When Specialist Care Isn’t There: A System Failing Patients

May 30, 2025 | Media, News

The recent case reported by RNZ of a woman in Palmerston North who was unable to see a neurologist after experiencing a seizure is deeply concerning — and, unfortunately, not an isolated incident. With only two part-time neurologists currently employed at Palmerston North Hospital, this situation highlights a broader and ongoing crisis in neurological care across Aotearoa New Zealand. Access to timely, in-person neurological expertise is critical, particularly for people with complex, progressive conditions like multiple sclerosis. When there are not enough neurologists, patients face delays in diagnosis, treatment, and ongoing care, leading to avoidable harm, stress, and long-term disability. It also places unreasonable pressure on general medical staff who are not specialised in this area.

This is why MSNZ continues to advocate for increased investment in neurology services nationwide. We are calling for:

• An urgent expansion of the neurology workforce, including permanent neurologists and specialised nurse support roles in under-served regions like Palmerston North;
• Nationally consistent standards of care, so patients are not subject to a “postcode lottery”;
• Strategic planning to meet growing demand for neurological care, driven by rising prevalence of conditions like MS, epilepsy, Parkinson’s, and dementia.

Every New Zealander deserves equitable access to specialist care, regardless of where they live. As this case clearly demonstrates, the current system is not meeting that standard, and patients are paying the price.

Read the article from RNZ here.