GenPro was launched in April 2020 and a period of significant membership growth has followed.
Members of the Association are able to stand for election to the governance Board. The election of the inaugural governance Board took place in October 2020. Every Member was able to vote for their preferred Board Member/Representative - and an overwhelming 98% did so – in a fully transparent and democratic process which is also an indication of the Member-led process which is used to determine the Association’s strategic workplan and advocacy/negotiation mandate.
I believe that sustainable, responsive and high quality General Practice and Urgent Care services are essential for the improved health and care of all New Zealanders. They are also essential for the sustainability of the health system as a whole. Without strong General Practice, the District Health Board funded hospitals and specialist health services across New Zealand would not be able to manage the levels of ill-health, patient expectations and demand which would arrive at their doors.
Successive years of increased demand, expectations, regulation and compliance have significantly increased the running costs of General Practice – and I don’t believe that those demands have come with a commensurate increase in funding or support.
I invite you to join us and help ensure we can continue to provide vital first-contact, primary care services for generations to come.
Dr Tim Malloy studied at the University of Auckland, originally training in paediatrics before moving into rural general practice.
From his base in Wellsford, he and his colleagues have successfully developed a virtual multi-disciplinary integrated family health service, which provides high-quality primary care to the local community – which contains many low income and high-needs patients.
Dr Malloy has been involved in practice leadership since the early 1990s through his involvement with the New Zealand Rural General Practice Network and was actively engaged with the Royal New Zealand College of General Practitioners for many years, including being elected President in 2012 and again in 2016.
Dr Malloy has also been involved with several significant projects including: negotiating for the Primary Response in Medical Emergencies (PRIME) service; negotiating the ACC rural contract; negotiating the PHO Services Agreement and establishing the New Zealand Locums national locum services for rural GPs.
In 2018, Dr Malloy was awarded Distinguished Fellowship, an award that recognises the immense contribution he has made to general practice and the College.
Our business viability has been steadily and continuously eroded through multiple channels including under-funded annual inflation, increased compliance and regulation costs, transfer of services from secondary care without appropriate funding and, the slow removal of our ability to recover costs through patient co-payments.
Additionally now we face the loss of an underfunded but vital primary care nursing workforce from General Practice due to the significant pay-differential that has resulted from the most recent DHB nursing MECA settlement. This cannot continue if we are to ensure the future provision of essential first contact services for our local communities.
Dr Chambers was born in England and came to New Zealand at a very young age. He was raised in Christchurch by a GP father and a health activist mother.
Dr Chambers studied medicine at Otago University and has been a GP in Christchurch since 1990. He also has a degree in Law from Canterbury. He is a part owner of Riccarton Clinic – a practice with approximately 17,000 patients which also provides Urgent Care services.
Dr Chambers became involved in PHO affairs in the early 2000s and is currently Chair of Christchurch PHO. He was previously also Chair of the national collaborative organisation, Primary Health Alliance. It is through the latter organisation that Dr Chambers was appointed a PSAAP representative for PHOs and over the last few years in this role became deeply disillusioned with the historic PSAAP representation for General Practice owners - a subject on which he has been well quoted by NZ Doctor magazine and elsewhere.
He has been a keen supporter of the establishment of GenPro to try to change that historic representation and to support sustainable and viable General Practice.
His interests are his family, both nuclear and extended, as well as conservation - the land, rivers and bush.
Philip was born in the UK and qualified as an Accountant before joining the National Health Service and becoming a Director of Finance on the Board of successive Primary Care Trusts.
He was seconded to support national negotiations covering primary care contracting, including the GP contract, and was subsequently jointly appointed by the British Medical Association and the UK Departments of Health to Chair the Review of the Global Sum/Carr-Hill weighted capitation formula covering almost £10 billion of annual General Practice funding.
Following his move to New Zealand as Chief Executive of Health Hawke’s Bay PHO, he became Chief Executive of the Primary Health Alliance for the subsequent 8 years – a role through which he attended PSAAP as a PHO appointed representative.
As well as maintaining his Accountancy registration, Philip is a registered PRINCE2 Project Management Practitioner and a Harvard Law School trained negotiator.
I wish to pursue my interest in ensuring the viable future business case for General Practice in New Zealand. As a GP in Northland I am acutely aware of the issues created by funding inequities and the lack of adequate funding over many years.
As a Northland GP I am also aware that we are probably about to be offered a salaried business model. This is something I feel GenPro will have a pivotal role in shaping and will require ‘local input’.
Dr Geoff Cunningham is a GP and partner/co-owner of Bush Road Medical Centre in Whangarei and a director of Whangarei Doctors Limited.
Dr De Silva has lived in New Zealand for the past 24 years, working in a wide range of fields. Born in Sri Lanka, Dr De Silva studied her medical degree in Bangladesh and completed her Masters in Public Health at Otago University after migrating to NZ.
In addition, she is a member of the Royal New Zealand College of Urgent Care Physicians and working towards a fellowship in the Royal New Zealand College of General Practitioners.
Dr De Silva's NZ career began in Public Health and she has held leading roles within the Cancer Society of NZ, the Heart Foundation, and the Problem Gambling Foundation.
She has passionately advocated for the health of communities regarding cancer prevention, heart health, mental health, Asian health and problem gambling. Dr De Silva continues to support these issues whilst working as a General Practitioner.
Dr De Silva is also qualified with a certificate in Skin Cancer Surgery from Queensland University Australia. She now offers mole checks, cryotherapy, punch biopsy and skin cancer removals.
As an owner of Te Atatu South Medical Centre with 2,600 enrolled patients, De De Silva believes that small scale general practice business owners need a strong voice at a national level to re-establish the financial sustainability and credibility of such business owners and the personal risk they are exposed to whilst providing essential front-line services.
GenPro has been needed for some time. I was a founding owner/director of The Doctors when it started in 1989. We adopted company structures and added business governance to clinical governance.
Since then our business has become more complex with diverse and often perverse drivers. We have had to adapt while we have been undemocratically represented in bodies such as PSAAP where major agreements are made affecting the sustainability of our business. Devolvement of primary care to primary care is great, but where there is no margin, there is no mission.
Dr Tony Edwards is a founding shareholder, director and GP at The Doctors (Napier).
After graduating with an associate degree in Architecture, I worked for Sir Peter Blake at Team New Zealand in their successful 1995 America’s Cup challenge as a draftsman and sailor. I then moved to San Diego for six years to design and sail America’s Cup yachts for Dennis Conner.
In 2004 I moved back to New Zealand to study medicine. During my training I worked as a Paramedic with St John and later joined the GP training program. In 2012 I moved to Christchurch and became involved with BetterHealth which is a General Practice ownership company.
I am a director and shareholder growing my leadership, governance and business knowledge. I have completed the Institute of Director foundation courses. Currently I am a director and shareholder of Amberley Medical Centre and I work as a GP covering the afterhours roster and PRIME. I also work at Linwood Medical Centre as a GP where I lead the clinical business development team, and I perform vasectomies, dermatoscopy and minor surgery at Moorhouse Medical Centre.
I am General Manager of Green Cross Health Medical, which is one of NZ’s largest primary care providers with 42 GP and Urgent Care clinics across the country. I have a background in clinical medicine (Graduate of Auckland Medical School) and business strategy and leadership.
I work closely with clinical and management staff to ensure our businesses and organisation is running as effectively as it can to deliver high quality and accessible care to hundreds of thousands of kiwis.
Being closely involved in co-ownership with a number of GP partners, I see the need for general practice to remain sustainable from a business perspective in order to attract the ongoing investment required to maintain a world class health service.
I think GenPro, as the genuine and unencumbered voice of GP and urgent care business owners, is uniquely positioned to drive the best outcomes for providers.
I have been in general practice for 32 years. I was involved in the Upton health reforms of the early 1990’s. I was the first Medical Executive for ProCare and as such responsible for assisting in its initial development; signing up members, developing systems for organised general practice to work effectively, negotiating the initial contracts with RHAs.
I left ProCare to develop CityMed, the largest general practice in the Auckland CBD. I envisioned that IPAs should become commercial entities in partnership with general practice to help development of robust general practice and IPAs would not be beholden to government funding for their survival and direction.
The evolution of the IPAs into PHOs and changes to the funding model has left general practice without a direct voice and impotent in negotiations. Negotiations for funding at Government level and even with our own PHOs.
Dr Gerald Young is a GP and director at Whitecross CityMed (Part of the Tamaki Health Group).