
21 October 2026
The future of PHOs: why getting it right matters for general practice
In his latest blog, Justin Butcher makes the case for retaining and strengthening PHOs to better support general practice and patient care.
Read more11 June 2024
Photo: Stockking
A recent study by the Centre for Health Systems and Technology (CHeST) at the University of Otago, commissioned by General Practice New Zealand (GPNZ), has revealed the urgent need to address unmet healthcare needs and variations in referral declined rates in Aotearoa New Zealand.
The study highlights the challenges faced by patients and healthcare professionals in accessing necessary specialist services. Despite a consistent volume of referrals by GPs to public hospital specialists, there has been a decline in access to referred specialist services.
This decline poses significant implications for equity and national consistency in healthcare access. This is yet another indication of a system under immense pressure. It highlights that issues accessing primary care do not always sit within primary care’s control as our GPs are left holding more complex patients without the ability to access definitive treatment.
A broken healthcare system is leaving patients with unmet needs and GPs holding the bag - we need a holistic approach to ensure everyone gets the care they deserve. In a system already under strain, what do we do? Until we shift our focus to look at the system as a whole rather than primary and secondary care we won’t fix these issues – merely move them from place to place.
Justin Butcher
Kaiwhakatere (CEO), Pinnacle
Topics

21 October 2026
In his latest blog, Justin Butcher makes the case for retaining and strengthening PHOs to better support general practice and patient care.
Read more20 August 2026
Network4 has released its 2026 Election Manifesto, calling on all political parties to support five priorities for a stronger, more sustainable primary care system.
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