Quality Medical Laboratory Services at Risk

Quality Medical Laboratory Services at Risk

Diagnostic medical laboratories are an essential part of our health service supporting early diagnosis and management of people’s medical conditions, but changes are needed in how district health boards contract with pathology practices, to ensure quality of services are retained, say the NZ Association of Pathology Practices (NZAPP).

Diagnostic medical laboratories undertake over 20 million tests a year in the community and contribute to the requirements of seven million patient-consultations with doctors and other health professionals.

However, contracting arrangements under DHBs have been disruptive and unsettling for laboratories, says NZAPP Chair Dr Paul Ockelford. “There is no national pathology framework to encourage consistent service standards. Having to deal individually with 21 DHBs is very complex and works against a stable and sustainable laboratory service. We strongly believe one national policy is required.”

He urged the Government to support the formation of a National Pathology Advisory Group to make progress on this.

The financial sustainability of laboratory companies is also under threat. Fees paid by the government for community laboratory testing are just 2% of health funds and the average fee per test has actually reduced by 10% over the last decade to a modest $9.20.

“We favour initiatives which will help to ensure that laboratories are financially sustainable so that they can continue to provide high quality standards. Practices must be able to charge fees for some patients and tests especially where the full cost is not met by the contract.

Dr Ockleford said the Association also favoured competition for laboratory service contracts within a capped market and public-private partnerships.

The acute shortage of pathologists was also threatened in the current environment.

“We are concerned that many pathologists and other laboratory staff may choose to work overseas instead, if uncertainties in the New Zealand system continue.”

“Every day thousands of New Zealanders are referred by their general practices to use pathology services to help diagnose and treat illnesses. We need to ensure that an optimal service continues to operate.”

Contact: Dr Paul Ockelford 0274 939 252

ENDS

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