New Zealand Rural General Practice NetworkFriday 29 May 2009, 2:13PM
The New Zealand Rural General Practice Network has welcomed the
Budget's health funding boost but chairperson Kirsty
Murrell-McMillan says the onus is now on DHBs to deliver services
to rural communities.
DHBs are to receive $2.1 billion from a $3 billion health sector
allocation announced as part of this week's Budget.
The Government has also allocated $4 million during the next four
years to encourage training in rural areas; $6.7 million to the
Voluntary Bonding Scheme in the 2011/12 financial year, and $8.5
million in the 2012/13 financial year.
The initiatives have been welcomed by Ms Murrell-McMillan who says
Health Minister Tony Ryall has "listened to us and delivered" in
terms of training and voluntary bonding.
"The Minister of Health Tony Ryall has demonstrated a clear vision
for delivery of health care services into rural communities
reflected in the voluntary bonding scheme and training in the rural
health context."
However, the onus is now on DHBs to deliver better care, including
after-hours, to rural communities.
Patients in rural communities have the right to have face-to-face
consultations with the same advantages as people in urban
centres.
It is important that DHBs plan to provide after-hours cover
specifically for rural areas and that they use some of the extra
$2.1 billion allocated in the budget to discharge that duty to
those communities, says Ms Murrell-McMillan.
"It's not about the Government, the Government has been fiscally
responsible, the onus is on the DHBs to deliver to rural
communities.
"The DHBs now have a duty to flow funding through to after-hours
and to address health access for rural communities.
"We want the focus to be on communities and people. Rural
communities are producing income for the country. DHBs need to be
cognisant of the need for equal access for health support for rural
communities.
"Access to health care is not the same as in urban areas. Rural
people don't have the option of going to A and E.
"It is my belief that DHBs have been given that responsibility and
that they need to provide robust after-hours cover for rural
people."
On the training front, Ms Murrell-McMillan stressed that the $4
million funding allocation is for developing the whole rural health
workforce - midwives, nurses, pharmacists, physios and doctors.