Doctors and rural women welcome pre-Budget boost for urgent and after-hours care

Associate Health Minister Matt Doocey announced that Budget 2025 would include $164 million over the next four years to strengthen urgent and after-hours care across the country.

This includes targeted support for over 70 rural and remote communities, including extended afterhours care, 24/7 on-call in-person clinical support and improved access to diagnostics and medicines.

Those changes will be rolled out within the next two years with new services being trialed in Twizel, Tākaka, Tūrangi, Te Kūiti, Coromandel, and Great Barrier Island before it is rolled out nationwide.

“People in rural New Zealand deserve access to timely, quality healthcare,” says Doocey.

He says the investment will reduce travel times, improve access to services, and take pressure off emergency departments.

“This is about delivering practical improvements that make a real difference for people living in rural and remote areas. Geography shouldn’t be a barrier to getting the healthcare you need,” he says.

Dr Grant Davidson, chief executive of Hauora Taiwhenua Rural Health Network, says that urgent and unplanned care has been a significant concern among rural general practitioners for many years.

“We are glad to see the Government placing focus on this and looking to apply increased funding,” Davidson says.

He says the funding could prove to be a “game-changer” for rural health.

“The solutions will be designed by rural providers, tested out by rural providers and ultimately, implemented by rural providers,” he says.

“We are excited to be part of this prototype project, which will not only improve urgent care access but also strengthen the sustainability of rural health services across the motu,” he adds.

However, Rural Women New Zealand national president Sandra Matthews says this should only be the start of a commitment to improving rural access to health services.

She says the investment recognises some of the current issues by rural communities, but a sustained effort is required to address the challenges rural people face when accessing healthcare.

“Rural communities should not be disadvantaged in our health system,” Matthews says.

She says the new services being funded mark a “promising step”.

“We welcome the inclusion of trials that will be developed in partnership with rural providers, who know best how to respond to the needs of rural communities,” she says.

“However, real equity will only be achieved when every rural New Zealander can access quality healthcare, no matter their location.”

Matthews says Rural Women New Zealand continues to hear from rural women about long travel times to access basic healthcare, including effective maternity and paediatric care, a difficulty getting prescriptions filled after hours, and stress in accessing diagnostic services.

“These are fixable problems but require sustained investment and planning,” she says.

“We commend the Government for listening to our rural communities, but more will need to be done to ensure rural people have the same access to healthcare as other New Zealanders. Geographical equity in healthcare coverage must remain the overall goal.”