We have for you this Friday morning, yet another review of the health system. It is the Clinical Quality and Safety Reviewed Longitudinal Data Report. Now this examines quality and safety, patient experience and harms data over the past decade. The Royal New Zealand College of GP's medical director, Luke Bradford has will us look very good morning to you, Mike. From my first glance, we seem to be doing okay. Is that fear?

We have for you this Friday morning, yet another review of the health system. It is the Clinical Quality and Safety Reviewed Longitudinal Data Report. Now this examines quality and safety, patient experience and harms data over the past decade. The Royal New Zealand College of GP's medical director, Luke Bradford has will us look very good morning to you, Mike. From my first glance, we seem to be doing okay. Is that fear?

Yeah? I think there are some positive things in here. Once people actually can access care, and we're seeing decrease surgical complications, decreased fools, and better experiences had by patients once they're in the system.

Yeah? I think there are some positive things in here. Once people actually can access care, and we're seeing decrease surgical complications, decreased fools, and better experiences had by patients once they're in the system.

How much are we doing not to help ourselves? I knowe there's the increasing population issue, and I know there's the increasing chronic disease issue, some of which falls on us, doesn't.

How much are we doing not to help ourselves? I knowe there's the increasing population issue, and I know there's the increasing chronic disease issue, some of which falls on us, doesn't.

Half the population thing is obviously government controlled, the chronic disease somewhat. Some of it is just that because we live longer, If you live longer, you're going to get more illnesses in general. The other thing that is in there which is interesting is we're seeing less people choose to access care, especially since COVID real drop off in ends a real drop off in cancer screening, and I think that speaks to a lack of trust in the system which is concerned.

Half the population thing is obviously government controlled, the chronic disease somewhat. Some of it is just that because we live longer, If you live longer, you're going to get more illnesses in general. The other thing that is in there which is interesting is we're seeing less people choose to access care, especially since COVID real drop off in ends a real drop off in cancer screening, and I think that speaks to a lack of trust in the system which is concerned.

Do you know that? How do you know that? Why would I not come for a scan or a screen? I mean, would it be partly? I would argue because I think why would I bother? Because I know I'll never get access to it because the cues a mile long? Is there that not? Something like that to it?

Do you know that? How do you know that? Why would I not come for a scan or a screen? I mean, would it be partly? I would argue because I think why would I bother? Because I know I'll never get access to it because the cues a mile long? Is there that not? Something like that to it?

It may be maybe some self filling prophecy there in them sort of. You know, if you hear all the time that the system doesn't work, you just choose not to engage in it. It's really important to say with the cancer screening, if you do get picked up with something you are seeing quickly.

It may be maybe some self filling prophecy there in them sort of. You know, if you hear all the time that the system doesn't work, you just choose not to engage in it. It's really important to say with the cancer screening, if you do get picked up with something you are seeing quickly.

Yeah. See that's my assessment. For Get this report for a moment. This is my assessment of the public health service. If you need it badly, like really badly, it's there for you if you want to doabble around the edges and things that you think would be nice if we could, but we can't. That's where it fails, is that fear or not.

Yeah. See that's my assessment. For Get this report for a moment. This is my assessment of the public health service. If you need it badly, like really badly, it's there for you if you want to doabble around the edges and things that you think would be nice if we could, but we can't. That's where it fails, is that fear or not.

I think it's what you'd define as badly. So we're pretty good at urging cancer that can be managed. But some of the stuff that causes really severe pain disability, especially around the arthritis, is they're not getting seen.

I think it's what you'd define as badly. So we're pretty good at urging cancer that can be managed. But some of the stuff that causes really severe pain disability, especially around the arthritis, is they're not getting seen.

And let's before you get to the regional aspect of it, which I'm assuming is just as bad as it depends on where you are.

And let's before you get to the regional aspect of it, which I'm assuming is just as bad as it depends on where you are.

Basically, Yeah, yeah, there is still some of that.

Basically, Yeah, yeah, there is still some of that.

Do you hold out hope because here's my other observation of public health services around the world, especially in the Western world. They will never meet what we want and there will always be just a level right, all the reports you want, there will just always be a level of disappointment.

Do you hold out hope because here's my other observation of public health services around the world, especially in the Western world. They will never meet what we want and there will always be just a level right, all the reports you want, there will just always be a level of disappointment.

Yeah. I mean, it's human nature to want the very best for you and your loved ones in terms of health, isn't it? And it is. We can do more and more, and it's skidding harder and harder to supply the population for that.

Yeah. I mean, it's human nature to want the very best for you and your loved ones in terms of health, isn't it? And it is. We can do more and more, and it's skidding harder and harder to supply the population for that.

Do you think within our means we are doing okay? And does this report confirm that?

Do you think within our means we are doing okay? And does this report confirm that?

Ah? I still think there's problems with access, and I think that's really clear. If you're being referred, you're being referred to something matters, and you're not being seen for up to a year, same for operations, and if you can't get in and see a GP in a first place, then that is a problem. We can improve those good stuff.

Ah? I still think there's problems with access, and I think that's really clear. If you're being referred, you're being referred to something matters, and you're not being seen for up to a year, same for operations, and if you can't get in and see a GP in a first place, then that is a problem. We can improve those good stuff.

Louke, appreciate your time. Luke Bradford, who's the Royal New Zealand College of General Practitioners Medical Officer. I went to see the doctor yesday. In fact, I went to see the nurse. And I've had no problem getting to a nurse, and I've had no problem getting to a doctor. And I had myself yesterday. I believe it was the first time ever an ECG and that's It's not as exciting as it sounds. But I just don't get I've never had problems getting to a doctor and ringing a doctor, making an appointment with the doctor. Yes, the doctor's away. Yes, I've had to change doctors. Yes, doctors only seem to work two or three days a week. But I've never actually had problem getting to a doctor. So I don't experience this. I can't see a doctor. For more from the my Casking Breakfast, listen live to news talks. It'd be from six am weekdays, or follow the podcast on iHeartRadio.

Louke, appreciate your time. Luke Bradford, who's the Royal New Zealand College of General Practitioners Medical Officer. I went to see the doctor yesday. In fact, I went to see the nurse. And I've had no problem getting to a nurse, and I've had no problem getting to a doctor. And I had myself yesterday. I believe it was the first time ever an ECG and that's It's not as exciting as it sounds. But I just don't get I've never had problems getting to a doctor and ringing a doctor, making an appointment with the doctor. Yes, the doctor's away. Yes, I've had to change doctors. Yes, doctors only seem to work two or three days a week. But I've never actually had problem getting to a doctor. So I don't experience this. I can't see a doctor. For more from the my Casking Breakfast, listen live to news talks. It'd be from six am weekdays, or follow the podcast on iHeartRadio.