Rural Waikato GP named 2018 Peter Snow Memorial Award recipient
Long-serving Te Kuiti GP Dr Keith Buswell is the recipient of the 2018 Peter Snow Memorial Award. The accolade was
announced at a ceremony at the New Zealand Rural General Practice Network’s annual conference in Auckland on April 7. Dr
Buswell has been a rural GP in Te Kuiti for more than 30 years and was presented with the award by last year’s
recipients Dr Chris Henry and Dr Andrea Judd, both from Kaikoura.
Dr Buswell was nominated for his “Innovation and Service to rural health”.
His nomination citation said: “Keith has always been willing to support rural health research and has participated in
studies on prostate cancer, a survey of mental health, diabetes and heart studies. Overall he has proved an innovator, a
leader and a teacher whose contribution to his community, to the Waikato and nationally has been immense – and yet has
been hidden due to his self-effacing nature and natural tendency to put others first.”
“Through Keith’s leadership general practice in Te Kuiti is now held up as a model of integrated, community engaged
rural general practice.
Dr Buswell said the award was a “bolt out of the blue”. “I feel very honoured to be included in the group of rural
general practitioners who have received this award before me. Each of them have made huge contributions to rural health.
“I’d like to acknowledge the role of my wife and GP Elly Kroef in all of this. We used to job share in the early days
from about 1986 until the last of our children went to school. That’s how it all started. There were also a number of
other GPs in town including John Earwaker and Mike Miskelly and we teamed up to form a group practice back in 1993-4.
“I’m delighted I have to have been able to form what has been a type of practice seen as innovative and a combination of
primary and secondary care in a rural town. It shows the two can blend together in a rural setting.
“It’s also been satisfying seeing GPs able to work at a higher level, at hospital practice level and with the clinical
decision-making required at that level.
“It’s a reflection of what all rural GPs do every day, except in our situation it’s a little more formalised.”
Dr Buswell says the variety of medicine is the essence of rural general practice and rural practice offers the
opportunity to go on learning and to add to your skills every day. It also offers the opportunity to become closely
involved in the community you work in, which is very rewarding in itself.
“I see rural general practice as a viable thing in the future and more challenging than its urban counterpart which I
believe has a narrower scope of practice. “
ADDITIONAL INFORMATION:
In 1994 Keith worked with the then Waikato Crown Health Enterprise in setting up a comprehensive primary care practice
based on the Te Kuiti hospital site. There are four rural hospitals in the Waikato. Twenty-five years ago it was clear
that the model of primary care then operating in those towns was likely to be unsustainable. The practice leased
premises from the Board and all the GPs moved together into a single practice. They duly offered to take on the medical
cover for the hospital including the emergency department. This was a considerable commitment in that it meant that all
the GPs in Te Kuiti had to be comfortable in managing acute emergencies and therefore had to commit to keeping their
emergency care skills up to date. Since then the practice has been seen as the ‘go to’ rural practice for any new
initiatives.
In 2005 the NZIRH, the University of Auckland and the Grassroots Club set up a Waikato weekends for 2nd year medical
students interested in rural practice. After a session of skills training in Hamilton the students were taken to Te
Kuiti to see a model practice and Keith gave an inspirational talk to the students on rural general practice. Since that
first weekend it has morphed into an inter-professional group of Grassroots students who spend the whole weekend in the
King Country hosted by one of Keith’s partners. This Te Kuiti weekend has become a highlight of the Grassroots student
program.”
Keith was a key supporter of a pilot primary health care model and instrumental in enabling Practice Nurses to trial a
different way of working. His pragmatic approach and demonstrated willingness to embrace change was a key factor in
enabling this project to go ahead.
He also supported a 2009 Waikato DHB Community Heart Failure project aimed at reducing admissions to hospital of primary
care patients with heart failure. Te Kuiti was the ‘go to’ practice for this initiative and after a successful pilot it
was then rolled out to other rural centres.”
About the award
The Peter Snow Memorial Award was set up to honour the life and work of Dr Peter Snow who passed away in March 2006. Dr
Snow was a rural general practitioner based in Tapanui.
As well as caring for his patients, Peter was Past-President of the Royal New Zealand College of General Practitioners
and was a member of the Otago Hospital Board and District Health Board. He was enthusiastic and active in seeking
knowledge to improve the health and safety of rural communities. His work contributed to the identification of the
chronic fatigue syndrome and he was influential in raising safety awareness on issues related to farming accidents.
Previous winners include:
Inaugural winner Dr Ron Janes (2007)
Nurse Jean Ross and Dr Pat Farry (2008 – jointly awarded)
Dr Garry Nixon (2009)
Dr Tim Malloy (2010)
Dr Martin London (2011)
Nurse Kirsty Murrell-McMillan (2012)
Dr Graeme Fenton and NZIRH CE Robin Steed (2013)
Kim Gosman and Dr Janne Bills (2014)
Dr Katharina Blattner (2015)
Dr Ivan and Leonie (RNS) Howie (2016)
Drs Chris Henry and Andrea Judd (2017)