A more telling graph would be the money spend directly on healthcare vs money spend on the reform of the department of health, the DHBs and other new and improved burocracy. National did underspend or refuse to fund, and Labour spend the last year re-creating NZ Health in what hopefully will be a better system then the DHBs.
So in essence how much did N spend vs L say on recruitment of nurses and doctors? How much on renovations of fixed assets, how much on new machines / what machines and then how much was spend on consultants.
I posted the link a few weeks back. Can repost if required.
The question is, is our health system in better shape now or pre 2017 Labour govt?
Even factoring in covid, its pretty clear it is in a worse state. My evidence for this is the almost daily articles about Dr's, nurses saying they are at breaking point. I have posted many links on this in the past few weeks.
So how long do you think it takes to train up doctors and nurses to be able to compitantly work in critical situations such as Ed and ICU? And how long does it take to rectify 8 years of neglect in health infrastructure and capacity?
I have posted before Macro about what Dr Ian Powell says in his columns (former head of the Salaried Medical Specialists).
When Labour came in, he told the then Minister of Health, David Clark, that there were 3 problems facing Health in NZ. Workforce shortage, workforce shortage, workforce shortage. That was over five years ago. Had Labour of acted on this, we would now have trainees graduating or even with one or two years under their belts in ICU and ED. Last week we heard that Andrew Little was finally considering paying student nurses for their placements, after the NZNO had been suggesting it for sometime. I have posted here previously at least two articles about student nurses feeling highly stressed and contemplating not completing their training. Some of the reasons being have to travel big distances to do their (unpaid) hospital workforce training and receiving no petrol money or assistance with parking. I also posted an interview with Shane Reti on Q and A and as I recall, he talked about having had costing down for a new medical school. Many GPs are reaching retirement age.
Andrew Little has prioritized a health restructure during a pandemic, rather than addressing the workforce issues. NZders will pay the price
Can link to previously posted articles if requried.
prioritized a health restructure during a pandemic, rather than addressing the workforce issues.
You know one of the reasons for the Health restructuring is simply to address the issue of stretched resources and inequitably distributed resources (ie access to health determined by post code rather than need) – but you knew that anyway.
hold a current practising certificate and must have three years’ equivalent full time practice in the area they intend to prescribe in with at least one year of the total practice in New Zealand;
To simply blame the current govt for the run down state of NZ Health is simply blinkered and partisan. The previous Nat govt, with their persistent under funding of Health (as clearly seen from the graph above) resulted in NZ's Health service ending up in a parlous state. It will take years to turn that around. Hospitals (eg Whangarei's) completely unfit for purpose. The low payment of Health professionals has resulted in large numbers flocking offshore. We staff our hospitals and aged care facilities from lower paid countries off-shore. Once re-qualified and NZ citizens they then depart to higher paid positions in Australia America Canada and UK). My son-in-law as evidence.
Hmmm I well remember the 2007 Nat advertisement "Stop waving goodbye to your loved ones!" Well no sooner were the Nats in power than they changed the provision for aftercare of those suffering brain injury. 100 specialists dealing with such conditions were immediately out of a job and nothing for them in this country. So Aussie just got 100 qualified specialists, just like that – my own family are never going to return. Now running 3 small hospitals in Perth.
I am not claiming National did a great job in terms of heath in NZ. Although I do believe Shane Reti would make a great Minister of Health or even PM>
Labour and Littles focus should have been on the training and retention of staff and the importation of the health workforce from overseas. This involves everything from settling pay disputes, increasing pay significantly and valuing the workforce rather than being in denial that public health is in crisis as Andrew Little does
Setting up Health NZ has inevitably put them behind as you don't just set up a new agency and its all good to go. As I mentioned before my contact at Health NZ tells me it is chaos and in their considered opinion it won't achieve the goal of equity.
What is the health system? If. you get sick with a broken leg, cancer, a heart attack, an autoimmune disease, have a car accident etc, etc who do you need to be there in adequate numbers. The people with skills, training and experience. Not the bureacrats.
One of the articles I posted recently quoted a group of Drs who said the only change they have seen from the re-structure is the new logo.
But go ahead believe the bureacrats will make all the difference. Having worked in health in the 1990s I can tell you that what happened in Wellington made absolutely no difference at all. As long as our staffing levels were o.k., it all rose and fell on the expertise and clinical competence of the nurses and Drs and other allied workers at the coal face.
Mmmmm those faceless 'bureaucrats' are always worth a bash aren't they?
Would the critics of everything to do with the health sector and reforms be able to cobble together an argument without having access to these people to criticise? When I worked in the health sector the 'bureaucrats', but we called them staff rather than the pejorative, that were absolutely relied on at a high level were
clinical coders
work flow analysts – needed in looking at ED and out patients work
accountants with a specialty in health accounting
waiting list case managers
Then we have the bureaucrats staff that any large organisation can not do without:
payroll
HR
supply/stores management
info tech people including librarian type people who specialise in (health)
Te Whatu Ora (Health New Zealand) told the union it would not allow newly graduated doctors to start working in hospitals until next year, NZRDA national president Dr James Anderson said.
Anderson said Te Whatu Ora cited supervision and orientation concerns as the reason why.
It “makes no sense”, he said: “We have a workforce we so desperately need, qualified, ready and willing to work, and yet Te Whatu Ora won’t employ them for another two months.”
Anderson said the “excuse” of supervision and orientation concerns, “is in our view, exactly that”.
It seems Health NZ is the obstacle here. So rather than helping the over worked Drs in crisis they are an impediment. But of course the Professional Managerial Class think they know best
While I understand your concern re staffing it does the cause no good to leave off some points, these were in the article that you attached.
a) the proposed changes were discussed/consulted on
'A spokesperson for Te Whatu Ora said the 20 DHBs that previously comprised Health New Zealand went through extensive consultation before the change was put in place, to strengthen training, staff welfare and services to patients.'
b) the overriding reason is this
'He said the shift from November to January enabled newly-appointed first-year doctors to be supported into practice, particularly with more senior staff on leave over the Christmas and New Year period, and ensured new graduates got a break before starting their careers.
“New Zealanders can have confidence that, as in previous years, this will not affect our ability to staff services over the holiday period.” "
I have lived next door to one of those senior orthopaedic surgeons who trains new staff, for many years. He often has some time off in Dec/ January. Apart from a little time with both sets of elderly parents he is usually at home doing things like building a new deck, blobbing out, going to outdoor concerts etc etc.
Even though he is on leave when there are huge numbers or complex injuries to road accident victims he is on call and about 90% of the time during these holidays he is called in.
NZers regularly drive their cars into each other, into bridges or power poles over the break. When the remaining staff cannot deal with the injuries he will go in to operate. Having done this he then goes in daily to check on the patients he has operated on.
Last Christmas/January break he was flown to Chch, while on leave, to help operate on badly injured road accident victims. Having done this he stayed down there to be on call for his patients for a week.
The point about letting newly graduated doctors have a break is also valid. Up until now many would have had minimal time off as most would work over the long break.
Spoken with the voice of experience. I had a very minor involvement with a govt workforce/clinical training group for health.
From this I am left with the view that it is never as clear cut as the various groups say, they exist to push their causes and that is OK but we should not forget it. Many of the groups are single issue and do not understand how all the bits fit together in clinical training in the health sector.
Stability of government is hugely important. Health is regularly used as an election issue and during this time there is wastage in terms of gearing up and down to meet a new govt's ideas. Health by the long nature of its training and long time frames on other issues, is a bit like trying to turn an ocean liner on a coin. It takes an age.
Access to health services via post code is a happening thing. Although not as bad as prior to the 1990s the cries for every DHB to have the latest health bauble (not based on need) are never-ending.
And make no mistake some health specialties are more 'sexy', as they say, than others. Some DHBs are keenly aware of this and waste no time in seeking funds for latest 'thing' when population based funding based on the actual needs of their populations is ignored. So we find that, as your family has, that painstaking and often long term rehab for the brain injured is not valued.
Back in the 1990s linear accelerators were the 'thing' and every hospital wanted one, regardless of need based on demographics. Trying to persuade people that if they paid attention to their populations ie to the demographics they wouldn't need linear accelerators fell on very deaf ears.
Looking after Maori child health was just not 'it', even though the chance existed to become a centre of excellence and a leader in the field.
The backbone of the health work force are Baby Boomers at or beyond retirement age. That's the cause of the workforce shortfall, same as in Education and other professions. Think about it !.
100% tsmithfield. Except I would say, as I have said on this site before, they should never have gone ahead with the re-structure.
This is only heresay and one person’s opinion, and so I can’t provide any links etc. A friend works quite high up in the new Health NZ. She says it is absolute chaos and that she doesn't believe it will achieve equity.
I really only came to appreciate Fleetwood Mac later in life – and the remarkable McVie herself. Few people have the privilege of leaving such a well loved legacy.
What I can’t work out is if the Covid wage subsidy was less than the normal income for most recipients surely the lower amount of spending was not inflationary and then when things like spending stabilised the effects of the two regimes should be considered as a whole over the Covid years and those subsequent years giving us an average over say 5 years which should not be hugely inflationary. So what is the panic, we are just catching up and the resulting yearly total should be no different wether Covid happened or not.
Is this another classic example of Economics Trivial Pursuit, one question, 1000 correct answers?
I think the inflationary aspect, if any, was that businesses were propped up that otherwise would have failed as business failures have actually declined. The loss in GDP was also pretty small in the end as businesses adapted to trading in the Covid levels, even level 3, and the government avoided level 4 until Delta arrived, so the macroeconomic impact from Covid restrictions ended up being minimal, particularly compared to forecasts earlier on.
If this baby is removed from hospital today as the mother is threatening to do and the baby subsequently dies, it is easy to see what will happen. They, and their fellow anti- vaccine conspiracy theorists, will blame the death on the Ministry of Health and the Government.
I listened to part of the Sue Grey interview with Corin Dann this morning. It was hard going. The woman was appalling. Full of ‘mis and dis’ information.
I really don't think these people should be interviewed on public radio or TV. They have nothing of worth to offer.
That's why these conspiracy theorists are dangerous and should be constantly regarded as such by the authorities. It’s why they should not be given air time.
Why only the Covid vaccine – what about flu, HepA, HepB, shingles, measles, human papilloma virus, cholera, rabies, polio, mumps, tetanus, diphtheria etc? Many blood donors will have had one or more of these vaccines – actually most donors, if you look at the NZ Vaccine Schedule.
It is largely political – aimed at painting centre-left governments as authoritarian enemies of freedom, when the opposite is true. One question is whether it is a genuinely spontaneous derangement, or if there's money behind it.
I had pondered why only Covid. If I was going to get down a rabbit hole about vaccinations and possible lingering effects in the blood I would go for one of those where attenuated parts of a disease were injected…… eg TB etc.
They are crackpots and it is terrible that they are using the life of a wee baby who is not able to speak for themselves to further their views. It also espouses a view about babies being 'owned' by their parents that I disagree with.
Fortunately, the system is quite practiced at this. For years, the hospitals have had to deal with adherents of religious cults like the Jehovah's Witnesses who do not believe in blood transfusions. While adults can give consent – children cannot, so these children regularly get made Wards of the Court so that they can get the lifesaving procedures they require.
Yes I have heard about those wards of court processes for children.
I have wondered how the children are treated by their religious parents after, if they have received life saving transfusions. So whether there is a difference in the treatment/care/attention/love they receive from their parents.
It breaks my heart reading about people who place adherence to creed, belief or religion above their children's lives etc.
I have long ceased to try and fathom the thought processes of religious and other cultists. I have a good friend who is married to a Jehovah's Witness husband. We went to my friend's 70th birthday party some years ago. Her family had to pretend it was a house warming party for the house they moved in to 2 years previously as the husband would refuse to go to a birthday party. Imagine the sort of religious indoctrination that does not let you go to your wife's 70th birthday party. Once he shuffled off to some church thing the "Happy Housewarming" banner came down, and the "Happy Birthday Mum" banner went up.
There's money behind it alright – most of it off-shore.
And yes its political. Just like the climate denial thing was for decades. One of the reasons the world is heading for climate catastrophe is directly due to the influence of the deniers who were given carte-blanche by irresponsible media channels to spread their crackpot theories far and wide.
Why only the Covid vaccine – what about flu, HepA, HepB, shingles, measles, human papilloma virus, cholera, rabies, polio, mumps, tetanus, diphtheria etc?
Which of those are mRNA vaccines? Which of those were developed in less than 12 months?
mRNA vaccines do not use attenuated actual viruses. I don't think the length of time of development has a role or is important. Do you know how long the others on the list were under development…..?
You have asked some odd questions. Are these relevant to the willingness to effectively withhold medical/surgical treatment from a wee baby? If so in what way?
Which of those were developed in less than 12 months?
mRNA and it’s functions were discovered in 1961, clinical trials of mRNA therapeutics began in 2009 and the first in-human mRNA cancer vaccine trials were in 2017.
Heavens, she is not very articulate is she? It is hard going. Surely she should do, just as Luxon should do, work to find out info to rebut the type of questions an interested lay person would ask. I wonder if she is more used to taking court cases on the papers rather than orally.
So a case of myocarditis came about as a very uncommon reaction. Is she trying to say that blood from a healthy person/s who does not have any risks is going to get in and whip up a case of myocarditis? If so she is sadly lacking in knowledge about how vaccinations work and how the Covid ones in particular work.
'A medical expert believes another baby in a similar condition to one Health NZ is trying to seek guardianship for would've been treated by now.' Meanwhile the date for the hearing is set for 6/12. Terrible delays caused by the parents' stance.
That poor baby, with no voice except that of it's deranged parents, could well die to make a political point!
There should be some way, made clear to the parents and their supporters, that an adverse result (to the baby's health) would result in charges being laid. Sue Grey and Liz Gunn, in particular, should be held liable, in some way, for what happens.
"Donated blood is tested and separated into different blood components; red blood cells, platelets, plasma etc. These are aggregated and when a transfusion is called for by medical professionals, these blood products are supplied depending on need. When someone receives a transfusion the blood doesn't just come from one donor, it is a recombined from the various collected components.
The practice of direct donations from a singular donor, or donors of the parents choice, is not recommended by Doctors or the New Zealand Blood Service."
If you had been listening to Grey's side of the debate, the different blood components or the number of blood donors aren't what is holding up the surgery.
Corin certainly was shouty, mauī but Sue Grey presented very poorly, imo. She dragged into what might have been a useful interview, heavy baggage that triggered Corin sorely and she should have known better. There was the potential for genuine empathy to be fostered, but she failed to cut to the chase. I wouldn't want her defending me anywhere for anything.
The auditor-general is being challenged to do more to get businesses to pay back billions of dollars in wage subsidy payments that they should not have received.
The Gama Foundation, a Christchurch-based philanthropic organisation, has filed an application at the High Court in Wellington, seeking a judicial review of the auditor-general’s overview of the scheme.
The foundation is run by former Christchurch businessman Grant Nelson and his wife, Marilyn.
[…]
Reserve Bank data shows that in October 2020 businesses had $22.7b more in the bank than in October 2019.
[…]
“In the two years since the wage subsidy scheme was introduced, there’s been a huge transfer of wealth to businesses who didn’t experience the drop in revenue they might have anticipated,” Nelson said.
“The fact that over $750 million has voluntarily been repaid is a good indication that many times more would be repaid if recipients were asked to make repayments.”
Earlier this year the auditor-general took a much stronger stance over the cost of living payments – within weeks of the first round of payments being made Ryan had written to Inland Revenue, recommending it “consider what steps it can take to identify how many ineligible people have received payments”.
He also advised the department to make its expectation clear to ineligible people who got the payment that they should repay it immediately.
“We’re really just wanting him to do something similar with the wage subsidies because vastly more money is involved,” Nelson said.
I cant figure it out. on stuff presently , an odd penguin type is loseing his claim, and loseing his appeal, to a poll conducted by his company, being reported as a poll. someone else (hah!) can explain. is this karma?
“Readers could have been left with the impression that this poll had some validity. The headline and story stated it was a poll of people’s Prime Ministerial preferences. There was no information stating what it was based on. Readers were not told it was an unscientific straw poll”
Government has lightbulb moment,to train people ( through ngo's) to change lightbulbs and provide advice on low flow shower heads.
‘Auckland Council Home Energy Saver Pilot’, Ecobulb with Auckland Council, $115,000
Training up to 10 energy assessors to provide local households with personalised energy-saving advice, supply energy-efficient lightbulbs and low-flow showerheads, and connect households to other resources and supporting programmes.
Needs to be substantive savings for the new tech economy planned by the government,with the energy hungry and thirsty data centres for Auckland,of which they are energy intensive and require substantive water for cooling.
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Long story short: the Government’s austerity policy has driven the economy into a deeper and longer recession that means it will have to borrow $20 billion more over the next four years than it expected just six months ago. Treasury’s latest forecasts show the National-ACT-NZ First Government’s fiscal strategy of ...
Come and join myself and CTU Chief Economist for a pop-up ‘Hoon’ webinar on the Government’s Half Yearly Economic and Fiscal Update (HYEFU) with paying subscribers to The Kākā for 30 minutes at 5 pm today.Jump on this link on YouTube Livestream to watch our chat. Don’t worry if ...
In 1998, in the wake of the Paremoremo Prison riot, the Department of Corrections established the "Behaviour Management Regime". Prisoners were locked in their cells for 22 or 23 hours a day, with no fresh air, no exercise, no social contact, no entertainment, and in some cases no clothes and ...
New data released by the Treasury shows that the economic policies of this Government have made things worse in the year since they took office, said NZCTU Economist Craig Renney. “Our fiscal indicators are all heading in the wrong direction – with higher levels of debt, a higher deficit, and ...
At the 2023 election, National basically ran on a platform of being better economic managers. So how'd that turn out for us? In just one year, they've fucked us for two full political terms: The government's books are set to remain deeply in the red for the near term ...
AUSTERITYText within this block will maintain its original spacing when publishedMy spreadsheet insists This pain leads straight to glory (File not found) Read more ...
The NZCTU Te Kauae Kaimahi are saying that the Government should do the right thing and deliver minimum wage increases that don’t see workers fall further behind, in response to today’s announcement that the minimum wage will only be increased by 1.5%, well short of forecast inflation. “With inflation forecast ...
Oh, I weptFor daysFilled my eyesWith silly tearsOh, yeaBut I don'tCare no moreI don't care ifMy eyes get soreSongwriters: Paul Rodgers / Paul Kossoff. Read more ...
This is a re-post from Yale Climate Connections by Bob HensonIn this aerial view, fingers of meltwater flow from the melting Isunnguata Sermia glacier descending from the Greenland Ice Sheet on July 11, 2024, near Kangerlussuaq, Greenland. According to the Programme for Monitoring of the Greenland Ice Sheet (PROMICE), the ...
In August, I wrote an article about David Seymour1 with a video of his testimony, to warn that there were grave dangers to his Ministry of Regulation:David Seymour's Ministry of Slush Hides Far Greater RisksWhy Seymour's exorbitant waste of taxpayers' money could be the least of concernThe money for Seymour ...
Willis is expected to have to reveal the bitter fiscal fruits of her austerity strategy in the HYEFU later today. Photo: Lynn Grieveson/TheKakaMōrena. Long stories short, the six things that matter in Aotearoa’s political economy around housing, climate and poverty on Tuesday, December 17 in The Kākā’s Dawn Chorus podcast ...
On Friday the government announced it would double the number of toll roads in New Zealand as well as make a few other changes to how toll roads are used in the country. The real issue though is not that tolling is being used but the suggestion it will make ...
The Prime Minister yesterday engaged in what looked like a pre-emptive strike designed to counter what is likely to be a series of depressing economic statistics expected before the end of the week. He opened his weekly post-Cabinet press conference with a recitation of the Government’s achievements. “It certainly has ...
This whooping cough story from south Auckland is a good example of the coalition government’s approach to social need – spend money on urging people to get vaccinated but only after you’ve cut the funding to where they could get vaccinated. This has been the case all year with public ...
And if there is a GodI know he likes to rockHe likes his loud guitarsHis spiders from MarsAnd if there is a GodI know he's watching meHe likes what he seesBut there's trouble on the breezeSongwriter: William Patrick Corgan Read more ...
Here’s a quick round up of today’s political news:1. MORE FOOD BANKS, CHARITIES, DOMESTIC VIOLENCE SHELTERS AND YOUTH SOCIAL SERVICES SET TO CLOSE OR SCALE BACK AROUND THE COUNTRY AS GOVT CUTS FUNDINGSome of Auckland's largest foodbanks are warning they may need to close or significantly reduce food parcels after ...
Iain Rennie, CNZMSecretary and Chief Executive to the TreasuryDear Secretary, Undue restrictions on restricted briefings This week, the Treasury barred representatives from four organisations, including the New Zealand Council of Trade Unions Te Kauae Kaimahi, from attending the restricted briefing for the Half-Year Economic and Fiscal Update. We had been ...
This is a guest post by Tim Adriaansen, a community, climate, and accessibility advocate.I won’t shut up about climate breakdown, and whenever possible I try to shift the focus of a climate conversation towards solutions. But you’ll almost never hear me give more than a passing nod to ...
A grassroots backlash has forced a backdown from Brown, but he is still eyeing up plenty of tolls for other new roads. And the pressure is on Willis to ramp up the Government’s austerity strategy. Photo: Getty ImagesMōrena. Long stories short, the six things that matter in Aotearoa’s political economy ...
Hi all,I'm pretty overwhelmed by all your messages and emails today; thank you so very much.As much as my newsletter this morning was about money, and we all need to earn money, it was mostly about world domination if I'm honest. 😉I really hate what’s happening to our country, and ...
A listing of 23 news and opinion articles we found interesting and shared on social media during the past week: Sun, December 8, 2024 thru Sat, December 14, 2024. Listing by Category Like last week's summary this one contains the list of articles twice: based on categories and based on ...
I started writing this morning about Hobson’s Pledge, examining the claims they and their supporters make, basically ripping into them. But I kept getting notifications coming through, and not good ones.Each time I looked up, there was another un-subscription message, and I felt a bit sicker at the thought of ...
Once, long before there was Harry and Meghan and Dodi and all those episodes of The Crown, they came to spend some time with us, Charles and Diana. Was there anyone in the world more glamorous than the Princess of Wales?Dazzled as everyone was by their company, the leader of ...
The collective right have a problem.The entire foundation for their world view is antiscientific. Their preferred economic strategies have been disproven. Their whole neoliberal model faces accusations of corporate corruption and worsening inequality. Climate change not only definitely exists, its rapid progression demands an immediate and expensive response in order ...
National has only been in power for a year, but everywhere you look, its choices are taking New Zealand a long way backwards. In no particular order, here are the National Government's Top 50 Greatest Misses of its first year in power. ...
The Government is quietly undertaking consultation on the dangerous Regulatory Standards Bill over the Christmas period to avoid too much attention. ...
The Government’s planned changes to the freedom of speech obligations of universities is little more than a front for stoking the political fires of disinformation and fear, placing teachers and students in the crosshairs. ...
The Ministry of Regulation’s report into Early Childhood Education (ECE) in Aotearoa raises serious concerns about the possibility of lowering qualification requirements, undermining quality and risking worse outcomes for tamariki, whānau, and kaiako. ...
A Bill to modernise the role of Justices of the Peace (JP), ensuring they remain active in their communities and connected with other JPs, has been put into the ballot. ...
Labour will continue to fight unsustainable and destructive projects that are able to leap-frog environment protection under National’s Fast-track Approvals Bill. ...
The Green Party has warned that a Green Government will revoke the consents of companies who override environmental protections as part of Fast-Track legislation being passed today. ...
The Green Party says the Half Year Economic and Fiscal Update shows how the Government is failing to address the massive social and infrastructure deficits our country faces. ...
The Government’s latest move to reduce the earnings of migrant workers will not only hurt migrants but it will drive down the wages of Kiwi workers. ...
Te Pāti Māori has this morning issued a stern warning to Fast-Track applicants with interests in mining, pledging to hold them accountable through retrospective liability and to immediately revoke Fast-Track consents under a future Te Pāti Māori government. This warning comes ahead of today’s third reading of the Fast-Track Approvals ...
The Government’s announcement today of a 1.5 per cent increase to minimum wage is another blow for workers, with inflation projected to exceed the increase, meaning it’s a real terms pay reduction for many. ...
All the Government has achieved from its announcement today is to continue to push responsibility back on councils for its own lack of action to help bring down skyrocketing rates. ...
The Government has used its final post-Cabinet press conference of the year to punch down on local government without offering any credible solutions to the issues our councils are facing. ...
The Government has failed to keep its promise to ‘super charge’ the EV network, delivering just 292 chargers - less than half of the 670 chargers needed to meet its target. ...
The Green Party is calling for the Government to stop subsidising the largest user of the country’s gas supplies, Methanex, following a report highlighting the multi-national’s disproportionate influence on energy prices in Aotearoa. ...
The Green Party is appalled with the Government’s new child poverty targets that are based on a new ‘persistent poverty’ measure that could be met even with an increase in child poverty. ...
New independent analysis has revealed that the Government’s Emissions Reduction Plan (ERP) will reduce emissions by a measly 1 per cent by 2030, failing to set us up for the future and meeting upcoming targets. ...
The loss of 27 kaimahi at Whakaata Māori and the end of its daily news bulletin is a sad day for Māori media and another step backwards for Te Tiriti o Waitangi justice. ...
Yesterday the Government passed cruel legislation through first reading to establish a new beneficiary sanction regime that will ultimately mean more households cannot afford the basic essentials. ...
Today's passing of the Government's Residential Tenancies Amendment Bill–which allows landlords to end tenancies with no reason–ignores the voice of the people and leaves renters in limbo ahead of the festive season. ...
After wasting a year, Nicola Willis has delivered a worse deal for the Cook Strait ferries that will end up being more expensive and take longer to arrive. ...
Green Party co-leader Chlöe Swarbrick has today launched a Member’s Bill to sanction Israel for its unlawful presence in the Occupied Palestinian Territory, as the All Out For Gaza rally reaches Parliament. ...
After years of advocacy, the Green Party is very happy to hear the Government has listened to our collective voices and announced the closure of the greyhound racing industry, by 1 August 2026. ...
In response to a new report from ERO, the Government has acknowledged the urgent need for consistency across the curriculum for Relationship and Sexuality Education (RSE) in schools. ...
The Green Party is appalled at the Government introducing legislation that will make it easier to penalise workers fighting for better pay and conditions. ...
Thank you for the invitation to speak with you tonight on behalf of the political party I belong to - which is New Zealand First. As we have heard before this evening the Kinleith Mill is proposing to reduce operations by focusing on pulp and discontinuing “lossmaking paper production”. They say that they are currently consulting on the plan to permanently shut ...
Auckland Central MP, Chlöe Swarbrick, has written to Mayor Wayne Brown requesting he stop the unnecessary delays on St James Theatre’s restoration. ...
Kiwis planning a swim or heading out on a boat this summer should remember to stop and think about water safety, Sport & Recreation Minister Chris Bishop and ACC and Associate Transport Minister Matt Doocey say. “New Zealand’s beaches, lakes and rivers are some of the most beautiful in the ...
The Government is urging Kiwis to drive safely this summer and reminding motorists that Police will be out in force to enforce the road rules, Transport Minister Simeon Brown says.“This time of year can be stressful and result in poor decision-making on our roads. Whether you are travelling to see ...
Health Minister Dr Shane Reti says Health New Zealand will move swiftly to support dozens of internationally-trained doctors already in New Zealand on their journey to employment here, after a tripling of sought-after examination places. “The Medical Council has delivered great news for hardworking overseas doctors who want to contribute ...
Prime Minister Christopher Luxon has appointed Sarah Ottrey to the APEC Business Advisory Council (ABAC). “At my first APEC Summit in Lima, I experienced firsthand the role that ABAC plays in guaranteeing political leaders hear the voice of business,” Mr Luxon says. “New Zealand’s ABAC representatives are very well respected and ...
Prime Minister Christopher Luxon has announced four appointments to New Zealand’s intelligence oversight functions. The Honourable Robert Dobson KC has been appointed Chief Commissioner of Intelligence Warrants, and the Honourable Brendan Brown KC has been appointed as a Commissioner of Intelligence Warrants. The appointments of Hon Robert Dobson and Hon ...
Improvements in the average time it takes to process survey and title applications means housing developments can progress more quickly, Minister for Land Information Chris Penk says. “The government is resolutely focused on improving the building and construction pipeline,” Mr Penk says. “Applications to issue titles and subdivide land are ...
The Government’s measures to reduce airport wait times, and better transparency around flight disruptions is delivering encouraging early results for passengers ahead of the busy summer period, Transport Minister Simeon Brown says. “Improving the efficiency of air travel is a priority for the Government to give passengers a smoother, more reliable ...
The Government today announced the intended closure of the Apollo Hotel as Contracted Emergency Housing (CEH) in Rotorua, Associate Housing Minister Tama Potaka says. This follows a 30 per cent reduction in the number of households in CEH in Rotorua since National came into Government. “Our focus is on ending CEH in the Whakarewarewa area starting ...
The Government will reshape vocational education and training to return decision making to regions and enable greater industry input into work-based learning Tertiary Education and Skills Minister, Penny Simmonds says. “The redesigned system will better meet the needs of learners, industry, and the economy. It includes re-establishing regional polytechnics that ...
The Government is taking action to better manage synthetic refrigerants and reduce emissions caused by greenhouse gases found in heating and cooling products, Environment Minister Penny Simmonds says. “Regulations will be drafted to support a product stewardship scheme for synthetic refrigerants, Ms. Simmonds says. “Synthetic refrigerants are found in a ...
People travelling on State Highway 1 north of Hamilton will be relieved that remedial works and safety improvements on the Ngāruawāhia section of the Waikato Expressway were finished today, with all lanes now open to traffic, Transport Minister Simeon Brown says.“I would like to acknowledge the patience of road users ...
Tertiary Education and Skills Minister, Penny Simmonds, has announced a new appointment to the board of Education New Zealand (ENZ). Dr Erik Lithander has been appointed as a new member of the ENZ board for a three-year term until 30 January 2028. “I would like to welcome Dr Erik Lithander to the ...
The Government will have senior representatives at Waitangi Day events around the country, including at the Waitangi Treaty Grounds, but next year Prime Minister Christopher Luxon has chosen to take part in celebrations elsewhere. “It has always been my intention to celebrate Waitangi Day around the country with different ...
Two more criminal gangs will be subject to the raft of laws passed by the Coalition Government that give Police more powers to disrupt gang activity, and the intimidation they impose in our communities, Police Minister Mark Mitchell says. Following an Order passed by Cabinet, from 3 February 2025 the ...
Attorney-General Judith Collins today announced the appointment of Justice Christian Whata as a Judge of the Court of Appeal. Justice Whata’s appointment as a Judge of the Court of Appeal will take effect on 1 August 2025 and fill a vacancy created by the retirement of Hon Justice David Goddard on ...
The latest economic figures highlight the importance of the steps the Government has taken to restore respect for taxpayers’ money and drive economic growth, Finance Minister Nicola Willis says. Data released today by Stats NZ shows Gross Domestic Product fell 1 per cent in the September quarter. “Treasury and most ...
Tertiary Education and Skills Minister Penny Simmonds and Associate Minister of Education David Seymour today announced legislation changes to strengthen freedom of speech obligations on universities. “Freedom of speech is fundamental to the concept of academic freedom and there is concern that universities seem to be taking a more risk-averse ...
Police Minister, Mark Mitchell, and Internal Affairs Minister, Brooke van Velden, today launched a further Public Safety Network cellular service that alongside last year’s Cellular Roaming roll-out, puts globally-leading cellular communications capability into the hands of our emergency responders. The Public Safety Network’s new Cellular Priority service means Police, Wellington ...
State Highway 1 through the Mangamuka Gorge has officially reopened today, providing a critical link for Northlanders and offering much-needed relief ahead of the busy summer period, Transport Minister Simeon Brown says.“The Mangamuka Gorge is a vital route for Northland, carrying around 1,300 vehicles per day and connecting the Far ...
The Government has welcomed decisions by the NZ Transport Agency (NZTA) and Ashburton District Council confirming funding to boost resilience in the Canterbury region, with construction on a second Ashburton Bridge expected to begin in 2026, Transport Minister Simeon Brown says. “Delivering a second Ashburton Bridge to improve resilience and ...
The Government is backing the response into high pathogenic avian influenza (HPAI) in Otago, Biosecurity Minister Andrew Hoggard says. “Cabinet has approved new funding of $20 million to enable MPI to meet unbudgeted ongoing expenses associated with the H7N6 response including rigorous scientific testing of samples at the enhanced PC3 ...
Legislation that will repeal all advertising restrictions for broadcasters on Sundays and public holidays has passed through first reading in Parliament today, Media Minister Paul Goldsmith says. “As a growing share of audiences get their news and entertainment from streaming services, these restrictions have become increasingly redundant. New Zealand on ...
Today the House agreed to Brendan Horsley being appointed Inspector-General of Defence, Justice Minister Paul Goldsmith says. “Mr Horsley’s experience will be invaluable in overseeing the establishment of the new office and its support networks. “He is currently Inspector-General of Intelligence and Security, having held that role since June 2020. ...
Minister of Internal Affairs Brooke van Velden says the Government has agreed to the final regulations for the levy on insurance contracts that will fund Fire and Emergency New Zealand from July 2026. “Earlier this year the Government agreed to a 2.2 percent increase to the rate of levy. Fire ...
The Government is delivering regulatory relief for New Zealand businesses through changes to the Anti-Money Laundering and Countering Financing of Terrorism Act. “The Anti-Money Laundering and Countering Financing of Terrorism Amendment Bill, which was introduced today, is the second Bill – the other being the Statutes Amendment Bill - that ...
Transport Minister Simeon Brown has welcomed further progress on the Hawke’s Bay Expressway Road of National Significance (RoNS), with the NZ Transport Agency (NZTA) Board approving funding for the detailed design of Stage 1, paving the way for main works construction to begin in late 2025.“The Government is moving at ...
The Government today released a request for information (RFI) to seeking interest in partnerships to plant trees on Crown-owned land with low farming and conservation value (excluding National Parks) Forestry Minister Todd McClay announced. “Planting trees on Crown-owned land will drive economic growth by creating more forestry jobs in our regions, providing more wood ...
Court timeliness, access to justice, and improving the quality of existing regulation are the focus of a series of law changes introduced to Parliament today by Associate Minister of Justice Nicole McKee. The three Bills in the Regulatory Systems (Justice) Amendment Bill package each improve a different part of the ...
A total of 41 appointments and reappointments have been made to the 12 community trusts around New Zealand that serve their regions, Associate Finance Minister Shane Jones says. “These trusts, and the communities they serve from the Far North to the deep south, will benefit from the rich experience, knowledge, ...
The Government has confirmed how it will provide redress to survivors who were tortured at the Lake Alice Psychiatric Hospital Child and Adolescent Unit (the Lake Alice Unit). “The Royal Commission of Inquiry into Abuse in Care found that many of the 362 children who went through the Lake Alice Unit between 1972 and ...
It has been a busy, productive year in the House as the coalition Government works hard to get New Zealand back on track, Leader of the House Chris Bishop says. “This Government promised to rebuild the economy, restore law and order and reduce the cost of living. Our record this ...
“Accelerated silicosis is an emerging occupational disease caused by unsafe work such as engineered stone benchtops. I am running a standalone consultation on engineered stone to understand what the industry is currently doing to manage the risks, and whether further regulatory intervention is needed,” says Workplace Relations and Safety Minister ...
Mehemea he pai mō te tangata, mahia – if it’s good for the people, get on with it. Enhanced reporting on the public sector’s delivery of Treaty settlement commitments will help improve outcomes for Māori and all New Zealanders, Māori Crown Relations Minister Tama Potaka says. Compiled together for the ...
Mr Roger Holmes Miller and Ms Tarita Hutchinson have been appointed to the Charities Registration Board, Community and Voluntary Sector Minister Louise Upston says. “I would like to welcome the new members joining the Charities Registration Board. “The appointment of Ms Hutchinson and Mr Miller will strengthen the Board’s capacity ...
More building consent and code compliance applications are being processed within the statutory timeframe since the Government required councils to submit quarterly data, Building and Construction Minister Chris Penk says. “In the midst of a housing shortage we need to look at every step of the build process for efficiencies ...
Mental Health Minister Matt Doocey is proud to announce the first three recipients of the Government’s $10 million Mental Health and Addiction Community Sector Innovation Fund which will enable more Kiwis faster access to mental health and addiction support. “This fund is part of the Government’s commitment to investing in ...
New Zealand is providing Vanuatu assistance following yesterday's devastating earthquake, Foreign Minister Winston Peters says. "Vanuatu is a member of our Pacific family and we are supporting it in this time of acute need," Mr Peters says. "Our thoughts are with the people of Vanuatu, and we will be ...
The Government welcomes the Commerce Commission’s plan to reduce card fees for Kiwis by an estimated $260 million a year, Commerce and Consumer Affairs Minister Andrew Bayly says.“The Government is relentlessly focused on reducing the cost of living, so Kiwis can keep more of their hard-earned income and live a ...
Regulation Minister David Seymour has welcomed the Early Childhood Education (ECE) regulatory review report, the first major report from the Ministry for Regulation. The report makes 15 recommendations to modernise and simplify regulations across ECE so services can get on with what they do best – providing safe, high-quality care ...
The Government‘s Offshore Renewable Energy Bill to create a new regulatory regime that will enable firms to construct offshore wind generation has passed its first reading in Parliament, Energy Minister Simeon Brown says.“New Zealand currently does not have a regulatory regime for offshore renewable energy as the previous government failed ...
Kick Back has growing concerns about the impact that denying young people access to shelter is having on the mental health and physical safety of the young people we serve. ...
By Litia Cava, FBC News multimedia journalist Fiji Prime Minister Sitiveni Rabuka has revealed how arms and ammunition used to conduct the 1987 military coup were secretly brought into Fiji on board a naval survey ship. Speaking at the commissioning of a new research vessel for the Lands and Mineral ...
Youth advocates are worried tighter rules for emergency housing could lead to someone dying due to the impacts on mental health and physical safety for those denied shelter. ...
“We urge the Health Select Committee to extend the date for submissions,” concluded Rev Bush. “There is too much at stake to leave the outcome of this review only in the hands of politicians or those with vested interests.” ...
A separate passport, citizenship and membership of the United Nations are only available to fully independent nations, Winston Peters' office says. ...
By Emma Andrews, Henare te Ua Māori Journalism Intern at RNZ News The New Zealand fuel company Z Energy is swapping out street names for “correct” kupu on service stops around the country, with the help of local hapū. When Z took over 226 fuel sites from Shell in 2010, ...
Summer reissue: Was it a false measurement, a full-blown conspiracy or just some mild incompetence? Mad Chapman uncovers the truth of Maddi Wesche’s final throw. The Spinoff needs to double the number of paying members we have to continue telling these kinds of stories. Please read our open letter and ...
Source: The Conversation (Au and NZ) – By Julie Old, Associate Professor, Biology, Zoology, Animal Science, Western Sydney University Dmitry Chulov, Shutterstock At this time of year, images of reindeer are everywhere. I’ve had a soft spot for reindeer ever since I was a little girl. Doesn’t everyone? ...
Source: The Conversation (Au and NZ) – By Grozdana Manalo, Career Services Manager (Education), University of Sydney hedgehog94/Shutterstock Getting casual work over summer, or a part-time job that you might continue once your tertiary course starts, can be a great way to get workplace experience and earn some extra ...
Source: The Conversation (Au and NZ) – By Ty Ferguson, Research associate in exercise, nutrition and activity, University of South Australia Peera_Stockfoto/Shutterstock It’s never been easier to stay connected to work. Even when we’re on leave, our phones and laptops keep us tethered. Many of us promise ourselves we ...
The NZ Media Council upheld the complaint under principle four: comment and fact On 5 September 2024, The Spinoff published a brief article titled Made in Palestine, found in 1970s Hastings, which highlighted an upcoming art exhibition featuring photographs of vintage cosmetic products labelled “Made in Palestine.” The piece, described ...
Source: The Conversation (Au and NZ) – By Kasey Symons, Lecturer of Communication, Sports Media, Deakin University We are well and truly in cricket season. The Australian men’s cricket team is taking centre stage against India in the Border Gavaskar Trophy series while the Big Bash League is underway, as ...
Source: The Conversation (Au and NZ) – By Andrew Woods, Lecturer, Nursing, Faculty of Health, Southern Cross University FTiare/Shutterstock Summer is here and for many that means going to the beach. You grab your swimmers, beach towel and sunscreen then maybe check the weather forecast. Did you think to ...
Source: The Conversation (Au and NZ) – By Saman Khalesi, Senior Lecturer and Discipline Lead in Nutrition, School of Health, Medical and Applied Sciences, CQUniversity Australia Dean Clarke/Shutterstock The holiday season can be a time of joy, celebration, and indulgence in delicious foods and meals. However, for many, it ...
Source: The Conversation (Au and NZ) – By Ari Mattes, Lecturer in Communications and Media, University of Notre Dame Australia Late Night With The Devil. Maslow Entertainment Marketing is critical to the success of commercial films, and companies will often spend half as much again on top of the ...
Source: The Conversation (Au and NZ) – By Francisco Jose Testa, Lecturer in Earth Sciences (Mineralogy, Petrology & Geochemistry), University of Tasmania The Conversation As a kid, it was tough for me to grasp the massive time scale of Earth’s history. Now, with nearly two decades of experience as ...
Opinion: The latest Trends in International Mathematics and Science report was announced earlier this month, yet it didn’t get the flurry of media attention and political hand-wringing that typically accompanies these announcements. This might be because it presented good news, or you could argue, no news; the results paint a ...
NewsroomBy Dr Lisa Darragh, Dr Raewyn Eden and Dr David Pomeroy
Te Pāti Māori has had to adopt a new way of debating, operating and even thinking in Parliament in response to the Government’s “onslaught” against te ao Māori, co-leader Debbie Ngarewa-Packer says.In an end-of-year interview with Newsroom, the Te Tai Hauauru MP reflected on how 2024 has differed from her ...
At long last, The Spinoff shells out for a nut ranking. The Spinoff needs to double the number of paying members we have to continue telling these kinds of stories. Please read our open letter and sign up to be a member today.It recently came to The Spinoff’s attention ...
I was one of hundreds of people who lost my government job this week. Here’s exactly how it played out. The Spinoff needs to double the number of paying members we have to continue telling these kinds of stories. Please read our open letter and sign up to be a ...
Summer reissue: One anxiously attentive passenger pays attention to an in-flight safety video, and wonders ‘Why can’t I pick up my own phone?’ The Spinoff needs to double the number of paying members we have to continue telling these kinds of stories. Please read our open letter and sign up ...
Summer reissue: Why do those Lange-Douglas years cast such a long shadow 40 years on? The Spinoff needs to double the number of paying members we have to continue telling these kinds of stories. Please read our open letter and sign up to be a member today. First published June ...
An unrelenting faith in “swift transition” has driven Tauranga Whai to their first Tauihi Basketball Aotearoa championship. At a boisterous Queen Elizabeth Youth Centre, the visiting Tokomanawa Queens were blown away 90-71 in the final.Whai led by 20 points at halftime as their urgent movement and unflinching faith in three-point shooting from anywhere ...
Loading…(function(i,s,o,g,r,a,m){var ql=document.querySelectorAll('A[data-quiz],DIV[data-quiz]'); if(ql){if(ql.length){for(var k=0;k<ql.length;k++){ql[k].id='quiz-embed-'+k;ql[k].href="javascript:var i=document.getElementById('quiz-embed-"+k+"');try{qz.startQuiz(i)}catch(e){i.start=1;i.style.cursor='wait';i.style.opacity='0.5'};void(0);"}}};i['QP']=r;i[r]=i[r]||function(){(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)})(window,document,'script','https://take.quiz-maker.com/3012/CDN/quiz-embed-v1.js','qp');Got a good quiz question?Send Newsroom your questions.The post Newsroom daily quiz, Monday 23 December appeared first on Newsroom. ...
The Government’s social housing agency has backed out of a billion-dollar infrastructure alliance that would have built about 6000 new homes in Auckland – less than 18 months after signing a five-year extension.Labour says the decision to rip up the contract and sell off existing state houses could lead to ...
ByKoroi Hawkins, RNZ Pacific editor New Zealand’s Urban Search and Rescue (USAR) says impending bad weather for Port Vila is now the most significant post-quake hazard. A tropical low in the Coral Sea is expected to move into Vanuatu waters, bringing heavy rainfall. Authorities have issued warnings to people ...
Cosmic CatastropheThe year draws to a close.King Luxon has grown tired of the long eveningsListening to the dreary squabbling of his Triumvirate.He strolls up to the top floor of the PalaceTo consult with his Astronomer Royal.The Royal Telescope scans the skies,And King Luxon stares up into the heavensFrom the terrestrial ...
Spinoff editor Mad Chapman and books editor Claire Mabey debate Carl Shuker’s new novel about… an editor. Claire: Hello Mad, you just finished The Royal Free – overall impressions? Mad: Hi Claire, I literally just put the book down and I would have to say my immediate impression is ...
Christmas and its buildup are often lonely, hard and full of unreasonable expectations. Here’s how to make it to Jesus’s birthday and find the little bit of joy we all deserve. Have you found this year relentless? Has the latest Apple update “fucked up your life”? Have you lost two ...
Despite overwhelming public and corporate support, the government has stalled progress on a modern day slavery law. That puts us behind other countries – and makes Christmas a time of tragedy rather than joy, argues Shanti Mathias. Picture the scene on Christmas Day. Everyone replete with nice things to eat, ...
Asia Pacific Report “It looks like Hiroshima. It looks like Germany at the end of World War Two,” says an Israeli-American historian and professor of holocaust and genocide studies at Brown University about the horrifying reality of Gaza. Professor Omer Bartov, has described Israel’s ongoing war on Gaza as an ...
The New Zealand government coalition is tweaking university regulations to curb what it says is an increasingly “risk-averse approach” to free speech. The proposed changes will set clear expectations on how universities should approach freedom of speech issues. Each university will then have to adopt a “freedom of speech statement” ...
Report by Dr David Robie – Café Pacific. – COMMENTARY: By Caitlin Johnstone New York prosecutors have charged Luigi Mangione with “murder as an act of terrorism” in his alleged shooting of health insurance CEO Brian Thompson earlier this month. This news comes out at the same time as ...
Pacific Media Watch The union for Australian journalists has welcomed the delivery by the federal government of more than $150 million to support the sustainability of public interest journalism over the next four years. Combined with the announcement of the revamped News Bargaining Initiative, this could result in up to ...
Telling graph.
[image resized]
Thank you
Interesting 2018 Was more that nat from 2013 to 2017
And 5 yr Natz was 781m (including 2 yrs of 0 )cf
to Lab 5 yrs of 5798 mil
A more telling graph would be the money spend directly on healthcare vs money spend on the reform of the department of health, the DHBs and other new and improved burocracy. National did underspend or refuse to fund, and Labour spend the last year re-creating NZ Health in what hopefully will be a better system then the DHBs.
So in essence how much did N spend vs L say on recruitment of nurses and doctors? How much on renovations of fixed assets, how much on new machines / what machines and then how much was spend on consultants.
$11.1 billon on Health reforms over four years.
I posted the link a few weeks back. Can repost if required.
The question is, is our health system in better shape now or pre 2017 Labour govt?
Even factoring in covid, its pretty clear it is in a worse state. My evidence for this is the almost daily articles about Dr's, nurses saying they are at breaking point. I have posted many links on this in the past few weeks.
So how long do you think it takes to train up doctors and nurses to be able to compitantly work in critical situations such as Ed and ICU? And how long does it take to rectify 8 years of neglect in health infrastructure and capacity?
I have posted before Macro about what Dr Ian Powell says in his columns (former head of the Salaried Medical Specialists).
When Labour came in, he told the then Minister of Health, David Clark, that there were 3 problems facing Health in NZ. Workforce shortage, workforce shortage, workforce shortage. That was over five years ago. Had Labour of acted on this, we would now have trainees graduating or even with one or two years under their belts in ICU and ED. Last week we heard that Andrew Little was finally considering paying student nurses for their placements, after the NZNO had been suggesting it for sometime. I have posted here previously at least two articles about student nurses feeling highly stressed and contemplating not completing their training. Some of the reasons being have to travel big distances to do their (unpaid) hospital workforce training and receiving no petrol money or assistance with parking. I also posted an interview with Shane Reti on Q and A and as I recall, he talked about having had costing down for a new medical school. Many GPs are reaching retirement age.
Andrew Little has prioritized a health restructure during a pandemic, rather than addressing the workforce issues. NZders will pay the price
Can link to previously posted articles if requried.
Shane Reti would make an excellent health minister. Seems crazy having an ex union leader in charge of health.
I would have expected much better of an ex union in terms of managing health. IMO Little has shown nothing but contempt for the health workforce.
I don't think overblown words and exaggeration does vey much for the argument.
eg 'contempt.'
You know one of the reasons for the Health restructuring is simply to address the issue of stretched resources and inequitably distributed resources (ie access to health determined by post code rather than need) – but you knew that anyway.
The workforce issues would not be fixed in 5 years – last time I looked it takes at least 7 years for a doctor to be let loose on the general population.
For specialist nursing ie holding post grad nursing quals is just as long.
The entry requirements for post grad nursing requires candidates to:
To simply blame the current govt for the run down state of NZ Health is simply blinkered and partisan. The previous Nat govt, with their persistent under funding of Health (as clearly seen from the graph above) resulted in NZ's Health service ending up in a parlous state. It will take years to turn that around. Hospitals (eg Whangarei's) completely unfit for purpose. The low payment of Health professionals has resulted in large numbers flocking offshore. We staff our hospitals and aged care facilities from lower paid countries off-shore. Once re-qualified and NZ citizens they then depart to higher paid positions in Australia America Canada and UK). My son-in-law as evidence.
Hmmm I well remember the 2007 Nat advertisement "Stop waving goodbye to your loved ones!" Well no sooner were the Nats in power than they changed the provision for aftercare of those suffering brain injury. 100 specialists dealing with such conditions were immediately out of a job and nothing for them in this country. So Aussie just got 100 qualified specialists, just like that – my own family are never going to return. Now running 3 small hospitals in Perth.
I am not claiming National did a great job in terms of heath in NZ. Although I do believe Shane Reti would make a great Minister of Health or even PM>
Labour and Littles focus should have been on the training and retention of staff and the importation of the health workforce from overseas. This involves everything from settling pay disputes, increasing pay significantly and valuing the workforce rather than being in denial that public health is in crisis as Andrew Little does
Setting up Health NZ has inevitably put them behind as you don't just set up a new agency and its all good to go. As I mentioned before my contact at Health NZ tells me it is chaos and in their considered opinion it won't achieve the goal of equity.
What is the health system? If. you get sick with a broken leg, cancer, a heart attack, an autoimmune disease, have a car accident etc, etc who do you need to be there in adequate numbers. The people with skills, training and experience. Not the bureacrats.
One of the articles I posted recently quoted a group of Drs who said the only change they have seen from the re-structure is the new logo.
But go ahead believe the bureacrats will make all the difference. Having worked in health in the 1990s I can tell you that what happened in Wellington made absolutely no difference at all. As long as our staffing levels were o.k., it all rose and fell on the expertise and clinical competence of the nurses and Drs and other allied workers at the coal face.
Mmmmm those faceless 'bureaucrats' are always worth a bash aren't they?
Would the critics of everything to do with the health sector and reforms be able to cobble together an argument without having access to these people to criticise? When I worked in the health sector the 'bureaucrats', but we called them staff rather than the pejorative, that were absolutely relied on at a high level were
Then we have the
bureaucratsstaff that any large organisation can not do without:https://www.stuff.co.nz/national/health/300752834/health-system-desperately-needing-doctors-wont-let-new-grads-start-til-2023–union
Te Whatu Ora (Health New Zealand) told the union it would not allow newly graduated doctors to start working in hospitals until next year, NZRDA national president Dr James Anderson said.
Anderson said Te Whatu Ora cited supervision and orientation concerns as the reason why.
It “makes no sense”, he said: “We have a workforce we so desperately need, qualified, ready and willing to work, and yet Te Whatu Ora won’t employ them for another two months.”
Anderson said the “excuse” of supervision and orientation concerns, “is in our view, exactly that”.
It seems Health NZ is the obstacle here. So rather than helping the over worked Drs in crisis they are an impediment. But of course the Professional Managerial Class think they know best
While I understand your concern re staffing it does the cause no good to leave off some points, these were in the article that you attached.
a) the proposed changes were discussed/consulted on
'A spokesperson for Te Whatu Ora said the 20 DHBs that previously comprised Health New Zealand went through extensive consultation before the change was put in place, to strengthen training, staff welfare and services to patients.'
b) the overriding reason is this
'He said the shift from November to January enabled newly-appointed first-year doctors to be supported into practice, particularly with more senior staff on leave over the Christmas and New Year period, and ensured new graduates got a break before starting their careers.
“New Zealanders can have confidence that, as in previous years, this will not affect our ability to staff services over the holiday period.” "
I have lived next door to one of those senior orthopaedic surgeons who trains new staff, for many years. He often has some time off in Dec/ January. Apart from a little time with both sets of elderly parents he is usually at home doing things like building a new deck, blobbing out, going to outdoor concerts etc etc.
Even though he is on leave when there are huge numbers or complex injuries to road accident victims he is on call and about 90% of the time during these holidays he is called in.
NZers regularly drive their cars into each other, into bridges or power poles over the break. When the remaining staff cannot deal with the injuries he will go in to operate. Having done this he then goes in daily to check on the patients he has operated on.
Last Christmas/January break he was flown to Chch, while on leave, to help operate on badly injured road accident victims. Having done this he stayed down there to be on call for his patients for a week.
The point about letting newly graduated doctors have a break is also valid. Up until now many would have had minimal time off as most would work over the long break.
So always good to have both sides of an issue.
Good points Macro.
Spoken with the voice of experience. I had a very minor involvement with a govt workforce/clinical training group for health.
From this I am left with the view that it is never as clear cut as the various groups say, they exist to push their causes and that is OK but we should not forget it. Many of the groups are single issue and do not understand how all the bits fit together in clinical training in the health sector.
Stability of government is hugely important. Health is regularly used as an election issue and during this time there is wastage in terms of gearing up and down to meet a new govt's ideas. Health by the long nature of its training and long time frames on other issues, is a bit like trying to turn an ocean liner on a coin. It takes an age.
Access to health services via post code is a happening thing. Although not as bad as prior to the 1990s the cries for every DHB to have the latest health bauble (not based on need) are never-ending.
And make no mistake some health specialties are more 'sexy', as they say, than others. Some DHBs are keenly aware of this and waste no time in seeking funds for latest 'thing' when population based funding based on the actual needs of their populations is ignored. So we find that, as your family has, that painstaking and often long term rehab for the brain injured is not valued.
Back in the 1990s linear accelerators were the 'thing' and every hospital wanted one, regardless of need based on demographics. Trying to persuade people that if they paid attention to their populations ie to the demographics they wouldn't need linear accelerators fell on very deaf ears.
Looking after Maori child health was just not 'it', even though the chance existed to become a centre of excellence and a leader in the field.
The backbone of the health work force are Baby Boomers at or beyond retirement age. That's the cause of the workforce shortfall, same as in Education and other professions. Think about it !.
The government needs to reprioritise its spending to pay medical staff competitive salaries to keep them in NZ.
For instance, scrap the TVNZ/RNZ merger. Scrap the light rail vanity project. Give the money to the medical staff.
100% tsmithfield. Except I would say, as I have said on this site before, they should never have gone ahead with the re-structure.
This is only heresay and one person’s opinion, and so I can’t provide any links etc. A friend works quite high up in the new Health NZ. She says it is absolute chaos and that she doesn't believe it will achieve equity.
That sounds really sensible. They will never do it.
So they have spent all that money and the health system is worse than it was back in 2017. What a failure, thanks Andrew Little.
https://www.stuff.co.nz/national/health/130542865/laminated-cards-in-ed-with-health-ministers-number-common-knowlege
Sizing need a fix please.
if you ever need to do that yourself, edit the comment and put this at the end of the tag before the final >
width="100%"
Thanks Weka
.
https://twitter.com/fleetwoodmac/status/1598036525903941632
I really only came to appreciate Fleetwood Mac later in life – and the remarkable McVie herself. Few people have the privilege of leaving such a well loved legacy.
Saw them in Dunedin in 2019 at the stadium. Sound was terrible but was really important to understand their aura live. She had radiant presence.
Also Neil Finn gave us Shark Attack.
Wonderful music. Wonderful singer.
Very sad. A very talented musician taken too early.
The USSR used the false-flag attack as a pretext to cancel the Finnish-Soviet non-aggression pact.
But sure, Ukraine should negotiate.
/
https://twitter.com/DarthPutinKGB/status/1597914810322407425
You do know the peace movement within Russia, has disappeared right?
Anyone organising for a negotiated peace has either fled, or is in prison.
I guess with Putin's popularity so bloody high, he can do what he wants.
He wants war.
He, also wants to push Ukraine back into the stone age, by smashing their infrastructure.
Three parts to video
1st part a great piece Victorian Election and the media.
At 3.45 minute mark – Ukraine story.
3rd part – friendlyjordies fire booming.
What I can’t work out is if the Covid wage subsidy was less than the normal income for most recipients surely the lower amount of spending was not inflationary and then when things like spending stabilised the effects of the two regimes should be considered as a whole over the Covid years and those subsequent years giving us an average over say 5 years which should not be hugely inflationary. So what is the panic, we are just catching up and the resulting yearly total should be no different wether Covid happened or not.
Is this another classic example of Economics Trivial Pursuit, one question, 1000 correct answers?
Tsunamis have more than 1 wave even if the sine decrease is rapid.
I think the inflationary aspect, if any, was that businesses were propped up that otherwise would have failed as business failures have actually declined. The loss in GDP was also pretty small in the end as businesses adapted to trading in the Covid levels, even level 3, and the government avoided level 4 until Delta arrived, so the macroeconomic impact from Covid restrictions ended up being minimal, particularly compared to forecasts earlier on.
If this baby is removed from hospital today as the mother is threatening to do and the baby subsequently dies, it is easy to see what will happen. They, and their fellow anti- vaccine conspiracy theorists, will blame the death on the Ministry of Health and the Government.
https://www.nzherald.co.nz/nz/donor-blood-battle-mother-refuses-to-abide-by-medical-advice-to-not-leave-hospital-with-baby/WI7TPO5JANECJCYKJ4E5OMFMBI/
I listened to part of the Sue Grey interview with Corin Dann this morning. It was hard going. The woman was appalling. Full of ‘mis and dis’ information.
I really don't think these people should be interviewed on public radio or TV. They have nothing of worth to offer.
https://www.rnz.co.nz/audio/player?audio_id=2018869301
Oh dear, and here's another one:
https://www.stuff.co.nz/national/130623195/saboteur-graham-philip-jailed-for-trying-to-cut-power-to-entire-north-island
Goes to show some of them are dangerous people.
'
In the same vein as the absurd vaccine conspiracy theorists willfully risking their child's life.
Months and months of Russian propaganda have convinced some people, of the absurdity that Ukraine is a fascist state.
The result is inevitable. Some misguided individual has sent a letter bomb to what they think are fascists.
https://www.rt.com/news/567430-embassy-explosion-madrid-ukraine/?
"Those who can make you believe absurdities, can make you commit atrocities" Voltaire
Spot on Jenny.
That's why these conspiracy theorists are dangerous and should be constantly regarded as such by the authorities. It’s why they should not be given air time.
Why only the Covid vaccine – what about flu, HepA, HepB, shingles, measles, human papilloma virus, cholera, rabies, polio, mumps, tetanus, diphtheria etc? Many blood donors will have had one or more of these vaccines – actually most donors, if you look at the NZ Vaccine Schedule.
It is largely political – aimed at painting centre-left governments as authoritarian enemies of freedom, when the opposite is true. One question is whether it is a genuinely spontaneous derangement, or if there's money behind it.
Good points.
I had pondered why only Covid. If I was going to get down a rabbit hole about vaccinations and possible lingering effects in the blood I would go for one of those where attenuated parts of a disease were injected…… eg TB etc.
They are crackpots and it is terrible that they are using the life of a wee baby who is not able to speak for themselves to further their views. It also espouses a view about babies being 'owned' by their parents that I disagree with.
Fortunately, the system is quite practiced at this. For years, the hospitals have had to deal with adherents of religious cults like the Jehovah's Witnesses who do not believe in blood transfusions. While adults can give consent – children cannot, so these children regularly get made Wards of the Court so that they can get the lifesaving procedures they require.
Yes I have heard about those wards of court processes for children.
I have wondered how the children are treated by their religious parents after, if they have received life saving transfusions. So whether there is a difference in the treatment/care/attention/love they receive from their parents.
It breaks my heart reading about people who place adherence to creed, belief or religion above their children's lives etc.
I have long ceased to try and fathom the thought processes of religious and other cultists. I have a good friend who is married to a Jehovah's Witness husband. We went to my friend's 70th birthday party some years ago. Her family had to pretend it was a house warming party for the house they moved in to 2 years previously as the husband would refuse to go to a birthday party. Imagine the sort of religious indoctrination that does not let you go to your wife's 70th birthday party. Once he shuffled off to some church thing the "Happy Housewarming" banner came down, and the "Happy Birthday Mum" banner went up.
There's money behind it alright – most of it off-shore.
And yes its political. Just like the climate denial thing was for decades. One of the reasons the world is heading for climate catastrophe is directly due to the influence of the deniers who were given carte-blanche by irresponsible media channels to spread their crackpot theories far and wide.
And now it is happening in the health sector.
Which of those are mRNA vaccines? Which of those were developed in less than 12 months?
mRNA vaccines do not use attenuated actual viruses. I don't think the length of time of development has a role or is important. Do you know how long the others on the list were under development…..?
flu, HepA, HepB, shingles, measles, human papilloma virus, cholera, rabies, polio, mumps, tetanus, diphtheria etc?
For instance flu vaccines are tweaked to cover the current viral threats every year.
https://publichealth.jhu.edu/2021/the-long-history-of-mrna-vaccines#:~:text=The%20first%20mRNA%20vaccines%20using,commercial%20development%20in%20the%20U.S.
You have asked some odd questions. Are these relevant to the willingness to effectively withhold medical/surgical treatment from a wee baby? If so in what way?
mRNA and it’s functions were discovered in 1961, clinical trials of mRNA therapeutics began in 2009 and the first in-human mRNA cancer vaccine trials were in 2017.
https://www.nature.com/articles/s41578-021-00358-0
I agree totally, there are so many more blood borne vectors why only the covid vaccine?
Up until covid came along, the far right and neo-fascists had been unable to find a cause that they could use to prey on people's fears.
Xenophobia and racism just doesn't have the pulling power it used to.
https://thehardtimes.net/culture/new-age-hippie-chick-from-college-new-age-fascist-chick-now/
Heavens, she is not very articulate is she? It is hard going. Surely she should do, just as Luxon should do, work to find out info to rebut the type of questions an interested lay person would ask. I wonder if she is more used to taking court cases on the papers rather than orally.
So a case of myocarditis came about as a very uncommon reaction. Is she trying to say that blood from a healthy person/s who does not have any risks is going to get in and whip up a case of myocarditis? If so she is sadly lacking in knowledge about how vaccinations work and how the Covid ones in particular work.
'A medical expert believes another baby in a similar condition to one Health NZ is trying to seek guardianship for would've been treated by now.' Meanwhile the date for the hearing is set for 6/12. Terrible delays caused by the parents' stance.
https://www.newshub.co.nz/home/new-zealand/2022/11/protesters-gather-outside-auckland-high-court-as-health-nz-faces-off-with-parents-of-sick-baby-over-vaccinated-blood-donors.html
Is it true, that blood purity is the bastion of some very far right groups?
A calling card even.
You mean like Ayranism:
https://en.wikipedia.org/wiki/Aryanism
Its happening all over again only this time it is spreading through the Internet across the world.
That was painful to listen to!
That poor baby, with no voice except that of it's deranged parents, could well die to make a political point!
There should be some way, made clear to the parents and their supporters, that an adverse result (to the baby's health) would result in charges being laid. Sue Grey and Liz Gunn, in particular, should be held liable, in some way, for what happens.
The deranged parents that are going to extraordinary lengths to ensure their child has the safest medical procedure possible? That sort of deranged?
arkies comment is of the quality needed in this debate. Sue Grey had nothing like it.
arkie7.2.1.2
2 December 2022 at 10:41 am
"Donated blood is tested and separated into different blood components; red blood cells, platelets, plasma etc. These are aggregated and when a transfusion is called for by medical professionals, these blood products are supplied depending on need. When someone receives a transfusion the blood doesn't just come from one donor, it is a recombined from the various collected components.
The practice of direct donations from a singular donor, or donors of the parents choice, is not recommended by Doctors or the New Zealand Blood Service."
If you had been listening to Grey's side of the debate, the different blood components or the number of blood donors aren't what is holding up the surgery.
?
Was there an interview in there somewhere..? It appeared more like a shouty lecture from Corin "I am the Science" Dan.
Corin certainly was shouty, mauī but Sue Grey presented very poorly, imo. She dragged into what might have been a useful interview, heavy baggage that triggered Corin sorely and she should have known better. There was the potential for genuine empathy to be fostered, but she failed to cut to the chase. I wouldn't want her defending me anywhere for anything.
They’ve given away several small fortunes but Marilyn and Grant Nelson aren't quite done.
The auditor-general is being challenged to do more to get businesses to pay back billions of dollars in wage subsidy payments that they should not have received.
The Gama Foundation, a Christchurch-based philanthropic organisation, has filed an application at the High Court in Wellington, seeking a judicial review of the auditor-general’s overview of the scheme.
The foundation is run by former Christchurch businessman Grant Nelson and his wife, Marilyn.
[…]
Reserve Bank data shows that in October 2020 businesses had $22.7b more in the bank than in October 2019.
[…]
“In the two years since the wage subsidy scheme was introduced, there’s been a huge transfer of wealth to businesses who didn’t experience the drop in revenue they might have anticipated,” Nelson said.
“The fact that over $750 million has voluntarily been repaid is a good indication that many times more would be repaid if recipients were asked to make repayments.”
Earlier this year the auditor-general took a much stronger stance over the cost of living payments – within weeks of the first round of payments being made Ryan had written to Inland Revenue, recommending it “consider what steps it can take to identify how many ineligible people have received payments”.
He also advised the department to make its expectation clear to ineligible people who got the payment that they should repay it immediately.
“We’re really just wanting him to do something similar with the wage subsidies because vastly more money is involved,” Nelson said.
https://www.stuff.co.nz/business/money/130635165/court-challenge-to-auditorgeneral-over-billions-of-taxpayer-dollars-paid-in-wage-subsidies
Good on them.
I cant figure it out. on stuff presently , an odd penguin type is loseing his claim, and loseing his appeal, to a poll conducted by his company, being reported as a poll. someone else (hah!) can explain. is this karma?
Yes that was strannge wasn't it.
https://www.stuff.co.nz/national/politics/local-government/130627259/blogger-david-farrars-straw-poll-complaint-dismissed-by-media-council
What amazed me was this statement
'Farrar, who is a Media Council member through Kiwiblog, …….'
yet he is not mentioned here
https://www.mediacouncil.org.nz/about/
He is one of a group of publishers etc who have agreed to abide by Principles set by the Media Council.
https://www.mediacouncil.org.nz/principles/#membership
Farrar is right about this. His political bias doesn't invalidate the basic principle here.
The word "poll" is wrongly used in the media far too often. See the Newshub AM Show "polls", for example. Easy to rig, no value whatsoever.
Just ask our popular Prime Minister, Judith Collins …
https://www.mediacouncil.org.nz/rulings/peter-green-against-mediaworks-newshub/
“Readers could have been left with the impression that this poll had some validity. The headline and story stated it was a poll of people’s Prime Ministerial preferences. There was no information stating what it was based on. Readers were not told it was an unscientific straw poll”
etc.
Apple users must wake up everyday smelling their own farts and virtual signalling their lords and masters.
How scummy are the corporation, I'd say very.
https://finance.yahoo.com/news/apple-hobbled-crucial-tool-dissent-185100767.html
https://www.reddit.com/r/apple/comments/z6k5r0/apple_hobbled_a_crucial_tool_of_dissent_in_china/
Government has lightbulb moment,to train people ( through ngo's) to change lightbulbs and provide advice on low flow shower heads.
https://www.beehive.govt.nz/release/government-supports-more-energy-saving-projects-help-more-kiwis-save-money
Needs to be substantive savings for the new tech economy planned by the government,with the energy hungry and thirsty data centres for Auckland,of which they are energy intensive and require substantive water for cooling.