Media attention, political pressure credited with solving cardiac surgery waitlist at Waikato Hospital
Photo:
UnSplash/ JC Gellidon
Media attention and political pressure have been credited with solving the
eight-week cardiac surgery waitlist
at Waikato Hospital.
Cardiac Society of New Zealand chairperson Dr Martin Stiles said the cardiac waiting list peaked last year at 110 patients but had now reduced to only 10.
"What that has meant for us is that we are able to get through the patients much more quickly, and the patients are waiting a much shorter time."
Stiles - who was a cardiologist at Waikato Hospital but spoke in his role as chairperson - said the situation changed after 71-year-old Norm Davies went public with his story in September 2024.
Davies had
waited in hospital
for more than a month for cardiac surgery and had been told to expect at least another three-week wait.
"It was really frustrating at the time, because what we were telling patients was, 'yes you do need an operation but no we can't do it this week, or next week, or even the week after'," Stiles said.
Cardiac Society of New Zealand chairperson Dr Martin Stiles.
Photo:
Supplied: Martin Stiles
He said after the RNZ stories, senior management began to focus on the issue and political pressure was put on resolving the situation.
"There was visibility at the top of the organisation, where previously there really wasn't."
One of the problems was that up to 20 percent of planned operations were being cancelled because it wasn't clear that there would be a recovery bed available.
"Now [surgeons] get on with the operation and ICU are committed to finding them a bed, and they are able to just get through the list just much more quickly."
Stiles said he was aware of cardiac waitlist issues in other areas of the country, especially in major centres.
"What I'd say to Auckland and Wellington is that with engagement from very senior management and perhaps some political pressure from the Ministry, these things can be turned around."
However, Stiles said Waikato Hospital continued to generally be under enormous pressure.
He hoped that when similar problems are raised, they would get a similar level of priority and solutions from the highest levels.
"And I say when, not if."
Stiles had concerns about
outsourcing surgeries
to private hospitals being used as a long-term solution.
At present, Waikato cardiac patients are not having their surgeries outsourced because capacity within Waikato Hospital had been created.
"When I heard that there were these ideas to have 10-year contracts with private hospitals for surgical waitlists I thought, well that may be useful for the private hospitals but what the public hospitals really need is ability to turn the tap on and turn the tap off in private."
He said the risk became that public money would be used to build up private hospitals.
"I work in private, it's good, but I would much rather see public money go into a public hospital, I don't want to see public money propping up overseas pension funds who own private hospitals."
Sign up for Ngā Pitopito Kōrero
,
a daily newsletter curated by our editors and delivered straight to your inbox every weekday.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

RNZ News
2 hours ago
- RNZ News
Dargaville Hospital patients asked to sign consent form on having no on-site doctor
Dargaville Hospital has no doctor on-site overnight. Photo: RNZ / Peter de Graaf Patients admitted to Dargaville Hospital overnight are being asked to sign a consent form to confirm they understand there is no doctor on site due to staff shortages . Health NZ said the hospital remains safe for low-risk patients - but the former clinical director for Northland's rural hospitals accuses management of "playing with people's lives". A copy of the disclaimer, obtained by RNZ, explained only patients who were "unlikely to urgently need a Doctor on site" would be admitted. "If you are agreeable to staying at Dargaville Hospital , knowing that the doctor may not be able to see you urgently, we ask that you or your whānau sign a consent form acknowledging that you understand the situation and are agreeable. "If you prefer to be transferred to Whangārei Hospital, we will happily arrange this." The former clinical director for Northland's rural hospitals, Dr Pragati Gautama - who resigned last year in frustration - said the consent form put patients and staff in a difficult position. "Is it informed consent? Because the person arriving is unwell and now has to sign a pro-forma on where to stay, and I question if they really know how unwell they are. "You're relying on an in-person nurse consult and telehealth emergency medicine consultants videoing in for overnight care " In a report to management last year, Dr Gautama warned the lack of an on-site overnight doctor at Dargaville was "high risk" with the potential for an obstetric emergency, or for a critically ill child or adult to turn up after hours. "I discussed the fact we should close the hospital after hours because it was unsafe. I don't believe it's fair on the nursing staff who are left with no [on-site] support to manage quite complex patients." Her advice was rejected, reportedly at the direction of national leadership. "They basically said 'No, we can't do that, it's going to look bad'. "It made a mockery of everything I had attempted to discuss and improve on ... it meant: you're not prepared to listen to me, either because you don't want to or you don't want to direct finances to these initiatives." Dr Pragati Gautama. Photo: Supplied Compared with central Otago, where she often worked now, Northland lagged behind in terms of access to radiology, lab tests and IT, she said. Rural hospitals in Northland were still relying on hand-written medication charts. "I've never had a problem getting a patient in Otago transferred to ICU. "Whereas, when I've worked in Northland, there seem to be at least three different steps to managing transfers. No-one is putting in extra infrastructure for the ambulance staff, and we really need to be doing that. "I think we're playing with people's lives basically, just because they happen to be Māori or Pasifika or poor, we're putting them at the bottom of the list." Dargaville Hospital doctor Josh Griffiths said anyone who may need a doctor was transferred to Whangārei Hospital by ambulance. "But it's safe - it's just not ideal." Dr Griffiths, who also worked as a GP, said transfers were still "far from seamless" and there was often some push-back from staff when a patient was sent to the hospital at the end of the day. "I don't feel great about that, the staff don't feel great about it, the patients are often complaining to me about it, they don't feel great about it. "But in terms of the form, I'm fine with the form. It's all about informed consent because it's a different service to what people are expecting, they just need to be told that it's different." However, he did blame Te Whatu Ora for the staff shortages. Dargaville Hospital's last full-time doctor quit at the end of June. "I know, for example, there have been quite significant delays with people who have expressed interest in working here in processing their applications and getting contracts to them. "I'm talking months and months before contracts are offered, and I just think that's laughable when you're dealing with a crisis staffing situation." As at the end of June, 22% of doctor positions across Northland's three rural hospitals were vacant. Acting executive director for the northern region, Vanessa Thornton, said Health NZ was working hard to recruit and medical vacancies were "automatically" advertised. "There's no delay in the northern region for this, for medical staff, and particularly where there's a vacancy like that." Meanwhile, the interim arrangement at Dargaville Hospital was safe for stable patients who were not acutely ill, she said. "It's OK to have very experienced nurses working there, with appropriate escalation through to doctor or transfer to Whangārei, were they to deteriorate acutely. "Sometimes, it's the patients we send back to Dargaville post an in-patient stay in Whangārei Hospital, so it's a place that's closer to home for them to rehab." Rural hospitals would never have all the facilities of a big metropolitan centre, she said. "If you live in rural places, you will need to go to a base hospital for very acute illnesses. "And that's true anywhere around New Zealand or Australia or anywhere." Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

RNZ News
3 hours ago
- RNZ News
Dental Association urges sugary drinks levy as one in three suffer untreated tooth decay
The Dental Association wants more water fluoridation, a levy on sugary drinks, and publicly-funded dental care. Photo: 123RF Dentists have launched a strategy to tackle what they are calling an oral health crisis. The Dental Association said New Zealand's oral health was in trouble, with one in three adults suffering from untreated tooth decay, and thousands of people ending up in hospital due to preventable dental problems every year. It said its Oral Health Roadmap 2025-2030 was a response to decades of minimal progress in oral health outcomes for many communities, despite good intentions and well-meaning public health initiatives. The report recommended: Dental Association director of dental policy Dr Robin Whyman said for too long health policy had not prioritised oral health. "The way that oral health tends to be regarded in health planning is it's only an issue for children and adolescents. And yet we really have a huge change in the New Zealand population over the last three or four decades as more and more people retain their own teeth," he said. "When we looked at the New Zealand health survey from 2023 and 2024, one in three New Zealanders reported they had untreated tooth decay and that was shown similarly in our 2009 oral health survey so really we haven't been improving greatly in that space." The association recommends a levy on sugary drinks and clearer labelling to reduce sugar intake, a key contributor to tooth decay. Photo: AFP/ DPA - Annette Riedl Thirty-five thousand adults reported a facial injury in 2023, which often included damage to teeth, he said. Whyman said dentists were concerned about the workforce shortage. "We need to increase the number of people who are provided with training positions to train as a dentist, that number has not increased from around 60 since the 1980s," he said. The association represents more than 98 percent of dentists and dental specialists in New Zealand. It said the cost of dental care was a significant barrier for many people, with 52 percent of people in high deprivation areas avoiding going to the dentist because of the cost. It advocated funding dental care for young adults and designing dental service models relevant to specific communities and for high-need population groups. Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

RNZ News
15 hours ago
- RNZ News
Tegal staff raised concerns about chemical exposure and several leaks before worker hospitalised, says union
Tegal's Christchurch plant. Photo: Google Maps The workers' union Etū says staff at Tegal's Christchurch plant have been raising concerns about chemical exposure for the last year and are not being taken seriously. It comes after a worker was hospitalised on Monday after high levels of chloramine were found in the air. Chloramine, a compound containing chlorine and ammonia, is used at the plant as a disinfectant to reduce bacterial contamination in chicken. St John said one person was assessed at the scene and transported to Christchurch Hospital in a moderate condition. They are now understood to be recovering at home. A spokesperson for Tegal said an extraction fan fault, which had since been addressed, was to blame for the chemical exposure. But Etū organiser Sara Currey said staff at the Christchurch plant had been dealing with issues for the last year and Tegel needed to work with the union and its delegates to find a solution. "The workers have been reporting that there have been several chemical leaks over the last six to 12 months, and they've been raising concerns around the chemical exposure and other health and safety risks for months, but Tegel has failed to act on it." She said there had been another chemical exposure event in June, as well as the one on Monday. Currey said she understood that chloramine had been used in the plant for a long time, but a change in process last year had led to issues with higher than acceptable levels. "Many workers have been experiencing red eyes, sore eyes, swelling of the eyes so that they can't see, a lot of coughing, horrific coughing that some people have needed to be medicated for." In one case, ACC had accepted a claim for a staff members work-related illness. She said of the 250-odd workforce, many were immigrants for whom English wasn't their first language and around 70 were union members. "We're mainly concerned that Tegel haven't been up front with either the workers or the union about what's happened. I still don't have key questions I've asked about Monday's incident, no information about why it happened, why people weren't sent home and why the plant was continuing to operate after a possible chemical leak." Currey said it was estimated around 60 people were off work after the exposure on Tuesday and it wasn't clear if they were sent home on full pay or if they were made to use their sick leave, which was not acceptable if they had become ill while at work. "Obviously this chemical is causing significant issues and they need to explore other avenues rather than just keep trying to make this chemical work, which it's clearly not in terms of health and safety for their workers." A Tegal spokesperson said the high level of chloramine detected in the plant on Monday was due to an extraction fan fault in the room where the chemical was used. "This issue compounded by atmospheric conditions on Monday led to fumes being blown directly into the air intake for the production plant which caused some staff to experience irritated eyes and coughing." The spokesperson said some people chose to go home, while others continued to work using personal protective equipment (PPE). One person was taken to hospital for observation and later released. The spokesperson said corrective actions were taken as soon as the cause was identified, and levels were now back to normal and would continue to be monitored. "We take the health and safety of our people seriously and are supporting those who have experienced discomfort or health impacts. We are also working with extraction system specialists to ensure this cannot happen again." Issues with high chloramine levels had occurred "periodically in the past" and a new air handling unit had been installed and was working successfully until the issue on Monday. Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.