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.
Older residents call for Amberley bus service
By David Hill, Local Democracy Reporter
A lack of public transport and access to healthcare were among the issues raised in recent a survey of older residents in the Hurunui district.
The Hurunui District Council surveyed residents aged over 60 during August and September, as it looks to develop an age-friendly community plan to support an ageing population.
There are currently no public bus services in Hurunui, which includes the town of Amberley, about 40km north of Christchurch.
Community development facilitator Vanessa Nelmes said public transport is a big issue for many elderly people, while accessing medical care when needed remains a concern.
While there are a number of community vehicle trusts operating in the district, respondents felt a regular bus service from Amberley to Rangiora and/or Christchurch is needed.
Hurunui mayor Marie Black has been among those advocating for a bus service, but for now Environment Canterbury says there are no plans to offer public transport in the district.
The distance to medical care in Christchurch and the lack of a dentist were also mentioned, Nelmes said.
The survey received 213 responses from residents aged from 60 to their 90s, with half coming from residents in the south ward, which includes Amberley.
Nelmes said the survey found a majority of the respondents felt confident using computers, internet and / or smart phones.
‘‘It kind of puts that myth to bed that old people don’t like using technology.
‘‘I think we really do need to change our mindset compared to what is really happening in our community.’’
Although about 50 respondents said they were not confident using technology, showing there was still a need for providing support.
The survey also asked if people would like to improve their skills with technology and it was ‘‘evenly split’’, Nelmes said.
A concerning trend in the survey was a number of respondents who said they felt socially isolated, especially those new to the community, she said.
‘‘We had half a dozen people who replied along the lines, ‘you have to put yourself out there, but it’s how to make the first step’.’’
The survey has been analysed by the age-friendly steering group, which plans to widen its membership to include different agencies such as district nursing and is seeking a rural voice, Nelmes said.
Council staff plan to do a stocktake of services available for senior citizens in the district, before beginning work on a draft age-friendly plan.
Environment Canterbury public transport strategy and planning manager Sonia Pollard said there are no plans to extend bus services into Amberley or the wider Hurunui district.
‘‘The focus for public transport improvements is on delivery of the core routes in Christchurch and the direct services between the main urban areas in Waimakariri and Selwyn districts and Christchurch City.
‘‘Service improvements are reliant on funding through local rates and the National Land Transport Programme.’’
She said routes outside large urban areas are unlikely to meet the funding criteria in the 2024/27 National Land Transport Programme.
But as part of the 2025/26 annual plan staff are considering how to best serve the rural community, including assessing new routes outside the Greater Christchurch boundary.
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
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