GP crisis: Katikati Medical Centre weighs in on workforce and funding concerns

Wait times for GP appointments at Katikati Medical Centre ranged from a few days to several weeks depending on the doctor.

Wait times for an appointment at Katikati Medical Centre (KMC) can be weeks long and while a new doctor should help the situation, the centre’s clinical director says the underlying problems are industry-wide.

Clinical director and GP Vicky Jones said wait times for routine appointments ranged from a few days to several weeks depending on the doctor.

“Wait times across the motu have blown out in many places to as long as six weeks.”

She said they now had a new doctor whose wait times were shorter and who was accepting new patients.

Doctors in primary healthcare services are expressing their concerns about the workforce and funding crisis.

Jones was concerned general practices in New Zealand were in danger of becoming insolvent, although that was not an immediate concern for Katikati Medical Centre.

“At Katikati Medical Centre we really do not want this to happen and are working as efficiently as we can with the resources available.”

She said improving terms and conditions to match those of hospitals was needed to attract more doctors into the GP practices.

Primary health organisation general practices received a capitation payment based on the number of patients enrolled. This payment had not increased in line with inflation, Jones said.

“And we all know that costs have escalated. This capitation payment used to contribute towards approximately four visits a year, but now only pays towards about two and a half visits.”

The funding model for GPs was based on time spent in front of patients — administration work is unpaid.

“This time is usually done in the evening and at weekends so that appointments remain available in the day. Unsurprisingly, many doctors are now electing to go to Australia where conditions generally are far more favourable.”

More than half of Kiwi doctors would retire in the next decade, Jones said.

“We are not training enough doctors to replace them, and the current immigration system is clunky and costly. Compounding this, a much-smaller proportion of doctors are choosing to become GPs because employment terms and conditions are far better in the hospital.”

Health New Zealand-Te Whatu Ora living well director Martin Hefford said it was aware of the pressure on the GP workforce and was working to address those pressures through a “blend of targeted international recruitment and domestic training”.

Health NZ had made investments to increase the number of general practitioner and nurse practitioner training placements through initiatives such as the comprehensive primary and community care teams, Hefford said.

“Cumulatively, increases have been at a similar rate to the CPI. Additionally, Health NZ has taken some steps to improve the way we fund general practice capability and capacity. Funding for all primary and community health services, including general practice, increased by 5 per cent from July 2023.

“We acknowledge that the current capitation funding system for general practice has limitations as it does not include important factors such as socioeconomic status or ethnicity. We also acknowledge the workforce pressures that primary care teams are facing.”

Rebecca Mauger is editor of Katikati Advertiser. She has been with NZME for more than 20 years as a community reporter, ad writer, copy-sub and entertainment/lifestyle magazine writer.