Leaked data show major hospitals failing emergency department wait-time targets
National daily emergency department (ED) data across several days in August, leaked to the Labour Party, show New Zealand’s 23 hospitals are managing to process, on average, between 69-71% of patients within six hours, well short of the Government’s 95% target it wants to reach by 2030.
It also sits below the Government’s 74% milestone target for 2024/25 and the 77% target for 2025/26.
However, the data paint a more dire picture in some of the country’s largest hospitals, including Auckland and Wellington, where fewer than 40% of patients are seen within six hours on some days.
Health New Zealand Te Whatu Ora and the Acting Health Minister stress the leaked data shouldn’t be considered “fact”, despite the data being regularly presented to the Health Minister and Health NZ leadership.
They argue validated data from quarter three of 2024/25 (January-March) showing 74.2% of patients admitted, discharged or transferred within six hours of entering an ED prove there is improvement, while acknowledging this winter has seen an “unprecedented” volume of patients presenting.
Labour’s health spokeswoman Dr Ayesha Verrall says the data reveal the cost of underinvestment in the health system and condemns the Government’s health targets as a failed “magic wand”.
The leaked information from Health NZ’s internal reporting system details how hospitals are performing daily against the ED wait time target across seven days in August.
Nationally, the daily average ranges between 63.7% and 75.8%. However, the quarterly average sits between 69.1% and 70.4%.
Broken down by hospital, the 56-bed Grey Base Hospital in Greymouth is the best performer, seeing more than 90% of patients within six hours in each of the seven days and at times exceeding the 95% target.
The Whangārei and Timaru hospitals also regularly met or exceeded the 77% milestone for 2025/26, according to the daily data.
The results are poorer in hospitals in bigger centres, such as Auckland, Wellington, Christchurch and Dunedin.
At its best, Auckland City Hospital processed 66.3% of patients within six hours but, at its worst, processed just 34.4%.
Middlemore’s best result was 69.3% while its worst was 44.6%. Waitākere ranged between 61.1%-69.6% while North Shore managed between 51.1% and 72.7%.
Wellington Hospital had only one day of the seven where more than half of all patients were seen within six hours, reaching as low as 39% on its worst day.
The Dunedin Hospital ED wait-time results were the poorest in the country in three of the seven days, with a range of 35.9%-48.4%. Christchurch Hospital had better results but still fell below the 2024/25 milestone target with a range of 57%-73.8%.
Overall, the smallest daily proportion of patients seen within the deadline belonged to Waikato Hospital, which achieved 33% on August 14.
Verrall, a doctor and former Health Minister, said she was concerned by how long people were waiting in EDs.
“Large city hospitals see our most complex patients and the highest number of patients; it’s very risky for so many people to wait this long in the emergency department.”
She expected many hospitals to struggle to meet the 2025/26 milestone, indicating ED wait times would be a key issue in next year’s election.
“This Government promised that they would make ED wait times better. It looks like they’ll be going to the election having made no difference.”
In statements from Health NZ and Acting Health Minister Matt Doocey, both described the leaked data as unreliable and pointed to the latest validated data for the January-March quarter, which was 74.2%.
However, Doocey acknowledged New Zealanders were “still waiting far too long” in EDs.
“The Government has made it clear to Health New Zealand that performance must improve and reinstating the shorter stays in ED target is key to that.”
He maintained hospitals across the country were improving, noting a “predictable rise” in ED presentations during winter months.
Health NZ executive regional director Chris Lowry indicated this winter had been busier than expected.
“While we plan for and anticipate these surges, this winter’s volume of presentations has been unprecedented.
“Staff sickness and higher-acuity patients, many of whom require isolation, have further intensified pressures on our system.”
Lowry said Health NZ remained committed to achieving the wait time target, highlighting the agency’s focus on improving in-community care to prevent unnecessary ED visits.
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Poll: 🗑️ Would you be keen to switch to a fortnightly rubbish collection, or do you prefer things as they are?
Aucklanders, our weekly rubbish collections are staying after councillors voted to scrap a proposed trial of fortnightly pick-ups.
We want to hear from you: would you be keen to switch to a fortnightly rubbish collection, or do you prefer things as they are?
Keen for the details? Read up about the scrapped collection trial here.
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83.1% Same!
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16.9% Would have liked to try something different
Why we need cash to stick around----Cash is king – Using notes and coins to pay for everyday goods and services is quickly becoming obsolete. When will cash disappear from our lives? And who'll miss out when it does?
Every March, the New Zealand Red Cross sends out teams of street volunteers across the country. With their white buckets and red vests, they're instantly recognisable. The idea, says philanthropy director Jasmine Edwards, is to raise awareness for Red Cross’ work and hopefully get some donations in the process. “It’s part of our largest fundraising event of the year,” she says.
But, over the past five years, the amount the street appeal brings in has been trending down. Edwards describes a combination of contributing factors: COVID, the ongoing cost-of-living crisis and a lack of cash. “We’ve seen a pretty steady decline in people carrying cash, and that’s had a big impact on our street appeals,” she says. “It’s really affected what we’re able to raise.” That, in turn, affects how much aid work the Red Cross can do.
Edwards and the teams she co-ordinates have pivoted to other fundraising methods. They’ve trialled EFTPOS, tap-and-go donation machines and even QR codes. Each has downsides, says Edwards. EFTPOS isn’t quick, and QR codes often rely on the person taking a photo and remembering to donate later. “The tap-and-go machines are quicker because you just pop your card on, but they’re quite costly. You could never afford to have one of those at every site.”
So far, the cashless options haven’t worked as well as people reaching into their pockets and grabbing a couple of notes or a handful of coins to throw into the Red Cross buckets. However, those days, it seems, are over. In 2023, Stats NZ reported just 7% of transactions were made in cash. Everyone is using alternative methods to pay for goods and services these days, from EFTPOS and apps like Afterpay to swiping their phones and watches loaded with their credit cards.
Edwards wonders how long Red Cross has got until it needs to make more changes to its street appeals. “Our volunteers have amazing conversations with people on the street,” she says. “It’s a real moment of human connection. You can’t quite replicate that with online donations.”
Cash is king – until it’s not
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Cash use is declining – rapidly. In its 2023 Cash Use Survey, the Reserve Bank of New Zealand found cash usage for everyday purchases had decreased from 95.8% in 2019 to 60.4% in 2021 and just 57.2% in 2023. The bank says 15% of New Zealanders prefer to use cash for everyday payments, but only 8% are regular or daily cash users.
Despite this decline, cash remains important, according to the Reserve Bank: it all depends on the situation. “Research establishes that New Zealanders place a high value on having access to cash,” a spokesperson told Consumer NZ. They cited short-lived personal emergencies, long-term complex personal challenges, community-level emergencies and digital payment outages as reasons for cash’s importance.
In December 2024, the Australian government announced it would mandate businesses selling essential goods and services in that country to accept cash from 2026. “For many Australians, cash is more than a payment method, it’s a lifeline,” officials said. Australians support this, with a survey by Australia’s consumer watchdog Choice showing 97% of respondents think stores shouldn’t be able to turn down cash for essentials.
But that’s not the case in New Zealand, where there are no rules to protect cash. If a business doesn’t want to accept cash, it just has to put up a sign saying so. The only rules limit how much a consumer can pay in coins. “The Reserve Bank is currently considering further changes to the law to support the cash system and ensure New Zealanders can access and use cash as desired,” the Reserve Bank spokesperson said.
How cash can help you spend less
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Tom Hartmann, the personal finance lead at New Zealand’s independent money guide Sorted, says cash can be used as an important tool for some people to make better budgetary choices. He says credit cards or apps like Afterpay removes a buffer and encourage consumers to spend more. “You go up to the till; you get what you want; you pay, wave, swipe, whatever you do ...,” he says. “It’s all pleasure because you’re getting the thing, and any pain is sort of reserved for the future, when you get the bill.”
Cash, he says, helps those who may be struggling with their budgets get their spending under control. “With cash, it’s a different experience. You’re holding cash in one hand, and you receive the goods in the other. So, your brain is processing the trade-off right in that moment – is this worth the pain of letting go of this cash for what I’m getting?”
Carrying cash, he admits, is becoming an antiquated notion. It depends on your personality. When he’s got cash, he’s more likely to spend it faster. But Hartmann recalls a conversation he recently had with his 17-year-old son, who has an entirely different attitude. “He sold something on Trade Me recently, and he wanted to be paid in cash, because he holds on to [cash] better,” Hartmann says.
How small businesses are coping
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Every Sunday, Carol Gunn opens the Grey Lynn community centre early to let in stall-holders. By 8am, the markets are humming with customers grabbing freshly-baked pastries, recently picked vegetables, hot drinks, cheese, eggs and more. Gunn has noticed more stall-holders offering EFTPOS and credit card facilities, and fewer customers taking cash.
But she also recognises the issues, saying operating EFTPOS machines can be pricey for stall-holders, especially when they’re just getting going. “At this time of the year, we get lots of NCEA students trying out business ideas as part of their course assessments – they can only use cash,” she says. “We get community fundraisers who can only use cash. Getting rid of cash could disenfranchise the grass-roots activities in society.”
Frank Argent, the owner of Barefoot Gardens, a small produce farm in Kumeu, Auckland, agreed. While bagging up my potatoes and chillis recently, he told me about 40% of his customers paid in cash, which he encouraged. Why? “Every time you swipe your card, the bank takes a sizable chunk,” he said. “For a small business like ours, it adds up to a reasonable amount over a week.”
Other factors to consider in the death of cash
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There are still many elderly people who cannot use, or forget how to use, tech. Cash, therefore, remains very important to them for everyday items like groceries. “A cashless society makes things very difficult for older [generations],” one financial advisor told me.
Natural disasters or emergencies can affect internet networks, shutting down EFTPOS and credit capabilities. “Cash is often the only option at that time,” an advisor said. “Everyone should have a small amount of cash put aside.” How much is a personal decision, but the National Emergency Management Agency suggests it’s logical to have enough for three days’ worth of food and petrol. It also says small denominations, like $5 notes, are useful because some businesses may not be able to offer change.
Putting coins into a piggy bank is often a child’s first interaction with money. An advisor said the process can teach children important financial basics about saving money from an early age.
The king is dead; long live the king!
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Claire Matthews, an associate professor at Massey University’s business school, says it’s too soon to say we’re on the brink of becoming a cashless society. “We have already moved a long way towards it, but I think cash transactions will be difficult to eliminate,” she says. “I think probably most of us are ready to move to a cashless society. But there are a few who aren’t and will likely find it very hard.”
But my own experiences suggest the shift could be happening faster than anyone thinks. While researching this piece, I found a sign at my local Pak’nSave declaring the store’s self-service check-outs would soon stop accepting cash. “Cashless,” warned a printed sign in red.
Then, at a recent Auckland Football Club match, I approached a cashier while balancing drinks and hot chips. When I handed her a $50 note, she turned it away, saying, presciently, “We don’t accept cash here”. I smiled and waved my phone over the terminal. That $50 will have to wait for another day.
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