It doesn't matter how modern the equipment or how flash the new logo will be.
If Little adheres to the same neo-liberal playbook;
play hardball in the pay parity negotiations,
out-source the training of staff (immigration),
have bean counters and accountants run the hospitals
and continue the race to the bottom attitude with sub-contracting food, security, laundry, IT and maintenance, not a lot will change.
Squandering a once in a lifetime opportunity to make real change…
The NZ public health sector has 80,000 staff, making HealthNZ/ Te Whatu Ora the largest employer in Aotearoa. Getting the IT systems aligned is a big part of the reforms. Your resentment of recruiting skilled workers is weird. I don’t get your problem with contracting out various services either.
The “opportunity for real change” is being realised. The end goal is to cut waiting lists and balance health services across Aotearoa as effectively as possible by working together instead of 20 separate DHBs
Their aims are impressive Roblogic. Meanwhile back at the coal face wait times are increasing because the Minister is failing to settle the pay dispute, nurses are burnt out and will look to go to greaner pastures.
The minister should have made his one and only priorty fixing the workforce shortages. Until that happens our health system will remain at crisis
If recruiting experienced workers from overseas worked, we wouldn’t have the issues we have now as this has been the tactic for the last few administrations. Also our health staffing should reflect our population ie more Māori and PI, we don’t need more UK, Phillipino,Indian staff.
Let’s face it, not training/upskilling is a consequence of neo-liberal thinking. witness hospitality and construction industries. Staff are seen as an expense, a cost rather than an asset to be invested in.
As for bringing support roles in-house l, it’s a wonderful way to build a resilient workforce where loyalty and a sense of belonging can be nurtured. Some hospital food contracts are about frozen food being delivered from outside the district and reheated. Hardly ideal for folk that are convalescing.
The whole ‘efficiency’ argument is akin to trickle down.
No comment on the Health Minister’s lack of enthusiasm for settling the pay parity?
The whole ‘efficiency’ argument is akin to trickle down.
Not sure what you mean by that. In hospitals and other medium-large complex organisations people on the ground and at the lower/lowest management levels pick up most of the slack caused through inefficiencies. Often, they don’t realise it or just accept it as ‘par for the course’ or as ‘part of the job’ but it can take up a significant portion of their time, energy, and efforts and thus acts as a drain on primary and vital resources. Even worse is when they must actively battle the system and try ‘repair’ or ‘clean up’ the mess caused by inefficient organisational management. A top-heavy management and bureaucracy is both cause and effect of intrinsic problems with(in) the organisation.
Perhaps I should quote the whistleblower from Rotorua Hospital
"We are facing extrem staff shortages. We are currently 13.89 FTEs down and increasing, that is equivalent to 140 shifts a fortnight in gaps"
"While Daniels (nurses union) declined to discuss any specific hospital or department, she said that NZ is short of 21,000 nurses….patient risk increases without the right nursing staff in the right areas"…" asked toperform as before "in dangerous situations", with ED full, but not enough nurses"
From Stuff 22 October 2022 (will try and post the link)
"The patient left the ED and deteriorated shortly after leaving and returned to Ed where they were seen immediately. Sadly the patient did not respond to medical treatment and they died the following day….ED was very busy during this period which meant wait times were longer than usual"
And from Stuff 24th August 2022. "The findings from an investigation into a patints death at Middlemore Hospital emergency department in June highlight the extreme pressureit had been operating under due to staffing shortages and surging patient numbers. ……The patient arrived at MM ED with a severe headache and was told it would be hours before she could be seen and she left…..she returned to the hospital some hours later in an ambulance having experienced a massive brain haemorrhage and died the following day"
There have been more of these cases.
But by all means pat Little on the back for putting all his time and energy into a shiny new bureacracy. When the ship is finally turned around (Health NZ estimates it will take 5 years to see any real change, don't be surprized if you find there is no health system…….those people who are the health system, you know people who treat you if you are sick will have buggered off to somewhere where they are well treated (rather than having to fight for the pay and conditions, while being told their is racsim in the Health system and they must "reflect" on this).
BTW Ian Powell, the former Executive Director of Salaried Medical Specialists, writes extensively on the state of our Health System, and in one of his columns he recounts how in 2017 he spoke to David Clark about what needed to happen in the health sector. He told David there were three problems: workforce shortage, workforce shortage and workforce shortage. Labour have had five years on this.
Shane Reti spoke well on Q and A about what he would do to fix the health service. Clear concrete ideas. I posted it recently.
Well, it was formally launched just over 4 months ago. Your question is rhetorical and/or unanswerable as it stands, and IMO it does not easily lead to anything useful.
Sacha this was my response to Roblogic which I have copied and pasted in response to your comment about "flapping their gums". I made the assumption that this refers to me.
I often find on the Standare when people use such puts downs it is because their argument is weak.
"What catastrophe are you blathering about?"
Perhaps I should quote the whistleblower from Rotorua Hospital
"We are facing extrem staff shortages. We are currently 13.89 FTEs down and increasing, that is equivalent to 140 shifts a fortnight in gaps"
"While Daniels (nurses union) declined to discuss any specific hospital or department, she said that NZ is short of 21,000 nurses….patient risk increases without the right nursing staff in the right areas"…" asked toperform as before "in dangerous situations", with ED full, but not enough nurses"
From Stuff 22 October 2022 (will try and post the link)
"The patient left the ED and deteriorated shortly after leaving and returned to Ed where they were seen immediately. Sadly the patient did not respond to medical treatment and they died the following day….ED was very busy during this period which meant wait times were longer than usual"
And from Stuff 24th August 2022. "The findings from an investigation into a patints death at Middlemore Hospital emergency department in June highlight the extreme pressureit had been operating under due to staffing shortages and surging patient numbers. ……The patient arrived at MM ED with a severe headache and was told it would be hours before she could be seen and she left…..she returned to the hospital some hours later in an ambulance having experienced a massive brain haemorrhage and died the following day"
There have been more of these cases.
But by all means pat Little on the back for putting all his time and energy into a shiny new bureacracy. When the ship is finally turned around (Health NZ estimates it will take 5 years to see any real change, don't be surprized if you find there is no health system…….those people who are the health system, you know people who treat you if you are sick will have buggered off to somewhere where they are well treated (rather than having to fight for the pay and conditions, while being told their is racsim in the Health system and they must "reflect" on this).
BTW Ian Powell, the former Executive Director of Salaried Medical Specialists, writes extensively on the state of our Health System, and in one of his columns he recounts how in 2017 he spoke to David Clark about what needed to happen in the health sector. He told David there were three problems: workforce shortage, workforce shortage and workforce shortage. Labour have had five years on this.
Shane Reti spoke well on Q and A about what he would do to fix the health service. Clear concrete ideas. I posted it recently.
My point is Incognito, that restructuring the bureacracy should have been the lowest priority, in a pandemic and when we are facing the workforce shortage we have.
If you have time read my response to Roblogic above. It outlines what a catastropic situation with are in.
You completely ignore the inefficiencies & duplication in the current system that’s hopelessly fragmented and is wasting huge amounts of money and time of good people on bureaucracy & ‘management’. You also ignore the need for better coordination and sharing of epidemiological intelligence in future pandemics. Your approach is to let this haemorrhaging continue until and only after we’ve fixed all the other issues. The best approach is, IMO, to do both because both must be done simultaneously, although on different time scales. The many huge workforce issues (e.g., recruiting and retaining skilled staff where they’re needed most) are not even unique to NZ, partly because this nation competes for skilled healthcare workers on the global market, but the structural reorganisation is specific to this country.
I would never say the old DHBs were great and all was good. However they served us well enough during Covid.
The main issue I give upmost priority to is the health workforce staff. Recruiting and retaining them and keeping them safe in their work environment.
Can you give me some examples of the duplication and time wasting in the old DHB system.
I have a close contact who worked in the old system and now Health NZ.
This person is quite high up. They say that Health NZ is in a complete shambles and in their opinion is unlikely to achived equity (I realize that is only their opinion, but I do value it).
There was another article in Stuff recently where senior Drs said all they have noticed so far from the health reforms was a change of logo.
I am not entirely against health reforms, but during a pandemic? I seem to recall one Minister saying that one reason Ashleigh B left is because he didn't have it in him to manage the reforms.
Having worked in the health system many moons ago, I know that things that happened in Wellington have very little impact on what we did (as long as we had adequate staffing, good mentoring and the chance to do meaningful professional development). Adequate staffing (as there was back then, ) allowed us to get on a do our best work.
Can you give me some examples of the duplication and time wasting in the old DHB system.
Look, if you don’t read the comments made here then replying to you is just a waste of (my) time.
IT has already been mentioned. The DHBs have their own IT fiefdoms departments.
Procurement is another obvious candidate for centralisation.
The provision of very highly specialised medical services in and by only a few lead DHBs should be coordinated (and funded) through one national agency instead of individual DHBs and MoH.
These are just a few high-level examples, and I could go on …
Yes the various historic health boards all have their own legacy IT systems. None of which speak to one another (which is why hospital patients being transferred from one hospital to another – even within the same historic health board (e.g. Waitakere and North Shore) – come complete with a paper dossier (it's the folder you're given to clutch as they load you into the ambulance – OK, sometimes the ambos keep it, if you're really sick)
The IT companies (mostly international) are rubbing their hands with glee at the prospect of a nation-wide IT system in health. Millions (if not billions) of dollars, and a multi-year implementation plan (migrating legacy data is not a trivial exercise). The dollar signs are lighting up all over.
In the meantime – each IT department will absolutely need to retain their own staff (in order to keep their own legacy systems operational – we saw the disaster at Waikato when they went down). AND they will have to hire new staff to participate in this major project (potentially they'll hire the new staff to run the legacy systems, and transfer existing staff to the project – but it all means more FTE)
This is a state-of-play summary from 2020. It seems highly unlikely that anything has significantly improved since then.
Poor and outdated systems – mean that users and administrators are highly motivated to change (not to be sneezed at, institutional inertia is always a drag in projects) – but it also means that legacy data is likely to be difficult to extract, validate and export/import.
Possibly, 10-years down the track when everything is bedded it, the IT dept FTE will decrease. But it certainly isn't going to happen sooner.
I can't speak to procurement – but I will note that all of the procurement, and service booking systems are run off the IT core – so with fragmented IT systems, it's going to be a devil of a job to co-ordinate effectively across the whole of the new health system.
What I am saying is that the health workforce is in utter crisis (that is why I continue to post articles about it). If you don't have a well resourced health work force, you have nothing.
The health work force has been saving lives and treating people, long before the internet.
Have you been to the GP and/or Pharmacy lately? Have you noticed their computer screens? Have you had an MRI or CT-scan done lately, or an ECG? Computers, software, and IT systems make that work. Do you know that medical records are increasingly becoming digitized, including test results, prescriptions, DNA sequencing data, image data & processing, treatment planning (e.g. radiotherapy), et cetera? Do you know that making appointments and internal bookings (rooms, equipment & materials, people) rely on automated booking systems? Do you realise that stock & storage are now computer-controlled? Have you heard of tele-medicine or Zoom consults? And when was the last time you paid cash at the doctor’s?
We don’t live in the 20th century anymore and this is not just about stitching up people or plastering arms.
Its very obvious to me that the most pressing priority is the health work force.
Everyday there are articles in the major news sites about the state of the workforce. Today an article about a patient who had a long wait attacking another patients and abusing hospital staff. Shouldn't the Minister be putting out a statement that this is completely unaccepable? And a few days back staff in Chch being attack by a patient.
They don't seem to care a dam about the health work force
Yawn. Get some new material. Labour has made more progress in the Health portfolio than National could be bothered with in its 9 years. Nine years of pay freezes and waiting lists cut for no reason apart from political convenience.
When I busted my arm in early 2020 — a severe break needing surgery — I couldn't even get an *appointment* at Orthopaedics in Whangarei. Went to Auckland instead and finally got someone to look at the damn X ray, they said "oh" and rushed me in to surgery – about 9 days later.
"Yawn. Get some new material. Labour has made more progress in the Health portfolio than National could be bothered with in its 9 years. Nine years of pay freezes and waiting lists cut for no reason apart from political convenience."
What I am saying is that the health workforce is in utter crisis (that is why I continue to post articles about it). If you don't have a well resourced health work force, you have nothing.
The health work force has been saving lives and treating people, long before the internet.
Yes so much has improved under Health NZ……( I am sorry to have to stoop to sarcism here)
But really that you couldn't get an orthopaedics appointment in Whangarei. That is my whole point. If we are short of health professionals and there is a the sort of crisis we are seeing as I have documented, then that is where Andrew Little's attention needs to go. Now
SBF is the owner of multiple exchanges and hedge funds all connected (he has lost 15b$ overnight) and Crypto is now in full meltdown as everyone runs for the exits.
Do you see the utterly regressive and sexist nature of gender ideology yet? And why so many women are saying no. (see if you can separate the ideology from transness)
While it may be unkind to view adult behaviour and lifestyles as pathological, it is much worse to channel children into a lifetime of dysfunction and difficulty because of a phase or a fad.
Trans is a western concept of categorizing people who are not living their 'sex' as prescribed by society – with the end goal of medically and surgically modfying bodies for the supposed mental wellbeing of the people identified as trans and the very handsome profits of the medical industrial complex. Trans creates people who will end up living their lives totally and utterly dependent on the medical complex, much like a person who is type 1 diabetic is
livelong depended on government to setting affordable prices for insulin.
Fa'afafine is the concept / word for categorizing people who are not living their sex stereotypes in the Samoan culture, but as far as i am concerned they are still male, still play sports with the men, physically stay men, but live their lives in a societal fashion more attributed to females.
I would never even consider comparing the two as they are very different.
I doubt that there is a movement in Samoa trying to remove the word mother/woman from people with the ability to get pregnant, stay pregnant and then ‘birth’ a child. While here in our western world we are very much agitating to remove the word mother – implying ownership over the child to a term that could literally be a job describtion. Birth giver, birthing person, birthers – which implies one is doing a thing, but implies no ownership. After all a dog / cat / horse / dairy cows are all birth givers.
In fact maybe our western social concept of trans could learn some from the Samoan concept of Fa'afafine – like a women vs trans – is a woman no different at all to the things we no longer want to call women in order to not be offensive to people who want to be men and the people who want to be women.
Fa'afafine is a descriptor of those that exhibit certain behaviours within the Samoan culture. Unlike the TWAW mantra, they are recognised as men. That clarity is significant. The fact they are now used as legitimacy for current gender ideology is through convenience not accuracy.
"Your comment is incredibly dismissive, pathologising many people who are gender non-conforming."
Given the ever increasing numbers of behaviours and groups sheltering under the trans umbrella, I think this is an understandable overreach, but one that still could apply to a significant percentage the third group roblogic identified.
As you clarified those who are just gender non-conforming, will most likely not be AGP.
This subject is such a minefield, ripe for misunderstanding to blow up.
I am happy to see people living free from gender stereotypes.
I am not happy to see young people rejecting their natural bodies and attempting to conform to an opposite stereotype via drastic surgery and dangerous doses of hormones.
Research into the causes of gender incongruence isn't "pathologising" people, it is exploring why they exhibit these behaviours. Understanding leads to compassion, and might open up new treatments for those who choose it.
I think Blanchfield also talked about the passive male to female trans, who had identified with female gender stereotypes as a young child and wants to be a very submissive "woman"
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Determining the hardest sport in the world is a subjective matter, as the difficulty level can vary depending on individual abilities, physical attributes, and experience. However, based on various factors including physical demands, technical skills, mental fortitude, and overall accomplishment, here is an exploration of some of the most challenging ...
The allure of sport transcends age, culture, and geographical boundaries. It captivates hearts, ignites passions, and provides unparalleled entertainment. Behind the spectacle, however, lies a fascinating world of financial investment and expenditure. Among the vast array of competitive pursuits, one question looms large: which sport carries the hefty title of ...
Introduction Pickleball, a rapidly growing paddle sport, has captured the hearts and imaginations of millions around the world. Its blend of tennis, badminton, and table tennis elements has made it a favorite among players of all ages and skill levels. As the sport’s popularity continues to surge, the question on ...
Abstract: Soccer, the global phenomenon captivating millions worldwide, has a rich history that spans centuries. Its origins trace back to ancient civilizations, but the modern version we know and love emerged through a complex interplay of cultural influences and innovations. This article delves into the fascinating journey of soccer’s evolution, ...
Tinting car windows offers numerous benefits, including enhanced privacy, reduced glare, UV protection, and a more stylish look for your vehicle. However, the cost of window tinting can vary significantly depending on several factors. This article provides a comprehensive guide to help you understand how much you can expect to ...
The pungent smell of gasoline in your car can be an alarming and potentially dangerous problem. Not only is the odor unpleasant, but it can also indicate a serious issue with your vehicle’s fuel system. In this article, we will explore the various reasons why your car may smell like ...
Tree sap can be a sticky, unsightly mess on your car’s exterior. It can be difficult to remove, but with the right techniques and products, you can restore your car to its former glory. Understanding Tree Sap Tree sap is a thick, viscous liquid produced by trees to seal wounds ...
The amount of paint needed to paint a car depends on a number of factors, including the size of the car, the number of coats you plan to apply, and the type of paint you are using. In general, you will need between 1 and 2 gallons of paint for ...
Jump-starting a car is a common task that can be performed even in adverse weather conditions like rain. However, safety precautions and proper techniques are crucial to avoid potential hazards. This comprehensive guide will provide detailed instructions on how to safely jump a car in the rain, ensuring both your ...
Graham Adams writes about the $55m media fund — When Patrick Gower was asked by Mike Hosking last week what he would say to the many Newstalk ZB callers who allege the Labour government bribed media with $55 million of taxpayers’ money via the Public Interest Journalism Fund — and ...
Note: this blog post has been put together over the course of the week I followed the happenings at the conference virtually. Should recordings of the Great Debates and possibly Union Symposia mentioned below, be released sometime after the conference ends, I'll include links to the ones I participated in. ...
The following was my submission made on the “Fast Track Approvals Bill”. This potential law will give three Ministers unchecked powers, un-paralled since the days of Robert Muldoon’s “Think Big” projects.The submission is written a bit tongue-in-cheek. But it’s irreverent because the FTAB is in itself not worthy of respect. ...
One Could Reduce Child Poverty At No Fiscal CostFollowing the Richardson/Shipley 1990 ‘redesign of the welfare state’ – which eliminated the universal Family Benefit and doubled the rate of child poverty – various income supplements for families have been added, the best known being ‘Working for Families’, introduced in 2005. ...
Buzz from the Beehive A few days ago, Point of Order suggested the media must be musing “on why Melissa is mute”. Our article reported that people working in the beleaguered media industry have cause to yearn for a minister as busy as Melissa Lee’s ministerial colleagues and we drew ...
1. What was The Curse of Jim Bolger?a. Winston Peters b. Soon after shaking his hand, world leaders would mysteriously lose office or shuffle off this mortal coilc. Could never shake off the Mother of All Budgetsd. Dandruff2. True or false? The Chairman of a Kiwi export business has asked the ...
Jack Vowles writes – New Zealand is said to be suffering from ‘serious populist discontent’. An IPSOS MORI survey has reported that we have an increasing preference for strong leaders, think that the economy is rigged toward the rich and powerful, and political elites are ignoring ‘hard-working people’. ...
It appears Nicola Willis is about to pull the rug out from under the feet of local communities still dealing with the aftermath of last year’s severe weather, and local councils relying on funding to build back from these disasters. ...
The Government is making short-sighted changes to the Resource Management Act (RMA) that will take away environmental protection in favour of short-term profits, Labour’s environment spokesperson Rachel Brooking said today. ...
Labour welcomes the release of the report into the North Island weather events and looks forward to working with the Government to ensure that New Zealand is as prepared as it can be for the next natural disaster. ...
The Labour Party has called for the New Zealand Government to recognise Palestine, as a material step towards progressing the two-State solution needed to achieve a lasting peace in the region. ...
Some of our country’s most important work, stopping the sexual exploitation of children and violent extremism could go along with staff on the frontline at ports and airports. ...
The Government’s Fast Track Approvals Bill will give projects such as new coal mines a ‘get out of jail free’ card to wreak havoc on the environment, Labour Leader Chris Hipkins said today. ...
Cuts to frontline hospital staff are not only a broken election promise, it shows the reckless tax cuts have well and truly hit the frontline of the health system, says Labour Health spokesperson Ayesha Verrall. ...
The Green Party has joined the call for public submissions on the fast-track legislation to be extended after the Ombudsman forced the Government to release the list of organisations invited to apply just hours before submissions close. ...
New Zealand’s good work at reducing climate emissions for three years in a row will be undone by the National government’s lack of ambition and scrapping programmes that were making a difference, Labour Party climate spokesperson Megan Woods said today. ...
More essential jobs could be on the chopping block, this time Ministry of Education staff on the school lunches team are set to find out whether they're in line to lose their jobs. ...
The Government is trying to bring in a law that will allow Ministers to cut corners and kill off native species, Labour environment spokesperson Rachel Brooking said. ...
Cancelling urgently needed new Cook Strait ferries and hiking the cost of public transport for many Kiwis so that National can announce the prospect of another tunnel for Wellington is not making good choices, Labour Transport Spokesperson Tangi Utikere said. ...
A laundry list of additional costs for Tāmaki Makarau Auckland shows the Minister for the city is not delivering for the people who live there, says Labour Auckland Issues spokesperson Shanan Halbert. ...
The Green Party has today launched a step-by-step guide to help New Zealanders make their voice heard on the Government’s democracy dodging and anti-environment fast track legislation. ...
The National Government’s proposed changes to the Residential Tenancies Act will mean tenants can be turfed from their homes by landlords with little notice, Labour housing spokesperson Kieran McAnulty said. ...
Green Party co-leader Marama Davidson is calling on all parties to support a common-sense change that’s great for the planet and great for consumers after her member’s bill was drawn from the ballot today. ...
A significant milestone has been reached in the fight to strike an anti-Pasifika and unfair law from the country’s books after Teanau Tuiono’s members’ bill passed its first reading. ...
New Zealand has today missed the opportunity to uphold the right to a clean, healthy, and sustainable environment, says James Shaw after his member’s bill was voted down in its first reading. ...
Today’s advice from the Climate Change Commission paints a sobering reality of the challenge we face in combating climate change, especially in light of recent Government policy announcements. ...
Minister for Disability Issues Penny Simmonds appears to have delayed a report back to Cabinet on the progress New Zealand is making against international obligations for disabled New Zealanders. ...
The Government’s newly announced review of methane emissions reduction targets hints at its desire to delay Aotearoa New Zealand’s urgent transition to a climate safe future, the Green Party said. ...
The Government must commit to the Maitai School building project for students with high and complex needs, to ensure disabled students from the top of the South Island have somewhere to learn. ...
Mental Health Minister Matt Doocey and his Government colleagues have made a meal of their mental health commitments, showing how flimsy their efforts to champion the issue truly are, says Labour Mental Health spokesperson Ingrid Leary. ...
Energy Minister Simeon Brown has welcomed an important milestone in New Zealand’s hydrogen future, with the opening of the country’s first network of hydrogen refuelling stations in Wiri. “I want to congratulate the team at Hiringa Energy and its partners K one W one (K1W1), Mitsui & Co New Zealand ...
The coalition Government is delivering on its commitment to improve resource management laws and give greater certainty to consent applicants, with a Bill to amend the Resource Management Act (RMA) expected to be introduced to Parliament next month. RMA Reform Minister Chris Bishop has today outlined the first RMA Amendment ...
Overseas models for regulating the oil and gas sector, including their decommissioning regimes, are being carefully scrutinised as a potential template for New Zealand’s own sector, Resources Minister Shane Jones says. The Coalition Government is focused on rebuilding investor confidence in New Zealand’s energy sector as it looks to strengthen ...
Emergency Management and Recovery Minister Mark Mitchell has today released the Report of the Government Inquiry into the response to the North Island Severe Weather Events. “The report shows that New Zealand’s emergency management system is not fit-for-purpose and there are some significant gaps we need to address,” Mr Mitchell ...
Justice Minister Paul Goldsmith is today travelling to Europe where he’ll update the United Nations Human Rights Council on the Government’s work to restore law and order. “Attending the Universal Periodic Review in Geneva provides us with an opportunity to present New Zealand’s human rights progress, priorities, and challenges, while ...
Associate Agriculture Minister, Mark Patterson, formally reopened the world’s largest wool processing facility today in Awatoto, Napier, following a $50 million rebuild and refurbishment project. “The reopening of this facility will significantly lift the economic opportunities available to New Zealand’s wool sector, which already accounts for 20 per cent of ...
Hon Andrew Bayly, Minister for Small Business and Manufacturing At the Southland Otago Regional Engineering Collective (SOREC) Summit, 18 April, Dunedin Ngā mihi nui, Ko Andrew Bayly aho, Ko Whanganui aho Good Afternoon and thank you for inviting me to open your summit today. I am delighted ...
The Government is delivering on its commitment to bring back the Three Strikes legislation, Associate Justice Minister Nicole McKee announced today. “Our Government is committed to restoring law and order and enforcing appropriate consequences on criminals. We are making it clear that repeat serious violent or sexual offending is not ...
Foreign Minister Winston Peters has today announced four new diplomatic appointments for New Zealand’s overseas missions. “Our diplomats have a vital role in maintaining and protecting New Zealand’s interests around the world,” Mr Peters says. “I am pleased to announce the appointment of these senior diplomats from the ...
New Zealand is contributing NZ$7 million to support communities affected by severe food insecurity and other urgent humanitarian needs in Ethiopia and Somalia, Foreign Minister Rt Hon Winston Peters announced today. “Over 21 million people are in need of humanitarian assistance across Ethiopia, with a further 6.9 million people ...
Minister for Arts, Culture and Heritage Paul Goldsmith is congratulating Mataaho Collective for winning the Golden Lion for best participant in the main exhibition at the Venice Biennale. "Congratulations to the Mataaho Collective for winning one of the world's most prestigious art prizes at the Venice Biennale. “It is good ...
The Government is reforming financial services to improve access to home loans and other lending, and strengthen customer protections, Commerce and Consumer Affairs Minister Andrew Bayly and Housing Minister Chris Bishop announced today. “Our coalition Government is committed to rebuilding the economy and making life simpler by cutting red tape. We are ...
“China remains a strong commercial opportunity for Kiwi exporters as Chinese businesses and consumers continue to value our high-quality safe produce,” Trade and Agriculture Minister Todd McClay says. Mr McClay has returned to New Zealand following visits to Beijing, Harbin and Shanghai where he met ministers, governors and mayors and engaged in trade and agricultural events with the New ...
Prime Minister Christopher Luxon has completed a successful trip to Singapore, Thailand and the Philippines, deepening relationships and capitalising on opportunities. Mr Luxon was accompanied by a business delegation and says the choice of countries represents the priority the New Zealand Government places on South East Asia, and our relationships in ...
New Zealand is demonstrating its commitment to reducing global greenhouse emissions, and supporting clean energy transition in South East Asia, through a contribution of NZ$41 million (US$25 million) in climate finance to the Asian Development Bank (ADB)-led Energy Transition Mechanism (ETM). Prime Minister Christopher Luxon and Climate Change Minister Simon Watts announced ...
The Government is today releasing a list of organisations who received letters about the Fast-track applications process, says RMA Reform Minister Chris Bishop. “Recently Ministers and agencies have received a series of OIA requests for a list of organisations to whom I wrote with information on applying to have a ...
Attorney-General Judith Collins today announced the appointment of Wellington Barrister David Jonathan Boldt as a Judge of the High Court, and the Honourable Justice Matthew Palmer as a Judge of the Court of Appeal. Justice Boldt graduated with an LLB from Victoria University of Wellington in 1990, and also holds ...
Education Minister Erica Stanford will lead the New Zealand delegation at the 2024 International Summit on the Teaching Profession (ISTP) held in Singapore. The delegation includes representatives from the Post Primary Teachers’ Association (PPTA) Te Wehengarua and the New Zealand Educational Institute (NZEI) Te Riu Roa. The summit is co-hosted ...
A stopbank upgrade project in Tairawhiti partly funded by the Government has increased flood resilience for around 7000ha of residential and horticultural land so far, Regional Development Minister Shane Jones says. Mr Jones today attended a dawn service in Gisborne to mark the end of the first stage of the ...
Foreign Affairs Minister Winston Peters will represent the Government at Anzac Day commemorations on the Gallipoli Peninsula next week and engage with senior representatives of the Turkish government in Istanbul. “The Gallipoli campaign is a defining event in our history. It will be a privilege to share the occasion ...
Science, Innovation and Technology and Defence Minister Judith Collins will next week attend the OECD Science and Technology Ministerial conference in Paris and Anzac Day commemorations in Belgium. “Science, innovation and technology have a major role to play in rebuilding our economy and achieving better health, environmental and social outcomes ...
Prime Minister Christopher Luxon held a bilateral meeting today with the President of the Philippines, Ferdinand Marcos Jr. The Prime Minister was accompanied by MP Paulo Garcia, the first Filipino to be elected to a legislature outside the Philippines. During today’s meeting, Prime Minister Luxon and President Marcos Jr discussed opportunities to ...
The Government has announced that $20 million in funding will be made available to Westport to fund much needed flood protection around the town. This measure will significantly improve the resilience of the community, says Local Government Minister Simeon Brown. “The Westport community has already been allocated almost $3 million ...
The Government is proud to support the first ever Repco Supercars Championship event in Taupō as up to 70,000 motorsport fans attend the Taupō International Motorsport Park this weekend, says Economic Development Minister Melissa Lee. “Anticipation for the ITM Taupō Super400 is huge, with tickets and accommodation selling out weeks ...
Local Government Minister Simeon Brown has announced an increase to the Rates Rebate Scheme, putting money back into the pockets of low-income homeowners. “The coalition Government is committed to bringing down the cost of living for New Zealanders. That includes targeted support for those Kiwis who are doing things tough, such ...
The Coalition Government is investing in a project to boost survival rates of New Zealand mussels and grow the industry, Oceans and Fisheries Minister Shane Jones has announced. “This project seeks to increase the resilience of our mussels and significantly boost the sector’s productivity,” Mr Jones says. “The project - ...
Benefit figures released today underscore the importance of the Government’s plan to rebuild the economy and have 50,000 fewer people on Jobseeker Support, Social Development and Employment Minister Louise Upston says. “Benefit numbers are still significantly higher than when National was last in government, when there was about 70,000 fewer ...
The Government’s commitment to doubling New Zealand’s renewable energy capacity is backed by new data showing that clean energy has helped the country reach its lowest annual gross emissions since 1999, Climate Change Minister Simon Watts says. New Zealand’s latest Greenhouse Gas Inventory (1990-2022) published today, shows gross emissions fell ...
The Government is bringing the earthquake-prone building review forward, with work to start immediately, and extending the deadline for remediations by four years, Building and Construction Minister Chris Penk says. “Our Government is focused on rebuilding the economy. A key part of our plan is to cut red tape that ...
Prime Minister Christopher Luxon and his Thai counterpart, Prime Minister Srettha Thavisin, have today agreed that New Zealand and the Kingdom of Thailand will upgrade the bilateral relationship to a Strategic Partnership by 2026. “New Zealand and Thailand have a lot to offer each other. We have a strong mutual desire to build ...
RMA Reform Minister Chris Bishop and Transport Minister Simeon Brown have today announced the Coalition Government’s intention to extend port coastal permits for a further 20 years, providing port operators with certainty to continue their operations. “The introduction of the Resource Management Act in 1991 required ports to obtain coastal ...
Today’s announcement that inflation is down to 4 per cent is encouraging news for Kiwis, but there is more work to be done - underlining the importance of the Government’s plan to get the economy back on track, acting Finance Minister Chris Bishop says. “Inflation is now at 4 per ...
Refreshed health guidance released today will help parents and schools make informed decisions about whether their child needs to be in school, addressing one of the key issues affecting school attendance, says Associate Education Minister David Seymour. In recent years, consistently across all school terms, short-term illness or medical reasons ...
Oceans and Fisheries Minister Shane Jones is streamlining high-level oceans management while maintaining a focus on supporting the sector’s role in the export-led recovery of the economy. “I am working to realise the untapped potential of our fishing and aquaculture sector. To achieve that we need to be smarter with ...
Associate Agriculture Minister Mark Patterson is speaking at the International Wool Textile Organisation Congress in Adelaide, promoting New Zealand wool, and outlining the coalition Government’s support for the revitalisation the sector. "New Zealand’s wool exports reached $400 million in the year to 30 June 2023, and the coalition Government ...
The Government is making legislative changes to make it easier for new early learning services to be established, and for existing services to operate, Associate Education Minister David Seymour says. The changes involve repealing the network approval provisions that apply when someone wants to establish a new early learning service, ...
Changes to the Resource Management Act will align consenting for coal mining to other forms of mining to reduce barriers that are holding back economic development, Resources Minister Shane Jones says. “The inconsistent treatment of coal mining compared with other extractive activities is burdensome red tape that fails to acknowledge ...
Trade, Agriculture and Forestry Minister Todd McClay has concluded productive discussions with ministerial counterparts in Beijing today, in support of the New Zealand-China trade and economic relationship. “My meeting with Commerce Minister Wang Wentao reaffirmed the complementary nature of the bilateral trade relationship, with our Free Trade Agreement at its ...
Prime Minister Christopher Luxon today paid tribute to Singapore’s outgoing Prime Minister Lee Hsien Loong. Meeting in Singapore today immediately before Prime Minister Lee announced he was stepping down, Prime Minister Luxon warmly acknowledged his counterpart’s almost twenty years as leader, and the enduring legacy he has left for Singapore and South East ...
Prime Minister Christopher Luxon held a bilateral meeting today with Singapore Prime Minister Lee Hsien Loong. While in Singapore as part of his visit to South East Asia this week, Prime Minister Luxon also met with Singapore President Tharman Shanmugaratnam and will meet with Deputy Prime Minister Lawrence Wong. During today’s meeting, Prime Minister Luxon ...
Opinion: It has been announced that nine percent of roles at Oranga Tamariki will be disestablished, presumably to help fund the tax cuts promised by the coalition Government. I am reminded of the graphics used to illustrate pandemic events, where five thousand people are standing in a field and then ...
After more than two sleepless days, running through savage terrain, Greig Hamilton didn’t know if he was going to finish one of the most gruelling psychological assaults in sport. He was metres away from the finish line, a yellow gate made famous in a Netflix documentary; a race he’d dreamed ...
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The following interview with former Green Party MP Sue Kedgley came about because she features in the new memoir Hine Toa by activist Ngāhuia te Awekōtuku; the two knew each other at the University of Auckland in the early 70s, when they were both took on leadership roles in the ...
Taiwan’s semiconductor industry is seen some as its ‘silicon shield’ against invasion – but how will overseas expansion affect that protection? The post The state of Taiwan’s silicon shield appeared first on Newsroom. ...
There’s relief for building owners bending under the weight of earthquake strengthening rules – and costs – that came into force seven years ago. Building and Construction Minister Chris Penk has announced a scheduled 2027 review of the earthquake-prone building regulations will now start this year. Owners will also get ...
COMMENTARY:By Murray Horton New Zealand needs to get tough with Israel. It’s not as if we haven’t done so before. When NZ authorities busted a Mossad operation in Auckland 20 years ago, the government didn’t say: “Oh well, Israel has the right to defend itself.” No, it arrested, prosecuted, ...
NEWSMAKERS:By Vijay Narayan, news director of FijiVillage Blessed to be part of the University of Fiji (UniFiji) faculty to continue to teach and mentor those who want to join our noble profession, and to stand for truth and justice for the people of the country. I was privileged to ...
Source: The Conversation (Au and NZ) – By Peter Martin, Visiting Fellow, Crawford School of Public Policy, Australian National University Three weeks from now, some of us will be presented with a mountain of budget papers, and just about all of us will get to hear about them on radio, ...
Source: The Conversation (Au and NZ) – By Dan Lowry, Ice Sheet & Climate Modeller, GNS Science Hugh Chittock/Antarctica New Zealand, CC BY-SA As the climate warms and Antarctica’s glaciers and ice sheets melt, the resulting rise in sea level has the potential to displace hundreds of millions of ...
The government's plan to reintroduce a three strikes regime is being strongly opposed by lawyers, who argue there is no evidence it reduces crime or helps people rehabilitate. ...
Source: The Conversation (Au and NZ) – By Dan Jerker B. Svantesson, Professor specialising in Internet law, Bond University Do Australian courts have the right to decide what foreign citizens, located overseas, view online on a foreign-owned platform? Anyone inclined to answer “yes” to this question should perhaps also ask ...
Source: The Conversation (Au and NZ) – By Giovanni E Ferreira, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, University of Sydney Last week in a post on X, owner of the platform Elon Musk recommended people look into disc replacement if they’re experiencing severe neck or back pain. ...
Source: The Conversation (Au and NZ) – By David Hayward, Emeritus Professor of Public Policy, RMIT University anek.soowannaphoom/Shutterstock NSW Treasurer Daniel Mookhey caught the headlines yesterday, courtesy of a blistering speech condemning the latest GST carve-up. New South Wales, he claimed, would be A$11.9 billion worse off over the ...
While police are "broadly in favour", the government's proposed anti-gang laws are facing pushback from lawyers, rights groups and former gang members. ...
While police are "broadly in favour", the government's proposed anti-gang laws are facing pushback from lawyers, rights groups and former gang members. ...
By Miriam Zarriga in Port Moresby Australian Prime Minister Anthony Albanese has arrived at Kokoda Station, Northern province, at the start of his state visit to Papua New Guinea. Both Albanese and Prime Minister James Marape will meet with the locals and the Northern Provincial government before they begin their ...
Source: The Conversation (Au and NZ) – By Chris Wallace, Professor, School of Politics Economics & Society, Faculty of Business Government & Law, University of Canberra Shutterstock An important principle was invoked by Prime Minister Anthony Albanese last week in defence of the government’s Future Made in Australia industry ...
By Patrick Decloitre, RNZ Pacific correspondent French Pacific desk Security forces reinforcements were sent from France ahead of two rival marches in the capital Nouméa today, at the same time and only two streets away one from the other. One march, called by Union Calédonienne party (a component of the ...
A poll last August found that just 16% of New Zealanders oppose bringing back the ‘Three Strikes’ law. The nationwide poll of 1,000 New Zealanders was commissioned by Family First NZ and carried out by Curia Market Research. ...
The solo show from Ana Scotney is both sprawling and intimate, and a must-see, writes Mad Chapman. In the opening moments of Scattergun: After the Death of Rūaumoko, writer and performer Ana Scotney lays out the groundwork, literally. Silently moving around the square stage, Scotney is not so much dancing ...
Source: The Conversation (Au and NZ) – By Kate Burridge, Professor of Linguistics, Monash University Who makes the words? Why are trees called trees and why are shoes called shoes and who makes the names? – Elliot, age 5, Eltham, Victoria Good question Elliot! Let’s start with ...
Source: The Conversation (Au and NZ) – By Stephen Duckett, Honorary Enterprise Professor, School of Population and Global Health, and Department of General Practice and Primary Care, The University of Melbourne at amRawpixel.com/Shutterstock Roles of health professionals are still unfortunately often stuck in the past. That is, before the ...
COMMENTARY:By Malcolm Evans Last week’s leaked New York Times staff directive, as to what words can and cannot be used to describe the carnage Israel is raining on Palestinians, is proof positive, since those reports are published verbatim here in New Zealand, that our understanding of the conflict is ...
In the case of New Zealand, the results confirm that there is no popular support for the vicious austerity program being imposed by the National Party-led government, which is backed in all fundamental respects by the opposition Labour Party. ...
The ‘Vampire’ singer has never visited our part of the world, but that might all be about to change. We assess the evidence.Olivia Rodrigo’s Guts World Tour is pulling in massive crowds as it whips around the US and Europe, even helping to catapult regular supporting act Chappell Roan ...
Testing of drinking water in rural Canterbury over the weekend by Greenpeace revealed that several public town supplies were reaching levels of nitrate above 5 mg/L - the threshold which a growing body of scientific evidence has linked to increased ...
Source: The Conversation (Au and NZ) – By Rohan Fisher, Information Technology for Development Researcher, Charles Darwin University It may come as a surprise to hear 2023 was Australia’s biggest bushfire season in more than a decade. Fires burned across an area eight times as big as the 2019–20 Black ...
Responding to the Government’s announcement of changes to resource management laws, Taxpayers’ Union Executive Director, Jordan Williams, said: “These changes are a step in the right direction in terms of removing ideological and unworkable ...
More than two years after the Human Rights Council called for the establishment of a national human rights commission, such a body has yet to be formed. ...
Comment:An emergency management system with wide variations in performance, significant capability gaps, funding shortfalls and above all a setup that is not meeting the needs of New Zealanders at times of crisis. The Government’s inquiry into the response to Cyclone Gabrielle and other severe weather events in the North ...
Welcome to the whirring wonders of one brain trying to align its actions with its beliefs within a system it thinks is evil. My brain has been spiralling in a woke conundrum ever since I found out a bookshop I’ve never been to was shutting down. Good Books, a bookshop ...
We repeat our call for criminal justice policy to be based on evidence, something the three strikes regime neglects to recognise – with no evidence that it either reduces crime or assists with rehabilitation. ...
By Koroi Hawkins, RNZ Pacific editor in Honiara With only four more seats in the 50-member Parliament yet to be officially declared, there is no outright winner in the Solomon Islands elections. As of Monday, the two largest blocs in the winner’s circle, independents and the incumbent Prime Minister Manasseh ...
Two/fiftyseven is a multi-purpose space hidden in the heart of Wellington that is paving a way for sustainable building and responsible landlording in Aotearoa and beyond.By 2060 the world is predicted to double its entire building stock, which equates to building an entire New York City every 34 days, ...
Popstars wasn’t just a reality television revolution, it was also a huge moment for Y2K fashion.It’s 25 years since girl group TrueBliss was formed on New Zealand national television, breaking new ground for both the reality television industry and the shiny clothing industry. With the first episode on NZ ...
Source: The Conversation (Au and NZ) – By Christopher Pepping, Associate Professor in Clinical Psychology, Griffith University Marvin / Shutterstock Are all single people insecure? When we think about people who have been single for a long time, we may assume it’s because single people have insecurities that make ...
Source: The Conversation (Au and NZ) – By William Geary, Lecturer in Quantitative Ecology & Biodiversity Conservation, The University of Melbourne Trismegist san, Shutterstock Landscapes that have escaped fire for decades or centuries tend to harbour vital structures for wildlife, such as tree hollows and large logs. But these ...
Source: The Conversation (Au and NZ) – By Rebecca Gladstone-Gallagher, Lecturer in Marine Science, University of Auckland, Waipapa Taumata Rau Shutterstock/S Curtis Why are we crossing ecological boundaries that affect Earth’s fundamental life-supporting capacity? Is it because we don’t have enough information about how ecosystems respond to change? Or ...
Source: The Conversation (Au and NZ) – By Matthew Crocker, PhD Student in Economics, Deakin University Here’s something for the board of the Reserve Bank of Australia to ponder as it meets next month to set interest rates. It has pushed up rates on 13 occasions since it began its ...
As part of our series exploring how New Zealanders live and our relationship with money, a charity director outlines how she’s saving for retirement and buying secondhand. Want to be part of The Cost of Being? Fill out the questionnaire here.Gender: Female Age: 45 Ethnicity: Pākehā Role: Charity director, mum of ...
Source: The Conversation (Au and NZ) – By Sophie Yates, Research Fellow, Crawford School of Public Policy, Australian National University Many Australians with disability feel on the edge of a precipice right now. Recommendations from the disability royal commission and the NDIS review were released late last year. Now a ...
It’s been called a failed experiment and a judicial straightjacket but the government says the revised three strikes law will be a more workable regime, writes Anna Rawhiti-Connell in this excerpt from The Bulletin, The Spinoff’s morning news round-up. To receive The Bulletin in full each weekday, sign up here. Three ...
New Zealand’s Palestinian community and Palestinian Youth Aotearoa are voicing alarm and disappointment with the lack of factual rigour present during the Israeli Ambassador’s appearance as a guest on TVNZ’s Q+A With Jack Tame Sunday (21/04). ...
Both ACT leader David Seymour, who played a key role in drawing up the assisted dying law, and hospice leaders say it's time the legislation was changed. ...
Public submissions on proposed gang control laws are being heard today. Rising gang membership has been cited as rationale for a crackdown – but what do we actually know about how many people belong to gangs in New Zealand?What’s all this then?A rise in the number of gang ...
Climate activists are setting their sights on an unpopular target, and hoping to bring lots of the public with them. It’s hard to miss the Majestic Princess: the enormous cruise ship, docked at Auckland’s Prince’s Wharf, looms over the nearby buildings. The ship, which can fit nearly 6,000 people, ...
Opinion: Making sure developers, local and central government, and landowners are all on the same page makes sense The post A new kind of city deal appeared first on Newsroom. ...
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https://www.stuff.co.nz/national/130408721/we-are-in-crisis-says-ed-whistleblower-who-claims-10-shifts-every-24-hours-vacant
this is very very serious. Little needs to front
no tertiary debt repayment required while working in public health (nurses/doctors – and make it zero after 10 years).
have a plan to increase wage levels in public health to the Oz wage (year by year over 10 years).
"no tertiary debt repayment required while working in public health (nurses/doctors – and make it zero after 10 years)."
Also, while training, receive a weekly payment of $300. No need to pay it back if still working after 5 years.
He needs to front? Not again …
naked painting of Andrew Little. Big no thanks.
little has to take responsibility for this catastrophe and the lives lost.
remind me again of how much money NZ health has cost and what it has achieved?
What catastrophe are you blathering about. Covid?
Or are you saying we should not bother to modernise and upgrade our health infrastructure and let it continue to rot like the Nats did??
And you've accused Little of "lives lost". Evidence please.
It doesn't matter how modern the equipment or how flash the new logo will be.
If Little adheres to the same neo-liberal playbook;
play hardball in the pay parity negotiations,
out-source the training of staff (immigration),
have bean counters and accountants run the hospitals
and continue the race to the bottom attitude with sub-contracting food, security, laundry, IT and maintenance, not a lot will change.
Squandering a once in a lifetime opportunity to make real change…
The NZ public health sector has 80,000 staff, making HealthNZ/ Te Whatu Ora the largest employer in Aotearoa. Getting the IT systems aligned is a big part of the reforms. Your resentment of recruiting skilled workers is weird. I don’t get your problem with contracting out various services either.
The “opportunity for real change” is being realised. The end goal is to cut waiting lists and balance health services across Aotearoa as effectively as possible by working together instead of 20 separate DHBs
https://en.m.wikipedia.org/wiki/Health_New_Zealand
Their aims are impressive Roblogic. Meanwhile back at the coal face wait times are increasing because the Minister is failing to settle the pay dispute, nurses are burnt out and will look to go to greaner pastures.
The minister should have made his one and only priorty fixing the workforce shortages. Until that happens our health system will remain at crisis
If recruiting experienced workers from overseas worked, we wouldn’t have the issues we have now as this has been the tactic for the last few administrations. Also our health staffing should reflect our population ie more Māori and PI, we don’t need more UK, Phillipino,Indian staff.
Let’s face it, not training/upskilling is a consequence of neo-liberal thinking. witness hospitality and construction industries. Staff are seen as an expense, a cost rather than an asset to be invested in.
As for bringing support roles in-house l, it’s a wonderful way to build a resilient workforce where loyalty and a sense of belonging can be nurtured. Some hospital food contracts are about frozen food being delivered from outside the district and reheated. Hardly ideal for folk that are convalescing.
The whole ‘efficiency’ argument is akin to trickle down.
No comment on the Health Minister’s lack of enthusiasm for settling the pay parity?
Not sure what you mean by that. In hospitals and other medium-large complex organisations people on the ground and at the lower/lowest management levels pick up most of the slack caused through inefficiencies. Often, they don’t realise it or just accept it as ‘par for the course’ or as ‘part of the job’ but it can take up a significant portion of their time, energy, and efforts and thus acts as a drain on primary and vital resources. Even worse is when they must actively battle the system and try ‘repair’ or ‘clean up’ the mess caused by inefficient organisational management. A top-heavy management and bureaucracy is both cause and effect of intrinsic problems with(in) the organisation.
Just that efficiency was cited by Chicago School acolytes as a reason for out sourcing.
I hear what you say about workers battling the system. I live with someone with a moral injury.
Sorry to hear that, but IIRC I already knew that, right?
Cheers, I have talked around the moral injury.
Things are better, being in a different environment, maternity.
I didn't say 'efficiency'
I said 'effectiveness' … i.e. delivery of good outcomes for patients & whanau
Nothing wrong with either, unless 'efficiency' is taken to the extreme end of cost-cutting madness (per Elon Musk)
"What catastrophe are you blathering about?"
Perhaps I should quote the whistleblower from Rotorua Hospital
"We are facing extrem staff shortages. We are currently 13.89 FTEs down and increasing, that is equivalent to 140 shifts a fortnight in gaps"
"While Daniels (nurses union) declined to discuss any specific hospital or department, she said that NZ is short of 21,000 nurses….patient risk increases without the right nursing staff in the right areas"…" asked toperform as before "in dangerous situations", with ED full, but not enough nurses"
From Stuff 22 October 2022 (will try and post the link)
"The patient left the ED and deteriorated shortly after leaving and returned to Ed where they were seen immediately. Sadly the patient did not respond to medical treatment and they died the following day….ED was very busy during this period which meant wait times were longer than usual"
And from Stuff 24th August 2022. "The findings from an investigation into a patints death at Middlemore Hospital emergency department in June highlight the extreme pressureit had been operating under due to staffing shortages and surging patient numbers. ……The patient arrived at MM ED with a severe headache and was told it would be hours before she could be seen and she left…..she returned to the hospital some hours later in an ambulance having experienced a massive brain haemorrhage and died the following day"
There have been more of these cases.
But by all means pat Little on the back for putting all his time and energy into a shiny new bureacracy. When the ship is finally turned around (Health NZ estimates it will take 5 years to see any real change, don't be surprized if you find there is no health system…….those people who are the health system, you know people who treat you if you are sick will have buggered off to somewhere where they are well treated (rather than having to fight for the pay and conditions, while being told their is racsim in the Health system and they must "reflect" on this).
BTW Ian Powell, the former Executive Director of Salaried Medical Specialists, writes extensively on the state of our Health System, and in one of his columns he recounts how in 2017 he spoke to David Clark about what needed to happen in the health sector. He told David there were three problems: workforce shortage, workforce shortage and workforce shortage. Labour have had five years on this.
Shane Reti spoke well on Q and A about what he would do to fix the health service. Clear concrete ideas. I posted it recently.
These problems are not unique to New Zealand. Health is always a huge issue for public-minded governments, pandemic or no.
USA: Health systems buckle under latest surge of COVID hospitalizations | PBS NewsHour
Australia: Public Hospitals under pressure | Australian Medical Association (ama.com.au)
UK: NHS workforce shortages and staff burnout are taking a toll | The BMJ
Like a habadasher, you're working on your material.
Comparing the U$A health system with ours, then calling them public minded.
Excellent stuff!
Yes. As opposed to the deliberate bald faced lies and Covid coverups of the Trump administration.
Just circling back to the matter we were discussing before your confetti of links, any thoughts on Little's approach to his workforce?
Well, it was formally launched just over 4 months ago. Your question is rhetorical and/or unanswerable as it stands, and IMO it does not easily lead to anything useful.
https://en.wikipedia.org/wiki/Health_New_Zealand
Huge change process. Turning a supertanker, etc. Wasting our time with anyone who refuses to learn the basics before flapping their gums.
Sacha this was my response to Roblogic which I have copied and pasted in response to your comment about "flapping their gums". I made the assumption that this refers to me.
I often find on the Standare when people use such puts downs it is because their argument is weak.
"What catastrophe are you blathering about?"
Perhaps I should quote the whistleblower from Rotorua Hospital
"We are facing extrem staff shortages. We are currently 13.89 FTEs down and increasing, that is equivalent to 140 shifts a fortnight in gaps"
"While Daniels (nurses union) declined to discuss any specific hospital or department, she said that NZ is short of 21,000 nurses….patient risk increases without the right nursing staff in the right areas"…" asked toperform as before "in dangerous situations", with ED full, but not enough nurses"
From Stuff 22 October 2022 (will try and post the link)
"The patient left the ED and deteriorated shortly after leaving and returned to Ed where they were seen immediately. Sadly the patient did not respond to medical treatment and they died the following day….ED was very busy during this period which meant wait times were longer than usual"
And from Stuff 24th August 2022. "The findings from an investigation into a patints death at Middlemore Hospital emergency department in June highlight the extreme pressureit had been operating under due to staffing shortages and surging patient numbers. ……The patient arrived at MM ED with a severe headache and was told it would be hours before she could be seen and she left…..she returned to the hospital some hours later in an ambulance having experienced a massive brain haemorrhage and died the following day"
There have been more of these cases.
But by all means pat Little on the back for putting all his time and energy into a shiny new bureacracy. When the ship is finally turned around (Health NZ estimates it will take 5 years to see any real change, don't be surprized if you find there is no health system…….those people who are the health system, you know people who treat you if you are sick will have buggered off to somewhere where they are well treated (rather than having to fight for the pay and conditions, while being told their is racsim in the Health system and they must "reflect" on this).
BTW Ian Powell, the former Executive Director of Salaried Medical Specialists, writes extensively on the state of our Health System, and in one of his columns he recounts how in 2017 he spoke to David Clark about what needed to happen in the health sector. He told David there were three problems: workforce shortage, workforce shortage and workforce shortage. Labour have had five years on this.
Shane Reti spoke well on Q and A about what he would do to fix the health service. Clear concrete ideas. I posted it recently.
It was a general observation. Wrestling pigs, etc
My point is Incognito, that restructuring the bureacracy should have been the lowest priority, in a pandemic and when we are facing the workforce shortage we have.
If you have time read my response to Roblogic above. It outlines what a catastropic situation with are in.
You completely ignore the inefficiencies & duplication in the current system that’s hopelessly fragmented and is wasting huge amounts of money and time of good people on bureaucracy & ‘management’. You also ignore the need for better coordination and sharing of epidemiological intelligence in future pandemics. Your approach is to let this haemorrhaging continue until and only after we’ve fixed all the other issues. The best approach is, IMO, to do both because both must be done simultaneously, although on different time scales. The many huge workforce issues (e.g., recruiting and retaining skilled staff where they’re needed most) are not even unique to NZ, partly because this nation competes for skilled healthcare workers on the global market, but the structural reorganisation is specific to this country.
I would never say the old DHBs were great and all was good. However they served us well enough during Covid.
The main issue I give upmost priority to is the health workforce staff. Recruiting and retaining them and keeping them safe in their work environment.
Can you give me some examples of the duplication and time wasting in the old DHB system.
I have a close contact who worked in the old system and now Health NZ.
This person is quite high up. They say that Health NZ is in a complete shambles and in their opinion is unlikely to achived equity (I realize that is only their opinion, but I do value it).
There was another article in Stuff recently where senior Drs said all they have noticed so far from the health reforms was a change of logo.
I am not entirely against health reforms, but during a pandemic? I seem to recall one Minister saying that one reason Ashleigh B left is because he didn't have it in him to manage the reforms.
Having worked in the health system many moons ago, I know that things that happened in Wellington have very little impact on what we did (as long as we had adequate staffing, good mentoring and the chance to do meaningful professional development). Adequate staffing (as there was back then, ) allowed us to get on a do our best work.
Health professionals are exhausted.
Look, if you don’t read the comments made here then replying to you is just a waste of (my) time.
IT has already been mentioned. The DHBs have their own IT
fiefdomsdepartments.Procurement is another obvious candidate for centralisation.
The provision of very highly specialised medical services in and by only a few lead DHBs should be coordinated (and funded) through one national agency instead of individual DHBs and MoH.
These are just a few high-level examples, and I could go on …
I can speak a bit about IT.
Yes the various historic health boards all have their own legacy IT systems. None of which speak to one another (which is why hospital patients being transferred from one hospital to another – even within the same historic health board (e.g. Waitakere and North Shore) – come complete with a paper dossier (it's the folder you're given to clutch as they load you into the ambulance – OK, sometimes the ambos keep it, if you're really sick)
https://www.nzherald.co.nz/nz/functionally-obsolete-it-system-at-auckland-hospital-to-be-scrapped/2KWD4MTSLNWCGSGKQTWXLHCXGU/
The IT companies (mostly international) are rubbing their hands with glee at the prospect of a nation-wide IT system in health. Millions (if not billions) of dollars, and a multi-year implementation plan (migrating legacy data is not a trivial exercise). The dollar signs are lighting up all over.
In the meantime – each IT department will absolutely need to retain their own staff (in order to keep their own legacy systems operational – we saw the disaster at Waikato when they went down). AND they will have to hire new staff to participate in this major project (potentially they'll hire the new staff to run the legacy systems, and transfer existing staff to the project – but it all means more FTE)
This is a state-of-play summary from 2020. It seems highly unlikely that anything has significantly improved since then.
https://www.rnz.co.nz/news/national/418645/hospital-stocktake-shows-14b-in-upgrades-required-and-outdated-it-systems
Poor and outdated systems – mean that users and administrators are highly motivated to change (not to be sneezed at, institutional inertia is always a drag in projects) – but it also means that legacy data is likely to be difficult to extract, validate and export/import.
Possibly, 10-years down the track when everything is bedded it, the IT dept FTE will decrease. But it certainly isn't going to happen sooner.
I can't speak to procurement – but I will note that all of the procurement, and service booking systems are run off the IT core – so with fragmented IT systems, it's going to be a devil of a job to co-ordinate effectively across the whole of the new health system.
It'll be a bargain anyway compared to this one.
https://www.theguardian.com/society/2013/sep/18/nhs-records-system-10bn
Are you saying that they’re cursed when they do and damned if they don’t? It’s a little unclear …
Thanks Belladonna.
Yeah, cheers Belladonna, good insights.
Sure, but it came at a price.
Contact tracing across the DHBs was not centrally coordinated and neither was there proper oversight of the number of ventilators or ICU beds.
I don't argue with the need for IT upgrades.
What I am saying is that the health workforce is in utter crisis (that is why I continue to post articles about it). If you don't have a well resourced health work force, you have nothing.
The health work force has been saving lives and treating people, long before the internet.
It is not an either-or.
Have you been to the GP and/or Pharmacy lately? Have you noticed their computer screens? Have you had an MRI or CT-scan done lately, or an ECG? Computers, software, and IT systems make that work. Do you know that medical records are increasingly becoming digitized, including test results, prescriptions, DNA sequencing data, image data & processing, treatment planning (e.g. radiotherapy), et cetera? Do you know that making appointments and internal bookings (rooms, equipment & materials, people) rely on automated booking systems? Do you realise that stock & storage are now computer-controlled? Have you heard of tele-medicine or Zoom consults? And when was the last time you paid cash at the doctor’s?
We don’t live in the 20th century anymore and this is not just about stitching up people or plastering arms.
I struggle to understand why we are having to repeat the same stuff over and over to an allegedly left leaning crowd, underneath a red standard.
Doubly so with a majority MMP government and a firmer union man as Health Minister.
Completely agree Gsays.
Its very obvious to me that the most pressing priority is the health work force.
Everyday there are articles in the major news sites about the state of the workforce. Today an article about a patient who had a long wait attacking another patients and abusing hospital staff. Shouldn't the Minister be putting out a statement that this is completely unaccepable? And a few days back staff in Chch being attack by a patient.
They don't seem to care a dam about the health work force
Yawn. Get some new material. Labour has made more progress in the Health portfolio than National could be bothered with in its 9 years. Nine years of pay freezes and waiting lists cut for no reason apart from political convenience.
When I busted my arm in early 2020 — a severe break needing surgery — I couldn't even get an *appointment* at Orthopaedics in Whangarei. Went to Auckland instead and finally got someone to look at the damn X ray, they said "oh" and rushed me in to surgery – about 9 days later.
The DHB system sucked
"Yawn. Get some new material. Labour has made more progress in the Health portfolio than National could be bothered with in its 9 years. Nine years of pay freezes and waiting lists cut for no reason apart from political convenience."
Damning with faint praise there rob.
`
from https://figure.nz/chart/c77PxswJK8z1pA2u
All that money but not enough for pay parity, maybe it's just a lack of will.
I don't argue with the need for IT upgrades.
What I am saying is that the health workforce is in utter crisis (that is why I continue to post articles about it). If you don't have a well resourced health work force, you have nothing.
The health work force has been saving lives and treating people, long before the internet.
Please stop making duplicate comments; one suffices.
Yes so much has improved under Health NZ……( I am sorry to have to stoop to sarcism here)
But really that you couldn't get an orthopaedics appointment in Whangarei. That is my whole point. If we are short of health professionals and there is a the sort of crisis we are seeing as I have documented, then that is where Andrew Little's attention needs to go. Now
That was an example from 2.5 years ago, before Covid, before any reforms. Unbalanced
Heaven to hell in 24 hours in cryptoland.
https://twitter.com/FTX_Official/status/1589680515426443264
https://twitter.com/BloombergUK/status/1590112813552668673?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1590112813552668673%7Ctwgr%5E97b2cf58bcb0b8215c5fcde79a9f8ef7d6b305a8%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Fpublish.twitter.com%2F%3Fquery%3Dhttps3A2F2Ftwitter.com2FBloombergUK2Fstatus2F1590112813552668673widget%3DTweet
While I'm here, go Captain Kane and the team. Semi-final vs Pakistan @ 9pm.
Even though the alarm goes off at 5.15, I aim to watch the game.
Yes Go the Black Caps.
My heart is still in my mouth watching the BCs!
nice to see good change.
https://twitter.com/wekatweets/status/1590254424404164608
https://bitcoinhackers.org/@mastodonusercount/109312790443967410
What's happened in the US today?
https://twitter.com/0liviajulianna/status/1590225340697579522
Guess where the job losses are coming from.
https://twitter.com/michaeljburry/status/1588612303926087680?cxt=HHwWgMCi1aee8YssAAAA
https://twitter.com/monitoringbias/status/1589976029187244033
those are extraordinary figures, but my first question is how do they know?
From open secrets in US.Also good at tracking donors in the so called super pacs.
Another one is unusual whales who tracks large donors,and politicians investments .(via Bianco research).
https://twitter.com/biancoresearch/status/1589821335227990016?cxt=HHwWgIDQ6ZiFl5AsAAAA
SBF is the owner of multiple exchanges and hedge funds all connected (he has lost 15b$ overnight) and Crypto is now in full meltdown as everyone runs for the exits.
https://twitter.com/MuellerSheWrote/status/1590240093482409984
is that pattern a habit of US voters? Vote for the party against the president to balance power?
I think midterm election results usually reflect presidential approval ratings. But this time the alternative appalled an awful lot of voters.
https://www.presidency.ucsb.edu/analyses/the-2022-midterm-elections-what-the-historical-data-suggest
Incredible
https://twitter.com/xruiztru/status/1589622943122075650
Do you see the utterly regressive and sexist nature of gender ideology yet? And why so many women are saying no. (see if you can separate the ideology from transness)
https://twitter.com/helenstaniland/status/1590267659903709185
3 types of "trans"
1. Children… 100% caused by parental influence (munchausen by proxy)
2. Adolescents… 99% caused by social media and psychological problems
3. Adults, usually male to female.. very likely caused by pr0n and sexual fetish aka "autogynephilia"… the most toxic aggressive and vocal of the 3
None of the above have any basis in biology, unlike actual intersex/DSD related.
how do you explain fa'afafine?
If you're going to include AGP in your analysis, then Blanchard himself (who developed the definition) says that not all transwomen are AGP.
Your comment is incredibly dismissive, pathologising many people who are gender non-conforming.
Much of human experience isn't based in biology in the way you inply, but it still has meaning.
While it may be unkind to view adult behaviour and lifestyles as pathological, it is much worse to channel children into a lifetime of dysfunction and difficulty because of a phase or a fad.
"Self Love not Surgery"
(ps. I support gender nonconformity but not the present TRA movement, which looks a lot like MRA in drag)
Trans is a western concept of categorizing people who are not living their 'sex' as prescribed by society – with the end goal of medically and surgically modfying bodies for the supposed mental wellbeing of the people identified as trans and the very handsome profits of the medical industrial complex. Trans creates people who will end up living their lives totally and utterly dependent on the medical complex, much like a person who is type 1 diabetic is
livelong depended on government to setting affordable prices for insulin.
Fa'afafine is the concept / word for categorizing people who are not living their sex stereotypes in the Samoan culture, but as far as i am concerned they are still male, still play sports with the men, physically stay men, but live their lives in a societal fashion more attributed to females.
I would never even consider comparing the two as they are very different.
I doubt that there is a movement in Samoa trying to remove the word mother/woman from people with the ability to get pregnant, stay pregnant and then ‘birth’ a child. While here in our western world we are very much agitating to remove the word mother – implying ownership over the child to a term that could literally be a job describtion. Birth giver, birthing person, birthers – which implies one is doing a thing, but implies no ownership. After all a dog / cat / horse / dairy cows are all birth givers.
In fact maybe our western social concept of trans could learn some from the Samoan concept of Fa'afafine – like a women vs trans – is a woman no different at all to the things we no longer want to call women in order to not be offensive to people who want to be men and the people who want to be women.
"how do you explain fa'afafine?"
Fa'afafine is a descriptor of those that exhibit certain behaviours within the Samoan culture. Unlike the TWAW mantra, they are recognised as men. That clarity is significant. The fact they are now used as legitimacy for current gender ideology is through convenience not accuracy.
"Your comment is incredibly dismissive, pathologising many people who are gender non-conforming."
Given the ever increasing numbers of behaviours and groups sheltering under the trans umbrella, I think this is an understandable overreach, but one that still could apply to a significant percentage the third group roblogic identified.
As you clarified those who are just gender non-conforming, will most likely not be AGP.
This subject is such a minefield, ripe for misunderstanding to blow up.
I am happy to see people living free from gender stereotypes.
I am not happy to see young people rejecting their natural bodies and attempting to conform to an opposite stereotype via drastic surgery and dangerous doses of hormones.
Research into the causes of gender incongruence isn't "pathologising" people, it is exploring why they exhibit these behaviours. Understanding leads to compassion, and might open up new treatments for those who choose it.
Now this we do agree on Roblogic.
I think Blanchfield also talked about the passive male to female trans, who had identified with female gender stereotypes as a young child and wants to be a very submissive "woman"
Tech correction continues with Meta transferring 13% of staff to the underverse,after loosing investors 211b$ so far this year.
https://twitter.com/business/status/1590302225355919360?cxt=HHwWgMDSvdfc8ZEsAAAA