{"id":138269,"date":"2025-05-28T09:24:11","date_gmt":"2025-05-28T09:24:11","guid":{"rendered":"https:\/\/www.europesays.com\/uk\/138269\/"},"modified":"2025-05-28T09:24:11","modified_gmt":"2025-05-28T09:24:11","slug":"new-24-7-health-service-could-dismantle-general-practice-doctor-says","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/uk\/138269\/","title":{"rendered":"New 24-7 health service could &#8216;dismantle&#8217; general practice, doctor says"},"content":{"rendered":"<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/05\/4LXJYX9_copyright_image_284827\" width=\"1050\" height=\"699\" alt=\"Unknown woman-doctor typing on laptop computer while sitting at the table in sunny clinic.\"\/><\/p>\n<p class=\"photo-captioned__information\">\nGeneral practice has become less attractive as a speciality with the shrinking level of capitation funding and money paid to practices for each enrolled patient.<br \/>\nPhoto: 123rf\n<\/p>\n<p>The government&#8217;s plans for a new 24-7 Telehealth service will end up delivering &#8220;hit and run&#8221; medicine and substandard care for patients, warns a leading GP.<\/p>\n<p>Health NZ has confirmed the service &#8211; due to go live from as early as next month &#8211; will involve multiple providers and a shared digital health record.<\/p>\n<p>The Digital Health Association chair said the service would making it easier for patients to access a doctor and help to avoid &#8220;clogging up the hospital system&#8221;.<\/p>\n<p>However, the chair of general practitioners Aotearoa Dr Buzz Burrell told Nine to Noon it would inevitably lead to &#8220;further fragmentation of good old general practice&#8221;.<\/p>\n<p>&#8220;And if we fragment and dismantle general practice, we&#8217;re going backwards, not forwards.&#8221;<\/p>\n<p>Dr Burrell said to his knowledge, no GP organisations had been consulted over the design of the new Telehealth platform, which was concerning.<\/p>\n<p>&#8220;Unfortunately what it&#8217;s going to look like is a patient is going to phone a doctor, a nurse, a paramedic, who is not their doctor or nurse or health practitioner.<\/p>\n<p>&#8220;As a result that continuity will be fractured, it will be hit and run medicine, and it&#8217;s not fixing the problem.&#8221;<\/p>\n<p>The underlying problem was the <a href=\"https:\/\/www.rnz.co.nz\/news\/national\/561468\/patients-paying-over-200-to-visit-after-hours-in-palmerston-north\" target=\"_blank\" rel=\"noopener\">acute shortage of GPs<\/a> in New Zealand, which needed another 500 to 1000 family doctors to be on par with Australia, he said.<\/p>\n<p>&#8220;The solution is not funding private companies to make money out of patients phoning them up instead of their doctors &#8211; it&#8217;s getting more doctors on the front-line.&#8221;<\/p>\n<p>Research had shown that patients who had the same GP for five years, lived four years longer on average, and had 30 percent fewer referrals to secondary services, Burrell said.<\/p>\n<p>&#8220;I recall very well in deed having one Telehealth consult during COVID with a patient I knew well, and I said &#8216;Gosh, I have to see you next week&#8217;, and I did.<\/p>\n<p>&#8220;What they had called me about was one problem, but what I saw was a pale person who had lost weight. And to cut a long story short he had his bowel cancer resected three months later.<\/p>\n<p>&#8220;That would have been completely missed had he been seen by one doctor who he&#8217;d never seen before and would never see again. That&#8217;s hit and run medicine.&#8221;<\/p>\n<p>General practice had become less attractive as a speciality with the shrinking level of capitation funding, the money paid to practices for each enrolled patient, with up to 40 percent of practices struggling to stay financially viable.<\/p>\n<p>Digital healthcare providers said however the Telehealth service should bring more equitable access to GPs across the country.<\/p>\n<p>The Digital Health Association chair Tony Wai told the Nine to Noon many GPs offered online appointments but not 24-hour coverage.<\/p>\n<p>&#8220;It will hopefully pick up a number of the unenrolled who don&#8217;t have a current GP and we know a number of those individuals have been winding up in ED across the country, and that&#8217;s clogging up the hospital system.<\/p>\n<p>&#8220;Trying to get immediate access to a doctor is going to be crucial upfront, there will be a number of people using it who will be in major distress in that point of time and getting them immediate access is much easier.&#8221;<\/p>\n<p>Wai said it would take less time to get access to a doctor and reduce the overall wait times.<\/p>\n<p><a href=\"https:\/\/radionz.us6.list-manage.com\/subscribe?u=211a938dcf3e634ba2427dde9&amp;id=b3d362e693\" target=\"_blank\" rel=\"noopener\">Sign up for Ng\u0101 Pitopito K\u014drero<\/a>,<b> a daily newsletter curated by our editors and delivered straight to your inbox every weekday.<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"General practice has become less attractive as a speciality with the shrinking level of capitation funding and money&hellip;\n","protected":false},"author":2,"featured_media":138270,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4316],"tags":[1816,9409,105,4348,12,196,10975,10973,10974,16,15],"class_list":{"0":"post-138269","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-audio","9":"tag-current-affairs","10":"tag-health","11":"tag-healthcare","12":"tag-news","13":"tag-podcasts","14":"tag-public-radio","15":"tag-radio-new-zealand","16":"tag-rnz","17":"tag-uk","18":"tag-united-kingdom"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@uk\/114584739139813446","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/138269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/comments?post=138269"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/138269\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media\/138270"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media?parent=138269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/categories?post=138269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/tags?post=138269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}