{"id":589199,"date":"2026-09-03T21:10:11","date_gmt":"2026-09-03T21:10:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/589199\/"},"modified":"2026-09-03T21:10:11","modified_gmt":"2026-09-03T21:10:11","slug":"its-physically-and-mentally-exhausting-doctors-challenge-politicians-on-health-reforms","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/589199\/","title":{"rendered":"&#8216;It&#8217;s physically and mentally exhausting&#8217;: Doctors challenge politicians on health reforms"},"content":{"rendered":"<p>Doctors disheartened and exhausted at state of health system<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">Doctors say they&#8217;re disheartened and exhausted by the current health system, as they challenge politicians to work together on long-term reforms.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">The Association of Salaried Medical Specialists (ASMS) held their annual conference at Wellington&#8217;s Te Papa museum on Thursday. The theme was &#8220;Hitting the target, missing the point&#8221;.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">ASMS vice-president Sylvia Boys, <a href=\"https:\/\/www.rnz.co.nz\/news\/health\/1244787\/middlemore-hospital-swamped-in-appalling-late-night-surge-of-patients\" class=\"underline-brand-hover visited:text-foreground-secondary hover:visited:text-foreground-primary\" rel=\"nofollow noopener\" target=\"_blank\">who works in Middlemore Hospital&#8217;s emergency department<\/a>, said working there resembled &#8220;scenes from overseas during the Covid era and during armed conflict&#8221;.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;It&#8217;s physically and mentally exhausting,&#8221; she said.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">There weren&#8217;t enough beds &#8211; <a href=\"https:\/\/www.rnz.co.nz\/news\/health\/1120356\/health-system-in-intensive-care-and-starting-to-flatline-experts-say\" class=\"underline-brand-hover visited:text-foreground-secondary hover:visited:text-foreground-primary\" rel=\"nofollow noopener\" target=\"_blank\">especially as the demand grew with an ageing population<\/a> &#8211; and the three-year political cycle was ill-suited to long-term planning and reform, she said.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;My challenge to our politicians and especially going into this next election is to work together.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;As leaders of the country, we need people who are prepared to put the country&#8217;s interests first and to make a long-term plan.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">She said there also needed to be more focus on prevention, to ease pressure on the health system.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;Part of the difficulty is we know that 80 to 90 percent of health is determined by those social determinants rather than the health system.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;And you cannot fix 10 to 15 years of rough sleeping presenting with a chest infection with a course of antibiotics.&#8221;<\/p>\n<p><img src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2026\/09\/4M2DR0W_image_crop_132336.jpeg\"  alt=\"Middlemore Hospital emergency department.\" width=\"614\" height=\"384\" class=\"ml:max-h-[50rem] max-w-full aspect-[16\/10] object-cover\"  decoding=\"async\" loading=\"lazy\" fetchpriority=\"auto\"\/><\/p>\n<p>One doctor says working in Middlemore Hospital&#8217;s emergency department resembles &#8220;scenes from overseas during the Covid era and during armed conflict&#8221;.<\/p>\n<p class=\"text-foreground-secondary flex-shrink-0 ml-4\">LDR<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">She explained that social factors such as secure income, employment, housing, exposure to stress and healthy foods played a fundamental role in a person&#8217;s health.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">Author and journalist Rebecca Macfie gave the keynote speech at the conference, which included her research on the intersection of poverty and health outcomes.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">Her findings revealed that many children in high-equity index schools had difficulties with their hearing and sight.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">She said that almost a third of the 18,000 children screened by NGO Painga Project <a href=\"https:\/\/www.rnz.co.nz\/news\/health\/1197171\/patients-going-blind-36-000-overdue-for-tests-amid-high-demand\" class=\"underline-brand-hover visited:text-foreground-secondary hover:visited:text-foreground-primary\" rel=\"nofollow noopener\" target=\"_blank\">needed to see an optometrist<\/a>.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;If your household is crowded because that is your wh\u0101naus rational economic response to unaffordable rents and low incomes, the before-school check is very much less likely to screen you or see you.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;So those are some of the reasons why a child can end up at the age of 10 or 11 with some of their most fundamental health needs unmet &#8211; unable to see or hear properly,&#8221; she said.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">ASMS member Tanya Wilton, who works as an emergency physician at Hutt Hospital, said she felt &#8220;ashamed&#8221; of the care provided to the elderly.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;It&#8217;s really disheartening to be in the position where you can&#8217;t provide what you would consider basic.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">She said she&#8217;d recently cared for a patient with a broken pelvis in their late nineties, whom she knew personally and admired.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;But that person spent 48 hours in a corridor on a trolley.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">ASMS President Katie Ben, who works as a consultant anaesthetist at Nelson Marlborough, said it was &#8220;very disheartening&#8221; to work in healthcare right now.<\/p>\n<p><img src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2026\/09\/4KPQJ4Y_Katie_Ben_JPG.jpeg\"  alt=\"Image of Dr Katie Ben\" width=\"292\" height=\"183\" class=\"ml:max-h-[50rem] max-w-full aspect-[16\/10] object-cover\"  decoding=\"async\" loading=\"lazy\" fetchpriority=\"auto\"\/><\/p>\n<p>Dr Katie Ben<\/p>\n<p class=\"text-foreground-secondary flex-shrink-0 ml-4\">Matt Shand ASMS<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;We don&#8217;t have enough staff, we don&#8217;t have enough beds, we don&#8217;t have enough nurses, we don&#8217;t have enough equipment, we don&#8217;t have enough protected infrastructure.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;We don&#8217;t have enough basic attention to the simple things that would make life work &#8211; an integrated IT system so that one hospital can talk to another.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">She revealed that she was receiving messages the morning of the conference to help organise cover.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;We carry on &#8217;til we can&#8217;t. We get fed up with being told we have to cancel our long-standing family commitments. We get fed up because we have to work yet another shift.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">She called for a long-term workforce strategy that would allow patients to access the same quality of care regardless of their income and location.<\/p>\n<p>Health minister &#8216;isn&#8217;t fit to hold the health portfolio&#8217;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">Ben was critical of Health Minister Simeon Brown for not attending the conference.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">Last year, <a href=\"https:\/\/www.rnz.co.nz\/news\/politics\/576070\/simeon-brown-accuses-doctors-of-crossing-ethical-line-with-mega-strike\" class=\"underline-brand-hover visited:text-foreground-secondary hover:visited:text-foreground-primary\" rel=\"nofollow noopener\" target=\"_blank\">he accused senior doctors of &#8220;crossing an ethical line&#8221; with industrial action<\/a>.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;Yes, he was probably subject to <a href=\"https:\/\/www.rnz.co.nz\/news\/politics\/573350\/health-minister-simeon-brown-shrugs-off-frosty-reception-at-nz-nurses-organisation-conference\" class=\"underline-brand-hover visited:text-foreground-secondary hover:visited:text-foreground-primary\" rel=\"nofollow noopener\" target=\"_blank\">some expressions of extreme disappointment from the audience<\/a> but I respected that he showed up and fronted up to us,&#8221; Ben said.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;And for him not to even do that this year just makes me think this person actually isn&#8217;t fit to hold the health portfolio.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">The minister responded by saying the government had delivered a record investment in health, part of which included hiring hundreds more full-time doctors.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">Simeon Brown said health targets were working and pointed to shortened wait times across the country.<\/p>\n<p><img src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2026\/09\/4JNVIZZ_Image_6_jpg.jpeg\"  alt=\"Health Minister Simeon Brown speaks to media on 29 May 2026.\" width=\"614\" height=\"384\" class=\"ml:max-h-[50rem] max-w-full aspect-[16\/10] object-cover\"  decoding=\"async\" loading=\"lazy\" fetchpriority=\"auto\"\/><\/p>\n<p>Health Minister Simeon Brown did not attend the conference in Wellington.<\/p>\n<p class=\"text-foreground-secondary flex-shrink-0 ml-4\">RNZ \/ Marika Khabazi<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;There is more to do, and I welcome the call for cross-party collaboration. That&#8217;s why I am calling on all parties to commit to keeping these targets, so we can build on this progress and keep driving waiting lists down.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">He said he met with doctors regularly: &#8220;I value the chance to hear from them directly and I will keep doing so.&#8221;<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">A Health NZ spokesperson said it recognised the significant pressure clinicians faced and that it was committed to ensuring &#8220;the right workforce capacity and skill mix to deliver safe, high-quality patient care&#8221;.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">The spokesperson said Health NZ was actively recruiting and developing domestic training pathways.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;Patient safety remains our priority, and we continue to use workforce planning, safe staffing and service management processes to maintain safe, high-quality care while addressing workforce challenges across the health system.<\/p>\n<p class=\"[&amp;_em]:font-serif-text-italic [&amp;_cite]:font-serif-text-italic\">&#8220;We look forward to continuing to work with ASMS to get our workforce needs met for the long-term.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"Doctors disheartened and exhausted at state of health system Doctors say they&#8217;re disheartened and exhausted by the current&hellip;\n","protected":false},"author":2,"featured_media":589200,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[134,527,111,139,69],"class_list":["post-589199","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-health","tag-healthcare","tag-new-zealand","tag-newzealand","tag-nz"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/589199","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=589199"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/589199\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/589200"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=589199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=589199"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=589199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}