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After-hours healthcare services to be improved

After-hours healthcare services to be improved

People in need of health services in Oamaru will find it easier to be assessed out-of-hours after a funding boost.
As part of a number of key Budget 2025 initiatives announced by the government, Oamaru has been marked for improved after-hour services starting next year.
Waitaki District Mayor Gary Kircher welcomed the news Oamaru would have its after-hours services improved.
"The after-hours emergency department has always been a critical service provided by Oamaru Hospital, so it is great to see that Health NZ is making further improvements to support our wider Waitaki community.
"A significant proportion of our population will benefit and, in a time when government funding is under huge pressure, it's awesome to hear that this service will be improved."
Health NZ Te Whatu Ora acting funding and investment director Jason Power said the services would be tailored for local need and workforce availability.
"This is about putting patients first — whether they live in a small rural town or a large city.
"The government has announced significant investment to maintain existing urgent and after-hours care services and to deliver new and improved services where they are needed.
"Health New Zealand will now work with providers and the workforce to ensure that these services can be delivered," he said.
"This is a complex work programme and implementation will occur over the next two years. Our primary care teams will work with the sector and other key agencies such as ACC on key next steps.
"We're modernising how care is delivered so patients can access urgent help more easily and reliably. That means flexible care teams, better use of digital tools and investing in the workforce to ensure services remain sustainable and available when people need them most."
Health Minister Simeon Brown said the moves were about ensuring that people can get timely, quality care when they need it.
"This investment means South Islanders will have faster access to care, with shorter trips and more treatment available locally — especially outside of normal hours — while reducing pressure on emergency departments."
As part of the funding package a new after-hours service will be trialled in Twizel.
"Budget 2025 is investing $164million over four years to strengthen urgent and after-hours care nationwide, meaning 98% of Kiwis will be able to access these services within one hour's drive of their home," Associate Health Minister Matt Doocey said.
The funding includes targeted support for more than 70 rural and remote communities, including after-hours support, 24/7 on-call in-person clinical support and improved access to diagnostics and medicines.

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The Spinoff Essay: A bit of pain
The Spinoff Essay: A bit of pain

The Spinoff

timea day ago

  • The Spinoff

The Spinoff Essay: A bit of pain

'I'm lucky; I've had it for only five years or so.' David Hill on living with chronic pain. The Spinoff Essay showcases the best essayists in Aotearoa, on topics big and small. Made possible by the generous support of our members. I ache. I'm sore, nearly all the time. I'm one of the estimated 900,000 New Zealanders who suffer from chronic pain. Chronic or neuropathic pain is usually defined as pain that's lasted for more than three months. I'm lucky; I've had it for only five years or so. Multiple thousands of Kiwis have suffered for decades, or their entire life. More statistics. Over 40% of people in the UK are thought to suffer, at various times and to various degrees. (The US estimates almost 50%.) For over-75s in Britain, the figure lifts to 65%. About 80% of this is back and neck pain. In Aotearoa, a 2018 report from research group Sapere suggested that chronic pain costs our health system some $2 billion annually, plus another $15 billion in lost production and benefit costs. Utterly predictably (think housing, working conditions, $60 for a GP visit, $75 for a physio session), it affects lower socio-economic groups more. Oh, and (think trad Kiwi male stereotypes this time), women are more likely to report it than men. In my case, it's cervical spondylosis with foraminal narrowing and radiculopathy. I like to roll out the phrase so I can watch listeners' eyes cross as they wonder how much time I've got left. English translation: my neck is stuffed. Age, plus bad posture at the keyboard, means the cushioning discs between cervical vertebrae have worn thin. Bone spurs have formed. My mobility is limited; I get deep pain in the neck and between shoulder blades, plus intermittent giddiness. I've gone into detail because, like most sufferers – and I dislike that word – I usually don't say much about it. People with chronic pain get little sympathy. Who wants to hear about an ailment that goes on and on, especially when it usually comes with no bandages, slings, plaster, other visible signs of affliction? Like Chronic Fatigue Syndrome and Long Covid, it's easily seen, even by some health professionals, as self-pitying, even malingering. ' Whatever happened to 'pull yourself together'?' I heard one sceptic sniff, after an acquaintance had vented over his months of continuing hip and leg discomfort. It's the least telegenic of ailments; if we do appear on screen, we're usually caricatured as boring old whingers who need to snap out of it. ' It's all in your head,' is another common dismissal. True. Also stupid. Of course it's in the head, because that's where the brain's pain receptors are. We don't register any injury or discomfort till those receptors fire. Trouble is, if the pain continues for more than a few hours, your pre-frontal cortex starts assessing the sensation in terms of what it may mean long-term, and begins reinforcing the synapses associated with stress and discomfort. The brain's 'pain switch' gets stuck in the ON position, and your body becomes convinced of its distress. Neurologist William Davies notes that 'pain carves a path directly between the realms of mind and body'. It's called Control Sensitisation: just as Pavlov's dogs slobbered when a bell rang, almost any tug or tension for a chronic pain sufferer sends those brain receptors into power drive. It means that pain can become a habit, and like many unpleasant habits, it's hard to get rid of. A cycle of discomfort – sleep deprivation – stress – more discomfort and more stress can become established. Withdrawal and depression may follow, with the symbolic Black Dog liable to squat and crap on any of your days. So yes, it is all in the head, and it's utterly genuine. There have been some curious associated discoveries. Women's limbic system responds to pain more than men's, so women often experience greater emotional distress, while the fact that men's pre-frontal cortex is more affected means they may see the issue primarily as a problem to be analysed. And chronic pain may be exacerbated by apparently unassociated events; Brexit, the Covid pandemic, even the Trump presidency saw a rise in reported cases. You're right: the Orange Roughy can indeed become a pain in the arse. Bad news for the next few years. Chronic pain victims make unrewarding patients, even to sympathetic doctors – and not all are. Symptoms are frequently vague and diverse. We're the unwell who can sometimes seem well. 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Distraction, meditation, exercise, diet, therapy, physio and chiropractic, the analytical and shared talk of Cognitive Behavioural Therapy are other courses of action – and action is an early step to taking some degree of control. The New Zealand Pain Society (you'll find them online) offers sensible, practical programmes and resources. Complex Chronic Illness Support, also online, can help as well. Our local hospital used to run chronic pain workshops, where physio, dietitian, psychiatrist, counsellor would reassure attendees that they weren't malingerers; it was a genuine ailment, and here was a list of things that might help. They're the only workshops I've ever attended where some participants stood up every 10 minutes and lay down in the aisle for a bit. They were enormously valuable for their collegial quality, finding that you weren't the only sufferer. They've been discontinued – more funding cuts at Whatu Ora, I gather. Alan Gordon in his book The Way Out estimated that in 2021, there were 1.2 billion chronic pain sufferers worldwide. The number is rising: we're living longer and hurting for longer periods. Other contributing factors include people expecting to be pain-lite and becoming more inclined to seek help when we're not, plus our living in an increasingly isolated society, where loneliness aggravates almost any condition. The outlook isn't great. The future, for me at any rate? Keep learning – in the most positive sense of the verb – to live with it. Take unexpected solace from the fact that on good days, the world can seem brighter and more rewarding than it did before my neck started to pack up. And wonder if assault with the nearest deadly weapon might be a pretty reasonable response to anyone who tells me that it's all in my head.

Public-private healthcare opportunities identified
Public-private healthcare opportunities identified

Otago Daily Times

timea day ago

  • Otago Daily Times

Public-private healthcare opportunities identified

A strategic report focused on the future of public health services in Otago Central Lakes has identified six potential opportunities for public-private collaboration. The Otago Central Lakes strategic health report was sent to Health Minister Simeon Brown in February by the steering group, which was comprised of Southland MP Joseph Mooney, Health New Zealand, the Central Otago and Queenstown Lakes District Councils, rural health providers, iwi, including kaupapa Māori health providers, Act MP Todd Stephenson and Waitaki MP Miles Anderson. Mr Mooney said the group's objective was to "expedite planning and investment in health services and infrastructure in Otago Central Lakes" — Central Otago District Mayor Tamah Alley said 70% of New Zealanders who lived two or more hours from a hospital resided in that region. The report said health service improvements were required to meet the current and future populations' needs. On a peak day, the district's combined population, which included visitors, was 168,000 — expected to nearly double by 2054, it said. "There is a reputational risk to all of Aotearoa New Zealand if adequate healthcare services are unavailable to deal with international visitor illness or injury." The report identified opportunities to increase public health services by partnering with the private sector, but Mr Anderson said the project was "not asking for public funds". The "early stage" public-private partnerships included in the report, which were "ready for collaboration", are: • The Southern Lakes Public Hospital — the location of which is to be determined — which is a proposed privately financed facility with full public hospital services and future capacity to become a regional hospital. • Lakeview Te Taumata Clinic (Queenstown), a private surgical hospital expected to open in 2027, with opportunities for maternity care and workforce development. • Integrated Care Hub (Wānaka), a planned day surgery with potential space for publicly funded after-hours services. • Wānaka Health Precinct, a private surgical hospital designed with capacity to integrate public services. • Aged-care facilities (Clyde), which are under construction, have the potential to expand into a full suite of publicly funded services for older people in Central Otago. • Securing land and investors in Central Otago for future public health infrastructure, based on the outcomes of the other projects. Additionally, the trust was exploring "innovative mobile modular units" which could be used as consultation rooms, clinics or staff accommodation and wanted to find land to host them in areas where they were needed, the report said. The $2 million funding was required to "complete the groundwork" for community consultation, clinical design and planning process, and technical assessments and detailed business cases Health New Zealand could work with — it already had $400,000 seed funding, it said. Subject to Mr Brown's support, a working group would be established to work with Health New Zealand to progress the proposed solutions — community engagement and consultation would follow.

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