Call to change health funding

John MacDonald
John MacDonald
There have been calls for a better formula for funding healthcare in Queenstown, due to its "rapidly changing population".

District councillor and health advocate John MacDonald believed a change was necessary, and urgent.

Health Minister David Clark said he intends for a review of the population-based formula used to allocate funding for district health boards to take place before this term of Government is over.

It is now set to take place following a general review of the health and disability sector.

But Cr MacDonald wants it brought forward to help tackle the area’s health funding deficit as soon as possible.

"I would absolutely like to see the review brought forward," he said.

"It is based on base population figures and things are growing really quickly here.

"The visitor numbers and migrant workers don’t get counted in the base population."

Funding received by the Southern District Health Board (SDHB) is used to help run two large hospitals in the region, as well as smaller rural hospitals, which some critics say are being left behind.

"I don’t believe that system works for us really well.

"There needs to be some mechanism for rapidly changing populations to be taken into account."

Cr MacDonald said Queenstown’s actual population was "always growing faster" than projections show.

"It puts pressure on everything and there seems to be a reluctance to acknowledge what is happening."

It was also teeming with tourists.

"Something like half the people who attend A and E in the area are tourists."

A general report on the sector is set to be published in early 2020.

Clutha-Southland MP Hamish Walker said rural healthcare needs were not being considered enough, while plans such as the Dunedin Hospital rebuild steamed ahead.

"My concern is the focus on the physical rebuild of Dunedin Hospital and no representation on the Dunedin rebuild advisory panel from Southland or rural Otago," Mr Walker said.

"We need to carefully consider the region’s health requirements and needs before planning the design of the hospital."

Ministry of Health official Sam Kunowski said it was the DHB’s "responsibility to work with the services in their districts to fund and provide the health services their populations require".

He said the ministry "also has mechanisms to compensate DHBs, including Southern DHB, who service rural communities, overseas eligible visitors and refugees".

SDHB chief executive Chris Fleming said the board supported a review of the current funding formula. However, he claimed there was "not a direct relationship between pure population growth and demand on the health system".

- Josh Walton

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