in the next one or two 21 00:00:52,760 --> 00:00:56,080 Speaker 2: or three days that kind of time frame. And so 22 00:00:56,400 --> 00:01:01,960 Speaker 2: and the patients that since twenty eleven, the rate of 23 00:01:03,720 --> 00:01:08,080 Speaker 2: hospital acute admissions has increased at a higher rate than 24 00:01:08,880 --> 00:01:12,639 Speaker 2: population growth. And what that means, that's a tipping point. 25 00:01:12,800 --> 00:01:17,600 Speaker 2: That means that we have overcrowded hospitals, we have overcrowded 26 00:01:17,640 --> 00:01:22,280 Speaker 2: emergency departments. And it's the same driver with ambulances, is 27 00:01:22,319 --> 00:01:27,760 Speaker 2: that rising acute demand. And they said John's statement makes 28 00:01:27,760 --> 00:01:30,720 Speaker 2: it clear that it's the high acuity patients that is 29 00:01:30,760 --> 00:01:33,680 Speaker 2: the biggest driver of the interest. 30 00:01:33,840 --> 00:01:35,959 Speaker 1: We interrupt you, so, J just so I get My 31 00:01:36,080 --> 00:01:38,720 Speaker 1: assumption was that we like E D turn up at 32 00:01:38,880 --> 00:01:40,440 Speaker 1: D because we can't be bother going to the doctor, 33 00:01:40,520 --> 00:01:42,080 Speaker 1: or the doctor is not open or close to so 34 00:01:42,160 --> 00:01:44,000 Speaker 1: we'll ring an ambulance just in case you're telling me, 35 00:01:44,040 --> 00:01:48,120 Speaker 1: these are genuine cases that need ND need an ambulance 36 00:01:48,160 --> 00:01:49,720 Speaker 1: and they're increasing. 37 00:01:50,200 --> 00:01:54,240 Speaker 2: Absolutely absolutely what's happening to us? Well, I think that well, 38 00:01:54,280 --> 00:01:57,680 Speaker 2: first of all, we're getting older. The second is that 39 00:01:57,720 --> 00:02:01,200 Speaker 2: there is population growth. But the other thing is sometimes 40 00:02:01,200 --> 00:02:04,560 Speaker 2: what's called the social determinants of health, but it's essentially 41 00:02:04,800 --> 00:02:10,480 Speaker 2: factors like poverty load which in low incomes, poor housing. 42 00:02:11,080 --> 00:02:13,520 Speaker 2: A number of those things are making people who are 43 00:02:13,560 --> 00:02:18,520 Speaker 2: sick even sicker and those three things come together. I 44 00:02:18,520 --> 00:02:20,680 Speaker 2: don't know whether they can have a tripod vice, but 45 00:02:20,840 --> 00:02:21,720 Speaker 2: it's a bit like that. 46 00:02:23,320 --> 00:02:27,079 Speaker 1: It doesn't explain falls though poverty, race deprivation doesn't explain 47 00:02:27,120 --> 00:02:27,760 Speaker 1: falling over. 48 00:02:27,680 --> 00:02:31,680 Speaker 2: Does it. Well, it's probably more to do with aging. 49 00:02:33,120 --> 00:02:36,800 Speaker 2: And I have a neighbor who's a semi retired builder 50 00:02:37,160 --> 00:02:39,240 Speaker 2: and his comment to me from time to time is 51 00:02:39,280 --> 00:02:42,160 Speaker 2: that when we fall over, we don't bounce like we 52 00:02:42,320 --> 00:02:47,320 Speaker 2: used to. And essentially what that one of the biggest 53 00:02:47,400 --> 00:02:51,440 Speaker 2: drivers of falls is frailty and the older you get, 54 00:02:51,960 --> 00:02:56,239 Speaker 2: the more likely is that the frailer you're going to get. Now, 55 00:02:56,280 --> 00:02:59,960 Speaker 2: some of these things, with better support systems can be prevented, 56 00:03:00,120 --> 00:03:02,800 Speaker 2: Saint John's say, but it is a big factor. 57 00:03:03,040 --> 00:03:05,079 Speaker 1: All right, nice inside, and I appreciate that very much. 58 00:03:05,080 --> 00:03:07,280 Speaker 1: That answers my question. And I was wrong. My assumption 59 00:03:07,400 --> 00:03:11,360 Speaker 1: was wrong. I palell Health Commentator, small help if I 60 00:03:11,400 --> 00:03:13,919 Speaker 1: could ask for it this morning from Saint John when 61 00:03:13,960 --> 00:03:16,480 Speaker 1: we ring you at ten to five, and you may say, 62 00:03:16,480 --> 00:03:18,680 Speaker 1: why are we interviewing in Pale Health Commentator and not 63 00:03:18,760 --> 00:03:21,320 Speaker 1: St John? Very good question. When I ring you at 64 00:03:21,360 --> 00:03:23,399 Speaker 1: ten to five in the afternoon to tell me you've 65 00:03:23,400 --> 00:03:25,240 Speaker 1: logged off for the day and there's no one available. 66 00:03:25,280 --> 00:03:27,520 Speaker 1: Isn't that helpful? And if you want to put out 67 00:03:27,560 --> 00:03:30,160 Speaker 1: a press release and tell us how busy you all are, 68 00:03:30,600 --> 00:03:31,720 Speaker 1: don't go home early. 69 00:03:32,320 --> 00:03:35,240 Speaker 2: For more from the mic Asking Breakfast, listen live to 70 00:03:35,320 --> 00:03:38,400 Speaker 2: news talks it'd be from six am weekdays, or follow 71 00:03:38,440 --> 00:03:40,360 Speaker 2: the podcast on iHeartRadio.