Top Scoops

Book Reviews | Gordon Campbell | Scoop News | Wellington Scoop | Community Scoop | Search

 

Collaboration needed in NZ’s healthcare system to be fair


Opinion – More and more New Zealanders are becoming, avoidably, at-risk due to under-pressure District Health Boards, longer waiting lists, and an ever-growing population.

But just as this Government wants to radically change the education system, so, too, must it consider greater collaboration within the healthcare system in its major review of the way health services are provided.

Doctors, nurses and technicians are held back by traditional pay scales, subjected to increased workloads, greater levels of fatigue and stress, higher staff turnover and amplified patient acuity, and an unhealthy rostering system.

This can mean, unintentionally, people fall through the system’s cracks.

Add to this the growing incidences of people going without required screening tests, and DHBs’ efforts to ensuring Kiwis are getting the healthcare they deserve are compounded.

Something’s gotta give.

Health Minister Dr David Clark publicly ruled out the use of public-private partnerships (PPPs) in the health system. This was in response to calls by private surgical hospitals that government partner with them formally to parcel out surgical cases on a planned rather than ad hoc basis, as happens now.

So, if the PPPs proposal is off the table, there are really only two remaining options.

One is that DHBs continue to struggle with existing resources, patients continue to suffer long waiting times and medical staff, including hard-working nurses, continue to put up with very tough working conditions.



Or two, DHBs work with organisations like SEQURE Health who can insource specialist medical staff, including colonoscopists, general surgeons and gastroenterologists, to relieve the pressures on DHBs, patients and hospital staff.

This model of care is used overseas in the UK and Brazil and has been proven effective.

The formula is simple.

SEQURE can actively source and provide to DHBs under contract trained, specialised and experienced clinical and surgical staff who can work onsite at hospitals using the hospital’s own facilities to boost hospital capacity.

Insourcing can help hospitals shape timeframes, resources, and rosters to deliver the services outside of core hours.

Consequently, this leaves DHBs with more money to support staff in meeting other targets, while simultaneously, generating more time to invest in staff welfare.

This is a valuable service that Southland DHB and its patients benefited from; bringing in eye specialists from around New Zealand to Dunedin to tackle a backlog of 1,500 patients with ‘significantly overdue’ appointments between March to mid-June.

Outsourcing means paying for the facilities as well as the medical expertise – whereas Insourcing staff to absorb increased demand could help DHBs fully utilise unused existing capacity, expand day-time specialist outpatient clinics, and operate overnight throughout weekends in order to clear backlogs.

It’s time that the public sector seeks a different form of partnership with their private counterparts.

ends

© Scoop Media

 
 
 
Top Scoops Headlines

 

Gordon Campbell: On America’s ‘Green New Deal’

‘Socialism’ is more of a political scare word than an objective condition. Even in the US, as Nate Silver’s 538 website pointed out this week there is polling evidence that modern Americans are inclined to treat socialism as meaning ‘equality’ rather than the ‘government ownership or control’ that Americans understood the term to mean back in the 1940s... More>>

Gordon Campbell: On The Nelson Fire And Climate Change

The Nelson fire has been a useful warning of things to come, given how climate change will (a) increase the likelihood of reduced rainfall and drought-like conditions in many parts of New Zealand, which – obviously – will raise (b) the fire danger and (c) the cost of providing the communities at risk with the enhanced firefighting capabilities that they’re going to need. More>>

ALSO:


Gordon Campbell: On Listening To Ocasio-Cortez About Tax

In its attitudes to tax, New Zealand has been the last colonial outpost of Thatcherism. Change, however, may be in the air. More>>

ALSO:

Gordon Campbell: On The US Exit From Afghanistan

To state the bleedingly obvious, US military forces have done a good deal of harm over the past 50 years from Central America to Asia to Africa. That history is now tending to obscure the harm that’s being done by the polar opposite impulse: American isolationism... More>>

ALSO:

Gordon Campbell: On The Brexit Vote Aftermath

So, what happens next? Normally when a major policy like this gets so crushingly rejected – by 230 votes, when Theresa May had reportedly been hoping for a defeat by “only” 70- 100 votes – the PM would resign and/or a fresh election called. More>>

Gordon Campbell: On Our History Of Selling Out The Kurds

For the past 100 years, the West has sold out the Kurds over and over again. So much so that it came as a surprise yesterday when US National Security advisor John Bolton appeared to walk back the latest act of betrayal... More>>

ALSO:

 
 
 
 
 
 
 
 
  • PublicAddress
  • Pundit
  • Kiwiblog