The event is an important one on our calendar as it allows Rural Caucus MPs to present their plans for supporting rural communities facing significant health and wellbeing challenges, as well as a chance for our members to voice our concerns within the landscape of rural health.
Rural Primary Industries contribute 81.9% of New Zealand’s trade exports and 10.5% of GDP, yet despite this substantial economic contribution, rural areas suffer from poorer health outcomes across almost all metrics.
The 35 attendees at RuralFest included Primary Care professionals, Rural Hospital colleagues, community organisations such as Rural Women and Rural Support Trust, and rural industry representatives like Federated Farmers.
Put forward were five calls to action for the Coalition Government:
We heard from Minister Doocey (Assoc Min Health – Rural, Min Mental Health) and Minister Patterson (Minister for Rural Communities) that they viewed the health of rural communities through an investment lens that recognised the relationship of rural health with a healthy New Zealand economy. They assured us that the implementation plans from the Rural Health Strategy would have clear actions, milestones and measurable outcomes, but these are yet to be defined. We were pleased to hear a commitment from Minister Doocey that he is “keen to work with Hauora Taiwhenua to progress the sector-driven Joint Centre of Rural Health to bring that to a reality.” It was encouraging that Minister Doocey is prepared to work with us on this concept.
In the afternoon, members of parliament from the opposition joined us, with Hon Dr Ayesha Verrall wanting to understand why considerable new investment into the health budget made during their two terms in Government didn’t achieve the impact they expected. They also talked about the complexity of pay parity, with the Government being asked to address this for workers they don’t employ. They were committed to developing interprofessional learning opportunities that reach across the country but would not support the Waikato Medical School proposal until the business case has been completed and comprehensively assessed. Hon Damien O’Connor offered some advice on our advocacy, echoing the strength of being a multi-sector, well-connected rural voice and advocating for consistency, clear messaging, “talking it up”, and not letting it go.
Addressing the broader social determinants of health requires a united, cross-ministry, cross-party approach, similar to the collaboration seen among rural representatives at RuralFest. The call for action is clear: the government must move beyond inaction and provide the necessary support to ensure the health and wellbeing of rural communities, reflecting their vital contribution to New Zealand’s economy and society.