Hand–arm vibration syndrome develops in stages and prevention is critical; when function deteriorates, it is necessary to consider it lost, unless a lot of hard work is put into rehabilitation, professor in occupational and environmental medicine David McBride explains. He reminds listeners of the usual occupational health algorithm: identify the hazard, assess the exposure, control the hazard, monitor the hazard and the individual, and give information and training

Exposure to high levels of whole-body vibration, such as that caused by driving forklifts and other forms of material handling equipment, can and does cause intervertebral disc degeneration. Professor in occupational and environmental medicine David McBride explains

It's a cracker episode with panellists and health policy experts Gabrielle Baker and Tim Tenbensel joining me, Barbara Fountain, to catch up on the latest in health reforms. The panel convened in the middle of a week that started with the Parliamentary debate on the disestablishment of Te Aka Whai Ora. You’ll hear about:  The impact of the closure of Te Aka Whai Ora on Māori patients and providers and the wider reforms; The resulting brake on the rollout of localities, the increased role for iwi Māori partnership boards and where all this leaves the Hauora Māori Advisory Committee; Tim rails against the use of urgency in Parliament (elective dictatorship) and the misnomer that is the health postcode lottery; The new health status report gets a plug, even if just as a useful resource tool; Gabrielle updates us on progress on the second stage of the Wai2575 claim concerning tāngata whaikaha Māori, Māori with lived experience of disability.  All this and more

The year 2023 is quickly becoming a distant memory as the great Kiwi summer does an excellent job of wiping the neural slate clean. System Fix host Barbara Fountain takes the opportunity of an unexpected convalescence, to refresh her memory by looking back at her editorials in 2023. The heart of New Zealand Doctor Rata Aoteraroa is in primary care and you will hear that theme loud and strong in this episode of System Fix. It's not a comprehensive look at the year - more of a fly by. So settle in and drift back to early 2023 when Jacinda Ardern was prime minister, Andrew Little was health minister and Rob Campbell was chair of Te Whatu Ora

Recent changes to the Arms Act 1983 and the launch of Te Tari Pūreke are intended to support the safe and responsible use of firearms in Aotearoa, making our communities safer. This article by Kendra Hill and Cathy Stephenson answers some common questions about the implications of these changes for health practitioners

New Zealand Doctor Rata Aotearoa journalist Fiona Cassie talks to Joe Bourne, the first GP to hold the role of chief medical officer at the Ministry of Health

New Zealand Doctor Rata Aotearoa journalist Alan Perrott's profiles Tāmaki Health chief executive Lloyd McCann in the first of our Long Read series

Abbe Anderson is Te Whatu Ora national director commissioning. The buck stops with her for any items relating to funding and planning in primary care and community health. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain recently caught up with Abbe via Zoom. They chatted about her passion to see a reform built on knowing what people want of their health system, progress with sector restructuring, why that capitation offer won't go past 5 per cent, the growth of localities, and the weight of expectation, aka, what keeps Abbe awake at night. Thanks for listening.

Five weeks after he was sacked as chair of the board of Te Whatu Ora, Rob Campbell reflected on what was going so wrong with the health reforms and what might be done to make it right. He was speaking to a meeting of the Fabian Society in Wellington. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain says that speech and Mr Campbell’s subsequent comments deserve more air time and replays it as part of this podcast episode. Mr Campbell provides the ultimate insider’s view of the reform process – with fresh eyes on health he was leading the new structure at the heart of the reform, that is, until he was dismissed by health minister Ayesha Verrall for breaching public service etiquette and commenting on political matters outside his brief

System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain is joined by regular panelists independent health policy consultant Gabrielle Baker (Ngāpuhi, Ngāti Kuri) and Auckland University health policy professor Tim Tenbensel for the first episode of 2023. You name it, we cover it - a new health minister, the end of the transition unit, progress with planned care, commissioning, iwi Māori partnership boards, localities, PHOs, capitation, pay parity, primary care funding, disability developments, performance targets, workforce and transparency.

Iwi Māori partnership boards are a crucial element of the new health sector landscape. The boards are the Treaty partners in a system which has as a key priority achieving equity in health outcomes for Māori. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain is joined by regular panelist Gabrielle Baker and guest Simon Royal to take a look at the challenges facing these new boards

System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain provides a quick rundown of events around the 1 July launch of New Zealand's new central health entities - Te Whatu Ora - Health New Zealand and Te Aka Whai Ora - Māori Health Authority, and then makes way for senior journalist Martin Johnston's interview with Te Whatu Ora board chair Rob Campbell, who admits he was quite shocked when he realised quite how dysfunctional the health system was

As the 1 July deadline looms, System Fix host Barbara Fountain is joined by regular panelists independent health policy consultant Gabrielle Baker and Auckland University health policy researcher Tim Tenbensel, for a whistlestop tour of the latest developments in the roll out of the health reforms

System Fix host Barbara Fountain is joined by New Zealand Doctor Rata Aotearoa senior journalist Martin Johnston in conversation with Martin Hefford of the interim Health New Zealand, on the afternoon of 21 April, the day health minister Andrew Little announced the first nine prototype localities

It's been a while between podcasts, what with the summer break and now COVID making its mark in New Zealand. System Fix host Barbara Fountain joins regular panelists Gabrielle Baker and Tim Tenbensel to catch up with progress on the roll out of the health sector reforms, or as we like to call it, the Big Little Revolution

New Zealand Doctor Rata Aotearoa editor Barbara Fountain and senior journalist Martin Johnston recap progress with the country's health reforms in 2021

The health reforms legislation - Pae Ora (Healthy Futures) Bill - was tabled by health minister Andrew Little on 20 October and soon after passed its first reading. Regular System Fix panellists Gabrielle Baker and Tim Tenbensel join host Barbara Fountain with a mission in mind - their own reading of the bill, so you don't have to (though we know you probably will - it's the bane of being a health reform junkie)

New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks to Stephen McKernan, director of the Health and Disability Review Transition Unit, and his deputy, Martin Hefford, about function trumping form, a crucial health plan, central agencies vs local services, communities and localities, private providers, workforce, leadership and, ultimately, selling the plan for health sector reform and convincing people to stay the course

New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks to David Meates, former chief executive of Canterbury DHB and now roving health reform consultant, about how change happens in health systems…and more

New Zealand Doctor Rata Aotearoa reporter Martin Johnston interview health minister Andrew Little.