Gordon Campbell | Parliament TV | Parliament Today | News Video | Crime | Employers | Housing | Immigration | Legal | Local Govt. | Maori | Welfare | Unions | Youth | Search


NZRGPN Chair questions government motives

NZRGPN Chair questions government motives in funding breakdown

New Zealand Rural General Practice Network Chair Dr Tim Malloy has questioned why the government would impose on the sector a condition it knows to be unacceptable to general practice at a critical point of the primary healthcare strategy. It has done this at a time when the sector is trying hard to work together to reduce health disparities.

His comments follow the breakdown of the contract negotiations between DHBs and PHOs in respect of additional funding for 45 – 64 year olds. The funding, worth approximately $110 million, would have made visits to GPs cheaper for people in that age group who were not already subsidised by the government.

“The current PHO contract is acceptable, although not ideal,” said Dr Malloy. “It is how we have progressed implementation of Primary Health Strategy over the past three years, including previous funding rollouts. On this occasion the principle of fee control by government has not been negotiable. The PHO Service Agreement Amendment Protocol Group (PSSAP) process disempowers GPs as it negotiates processes between PHOs and DHBs without GP involvement.”

Dr Malloy says rural GPs would have been prepared to roll-over the current funding allocation for 45 – 64 year olds in interim-funded PHOs under the existing contract. “However, DHBNZ has indicated that without fee control they are not prepared to release the patient subsidy for this year.

“This is neither fair to the affected public nor to the integrity of the general practitioners trying to provide quality cost-effective service. For many of our rural practices viability is highly fragile. General Practice is a private business with all the responsibilities and financial risks this involves. In order to stay in business practitioners must be able to determine the costs and pricing structures unique to their business. For example the cost of locums is dictated by the international market place from where they are sourced and can fluctuate significantly. We need to be able to respond to these drivers as we see fit.

“If we are to be able to sustain an already depleted workforce we need less pressures on our business, not more. General practice both urban and rural will stand together on this most important of issues. (CONTINUED)

“Why, given that we confirmed we want to pass the subsidy in full on to our patients, just as we have done in the past, has the government chosen this tack?”


© Scoop Media

Parliament Headlines | Politics Headlines | Regional Headlines

Werewolf: What Does Winston Peters Want His Legacy To Be?

A lot of people in New Zealand seem to resent Winston Peters and the power that he appears to have. “Appears” being the operative word. In reality, Peters will have power only up to the point that he uses it.

By next week, he’ll have become just another junior player in an MMP governing arrangement, battling to hold onto the gains he was promised. More>>


Rising Toll: Road Safety Needs To Be A Higher Priority

Official advice released to the Green Party under the Official Information Act shows that the previous National Government dismissed an option to make road safety its most important transport priority after being told the road toll was rising. More>>


Wellington.Scoop: Arrests At Blockade Of "Weapons Expo"

“We encourage people in Wellington to get down to the Westpac Stadium now for a day of awesome peace action. There will be plenty of food, music and activities to keep us sustained through the day.” More>>


Rorschach Restructuring: PSA Taking Inland Revenue To Court Over Psychometrics

The Public Service Association will be seeing Inland Revenue in Employment Court over its intention to psychometrically test employees reapplying for their roles at the department as part of its controversial Business Transformation restructuring plan. More>>


Nuclear Disarmament: Nobel Peace Prize 2017 Awarded To ICAN

Congratulations from iCAN Aotearoa New Zealand to international iCAN, the other iCAN national campaigns and partner organisations, and the countless organisations and individuals who have worked so hard for a nuclear weapons-free world since 1945. More>>


Expenses: Waikato DHB CEO Resigns

An independent inquiry has identified that Dr Murray had spent more than the agreed $25K allocated for relocation costs, and other unauthorized expenses involving potential financial breaches of the chief executive’s obligations. More>>


Wellington.Scoop: Sad About The Trolley Buses?

The Regional Council’s MetLink is today spending money to tell us that it really loves Wellington’s trolley buses, even though they’re all being taken off our roads by the end of this month. More>>


Post-Election: Preliminary Coalition Talks Begin

New Zealand First will hold post-election preliminary discussions in Wellington with the National Party tomorrow morning and the Labour Party tomorrow afternoon. More>>




Featured InfoPages

Opening the Election