The smoking cessation target seems to have become a farce. In Whanganui it looks like the Ministry's $34 a smoker ( second highest after West Coast and double most other areas ) has evaporated into vapour with no reports to the community or region by the regional smoking partners.
Previously $40,000 for Taihape seems to help support the Whanganui PHO funding stream for its own practice, Te Oranganui gets a share but unknown how much , Health Solutions Trust employs local doctor and national smoking cessation champion John McMenamin with its $250,000 income , and the DHB has no idea where the $340,000 goes from the income it is a nominal partner in spending. Apart from the funding for the three practices owned by the PHO in Taihape , Raetihi and Gonville no money from the regional service funding has been allocated to General Practice. No reports of smokers from other general practices giving up using the service have been provided this year. Like so many Health Projects , the funding for the project is good for the project but the ongoing funding for implementation doesn't transfer to General Practice
Immunisation administrsations have gone up and the ministry / Minister cut the funding for the service increase.
Treating 23,500 elective day surgery patients in rural New Zealand is just part of the story. Education, training and workshops to support rural doctors and nurses is leaving a much bigger footprint
New Zealand Doctor