Simeon Brown: Health Minister on the progress on health targets, ED wait times

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The Mike Hosking Breakfast 5 min 2 speakers 4 chapters transcribed 2 months ago
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What progress has been made on health targets in the March quarter?

Mike Hosking 0:00
We've got good news though on the health service meantime. This is for Q1. We're hitting our target. 65% of elected patients were treated within four months and that's up from 57%. 61% were seen within four months for the first specialist assessment, which is up from 58%. ED wait times are a bit stuck. They are up a smidge, but not a lot. Simeon Brown's the health minister and he's with us. Very good morning to you. Good morning, Mike. So these numbers, you're in the right direction, but they're moving slowly. Is this a grind?
Simeon Brown 0:28
Look, no one said it was going to be easy to turn around the results in our health system, which went backwards badly under the previous government, but we are making good progress. I think particularly on elective surgeries where There's been a big uplift not only in the number of people being treated within four months, but actually the number of total surgeries delivered this quarter compared to the previous quarter last year, a 5.5% increase in the amount of surgeries delivered.

How are ED wait times currently affecting patients?

Simeon Brown 0:55
And that's the key way to get the numbers down off the waitlists. Part of that's lifting performance in hospitals. Part of it's also, as I've spoken to you about before, outsourcing using the private hospitals as well as much as we can to get people seen quickly to reduce those wait times.
Mike Hosking 1:11
If you could outsource more, would you, could you?
Simeon Brown 1:15
We are outsourcing as many as we can. And the key there is to make sure that we can get people off the waiting list as quickly as possible. Health New Zealand's currently going through a process looking at some longer-term contracts with some private hospitals, get a lot more delivery through those contracts, but also better value for money for the taxpayer. But absolutely, our focus is getting through these lists as quickly as we can.
Mike Hosking 1:40
Are you primarily limited in what you can do in the private sector by your budget? In other words, if I gave you another $5 billion, you could do wonders, but you just don't have the $5 billion?
Simeon Brown 1:49
Well, I think there's a number of things. Obviously, we have a budget for health and we deliver as much as we can within that budget. And we have, as government, continue to invest more into health than every single budget. The challenge is also around capacity and workforce. And so we have to make sure that we are getting as much done with the workforce that we've got.
Mike Hosking 2:11
Okay, but you could do more in private. I mean, private's got capacity, hasn't it?
Simeon Brown 2:15
Well, we are constantly engaging with private hospitals. Health New Zealand is constantly engaging to see what more can be delivered. This year, we said between public and private, we're targeting 215,000. elective surgeries, which is the highest number on record, 11,000 more than the previous year. We're on track to deliver that number this year. And that is through our commitments with the private hospitals, but also making sure we're getting as much delivered through our public hospitals and driving efficiency on those lists as well.
Mike Hosking 2:45
The ED clog, is that back to the GP? If you can't get access to a GP, you're going to end up in ED or is there something more to it than that? And why isn't it moving more? There's something wrong there, isn't there?
Simeon Brown 2:56
There's a number of reasons for that. The good news is we've arrested the decline and it is improving and there's a lot of work underway to keep that progress, but there's no simple answer to it. Yes, we need to make it easier to see a GP and that's what we've just done through big uplifting funding for GPs, reweighting capitation. We've got it more urgent and after our care sites open. A new 24-7 urgent care in South Auckland is taking pressure off Middlemore Hospital. So that's one end of the picture. We need to make sure our hospitals are working efficiently. We also need to make sure that our elderly patients are able to have access to aged care. And so recently we did a deal with the aged care providers around supporting more weekend discharges of patients who are going into an aged care.
Simeon Brown 3:44
And that frees up beds for Monday, which is generally one of the busiest days in a hospital.

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