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Woman says she waited 16 hours at Waikato Hospital’s ED only to be referred back to GP

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A woman waited more than 16 hours at Waikato Hospital’s emergency department with suspected internal bleeding only to be referred back to her GP.

The patient, who does not want to be named, spoke to RNZ from within the ED detailing distressing scenes from an overnight wait for a doctor.

“An elderly man was in a wheelchair. His wife had gone up to the counter many times.

“He was shaking. His body was going into shock because he was in so much pain.”

She said about 25 patients in the waiting room helped care for the man, lifting him out of the wheelchair and onto a more comfortable chair.

The man had suffered a heart attack earlier in the day.

“They got sent up here via ambulance and he’d had a few more heart attacks while sitting here and they were just waiting for hours.”

Another case involved a pedestrian hit by a car.

“It took about 12 hours for her to get an ultrasound that the police requested she get.”

Another patient waited 90 minutes in an ambulance before even being brought into the waiting room.

“They’re telling people when they come in it’s a seven-hour wait, but it’s actually about 27 hours.”

A source close to the ED said patients were not being seen in primary care or could not afford it so larger numbers were arriving in ED much sicker.

They said Waikato ED had lost experienced nurses, its IT systems were outdated and inefficient, and there were backlogs on the wards because there were not enough community care beds available such as in rest homes and mental health settings.

“Wait times are very bad, sometimes up to 10 or 12 hours to see a doctor even with the most serious conditions.

“We’ve had critical incidents of people being unable to get into a bed and becoming very unwell in the wait room.”

They said patients could be in an ED bed for up to 48 hours without being able to get onto a ward, which meant ED staff could not access new patients.

“So sometimes there’s up to 50 people in the wait room with one or two nurses looking after them so the staff are burnt out and not able to give care properly.

“A lot of us are trying to do the best we can while we’re at work. But a lot of us are very frustrated. We’re very angry. There’s such a disconnect with Te Whatu Ora.”

Association of Salaried Medical Specialists (ASMS) executive director Sarah Dalton said the woman’s experience was “unfortunately” increasingly common throughout the country.

“We know that there are significant staffing shortages both in ED and other parts of the hospital which make it harder to see patients in a timely fashion or… admit them to the appropriate ward.

“I don’t know what has to happen to get the message through to Te Whatu Ora leadership and ultimately the government that our health system, our hospitals, in particular key services like ED and mental health services, (must be) more appropriately resourced – I just don’t know what it’s going to take.”

Dalton said vacancies were not being filled making the situation “near enough” to a recruitment freeze.

“That tells me that health leaders are more concerned about budgets and balance sheets than they are about caring for people.

“The sad story is that many people are going to have to wait for a very long time to be seen.

“This is obviously something that is very distressing for patients. It’s also very distressing for the staff that want to care for them.”

Health Minister Dr Shane Reti acknowledged New Zealanders were often waiting a long time in EDs, particularly in winter.

“That’s why this government has introduced a target that 95 percent of patients are admitted, discharged or transferred from an ED within six hours.

“I have also set up a Ministerial Health Workforce and System Efficiencies Committee, led by Dr Andrew Connolly, to provide me with regular insights advice about our health workforce directly, without being filtered through layers of officials.”

Reti said he planned to visit Waikato Hospital soon to discuss its challenges with frontline health workers.

“It’s vitally important New Zealanders know they can get acute care from their emergency department when they need it. Our EDs don’t turn people away.

“However, we know that New Zealanders are often waiting for long periods of time EDs, particularly in winter, as EDs across the country come under increased pressure from winter illnesses. That’s why this government has introduced a target that 95 percent of patients are admitted, discharged or transferred from an ED within six hours.

“Our frontline health workforce are the beating heart of the health system and their insights are incredibly important to me. I am taking the time to visit hospitals across the country to see for myself and hear from people on the ground about the challenges they’re facing. I hope to visit Waikato Hospital in the near future.”

Health New Zealand Te Whatu Ora Waikato operations group director Michelle Sutherland said there had not been any extra demand at Waikato Hospital during the past few weeks.

She said during times when there were high numbers of acute patients, non-urgent cases could face extended waits.

“In those instances we encourage non-urgent patients to seek treatment in an appropriate clinical setting such as an after-hours provider or with their GP.”

Source: RNZ

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Police say person who fired gun at officers still at large

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Police say a person who fired a gun at officers in Napier is still at large.

Eastern District Commander Superintendent Joel Lamb said Police tried to stop a vehicle in the Pirimai Area at about 10pm on Tuesday.

He said someone in the back seat pointed what was presumed to be a firearm at officers pursuing the vehicle.

“Staff have then heard two distinct gunshots as the firearm was discharged.

“Fortunately, neither of our officers were injured, and the patrol vehicle did not sustain any damage.”

He said hours later, the vehicle was seen travelling north on the Waikato Expressway towards Auckland.

Police seized the vehicle at an address in Manurewa, but they had not found the alleged offender.

Lamb said people who lived at the Manurewa address were engaging with Police.

He said Eastern District and Counties Manukau Police were making enquiries.

“Presenting a firearm at a Police officer is a serious escalation that puts our staff and the wider community at risk. This behaviour is entirely unacceptable.

“We are taking this incident extremely seriously and will be pursuing all lines of enquiry to locate the offender and hold them accountable.”

Police asked anyone who witnessed the incident to contact Police on 105 or online using the reference number 261111/3764.

Information could also be provided anonymously via Crime Stoppers on 0800 555 111.

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New Zealand sides named for RLWC finals

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The players tasked with ending Australia’s Rugby League World Cup dominance have been named.

The Kiwis and Kiwi Ferns have announced their squads for this Sunday’s World Cup finals in Brisbane.

Both sides are chasing their first titles since 2008, and both are looking to end their opponents run of three crowns in a row.

“Our Kiwi Ferns have been so dominant in years gone by, and we want to bring dominance back to this jersey, so I think it will be a case of who wants it more,” said co-captain Georgia Hale of the impending clash.

The Kiwis get a major boost for the final as they welcome back Ronaldo Mulitalo after he served a one-match ban for a high tackle against Fiji Bati.

Mulitalo replaces Charnze Nicoll-Klokstad, who moves to the six-man bench, which again includes utility Te Maire Martin, middle forwards Naufahu Whyte, Erin Clark and Xavier Willison plus fullback Keano Kini.

Loose forward Joseph Tapine will make his 30th Test appearance in a familiar pack again, including second-rowers Isaiah Papali’i and Briton Nikora, and props James Fisher-Harris and Moses Leota.

Winger Jamayne Isaako is on the cusp of claiming the New Zealand record for most Test points.

His five goals against Tonga lifted his career points tally to 225 – level with Shaun Johnson – while centre Casey McLean goes into the final with 16 tries in just eight Tests.

Fisher-Harris will again captain the team.

Fullback Ponga said the goal of the group was clear.

“We have high expectations around what we want to achieve, and obviously winning a world Cup is one of them.”

Meanwhile, Ricky Henry has selected a settled side to take on the Jillaroos, led by their lethal centre combination of Stacey Waaka and Mele Hufanga.

Veteran Apii Nicholls takes the number one jersey, Leianne Tufuga and Mackenzie Wiki on the wings.

Henry has stuck with his halves pairing of Chantay Kiria-Ratu and Raecene McGregor with Alexis Tauaneai, Georgia Hale and Otesa Pule up front.

Rounding out the starting pack is Shaniece Monschau, Kaiyah Atai, and Angelina Teakaraanga-Katoa.

“We have been building well throughout the tournament; we understand the Jillaroos side, and will give it our all to make New Zealand proud this weekend,” said Henry.

RLWC Finals:

Kiwi Ferns vs Jillaroos- 6.10pm

Kiwis vs Kangaroos – 9.35pm

Sunday November 15

Suncorp Stadium, Brisbane

Live blog updates on RNZ

Kiwi Ferns:

1. Apii Nicholls 2. Leianne Tufuga 3. Mele Hufanga 4. Stacey Waaka 5. Mackenzie Wiki 6. Chantay Kiria-Ratu 7. Raecene McGregor 8. Alexis Tauaneai 9. Georgia Hale 10. Otesa Pule 11. Shaniece Monschau 12. Kaiyah Atai 13. Angelina Teakaraanga-Katoa.

Interchange: 14. Ashleigh Quinlan 15. Annessa Biddle 16. Shannon Mato 17. Ivana Lauitiiti.

Reserves: 18. Brooke Anderson 19. Zahara Temara 20. Brianna Clark 21. Abigail Roache 22. Tenika Willison.

Kiwis:

1. Kalyn Ponga, 2. Jamayne Isaako, 3. Dane Gagai, 4. Casey McLean, 5. Ronaldo Mulitalo, 6. Kodi Nikorima, 7. Jahrome Hughes, 8. James Fisher-Harris (c), 9. Jeremy Marshall-King, 10. Moses Leota, 11. Isaiah Papali’i, 12. Briton Nikora, 13. Joseph Tapine (v/c).

Interchange: 14. Te Maire Martin, 15. Naufahu Whyte, 16. Erin Clark, 17. Xavier Willison.

Reserves: 18. Keano Kini, 19. Phoenix Crossland, 20. Charnze Nicoll-Klokstad, 21. Scott Sorensen, 22. Leo Thompson.

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Opportunities to mitigate multi-million-dollar RNZ budget blowout likely missed – experts

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Multiple opportunities to identify and mitigate a multi-million-dollar budget blowout at RNZ appear have been missed, according to the former executive director at Audit New Zealand.

The public broadcaster on Monday revealed a near $12 million shock financial loss after a litany of financial blunders, which will now lead to sweeping job cuts.

The $11.8m loss is more than 25 times the $470,000 RNZ had expected to lose over the year to June.

CEO Paul Thompson took responsibility for the result, and said internal reports gave an inaccurate picture of the finances, meaning the scale of the loss only became clear in October.

RNZ’s former chief financial officer Hilary Parker resigned unexpectedly in early October.

The board said it would commission an independent review into what went wrong.

Independent contractor Stephen Walker, who left the Audit Office earlier this year, said the size of the loss was surprising, as was the length of time it took to identify it – months after the financial year ended.

Stephen Walker.
Independent contractor Stephen Walker is a former executive director at Audit New Zealand.

Supplied / OAG

“Probably more of a concern is that they had seemingly been unaware that they were running up a significant deficit until they were in the preparation stage of their annual report in October.”

Walker said public entities typically produced monthly financial reports.

An interim audit also took place before the end of the financial year, he said, but if the organisation hadn’t identified significant losses at that stage, the auditor could also be in the dark.

“It seems that there’s a real weakness in forecasting and budgeting that’s occurred here and that the monthly accounts, when they’re produced, either haven’t identified these significant variances against budget or the magnitude of them really hasn’t come to light until right towards the end of the financial year,” Walker said.

“And really at that point, there’s no opportunity for the chief executive, the leadership team to take, and the board to take, any corrective action because the year has effectively been completed.”

Walker said the “significant miss” was difficult to account for given it was more than 10 percent of RNZ’s total funding.

He said based on RNZ’s annual report, financial complexity didn’t appear to be a factor.

“This $11.8m loss isn’t made up of one particular item … it seems to have been contributed to by a number of separate expense lines running over budget. So I don’t think it’s necessarily to do with complexity.”

Among the errors, RNZ wrongly counted $2m from land sales as income in its budget. Staff costs also came in $3.2m over budget, including $1.4m in redundancy payments.

Professor at Auckland University’s business school Norman Wong said based on media reports the issues identified were “significant and troubling”.

Norman Wong.
Norman Wong.

Supplied / University of Auckland

“But recognising the sale of land as income in their budget is a basic error that one would have expected to have been caught and corrected well before it got to this point.”

With funding reductions at RNZ over the past two years, Walker expected greater scrutiny of financial results.

“Virtually every public entity has had their annual budget reduced. And so you would expect … the leadership team on a monthly basis and board – I’m not sure how frequently the board will consider the information – but you would expect them to be interrogating the results on a regular basis throughout the year,” he said.

Walker said initiating an independent review was the correct course of action and that he’d want to understand what information the leadership team and the board were regularly receiving.

He said he’d “love to say” surprising financial results were rare, but conceded they occured on a semi-frequent basis during his time leading the Audit Office.

“The benefit of independent scrutiny by the Audit Office – and the auditors providing that support to the Auditor General – [is] that the reporting is fairly presented at the end of the year, whether it’s good, bad or ugly.”

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