
Petition on display as minister arrives
The Buller Declaration is a petition started in September last year following the closure of the Buller regional hospital on the West Coast.
The petition states healthcare is in a state of crisis and requires intervention by the government as well as the allocation of more resources for staffing issues.
It also states the rural, Māori and poorer populations are being further victimised by this crisis, and the government must meet its obligations under the Treaty of Waitangi.
Already the petition has received thousands of signatures, with more to come as it sits in the foyer of Gore Health until the end of the month.
Gore Health chief executive Karl Metzler said there was a tremendous amount of pressure being put on hospitals, especially in the South, due to a medical downturn.
"General practices are like the canary in the coal mine. When they're not running or resourced well, you see the flow-on effect in EDs [emergency departments].
"Our little rural ED has gone from 6000 visits in 2021/22, to a 45% increase to over 10,000 visits this financial year. This is not sustainable," he said.
Waiting lists are only growing longer, Mr Metzler said, it was becoming nearly impossible to access specialists in Southland.
Mr Metzler said in a region with such strong economic drive there needed to be some reciprocity for the health sector down South.
"We are a major food basket for this country and I think we're really getting short changed on the healthcare front, despite the tax dollars we contribute."
Mr Metzler was hoping to raise awareness of the issue and also the petition.
He was optimistic it would get a lot of support from the community.
• Yesterday, after The Ensign 's deadline, Gore Health was due to host Associate Health Minister Matt Doocey.
Earlier in the week, Mr Metzler said the meeting would also also be a great chance to promote what a rural hospital could be.
"Gore has a lot to showcase and celebrate as a community-owned, integrated health facility. It's quite unique and I think we should be proud.
"But it's also an opportunity to highlight some of the rural inequity of being a trust-owned hospital."
Mr Metzler said as a trust-owned hospital, funding from Health New Zealand was a drop in the bucket compared to other facilities.
gerrit.doppenberg@alliedpress.co.nz
Hashtags

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

RNZ News
3 hours ago
- RNZ News
Top doctor Caroline McElnay says 'no' to vaccination doesn't always mean 'never'
The outgoing clinical lead for immunisation at the National Public Health Service, Dr Caroline McElnay. Photo: Pool / Stuff / Robert Kitchin The high-profile public health doctor stepping down as head of the country's immunisation programmes believes the government's target is achievable - but only if health providers can gain the trust of vaccine-sceptical parents. A decade ago, New Zealand's childhood immunisation rates were the envy of the world, with 93 percent of all children fully-vaccinated by the age of two. Rates among Pacific children were 97 percent, and Māori tamariki were level-pegging with Pākehā on 92 percent. After falling off a cliff since then, overall rates are inching back towards 80 percent - but some experts warn the growing number of 'declines' makes the government's 2030 target of 95 percent coverage a mathematical impossibility. The outgoing clinical lead for immunisation at the National Public Health Service, Dr Caroline McElnay, reckoned it was possible, although she would not be here to see it. After just seven months in the role, she is off to Australia to take up the position of Victoria's Chief Health Officer. Speaking to RNZ on Wednesday, her last day in the job, McElnay agreed "if you don't get those declines down, you're not going to get 95 percent, that's simple mathematics". "But we are tracking upwards in terms of our coverage." The focus needed to be on understanding more about those declines. "We do know already that about a third of those people who we currently call 'declines' do get vaccinated, so they're not real declines. "We want to understand better what sits under those declines and I think by doing that piece of work we will reduce that category. "We know historically and across the world that getting to less than 5 percent [people actively declining to be vaccinated] may not be possible. But we will do everything we can to get there." Dr Caroline McElnay fronts a Covid update alongside Dr Ashley Bloomfield in 2019. Photo: RNZ / Rebekah Parsons-King Back in 2014, she was working in Hawke's Bay, which had the highest immunisation coverage of any region at the time. "We actually got to 97 percent, and we were equitable across the board. It's been dropping since then, but we know the system is able to offer vaccinations to everyone, we just need to get back to the point where everyone is able to get these opportunities." Director of Public Health between 2017 and 2022, McElnay became a familiar face and voice to New Zealanders during the Covid-19 pandemic, often fronting updates alongside then-Prime Minister Jacinda Ardern and then-Director General of Health Dr Ashley Bloomfield. Covid-19 had accelerated those plummeting immunisation rates, both through disruption to normal business-as-usual, loss of trust in government services and growing vaccine scepticism, McElnay said. "Like other countries, we're seeing vaccine hesitancy. That was happening already before Covid, and there are different reasons for that." The high rates in 2014 and 2015 were the result of a "very focused" effort by everyone, from primary care and the community, hospitals and emergency departments, she said. "Everyone was behind it because they could see value of vaccination. It was just slow, hard work by many people." Work at the time showed not everyone coded as 'declines' had fixed views. "We contacted them all: some were genuinely saying 'I've made my mind up, please don't contact me again'. "Others said 'I've actually been waiting for the health service to get in touch with me'. "Sometimes they wanted to wait until their babies were older than six weeks. "Many times, conversations with those people resulted in them getting their children vaccinated. "That's how I know they are not all genuine 'declines', it's a mixture." A doctor applies a plaster following an injection. Photo: CDC In the first three months of this year, 79.3 percent of two-year-olds were fully vaccinated, while 8.2 percent 'declined'. McElnay said when it came to combating vaccine hesitancy, there was no "one size fits all" approach. "People decline and delay for different reasons, which are deeply personal and specific to their own contexts." Anti-vaccination messages being spread via social media could only be countered by "trusted messengers", in her experience. "For some reason people are believing these [online] individuals or getting attached to those messengers that they know nothing about. "Yet we know that when it comes to making health decisions for your children, both local and international research shows you make those decisions based on information from people in your life that you trust." Due to the decline in trust in government agencies, the best strategy was to support communities, and Māori and Pacific providers, to build up their skills and opportunities to have those critical conversations about immunisation. The government's two-year $50 million package to help Māori health providers boost immunisation rates across the life-span, announced in December 2023, was having an impact, McElnay said. "Sometimes the first encounter doesn't result in vaccination, but we get there in the end." Iwi health providers taking mobile vaccination teams into rural areas in 2022. Photo: Supplied Different groups had different perceptions about the risk presented by certain diseases, she said. For instance, parents of young people going off to university were often very worried about meningococcal disease and focused on ensuring their teenagers were vaccinated. "But they may not feel the same way about measles, for instance." That variable perception of risk was "driving some of that hesitancy". "The less you see of a disease, the more likely you are to question whether you need to be vaccinated. But if you've seen a baby with whooping cough, I think you'll make up your mind very quickly that you need your baby to be vaccinated against whooping cough." The Aotearoa Immunisation Register was getting "better and better" in terms of producing fine-grained data on what was happening with different age groups and vaccine types. "It's progressed in leaps and bounds, even in the six months I've been back working with Health NZ. "That's information we can then feed back to local providers to target any patches of under-coverage, and as time goes by, we will be much better able to analyse that data by vaccine, provider etc." The childhood immunisation schedule was "the bedrock" of New Zealand's immunisation programme. While sometimes a measles case popping up could be "a call to arms" and a push for those who may have missed vaccinations to get done, the whole system relied on a systematic rollout. "We have new babies joining the cohort all the time, the two-year-olds from the end of March will be a different group by the end of October. "So we need to be focused on childhood immunisations all the time." Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.


NZ Herald
4 hours ago
- NZ Herald
Labour ponders free tests as Government struggles with slow path to cervical cancer elimination
A report, obtained by the Herald under the Official Information Act, noted that screening rates had fallen across the board during the pandemic, with the national rate of people up-to-date with their screening falling from 71.2% in October 2019 to 67.4% in October 2023. Slowly, screening rates have climbed, including among Māori, Pacific and Asian women, whose screening rates have tended to be below the national average. Rates of screening for Māori women only exceeded 2019 levels earlier this year. The report said that recovering screening rates were largely the result of new HPV self-tests. Of the 450,000 HPV primary screens completed between the rollout of HPV primary screening in September 2023 and October 2024, 81% were self-tests, the report said. Every three years, the Health Minister must appoint a Parliamentary Review Committee (which despite the name, does not include MPs) to review the National Cervical Screening Programme (NCSP). The figures in this story were included in a briefing Brown received in October on the progress Health New Zealand Te Whatu Ora was making towards the 31 recommendations made by the 2021-2023 committee. The briefing warned that the recommendations were 'highly ambitious and unfunded' and made during a time of 'tight fiscal settings'. Officials produced a traffic-light chart of all 31 recommendations, charting which ones were tracking to plan and which were not, rating them green to red for their deliverability. One recommendation that had been 'orange – paused' was 'considering options for the development of an elimination strategy' for the cancer. Brown said this had been started again. 'The Ministry of Health is leading the development of a cervical cancer elimination plan in partnership with the Cancer Control Agency,' he said. The only recommendation to be given a 'red – critical' rating was the recommendation to roll out free screening to all populations. 'Funding has not yet been secured for all population to receive free cervical screening in NZ,' the paper said. In 2023, the then Labour Government rolled out a new HPV test which could be self-administered. HPV causes over 95% of cervical cancers. This was accompanied by $7.3m to pay for free tests for some populations. The ability to self-test is meant to appeal to people who felt uncomfortable with the likes of a smear test, which are administered by someone else. Verrall said the cervical cancer screening programme was 'the only national screening programme where people are expected to pay for access'. 'Women might well ask, if I'm screening myself now, why do I have to pay?' she said. While some providers offered the service for free, others did not and required a co-payment or similar charge. Verrall said the test can be delivered in a diverse range of settings, allowing eligibility for free tests to be widened further. 'People who have the lowest participation and screening are those who sometimes struggle to pay,' she said.


Otago Daily Times
5 hours ago
- Otago Daily Times
Marae to host wellbeing hui
Araiteuru Marae manager Tania Williams with her mokopuna at an event held at the marae in 2024. PHOTO: ODT FILES Araiteuru Marae will host a health and wellbeing hui led by New Image health products company chairman Graeme Clegg tonight. Mr Clegg will share the experience of a recent major health challenge and what he learned on his journey that will be of benefit to others. Araiteuru Marae manager Tania Williams said in a statement the talk would be aimed at benefiting Māori communities by sharing life-changing insights about how to support the immune system, slow the ageing process, and prepare for future health challenges. "Too often, Māori are left out of conversations about cutting-edge wellness. "This is our chance to be informed, empowered, and connected. "Graeme will speak openly about his personal experience, the new science behind wellness, and practical steps we can all take to strengthen our health and future. "This is a gathering of learning, laughter and hope. We warmly welcome kaumātua, pakeke, rangatahi – everyone who values hauora and wants to uplift our people." The session will be held from 7pm tonight at Araiteuru Marae, Shetland St. — APL