Upper Clutha residents filled the Lake Wānaka Centre to hear from associate health minister Matt Doocey and a panel of health leaders on Tuesday (July 1), but some attendees aren’t convinced the meeting will generate an improvement in access to health services any time soon.Matt Doocey was joined by minister for rural communities Mark Patterson, Health NZ Southern general manager Craig Ashton, Health NZ Southern group manager integration Aroha Metcalfe, Health NZ Southern chief medical officer David Gow, Ministry of Health clinical chief advisor rural Helen Connole, and Ministry of Health Associate deputy director-general Steve Barnes.Queenstown Lakes District Council (QLDC) deputy mayor Quentin Smith told the Wānaka App that while the panel acknowledged “the issues and the inequity of health services in our district”, he saw “no real hope of much changing in the immediate future”.“The clinical services review being completed this year can only document what we already know,” he said. The review was referred to throughout the hour-long Q&A session by Health NZ staff. The review is looking at how needs have changed in this region, with clinical services “the priority” and the location of a regional hospital “the fundamental point of the review”, David Gow said.“[Health Action Wānaka] HAW’s report is an excellent start,” he said.That report, ‘Perception versus reality: the true state of healthcare in the Upper Clutha’, released in April, identifies significant unmet needs, systemic barriers, and a lack of strategic health planning for the Upper Clutha.Read more: Healthcare crisis for Upper Clutha - reportQuestions from the roadshow audience covered funding inequities, the lack of a free blood collection service, children and young people's mental health, laboratory funding, workforce challenges, location of a regional hospital, cross party support for health service planning, public versus private health funding, and the deficiencies of the national travel assistance scheme.The panel (with Matt Doocey, right) acknowledged the clear health inequities in the Upper Clutha. PHOTO: Health Action Wānaka David said there was no defence to the “stark inequity" highlighted, while the associate health minister said: “Quite clearly the population here has got ahead of public services”.One audience member asked how health staff had “missed the growth in the last ten years”.Aroha referred to the “higher than expected” population growth in the region, while the associate health minister told the crowd of more than 300 people “you have just had significant population growth over time and investment hasn’t kept up”.A question to the panel from Quentin - “How long will it take to invest and give us health equity in this community?” - was sidestepped by Matt Doocey, who focused on the importance of his “roadmap approach” (rather than strategies and plans) to identifying problems and implementing solutions.“A large amount of the solutions are already in the community,” Matt also said, while the Health NZ staff also emphasised the need for communities to work in partnership with health service providers.Health staff said they would come back to Wānaka at the end of August with the findings from the clinical review, which needed to be “done and dusted” by December.Event MC Hauroa Taiwhenua Rural Health Network chief executive Dr Grant Davidson summed up the discussion by saying: “The inequity is being heard. Local people will put together a plan about how that inequity would be [addressed].”How long do we wait?HAW steering group member Monique Mayze told the Wānaka App it was great to see so many people turn up to voice their concerns and ask well-informed questions.She said while the clinical services planning was important, “we don’t believe that we should have to wait until the end of this process to see action on the quick wins” the group presented to health minister Simeon Brown in Auckland the same day.HAW's identified three quick wins for the Upper Clutha community: Introduction of psychiatric consultations via telehealth within 12 months; delivery of a publicly funded blood collection service within two years; and increased access to publicly funded radiology services.“There is no reason why steps cannot be taken now to start implementing the solutions we have proposed,” Monique said.The Wānaka App spoke to a few roadshow attendees as they left the event on Tuesday afternoon. One person told us she was feeling “annoyed and patronised”, saying “their roadmap is pointless unless they have buy-in”.Another long-term local said the roadshow featured “just a whole list of dodging the same questions: No real answers; It’s the same s---t.”The Wānaka App also spoke to Craig Ashton after the event, asking why it had taken health authorities so long to notice and act on population growth and health inequity in the Upper Clutha. “I can acknowledge people’s frustrations,” he said.“I think it has been signalled in many reports for a long time that the health needs of Central Otago have been unmet. The population is growing and continues to grow. Particularly over the last few years it is showing an exponential growth and that has really put to the forefront the need to do something about it.“... a whole lot of plans and strategies … have been in place for quite some time and I’ve read a lot of those and the translation of strategy into action is where we’re focused right now with the clinical services planning,” he said.Wānaka Upper Clutha Community Board (WUCCB) chair Simon Telfer told the Wānaka App he appreciated the Upper Clutha “turning out in droves” for the meeting. “It was excellent to hear minister Doocey reference [HAW]'s exceptional report, numerous times. The panel of ministers and senior health leaders certainly understood the inequities faced by residents. However it's unclear how quickly this understanding can turn into funding or implemented action,” he said.“As a community, let's keep the pressure on decision makers to make the provision of health services in Wānaka fairer for all.”