Mahitahi Hauora Annual Report - 2023/2024Issues Facing Primary Care in NorthlandIn January 2024, we asked our practiceswhat was impacting them the mostBarriers to recruitment inorder of impact• Lower pay (compared to secondary orother regions)13.5%Workload/afterhours care• Workload/demandon Primary Care19.5%Pay disparity betweenprimary and secondary care21%• Remote, rural areas with access to feweramenitiesReasons staff are leaving inorder of impact• Burn out/workload pressuresFunding• Retiring46%Recruiting and retainingclinical workforce• Pay inequity• Moving region/country• Temporary break e.g. parental leave• Career changeFundingKey ChallengesIdeas to improve connectionwith Secondary Care1. Increased administrative workload notsupported by current funding• Multidisciplinary meetings2. Capitation too low and inflexible• Timely communication relatingto referrals e.g. district nursing3. Current funding model inhibits ef昀椀cientpractice operations24.• Standardised discharge summariesreceived promptly• Communication to support safecontinuity of care
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