logo
Patients paying over $200 to visit after-hours in Palmerston North

Patients paying over $200 to visit after-hours in Palmerston North

RNZ News19-05-2025

Photo:
Andrey Popov 123RF
Some patients seeking treatment at a Palmerston North after hours clinic could face a bill of more than $200.
Palmerston North after-hours clinic is one of the most expensive places to seek care in New Zealand, costing between $225 (with a community services card) to $260 for a non-enrolled patient for a medical consult, and between $85 (with a community services card) and $110 for enrolled patients.
On Sunday, the government announced a
$164 million boost
to urgent care services throughout the country over the next four years.
The announcement includes new 24/7 urgent care services for Auckland's Counties Manukau, Whangārei, Palmerston North, Tauranga and Dunedin. While new and extended daytime urgent care services will be rolled out in Lower Hutt, Invercargill and Timaru.
Patient Voice Aotearoa's Malcolm Mullholland said it is unclear if the boost will help to make services more affordable.
"It's not uncommon to walk in there and see the waiting room bursting at the seams with patients, (and) there to be wait times of four hours or more. On top of that, if you are seen, there is a horrendous cost attached to that," Mullholland told
Morning Report.
He said for many patients, the cost is too expensive so they go to Palmerston North Hospital's emergency department instead.
But it's not just Palmerston North experiencing costly after hours' visits.
"I've heard of horrendous costs else where, in particular, around Queenstown and Central Otago," Mullholland said. "I understand it's a common price to pay over $200 down that part of the world and I suspect it's very high elsewhere."
Mullholland said he doesn't know why the clinic costs that much, however, noted the number of gps at the Palmerston North after-hours has reduced due to doctors retiring.
"We just do not have enough GPs in Aotearoa," he said.
The clinic is operating with a deficit of around 10 doctors, according to the owner of the clinic, City Doctors.
"[It's] putting the few GPs who are left under immense pressure, with increased workloads and longer hours," City Doctor said in a press release earlier this year.
"We have actively engaged with stakeholders in the region and continue to request support from GPs not currently contributing at an equitable level, but unfortunately, we still do not have enough clinician support."
City Doctors has been approached for further comment on their pricing.
Brown told
Morning Report
on Monday the government's investments in primary care will ensure new urgent care clinics are
adequately staffed with doctors
.
Funding had been allocated to train 50 more GPs a year, 100 overseas doctors already in NZ, and for 120 nurse practitioners per year, he said.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

How much do urgent care fees vary within 21km in Auckland?
How much do urgent care fees vary within 21km in Auckland?

RNZ News

timean hour ago

  • RNZ News

How much do urgent care fees vary within 21km in Auckland?

Urgent care is accessible but the fees, and the wait times, are quite varied around the Auckland. Photo: RNZ It's lunchtime on a Tuesday at the White Cross urgent care clinic in the south Auckland suburb of Otāhuhu. "Today is our fourth time in four weeks and today we've had to pay $150. So the twins are free, but me and my partner is $65 each." A mother told me the family had to come back to the clinic for another prescription, because sickness was spreading at home. "The virus that my daughters have caught doesn't go away unless you get antibiotics. And now we've caught it so we need antibiotics too, which their antibiotics won't work for us. It's just getting worse and worse. And if they get better and we've got it, we just end up giving it (the virus) back to them." The Otāhuhu clinic is close to home for the family, and it's cheaper than other urgent care clinics. "This is the most affordable one to take us in this fast. Our Local Doctors (a GP clinic) can't take us in for another three weeks. The last time we've been to the doctors for ourselves was probably two years ago. We just tough it out because it's too much amongst all the other bills that we have to pay. "Today we're gonna have to cut short on food. We haven't done our grocery shopping for the week yet, so it's gonna be what the twins need, and then whatever's left." By "take us in this fast", the mother meant: "eight hours with two two-year-olds, gonna be great." As part of the Budget this year, Health Minister Simeon Brown promised greater accessibility to urgent and after-hours healthcare in the regions, with several new 24-hour services planned around New Zealand. Health Minister Simeon Brown. Photo: RNZ/Marika Khabazi Meanwhile in Auckland, urgent care is accessible but the fees, and the wait times, are quite varied around the city. Three hours later, I crossed path with the family again - 7km away at the White Cross clinic in Mount Wellington. At White Cross Otāhuhu, the cost for an un-enrolled adult without a community services card is $70. Meanwhile in Mount Wellington, the fee is $130. The mother said they were sent by staff at Otāhuhu to Mount Wellington at no extra cost, so their wait could be shortened by half. They told me the Mount Wellington waiting room is much quieter than Otāhuhu. Further south, the cheapest White Cross clinic is in Manurewa, where an un-enrolled adult without a discount pays $60, and $15 if ACC offers cover. Enrolled adults pay $18, and if they've got ACC coverage, it's free. It's an attractive price for many patients. A woman told me this is the cheapest clinic that she knows of, and she drove 10km that day to see the doctor. "Just for a follow up, it's $18." Another man told me the price is vastly different between two clinics 9km apart. "In Takanini, I think the charge for a repeat prescription is around $15 to $20, but here it's around $7 to $10." Meanwhile in Remuera, one of Auckland's affluent suburbs, the White Cross Ascot 24/7 charges $130 - more than double the $60 charged in Manurewa. A couple who just finished their consultation told me they are enrolled with the Tāmaki Health network, so it cost them $80 in Remuera. They say their bill could be cheaper if they travelled to a clinic further away, but in this case, they think their health is more important than the money they could save. "It was $80 because I was in pain, and this was the nearest hospital from my work," the woman said. "Where we go most of the time, it's about $17 or $18, then if it's after 5pm, that's $35. But she was working here, so it was convenient for her to come here," her partner added. Their wait that day was two hours. Malcolm Mulholland from Patient Voice Aotearoa said cost was the number one factor in determining whether patients access healthcare. "I know that there are a number of families and patients out there who won't go and see their GP, primarily because of cost. And when that situation does arise, what tends to happen is as the patient's health deteriorates, they end up going to the ED and that's why we are seeing ED with record number of patients." Mulholland said many factors play into how practices price their fees: location, competition, demand and funding level are just a few. He lives in Palmerston North, where there is only one after-hours clinic. It costs $210 to see a doctor during normal hours, and $240 on weeknights. The Palmerston North clinic also belongs to Tāmaki Health, which manages the White Cross network of urgent medical clinics. Tāmaki Health declined to comment, or provide a statement for this story. I asked Mulholland if there's anything patients can do to cut their bill. "Sadly not. I don't know if there is much that patients can do other than try to be seen during the day. But again, you're gonna run into problems with GP practices being full and then the wait time to see a GP. "I think that's a really sad state of affairs because you're essentially asking patients to triage themselves and patients won't always make the right decision." And Mulholland said it all came back to the desperate need for more doctors. "Patients are worried about their health. They can't get access to a GP or a doctor, whether that be during the normal working hours or via an ED. And so they're going wherever they think they might be seen." In May, the government announced a $164 million investment in urgent care. As part of the improvement, the agency noted it would implement a nationally consistent fee and subsidies schedule. In a statement to First Up, director of Living Well at Health New Zealand Martin Hefford said, "Health New Zealand is shifting from a fragmented system with wide fee variation to one that's more transparent and predictable across the country." There would still be some variation of fees, Hefford said, but the details were not finalised yet. Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

Consultation on future of mental health facility Rauaroha Segar House extended
Consultation on future of mental health facility Rauaroha Segar House extended

RNZ News

time2 hours ago

  • RNZ News

Consultation on future of mental health facility Rauaroha Segar House extended

Rauaroha Segar House. Photo: Google Maps Street View Health officials have extended the consultation period about the future of an Auckland mental health facility facing closure. Health NZ has proposed shutting Rauaroha Segar House, a publicly funded intensive programme for people with long-standing or chronic mental health problems, even though staff and patients say nothing similar is available elsewhere in the North Island. Now staff are rallying to save it , and more voices are joining those calls, including a former patient. A man - who wants to remain anonymous - said he was struggling before he entered the programme. "When I first engaged with Segar House I suffered quite severe anxiety, ongoing long-term depression. "I simply wasn't really functioning. I wasn't employed. I struggled to do basic tasks like even going to the supermarket to get food." His life had now changed thanks to Segar House, he said. "In the three years since leaving Segar House I'm now self-employed. I run my own business. I'm now no longer reliant on the government for any sort of benefit. I'm completely paying my own way. I'm engaging in society. "It's difficult even to believe how much progress I've made." About 10 people go through the programme at any one time, but Health NZ said that wasn't enough. However, about six years ago criteria to enter changed, so it's only available to people who haven't worked out in other treatments. Segar House staff have made a counter proposal to Health NZ to keep the service and extend it to more people. The former patient said closing it would mean people, including trauma victims and survivors of abuse, wouldn't have access to something that worked. He said Health NZ's proposal had left him feeling despondent about its effects on those in the programme. "These are people really trying to rebuild their lives because this therapy isn't available elsewhere. "They're just going to melt away back into the background. It's just so sad. They could be really contributing to society. "They're just being abandoned." Closure would be akin to not providing care to a particular group of cancer sufferers, he said. The programme at Segar House mixed individual therapy with group work. "You're actually effectively building on a lot of skills to deal with real-world situations and a lot of the learning takes place when you see other people getting results or other people dealing with things. "You can see similarities with your own problems in other people and that really gives you an opportunity to grow." Health NZ said the proposal to close Segar House wouldn't reduce frontline staff, and redeploying them would mean their expertise was available to more people. It didn't answer questions about who it was consulting, and said it couldn't yet say when a final decision would be made. "In all other districts tangata whaiora [patients] with similar presentations are treated with individual therapy or group-based programmes, which is what we are proposing," Health NZ group director of operations for Auckland Michael Shepherd said. "The consultation process is still under way and no decision as to the proposal has been made. "While the consultation process is occurring, tangata whaiora will continue to receive the same service and support that they are currently receiving." Labour's mental health spokesperson Ingrid Leary. Photo: VNP/Louis Collins Labour's mental health spokesperson Ingrid Leary would like health officials to go with the staff proposal and then later make a decision on the programme's viability when that's been assessed. "I've been advised that the [consultation] date has been pushed out, but nobody knows until when. "It's to give the union the opportunity to speak with the employer about the alternative business plan, which would see Segar House extend the number of clients and be able to continue with its service." Health NZ declining to say who it had consulted with didn't bode well, Leary said. "I would have hoped that the extension for the decision was so Health NZ could consult not just with themselves, but actually go to the wider community and clinicians to do a proper consultation. "The fact that they won't reveal who they've consulted with indicates to me that they haven't consulted anyone else but themselves." The Public Service Association and Association of Salaried Medical Specialists have launched an online petition to save Segar House, which has about 480 signatures so far. Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store