Health workers needed in rural areas
By David Hill, Local Democracy Reporter
Recruiting medical professions into rural areas remains a challenge, says a North Canterbury mayor.
Health Minister Dr Shane Reti says Health New Zealand has made good progress in recruiting staff, but Hurunui mayor Marie Black says rural areas are missing out.
Training more health professionals is a priority in Budget 2024, with $22 million set aside for doctor training.
‘‘That will take us from an intake of 589 this year to an intake of 614 from next year,’’ Reti said.
‘‘We are also progressing a cost benefit analysis for a proposed third medical school through Waikato University, which will focus on primary and rural care.’’
While overseas-trained medical professionals make a valuable contribution, Reti said training young New Zealanders was more sustainable in the long term.
‘‘Health workforce shortages are a problem in every country around the world.
‘‘That is why it is so important we invest in training doctors and other health professionals here in New Zealand.’’
In the year to December 2023, Health NZ recruited more than 200 full-time equivalent senior doctors, 2500 nurses, nearly 100 midwives, and more than 230 scientific and technical staff.
There were still shortages in mental health, critical care and midwifery, Reti said.
While it was reassuring to know progress has been made in recruitment, Black said there was little evidence of it in ‘‘primary health provision in country areas’’.
The Hurunui district has been doing its bit to encourage health students to consider working in rural areas, she said.
Third year Otago Medical School students have been visiting the district each August for several years.
The initiative has been running for 10 years, with the students visiting medical centres, St John, District Nurses, police, the North Canterbury Rural Support Trust and a local preschool.
‘‘If we can grow our own people that is the best solution,’’ Black said.
Waimakariri Mayor Dan Gordon said he was pleased the Government was addressing workforce shortages.
A new medical centre was being planned in Rangiora to offer urgent and after hours medical care, but it would need more medical professionals, he said.
‘‘I am pleased with the Government’s announcement that funding will be allocated to ensure we are training more doctors and health care professionals here in New Zealand.
‘‘This will help to alleviate doctor shortages particularly in the regions and rural communities.’’
The Kaikōura district faced similar challenges, and its over 65 population was expected to increase to one-third over the next 30 years.
Takahanga Marae has hosted tertiary health students from around Aotearoa in recent years for a three-day Noho Marae visit.
The initiative was a partnership between Te Tai o Marokura, a Maori health and social service provider in Kaikōura, and Hauora Taiwhenua/Rural Health Network’s careers programme.
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
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Census ‘anomalies’ leave council staff scratching their heads
By David Hill, Local Democracy Reporter
‘‘Anomalies’’ in Census data on North Canterbury's population growth is creating a headache for a local council.
The Hurunui District Council’s south ward, including Amberley, has experienced a building boom in recent years, but this is not reflected in the latest provisional Census data on population growth.
According to Census data released earlier this year, Hurunui’s south ward had a population of 5620 in March 2023, an increase of 410 people from the 2018 Census.
This suggests an increase of 1.53% a year over the last five years, much lower than the yearly average increase for the ward of 2.45% since 2001.
But council chief executive Hamish Dobbie said the council’s own data suggests a much larger population increase.
‘‘We would rate the period 2018 to 2023 as a high growth period. You’ve just got to look at the number of houses being built.
‘‘Maybe when they did the Census, people weren’t in their houses and did it somewhere else.
‘‘There is something that doesn’t add up, or maybe it is right and the population was over estimated in 2018.’’
A Stats NZ spokesperson said the current calculations are subject to change and net migration can be difficult to estimate.
Over the last five years, the council has issued 373 consents for new houses in the south ward, mostly for three or four bedroom houses.
Dobbie did not believe there were lots of empty houses in Amberley.
If Census data is unreliable, it can complicate council planning, he said.
But he acknowledged predicting population is ‘‘an inexact science’’.
‘‘It is when you don’t know there are anomalies that you can get things wrong.’’
When the council conducted a representation review ahead of next year’s local government election, it had to rely on 2018 Census data as the 2023 data was not available.
A rapidly rising population formed part of the reasoning behind a proposal to establish a community board for the south ward.
But when presenting to the Local Government Commission last week, the council presented the 2023 Census data while noting the number consents issued.
‘‘We do our own numbers for planning for things like water supply,’’ Dobbie said.
‘‘If we utilised growth numbers that come from the Census, we wouldn’t have water available when it is needed.’’
A Stats NZ spokesperson said the figures for Hurunui’s south ward compared the 2018 Census with population estimates and projections.
‘‘Estimated population change for an area comes from estimated natural increase (births minus deaths), plus estimated net migration.’’
Migration is hard to estimate because there is no single authoritative data source to measure migration into and out of an area, the spokesperson said.
‘‘Estimates for June 2023 are provisional and subject to revision,’’ the spokesperson said.
Building consents are useful, but not all consents result in completed houses, there is a lag between consent and occupancy, some are for second homes and some are to replace demolished buildings.
A second release of 2023 Census data is due on October 3, while population estimates will be revised next year.
Local Government Minister Simeon Brown said the Government is not considering allowing alternative data sources to be considered in representation reviews.
"Representation review data looks at the entire population, not just ratepayers or those eligible to vote, so care would be needed in considering whether alternative data sources could be used in the future.''
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
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