New Zealand Doctor podcasts: Recent Episodes
New Zealand Doctor Rata Aotearoa
Podcast from the New Zealand Doctor Rata Aotearoa newspaper. Featuring System Fix - the podcast for health reform junkies and more
New Zealand Doctor Rata Aotearoa journalist Fiona Cassie talks to Joe Bourne, the first GP to hold the role of chief medical officer at the Ministry of Health
New Zealand Doctor Rata Aotearoa journalist Alan Perrott's profiles Tāmaki Health chief executive Lloyd McCann in the first of our Long Read series
Abbe Anderson is Te Whatu Ora national director commissioning. The buck stops with her for any items relating to funding and planning in primary care and community health. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain recently caught up with Abbe via Zoom. They chatted about her passion to see a reform built on knowing what people want of their health system, progress with sector restructuring, why that capitation offer won't go past 5 per cent, the growth of localities, and the weight of expectation, aka, what keeps Abbe awake at night. Thanks for listening.
Iwi Māori partnership boards are a crucial element of the new health sector landscape. The boards are the Treaty partners in a system which has as a key priority achieving equity in health outcomes for Māori. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain is joined by regular panelist Gabrielle Baker and guest Simon Royal to take a look at the challenges facing these new boards
System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain provides a quick rundown of events around the 1 July launch of New Zealand's new central health entities - Te Whatu Ora - Health New Zealand and Te Aka Whai Ora - Māori Health Authority, and then makes way for senior journalist Martin Johnston's interview with Te Whatu Ora board chair Rob Campbell, who admits he was quite shocked when he realised quite how dysfunctional the health system was
As the 1 July deadline looms, System Fix host Barbara Fountain is joined by regular panelists independent health policy consultant Gabrielle Baker and Auckland University health policy researcher Tim Tenbensel, for a whistlestop tour of the latest developments in the roll out of the health reforms
System Fix host Barbara Fountain is joined by New Zealand Doctor Rata Aotearoa senior journalist Martin Johnston in conversation with Martin Hefford of the interim Health New Zealand, on the afternoon of 21 April, the day health minister Andrew Little announced the first nine prototype localities
It's been a while between podcasts, what with the summer break and now COVID making its mark in New Zealand. System Fix host Barbara Fountain joins regular panelists Gabrielle Baker and Tim Tenbensel to catch up with progress on the roll out of the health sector reforms, or as we like to call it, the Big Little Revolution
New Zealand Doctor Rata Aotearoa editor Barbara Fountain and senior journalist Martin Johnston recap progress with the country's health reforms in 2021
The health reforms legislation - Pae Ora (Healthy Futures) Bill - was tabled by health minister Andrew Little on 20 October and soon after passed its first reading. Regular System Fix panellists Gabrielle Baker and Tim Tenbensel join host Barbara Fountain with a mission in mind - their own reading of the bill, so you don't have to (though we know you probably will - it's the bane of being a health reform junkie)
New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks to Stephen McKernan, director of the Health and Disability Review Transition Unit, and his deputy, Martin Hefford, about function trumping form, a crucial health plan, central agencies vs local services, communities and localities, private providers, workforce, leadership and, ultimately, selling the plan for health sector reform and convincing people to stay the course
New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks to David Meates, former chief executive of Canterbury DHB and now roving health reform consultant, about how change happens in health systems…and more
New Zealand Doctor Rata Aotearoa reporter Martin Johnston interview health minister Andrew Little.
It’s just over 400 days since the report of the Health and Disability System Review Panel, aka the Simpson Report, was released. New Zealand Doctor Rata Aotearoa editor Barbara Fountain and regular System Fix panelists Gabrielle Baker and Tim Tenbensel catch up on the latest developments in the roll out of reforms to the New Zealand health system
New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks with rural health champion Kim Gosman about health reform and what it might mean for rural and Māori health
New Zealand Doctor Rata Aotearoa editor Barbara Fountain caught up with folk in the rural health sector at the National Rural Health Conference to find out what they're thinking about the health reforms, in particular rural localities. Health and Disability System Transition Unit deputy director Martin Hefford provides some insights on the proposed changes
Regular panelists, independent health researcher Gabrielle Baker and University of Auckland health policy researcher Tim Tenbensel, join New Zealand Doctor Rata Aotearoa editor Barbara Fountain to take on the challenge of interpreting what this year’s Budget might mean for health and more specifically the health reforms, and catch up on progress with the reforms rollout
Health minister Andrew Little revealed his plans for the health system on 21 April with a restructuring which went well beyond that recommended in the Health and Disability System Review. Barbara Fountain and regular panelists Gabrielle Baker and Tim Tenbensel digest the news
Her Easter plans having changed unexpectedly and with an announcement on the new health sector structures expected before the end of the month, New Zealand Doctor Rata Aotearoa editor Barbara Fountain, spent a rainy day at home hunting out the audio from last year's Popcorn Panel discussing super-sized DHBs and the proposed Health NZ. Joining her from the archival audio footage are health policy researcher Tim Tenbensel, health sector commentator Ian Powell and ProCare medical director and former DHB man Allan Moffitt. It's not your usual panel discussion.
Barbara Fountain recaps the latest on the reforms taking place to the health system, and chats to Christchurch GP Vanessa Weenink and Auckland medical oncologist George Laking (Te Whakatōhea) – both with leadership roles in the sector – about the tricky issue of professional capture of systems and change; how veteran medical professionals could benefit from the education their younger colleagues are receiving, and the power shifts needed to help make reforms work
Episode 5: The System Fix panel – Barbara Fountain, Gabrielle Baker and Tim Tenbensel - continues sifting through the little official news currently available on the transformation of the New Zealand health system and find there’s more happening out there than first apprearances might suggest
Ep 4: Time tables, game changers, the perennial issue of power plays within government systems, and more on what a Māori health agency might look like, are all up for discussion by Barbara Fountain and regular panellists Gabrielle Baker and Tim Tenbensel
New Zealand Doctor Rata Aotearoa senior journalist Martin Johnston talks to health minister Andrew Little about progress with implementing the health sector changes as proposed by the Simpson Report
Disability services advocate Ruth Jones (Ngāti Porou) of Hei Whakapiki Mauri and Kanohi ki te Kanohi Consultancy and Jane Cartwright, chair of intellectual disabilities services provider Brackenridge Services, talk with New Zealand Doctor|Rata Aotearoa editor Barbara Fountain about why the Simpson report falls short for people with disabilities (With apologies for some technical glitches)
The Health Media’s Barbara Fountain, health sector consultant Gabrielle Baker (Ngāpuhi) and health policy researcher Tim Tenbensel start out on a journey, to follow the implementation of changes to the New Zealand health and disability system. We start with introductions, some initial thoughts on legislated charters, meaningful acknowlegement of te Tiriti o Waitangi and transition – fast and slow
South Auckland GP Orna McGinn talks about the poor access to contraception in New Zealand and what needs to change
Christchurch GP and former army doctor Vanessa Weenink talks about the real meaning of command and control, and why bureaucrats just don’t get it when it comes to dealing with primary care
Shortly before this year's general election, Fiona Thomas spoke to Labour's David Clark about what he would do, should he become health minister.
There were two David Haslams at this year's RNZCGP conference in Dunedin. Fiona Thomas spoke to each of them. Here, she speaks to Professor David Haslam, chair of the UK's National Obesity Forum
There were two David Haslams at this year's RNZCGP conference in Dunedin. Fiona Thomas spoke to each of them. Here, she speaks to Professor David Haslam, chair of UK guidelines group NICE
Health minister Jonathan Coleman's media conference at Onslow Medical Centre in Wellington, launching the National Party policy of $18 GP fees
Dr Tosh Stanley discusses how nutrition in first 1000 days of life can shape a child’s future health. University of Otago, Wellington.
A philosophy of care can be defined as the underlying theory or set of ideas that informs the values and choices that you use to help meet your patients’ needs
The Tongan Health Society is looking into opening a satellite general practice in Tonga, in a bid to improve the health of Tongan immigrants before they arrive in New Zealand
Anne-Thea McGill calls for the Government to subsidise whole foods and tax junk food to help scale back the obesity epidemic
Health Hawke’s Bay PHO chief executive Liz Stockley shares her thoughts in the New Zealand Doctor Primary Thinking series
Health Hawke’s Bay PHO chief executive Liz Stockley shares her thoughts in the New Zealand Doctor Primary Thinking series
Recalls, results and referrals: Three Rs that bring responsibility. Jo Scott-Jones discusses this
Waiting for the end-of-year tax returns to assess your business’s performance is too late. Jo Scott-Jones suggests a better approach
First, some assumptions.
As 21st century doctors we have the privilege of working in a society where the scientific method is widely accepted as providing an indication of what is “true” and what is not. This is the basis of the social contract we have with our patients: we have the ability to filter out what is “true” and to share that with people.
It is hard to approach any colleague with advice on their clinical management, especially a senior one. Jo Scott-Jones suggests how to handle it
RNZCGP president Tim Malloy is the latest to share his thoughts on primary care in the New Zealand Doctor podcast series, “Primary Thinking”. In a telephone interview, Dr Malloy talks about strategies on how to change the perception of GPs in the health sector as specialists. He also says the career structure of GPs need to evolve in scope and activity to improve GP career pathways, as well as calling for health resources to be targeted to bridge the equity gap between the haves and the have-nots.
NZMA chair Mark Peterson is the latest to share his thoughts on primary care in the New Zealand Doctor podcast series, Primary Thinking
Jo Scott-Jones deliberates on how to raise obesity as an issue with patients who could benefit from some weight loss
Alliance contracting can be an unfamiliar model for those participating for the first time, as Jo Scott-Jones explains
All GPs have patients whose personality adds to the difficulty of providing care. Jo Scott-Jones offers some advice, not least to consider the wellbeing of your team
If a cost, even outside of the sphere of healthcare, is directly related to a patient’s disability, Jo Scott-Jones says it should be considered when making an allowance application
Jo Scott-Jones has some words of wisdom for health professionals taking their first plunge into the social media sea, and remembers a 40th birthday skinny dip
A first visit of a patient with medically unexplained symptoms requires treading a fine line on many fronts. Jo Scott-Jones navigates the pitfalls
Caregivers face many difficulties but, if they can develop awareness of how their reactions affect the patient, more helpful strategies are likely to result. Jo Scott-Jones finds animal analogies can get the message across
The driving licence medical has its pitfalls whether you know the patient well or the patient is a complete stranger, as Jo Scott-Jones explains
Jo Scott-Jones reflects on the beach, bach and beyond in a special Christmas podcast on How to Treat seaside issues
For many, the New Zealand Christmas holiday season involves at least one trip to the beach or back. Not everyone will have a disastrous coastal holiday experience but, as doctors – required to think comprehensively about the differential diagnosis – it does no harm to be prepared for the potential calamities of a coastal Christmas. This podcast by Opotoki GP Jo Scott-Jones takes a look at some common cases likely to come your way if anywhere near sand or surf.
West Auckland GP Jonathan Simon is the latest to share his thoughts on primary care in the New Zealand Doctor podcast series, Primary Thinking.
20 November 2013: Dr Moffitt is the latest to share his thoughts on primary care in the New Zealand Doctor podcast series, “Primary Thinking”. In an interview with Reynald Castaneda, Dr Moffitt talks about how co-payments are a barrier to healthcare for poor communities, shares his frustration on some DHBs’ lack of enthusiasm for Integrated Family Health Centres and why GPs should champion public access to general practice performance reviews.
Jo Scott-Jones takes a First-Time look at the use of set pieces for asthma management to ensure a consistent approach from all practice staff
Tony Dowell, primary healthcare and general practice professor at the University of Otago, Wellington, is the latest to share his thoughts on the direction of primary care in the New Zealand Doctor podcast series
Reynald Castaneda caught up with Professor Dowell at the Rotorua GP CME to discuss why GPs don’t talk to patients about their weight, his concerns over gastric bypass, and to provide his answers to our primary thinking questions.
Lannes Johnson, clinical director at Waitemata PHO, is the latest to share his thoughts on the direction of primary care in the New Zealand Doctor podcast series, Primary Thinking.
Dr Johnson discusses several projects he is working on to reduce health inequalities, the background role he played in getting the capitation system started and the big issues he sees ahead – namely, the need for those in charge to better understand primary care.
Dr Johnson says completing current projects, rather than throwing money at new initiatives, will ensure a strong primary care system in the future.
Counties Manukau GP researcher Tim Kenealy talks to New Zealand Doctor for our Primary Thinking podcast series. Dr Kenealy’s research interests are diabetes and long-term conditions. He is also currently an associate professor of integrated care at Auckland University and is the clinical lead for quality improvement in Counties Manukau localities
Opotiki GP Jo Scott-Jones talks to New Zealand Doctor in the second in our ‘Primary Thinking’ podcast series. Dr Scott-Jones is the chair of the New Zealand Rural General Practice Network and gives us his views on where primary care in New Zealand is currently heading.
Hastings GP Bryn Jones, of Ngati Kahungunu, talks to New Zealand Doctor in the first in our Primary Thinking podcast series. Dr Jones chairs the RNZCGP Te Akoranga a Maui (Maori faculty) and is a director of Health Hawke’s Bay – Te Oranga Hawke’s Bay PHO.
Much of the credit for bringing Wairarapa primary and secondary care closer together in the past few years is being given to the DHB’s chief executive, Tracey Adamson, who has just left to start a health consultancy. In this podcast, Ms Adamson talks to Virginia McMillan about how the Wairarapa health system, particularly the primary and community sector, changed under her watch.
Lucy Ratcliffe spoke to former president of the US Institute of Healthcare Innovation Don Berwick at the 2012 Conference for General Practice
Katie Marriner interviewed RNZCGP president Harry Pert after his presentation at the APAC Forum on Quality Improvement in Healthcare in Auckland in September
After a decade as director of nursing at Auckland DHB, Taima Campbell left the role in April. In this New Zealand Doctor podcast, Katie Marriner asks Ms Campbell what some of her achievements were at the DHB.
The health risks of sitting should make GPs sit up and take notice, says a visiting UK sport, exercise and health professor. Reporter Virginia McMillan interviews Loughborough University's Stuart Biddle about his work on sedentary behaviour.
Rima Rudd, a senior lecturer on society, human development and health at Harvard University in the US, was in Auckland last month for New Zealand’s first every health literacy conference. New Zealand Doctor journalist Lucy Ratcliffe talks to Dr Rudd about health literacy and what GPs can do to help
Louis Francescutti, injury prevention advocate and president of the Royal College of Physicians and Surgeons of Canada, recently visited New Zealand as part of ACC’s falls prevention project, Idea Nation. In this podcast, New Zealand Doctor reporter Katie Marriner asks Dr Franscutti what sparked his interest in injury prevention and what GPs can do to help.
Paul Hunt was the United Nations special rapporteur on the right to the highest attainable standard of health from 2002 to 2008.
Katie Marriner asks him about his work in the role, including his investigation into whether pharmaceutical giant GlaxoSmithKline has a responsibility under the right to the highest attainable standard of health.
The first time a patient asks you about genital warts...
First, congratulate yourself on being the sort of person the patient has the confidence to talk to about something he or she probably finds quite embarrassing.
GPs set to tighten up medical certificate practice: ACC
Katie Marriner talks to ACC's Kevin Morris
Wellington GP and researcher Ben Gray talks to New Zealand Doctor reporter Virginia McMillan about the health inequity in the care of people with limited understanding of English.
General Practice NZ chair Bev O’Keefe’s thoughts on the recent Conference for General Practice
RNZCGP president Harry Pert on college finances, GP training and the recent Conference for General Practice
Labour deputy leader Annette King quizzes Social Development Minister Paula Bennett in Parliament this afternoon, on Government funding for the Growing Up in New Zealand study
The association’s chief executive Debbie Sorensen explains why these topics are of such concern in the Pacific region and
how the conference addressed workforce and resource challenges.
Helen Tatham asks chief coroner Neil MacLean to comment on latest trends revealed by latest New Zealand suicide data
Katie Marriner caught up with Health and Disability Commissioner Anthony Hill about patient-centred care at the Ko Awatea Colloquium at Middlemore in June
Amanda Cameron talks to the new Labour health spokesperson about the Opposition's plans for health
Difficult ethical questions arise more often in medicine than the general public realises. It's also difficult to discuss in a mere 1000 words a subject that supports university departments and generates hundreds of textbooks. However, never one to avoid a challenge...
How to say no to angry patients
Australian and UK surveys reveal that between 33 and 64 per cent of GPs report at least one incidence of violence occurring at their workplace every year.
Pharmac's Marama Parore talks to New Zealand Doctor Wellington correspondent Virginia McMillan about changing our ways to serve Maori better
Drug abuse in New Zealand is a major cause of disability for individuals, their families and the whole of society.
The key to cultural competence lies in being genuinely interested in what is important to other people; being open enough to hear and respect the values and preferences of the person you are with.
With more than two billion people flying every year on commercial airlines, it is surprising more of us have not had that sinking feeling when the steward's voice asks "is there a doctor on the plane?" So, it is worth being prepared for the call of duty.
"The difference between panic and performance is planning." "Readiness, Response, Recovery, Risk Reduction." Civil defence information is full of such vacuous aphorisms, but when tectonic push comes to shove, as it did on 4 September in Canterbury, "people with a plan perform".
Jo Scott-Jones
Driving is dangerous, although it is usually the stopping bit that causes most problems, particularly if it is not planned. There are around 11,000 injury crashes a year in New Zealand and it is almost inevitable you will be the first on the scene of one at least once in your medical career.
Amanda Cameron interviews Auckland travel doctor Marc Shaw about his recent three-month stint in Afghanistan with the New Zealand Defence Force
Social scientists exploring relationships between providers and customers talk about "emotional labour" - the work involved in making people feel comfortable and welcomed.
One of the joys of general practice is that you never know what the next patient will bring in through the door. Even some of the possibly life-threatening complaints they present with, such as chest pain or severe acute headache, can be caused by quite benign conditions.
Not content with having convinced politicians to subsidise home insulation, Philippa Howden-Chapman wants to know whether home heating might ease Maori women's heavy COPD burden.
To begin with, if you receive a complaint - don't panic! If your practice never hears a complaint, you are not the best GP in the world; it means you are not listening. People complain about services for many reasons and it is rare to find someone who simply enjoys complaining; mostly it is a hard decision which takes a lot of courage.
In the community, you may experience sudden death through violence, accident or self harm, or the expected death of someone frail or chronically ill, perhaps after months of palliative care.
Wellington correspondent Virginia McMillan interviews Australian oncologist David Dalley on developments in the treatment of neck and head cancer (25 min)
Clinical leadership is not just a current buzzword, but an essential part of the role of the doctor within healthcare. As medical training moves forward, there is a progressive increase in responsibility for the emerging practitioner. This allows the gradual development of essential skills needed to become a good team member, and, eventually, a leader. Whether we like it or not, we are the leaders in our clinical teams....
If you don't know where you are going, it really doesn't matter what direction you choose to travel in - it is likely you won't get anywhere very far. The journey certainly is more important than the destination, but as a journey implies moving from one place to another it is helpful to plan how you are going to get where you want to go....
Pass on knowledge with satisfaction 14 July 2010
If your practice has never taken students, it is time to ask why. Teaching is not only rewarding professionally, it is part of the fundamental definition of being a professional...