dr buzz burrell - gp cmegpcme.co.nz/pdf/2017 south/fri_plenary_1130_burrell... · strugg 'ngto...

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Dr Buzz Burrell New Zealand Medical Association Blenheim 11:30 - 12:00 State of the GP Nation

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Page 1: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

Dr Buzz BurrellNew Zealand Medical Association

Blenheim

11:30 - 12:00 State of the GP Nation

Page 2: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 3: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 4: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

LISTEN TO US

Page 5: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 6: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 7: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 8: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 9: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 10: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 11: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

2016 annual report – MoH had 1038 FTE.

Primary care = nine listed

= 0.86% of MoH staffing

dedicated to primary care.

Page 12: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 13: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

Family incomeFamily

Wife spends it

Page 14: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

Family Board (all matters)

Primary organisation (immediate concerns)

Management team

CEO; COO; GM GM building

GM food

GM transport

GM kids

GM planning and funding

Outsource food –

tender –

freeze-thaw system

from overseas

(Tier 3)

Page 15: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 16: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

Kids do not eat for last month of the year

Move out of the house into a tent

Waiting list for new shoes and clothes

Most reasonable requests for anything prioritised and rejected

Page 17: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 18: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 19: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 20: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 21: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 22: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 23: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 24: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 25: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 26: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 27: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 28: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 29: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 30: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 31: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 32: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 33: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 34: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 35: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 36: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 37: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 38: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 39: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 40: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 41: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

Inequity – 2 tier system – inverse care law

Managers saying ‘No”

Fragmented

Primary care is struggling to be viable

Secondary care can’t cope

Page 42: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea
Page 43: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea

Cost-saving mental health hotline ….

Page 44: Dr Buzz Burrell - GP CMEgpcme.co.nz/pdf/2017 South/Fri_Plenary_1130_Burrell... · strugg 'ngto get ahead. $790 rn.llion has been delivered to help chi dren living in some of New Zea