Yes, no and maybe: Pre-Budget likes, dislikes, hopes and heartstoppers


Yes, no and maybe: Pre-Budget likes, dislikes, hopes and heartstoppers

New Zealand Doctor team

New Zealand Doctor team

We’re getting people to talk Budget 2019 and health’s role in it [photo: Agê Barros, Unsplash]
Addressing inequity, Jan White "We just need more investment in health, we have to see money put into health as being an investment in our country. "General practice, Jan White


"Band aids for a broken system with no real intent to fix the system"

Bryan Moore, GP

For the record there will be an uplift in Primary Care Capitation and for the first time that I am aware of this will be above the rate of General Inflation. This is good news but of limited utility when the funding itself remains less than the inflation adjusted value when it was introduced in 2004. The problem now is that many Practices can no longer adjust their co-payments to compensate for persistent inadequate funding and are entirely dependent on these uplifts to remain sustainable - and this uplift will not improve sustainability in Primary Care. Band Aids.

We are > 50% behind where we were when capitation started, GPs are leaving in droves, the workload seems to increase weekly and we are facing a tsunami of elderly that financially kill your practice and require an inordinate amount of work. Unless capitation gets a massive boost and guaranteed health inflation increases the sector will continue to die. No model of care's going to save that. 

Are you sure any Government understands what a GP is or does?  We never get a mention in any recent health review.  I suspect virtually all new primary health money will go to anyone other than private General Practice, and certainly nothing to make General Practice an attractive career.  

Instead, I suspect money will be wasted on more unwanted IT systems and unproven new models of care.  

I also suspect there will be no funding for direct GP referrals for higher level imaging (CT/MRI), nor to improve GP access to psychiatrists, psychologists and evidence based mental health therapy (like CBT), instead, it will all go to generic non-outcome based "counselling".

I also suspect there will be nothing to help GP/A&M access for the 350,000 (7%) New Zealanders not covered by PHO funding, including many of the disaffected, unengaged, mentally troubled, itinerant and homeless that the Government claims it wants to help.

Finally, I also suspect there will be no requirement for DHBs to use their primary care funding (increased or not) in primary care instead of using it to reduce their enormous deficits created by armies of non-medical bureaucrats.


Clark will only spend money on things he can get photographed cutting ribbons opening. You're spot on Keith.