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.
The USSR used the false-flag attack as a pretext to cancel the Finnish-Soviet non-aggression pact.
But sure, Ukraine should negotiate.
/
Of course, we didn't actually invade Finland. We "assisted" the new "legitimate government" who "asked" for help after tiny Finland agressively attacked USSR just as our army was peacefully massed on their previous border in attack formation.
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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Lynn and I have just returned from a news conference where Hipkins, fresh from visiting a relief centre in Mangere, was repeatedly challenged to justify the extension of subsidies to create more climate emissions when the effects of climate change had just proved so disastrous. Photo: Lynn Grieveson / The ...
A new Prime Minister, a revitalised Cabinet, and possibly revised priorities – but is the political and, importantly, economic landscape much different? Certainly some within the news media were excited by the changes which Chris Hipkins announced yesterday or – before the announcement – by the prospect of changes in ...
Currently the government's strategy for reducing transport emissions hinges on boosting vehicle fuel-efficiency, via the clean car standard and clean car discount, and some improvements to public transport. The former has been hugely successful, and has clearly set us on the right path, but its also not enough, and will ...
Buzz from the Beehive Before he announced his Cabinet yesterday, Prime Minister Chris Hipkins announced he would be flying to Australia next week to meet that country’s Prime Minister. And before Kieran McAnulty had time to say “Three Waters” after his promotion to the Local Government portfolio, he was dishing ...
The quarterly labour market statistics were released this morning, showing that unemployment has risen slightly to 3.4%. There are now 99,000 people unemployed - 24,000 fewer than when Labour took office. So, I guess the Reserve Bank's plan to throw people out of work to stop wage rises "inflation", and ...
Another night of heavy rain, flooding, damage to homes, and people worried about where the hell all this water is going to go as we enter day twenty two of rain this year.Honestly if the government can’t sell Three Waters on the back of what has happened with storm water ...
* Dr Bryce Edwards writes – Prime Minister Chris Hipkins continues to be the new broom in Government, re-setting his Government away from its problem areas in his Cabinet reshuffle yesterday, and trying to convince voters that Labour is focused on “bread and butter” issues. The ministers responsible for unpopular ...
Prime Minister Chris Hipkins continues to be the new broom in Government, re-setting his Government away from its problem areas in his Cabinet reshuffle yesterday, and trying to convince voters that Labour is focused on “bread and butter” issues. The ministers responsible for unpopular reforms in water and DHB centralisation ...
Hi,It’s weird to me that in 2023 we still have people falling for multi-level marketing schemes (MLMs for short). There are Netflix documentaries about them, countless articles, and last year we did an Armchaired and Dangerous episode on them.Then you check a ticketing website like EventBrite and see this shit ...
Nanaia Mahuta fell the furthest in the Cabinet reshuffle. Photo: Lynn Grieveson/Getty ImagesTLDR: PM Chris Hipkins unveiled a Cabinet this afternoon he hopes will show wavering voters that a refreshed Labour Government is focused on ‘bread and butter cost of living’ issues, rather than the unpopular, unwieldy and massively centralising ...
Nanaia Mahuta fell the furthest in the Cabinet reshuffle. Photo: Lynn Grieveson/Getty ImagesTLDR: PM Chris Hipkins unveiled a Cabinet this afternoon he hopes will show wavering voters that a refreshed Labour Government is focused on ‘bread and butter cost of living’ issues, rather than the unpopular, unwieldy and massively centralising ...
Shortly, the absolute state of Wayne Brown. But before that, something I wrote four years ago for the council’s own media machine. It was a day-in-the-life profile of their many and varied and quite possibly unnoticed vital services. We went all over Auckland in 48 hours for the story, the ...
Completed reads for January Lilith, by George MacDonald The Rime of the Ancient Mariner (poem), by Samuel Taylor Coleridge Christabel (poem), by Samuel Taylor Coleridge The Saga of Ragnar Lodbrok, by Anonymous The Lay of Kraka (poem), by Anonymous 1066 and All That, by W.C. Sellar and R.J. ...
Pity the poor Brits. They just can’t catch a break. After years of reporting of lying Boris Johnson, a change to a less colourful PM in Rishi Sunak has resulted in a smooth media pivot to an end-of-empire narrative. The New York Times, no less, amplifies suggestions that Blighty ...
On that day all the springs of the great deep burst forth, and the floodgates of the heavens were opened. And rain fell on the earth.Genesis 6:11-12THE TORRENTIAL DOWNPOURS that dumped a record-breaking amount of rain on Auckland this anniversary weekend will reoccur with ever-increasing frequency. The planet’s atmosphere is ...
Buzz from the Beehive There has been plenty to keep the relevant Ministers busy in flood-stricken Auckland over the past day or two. But New Zealand, last time we looked, extends north of Auckland into Northland and south of the Bombay Hills all the way to the bottom of the ...
This is a re-post from Yale Climate Connections by Jeff Masters When early settlers came to the confluence of the Sacramento and American Rivers before the California Gold Rush, Indigenous people warned them that the Sacramento Valley could become an inland sea when great winter rains came. The storytellers described water filling the ...
Wayne Brown managed a smile when meeting with Remuera residents, but he was grumpy about having to deal with “media drongos”. Photo: Lynn Grieveson/Getty ImagesTLDR: In my pick of the news links found in my rounds since 4am for paying subscribers below the paywall:Wayne Brown moans about the media and ...
Wayne Brown managed a smile when meeting with Remuera residents, but he was grumpy about having to deal with “media drongos”. Photo: Lynn Grieveson/Getty ImagesTLDR: In my pick of the news links found in my rounds since 4am for paying subscribers below the paywall:Wayne Brown moans about the media and ...
Dr Bryce Edwards writes – Last night’s opinion polls answered the big question of whether a switch of prime minister would really be a gamechanger for election year. The 1News and Newshub polls released at 6pm gave the same response: the shift from Jacinda Ardern to Chris Hipkins ...
Hipkins’ aim this year will be to present a ‘low target’ for those seeking to attack Labour’s policies and spending. Photo: Lynn Grieveson/Getty ImagesTLDR: Anyone dealing with Government departments and councils who wants some sort of big or long-term decision out of officials or politicians this year should brace for ...
Hipkins’ aim this year will be to present a ‘low target’ for those seeking to attack Labour’s policies and spending. Photo: Lynn Grieveson/Getty ImagesTLDR: Anyone dealing with Government departments and councils who wants some sort of big or long-term decision out of officials or politicians this year should brace for ...
Last night’s opinion polls answered the big question of whether a switch of prime minister would really be a gamechanger for election year. The 1News and Newshub polls released at 6pm gave the same response: the shift from Jacinda Ardern to Chris Hipkins has changed everything, and Labour is back ...
Over the last few years, it’s seemed like city after city around the world has become subject to extreme flooding events that have been made worse by impacts from climate change. We’ve highlighted many of them in our Weekly Roundup series. Sadly, over the last few days it’s been Auckland’s ...
And so the first month of the year draws to a close. It rained in Auckland on 21 out of the 31 days in January. Feels like summer never really happened this year. It’s actually hard to believe there were 10 days that it didn’t rain. Was it any better where ...
Kia ora e te whānau. Today, we mark the anniversary of the signing of Te Tiriti o Waitangi - and our commitment to working in partnership with Māori to deliver better outcomes and tackle the big issues, together. ...
We’ve just announced a massive infrastructure investment to kick-start new housing developments across New Zealand. Through our Infrastructure Acceleration Fund, we’re making sure that critical infrastructure - like pipes, roads and wastewater connections - is in place, so thousands more homes can be built. ...
The Green Party is joining more than 20 community organisations to call for an immediate rent freeze in Tāmaki Makaurau Auckland, after reports of landlords intending to hike rents after flooding. ...
When Chris Hipkins took on the job of Prime Minister, he said bread and butter issues like the cost of living would be the Government’s top priority – and this week, we’ve set out extra support for families and businesses. ...
The Green Party is calling on the Government to provide direct support to low-income households and to stop subsidising fossil fuels during a climate crisis. ...
The tools exist to help families with surging costs – and as costs continue to rise it is more urgent than ever that we use them, the Green Party says. ...
Foreign Minister Nanaia Mahuta departs for India tomorrow as she continues to reconnect Aotearoa New Zealand to the world. The visit will begin in New Delhi where the Foreign Minister will meet with the Vice President Hon Jagdeep Dhankar and her Indian Government counterparts, External Affairs Minister S. Jaishankar and ...
Over $10 million infrastructure funding to unlock housing in Whangārei The purchase of a 3.279 hectare site in Kerikeri to enable 56 new homes Northland becomes eligible for $100 million scheme for affordable rentals Multiple Northland communities will benefit from multiple Government housing investments, delivering thousands of new homes for ...
A memorial event at a key battle site in the New Zealand land wars is an important event to mark the progress in relations between Māori and the Crown as we head towards Waitangi Day, Minister for Te Arawhiti Kelvin Davis said. The Battle of Ohaeawai in June 1845 saw ...
More Police officers are being deployed to the frontline with the graduation of 54 new constables from the Royal New Zealand Police College today. The graduation ceremony for Recruit Wing 362 at Te Rauparaha Arena in Porirua was the first official event for Stuart Nash since his reappointment as Police ...
The Government is unlocking an additional $700,000 in support for regions that have been badly hit by the recent flooding and storm damage in the upper North Island. “We’re supporting the response and recovery of Auckland, Waikato, Coromandel, Northland, and Bay of Plenty regions, through activating Enhanced Taskforce Green to ...
Prime Minister Chris Hipkins has welcomed the announcement that Her Royal Highness The Princess Royal, Princess Anne, will visit New Zealand this month. “Princess Anne is travelling to Aotearoa at the request of the NZ Army’s Royal New Zealand Corps of Signals, of which she is Colonel in Chief, to ...
A new Government and industry strategy launched today has its sights on growing the value of New Zealand’s horticultural production to $12 billion by 2035, Agriculture Minister Damien O’Connor said. “Our food and fibre exports are vital to New Zealand’s economic security. We’re focussed on long-term strategies that build on ...
25 cents per litre petrol excise duty cut extended to 30 June 2023 – reducing an average 60 litre tank of petrol by $17.25 Road User Charge discount will be re-introduced and continue through until 30 June Half price public transport fares extended to the end of June 2023 saving ...
The strong economy has attracted more people into the workforce, with a record number of New Zealanders in paid work and wages rising to help with cost of living pressures. “The Government’s economic plan is delivering on more better-paid jobs, growing wages and creating more opportunities for more New Zealanders,” ...
The Government is providing a further $1 million to the Mayoral Relief Fund to help communities in Auckland following flooding, Minister for Emergency Management Kieran McAnulty announced today. “Cabinet today agreed that, given the severity of the event, a further $1 million contribution be made. Cabinet wishes to be proactive ...
The new Cabinet will be focused on core bread and butter issues like the cost of living, education, health, housing and keeping communities and businesses safe, Prime Minister Chris Hipkins has announced. “We need a greater focus on what’s in front of New Zealanders right now. The new Cabinet line ...
Prime Minister Chris Hipkins will travel to Canberra next week for an in person meeting with Australian Prime Minister, Anthony Albanese. “The trans-Tasman relationship is New Zealand’s closest and most important, and it was crucial to me that my first overseas trip as Prime Minister was to Australia,” Chris Hipkins ...
The Government is providing establishment funding of $100,000 to the Mayoral Relief Fund to help communities in Auckland following flooding, Minister for Emergency Management Kieran McAnulty announced. “We moved quickly to make available this funding to support Aucklanders while the full extent of the damage is being assessed,” Kieran McAnulty ...
As the Mayor of Auckland has announced a state of emergency, the Government, through NEMA, is able to step up support for those affected by flooding in Auckland. “I’d urge people to follow the advice of authorities and check Auckland Emergency Management for the latest information. As always, the Government ...
Ka papā te whatitiri, Hikohiko ana te uira, wāhi rua mai ana rā runga mai o Huruiki maunga Kua hinga te māreikura o te Nota, a Titewhai Harawira Nā reira, e te kahurangi, takoto, e moe Ka mōwai koa a Whakapara, kua uhia te Tai Tokerau e te kapua pōuri ...
Carmel Sepuloni, Minister for Social Development and Employment, has activated Enhanced Taskforce Green (ETFG) in response to flooding and damaged caused by Cyclone Hale in the Tairāwhiti region. Up to $500,000 will be made available to employ job seekers to support the clean-up. We are still investigating whether other parts ...
The 2023 General Election will be held on Saturday 14 October 2023, Prime Minister Jacinda Ardern announced today. “Announcing the election date early in the year provides New Zealanders with certainty and has become the practice of this Government and the previous one, and I believe is best practice,” Jacinda ...
Jacinda Ardern has announced she will step down as Prime Minister and Leader of the Labour Party. Her resignation will take effect on the appointment of a new Prime Minister. A caucus vote to elect a new Party Leader will occur in 3 days’ time on Sunday the 22nd of ...
Source: The Conversation (Au and NZ) – By Adrian Beaumont, Election Analyst (Psephologist) at The Conversation; and Honorary Associate, School of Mathematics and Statistics, The University of Melbourne Mick Tsikas/AAP Senator Lidia Thorpe announced on Monday that she would be leaving the Greens. Thorpe had split with the ...
Source: The Conversation (Au and NZ) – By Dennis B. Desmond, Lecturer, Cyberintelligence and Cybercrime Investigations, University of the Sunshine Coast The news of a so-called “Chinese spy balloon” being shot down over the US has reignited interest in how nation-states spy on one another. It’s not confirmed that the ...
Today, at a Waitangi ki Waititi concert hosted by Te Whānau o Waipareira at Hoani Waititi Marae, West Auckland; Takutai Moana Natasha Kemp was officially announced as Te Pāti Māori Candidate for Tāmaki Makaurau for the 2023 Election. Hailing ...
Source: The Conversation (Au and NZ) – By Michelle Grattan, Professorial Fellow, University of Canberra Daniel Pockett/AAP Victorian Indigenous Senator Lidia Thorpe has defected from the Greens to sit on the crossbench, declaring she wants to fully represent the “Blak Sovereign Movement” in parliament. The announcement by ...
Source: The Conversation (Au and NZ) – By Michelle Grattan, Professorial Fellow, University of Canberra Daniel Pockett/AAP Victorian Indigenous Senator Lidia Thorpe has defected from the Greens to sit on the crossbench, declaring she wants to fully represent the “Blak Sovereign Movement” in parliament. The announcement by ...
Sure, Scotty Morrison’s Māori At Work is a wonderful resource for Aotearoa’s collective te reo Māori journey. But is it judgemental enough for the modern office environment?First published September 12 2019 The growing strength of te reo is palpable across Aotearoa, with record numbers of people participating in Mahuru ...
Source: The Conversation (Au and NZ) – By Jane Mills, Professor and Dean La Trobe Rural Health School, La Trobe University Shutterstock It can be tough to access front-line health care outside the cities and suburbs. For the seven million Australians living in rural communities there are significant ...
Source: The Conversation (Au and NZ) – By Donald Rothwell, Professor of International Law, Australian National University Chad Fish/AP Was the balloon that suddenly appeared over the US last week undertaking surveillance? Or was it engaging in research, as China has claimed? While the answers to these ...
Source: The Conversation (Au and NZ) – By Brendan Walker-Munro, Senior Research Fellow, The University of Queensland Shutterstock The generative AI industry will be worth about A$22 trillion by 2030, according to the CSIRO. These systems – of which ChatGPT is currently the best known – can write ...
Source: The Conversation (Au and NZ) – By Doug Drury, Professor/Head of Aviation, CQUniversity Australia Shutterstock When booking a flight, do you ever think about which seat will protect you the most in an emergency? Probably not. Most people book seats for comfort, such as leg room, ...
Prime Minister Chris Hipkins has described this morning's Waitangi dawn service as moving and says he welcomes the shift away from a focus on politics. ...
Screenwriter Dana Leaming’s debut comedy series Not Even is out now on Prime and Neon. This is the out the gate story of how it got there.Kia ora, Hi, What up? Up to? U up? …I’m Dana. I wrote and co-directed (with Ainsley Gardiner) the TV show Not Even ...
Source: The Conversation (Au and NZ) – By Adrian Beaumont, Election Analyst (Psephologist) at The Conversation; and Honorary Associate, School of Mathematics and Statistics, The University of Melbourne Mick Tsikas/AAP A federal Newspoll, conducted February 1-4 from a sample of 1,512, gave Labor a 55-45 lead, unchanged on ...
The Human Rights Commission, Te Kāhui Tika Tangata, last week released two reports on racism and the impact of colonialism in Aotearoa. Among their many insights was the necessity of a wider understanding of how racism manifests itself. I was honoured to accept an invitation by Te Kāhui Tika Tangata ...
Vincent O’Malley reviews a history of the battle of Gate Pā.First published February 5, 2019 Head up Cameron Road, one of Tauranga’s main arterial routes, a few kilometres out of the city centre and you drive over one of New Zealand’s most important historical sites. The road, named after ...
Source: The Conversation (Au and NZ) – By Murray Goot, Emeritus Professor of Politics and International Relations, Macquarie University Support for embedding an Indigenous Voice to parliament in the Constitution has fallen. The polls provide good evidence once you work out how to find it. However, the voters who have ...
Source: The Conversation (Au and NZ) – By Doug Drury, Professor/Head of Aviation, CQUniversity Australia Shutterstock When booking a flight, do you ever think about which seat will protect you the most in an emergency? Probably not. Most people book seats for comfort, such as leg room, or ...
Source: The Conversation (Au and NZ) – By Libby Rumpff, Senior Research Fellow, The University of Melbourne David Crosling/AAP The Black Summer bushfires of 2019-20 were cataclysmic: a landmark in Australia’s environmental history. They burnt more than 10 million hectares, mostly forests in southeast Australia. Many of our most ...
Source: The Conversation (Au and NZ) – By Christine Grové, Fulbright Scholar and Adjunct Senior Lecturer, Monash University Anete Lusina/Pexels School attendance levels in Australia are a massive issue according to Education Minister Jason Clare. As he told reporters last week, he hopes to talk to state colleagues ...
Source: The Conversation (Au and NZ) – By Marion Terrill, Transport and Cities Program Director, Grattan Institute Revising the generous fuel tax credits given to businesses should be a priority for the Albanese government, because keeping them would conflict with two other pressing priorities: reducing carbon emissions and repairing the ...
For nine years he steered the ship he built, but last week Duncan Greive announced his surprise resignation as CEO of The Spinoff. He joins guest host, Jane Yee, to discuss how doing things differently took The Spinoff from an irreverent TV blog to a respected online magazine, and why ...
Three decades ago one of the giants of New Zealand thinking and writing, Ranginui Walker, published Ka Whawhai Tonu Mātou, Struggle Without End. The book, originally released in 1990 and revised in 2004, is a history of Aotearoa from a Māori perspective. It had a profound influence and today remains ...
A review for Waitangi weekend The bestselling novel Kāwai: For Such a Time as This by Monty Soutar feels like the story Matua Monty has been working toward telling his entire life. It aims for the loftiest mountain peak in a valiant attempt at the fabled Great New Zealand ...
Unfortunately the great flood of January 27 was not a one-off but a precursor to more emergencies likely to strike the city because of environmental effects of climate change. While the Auckland floods are proving devastating, costly and far-reaching, they have also had the strange effect of revealing Tamaki Makaurau's original landscape. ...
Health inequities between Pākehā and Māori are often framed as complex and difficult to change. But making access to GPs and dentists free will not only save money for whānau using these services, it will also save money for the health system and ensure Māori rights to good governance and equity ...
One of New Zealand's most promising fast bowlers, Molly Penfold, was surprised to get the call-up for the T20 World Cup, but she has a great support team around her, Merryn Anderson reports. She's only played one T20 for the White Ferns, and she's yet to take a wicket, but Molly ...
Labour and National’s leaders came to Waitangi agreed on which areas need more investment in election year. But as political editor Jo Moir writes, the country is going to see a big debate on how Māori should benefit from it Prime Minister Chris Hipkins used his speech at Sunday’s pōwhiri ...
Securing the right to housing will require us to challenge the very systems and ideologies that are doing such harm to our planet.Opinion: The images of rivers running down our streets, cars floating down the motorway, houses flooded and half-submerged buses ferrying people across the causeway, will stick with ...
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It is hard to separate the politics from Waitangi, but the day party leaders were welcomed on to Te Whare Rūnanga was largely free of inflammatory rhetoric and political point scoring. ...
Rheive Grey pays tribute to one political party’s unapologetic commitment to markers of Māori identity, from hei tiki to waiata to tikitiki. I’m proud to be Māori. If you’re like me, it’s hard to read that sentence without singing it in your head. That’s either the power of good campaigning, ...
When I was a man my dick was only average size, but learning how to tuck it out of sight is a steep learning curve for a girl on a budget. The Sunday Essay is made possible thanks to the support of Creative New Zealand.Illustrations: Sloane Hong The dick ...
Source: The Conversation (Au and NZ) – By Peter Martin, Visiting Fellow, Crawford School of Public Policy, Australian National University Wes Mountain/The Conversation, CC BY-ND Australia’s Reserve Bank is set to push up rates once again at its first meeting for the year on Tuesday, according to all but ...
By David Robie When Papuan journalist Victor Mambor visited New Zealand almost nine years ago, he impressed student journalists from the Pacific Media Centre and community activists with his refreshing candour and courage. As the founder of the Jubi news media group, he remained defiant that he would tell the ...
Today, Te Pāti Māori officially announced Mariameno Kapa-Kingi as their candidate for the Te Tai Tokerau electorate in this year’s General Election. The announcement was part of the pōwhiri for MPs at Te Whare Rūnanga o Waitangi. “Making the announcement ...
Paul Diamond’s book about the 1920s scandal that shocked Whanganui is on the longlist for the Ockhams (in the hotly contested General Non-Fiction category). Victor Rodger reviews. A closeted mayor with huge ambitions. A handsome, young, returned soldier with ambiguous motivations.A scandalous shooting that leads to a spectacular ...
An easy, low sugar jam that tastes even better than the sickly-sweet stuff. Often jam recipes call for much more sugar that I think is necessary, resulting in a cloyingly sweet jam whose flavour sadly becomes lost. Where some recipes will call for equal measures of fruit and sugar, this ...
Professor John Morgan offers a 'lesson plan' for Auckland children returning to school to help them understand what's going on in their city after the floods When Auckland schools go back, there’s a case to be made that geography teachers take over lessons for a day or two. Auckland’s ‘state of emergency’ ...
An acoustic 'harassment' device won’t be used to keep dolphins from high-speed boats, reports David Williams. Organisers of a super-fast boat race have scrapped plans to use an underwater noise device to scare dolphins in a marine mammal sanctuary. SailGP’s consultants, Enviser, lodged an application with the Department of Conservation (DoC) ...
Two reports on racism in New Zealand released by the Human Rights Commission land at a time when political rhetoric around racism is escalating again. Aaron Smale reports. The Human Rights Commission has released two reports that make a number of significant recommendations for confronting white supremacy and institutional racism. But ...
Flooding and land slides at her home in Titirangi have Zoe Hawkins sleeping in her running gear in case she has to flee. She shares her concern for others even more affected - and questions what the future brings. A week ago we lived on the edge of paradise. Our forever home ...
Source: The Conversation (Au and NZ) – By Michelle Grattan, Professorial Fellow, University of Canberra Enshrining a constitutional Voice to parliament will bring better practical outcomes and give the best chance for Closing the Gap, Prime Minister Anthony Albanese will say in a major address on the referendum on Sunday. ...
By Jamie Tahana, RNZ News Te Ao Māori journalist at Waitangi, and Russell Palmer, digital political journalist Iwi leaders in Aotearoa New Zealand have accused opposition parties National and ACT of “fanning the flames of racism”, urging the prime minister to be brave and not walk away from partnership on Three ...
By Phoebe Gwangilo in Port Moresby Higher Education Minister Don Polye has condemned a decision by the administration of the University of Papua New Guinea to treat a PNG-born and bred grade 12 school leaver as an “international” student. Roselyn Alog, 19, whose parents are Filipinos, was born and raised ...
RNZ Pacific Fiji’s former Elections Supervisor Mohammed Saneem is under investigation by the country’s anti-corruption agency for alleged abuse of office and has been stopped from fleeing the country. The Fijian Elections Office (FEO) said Saneem was alleged to have “on numerous occasions . . . unlawfully authorised payments of ...
Labour's position has alternated over the past few days: first Prime Minister Chris Hipkins would speak, then he wouldn't, and then he would again. ...
Te Pāti Māori Co-leaders Rawiri Waititi and Debbie Ngarewa-Packer are announcing a transformative defence and foreign affairs policy which asserts the Mana Māori Motuhake and Tino Rangatiratanga of tangata whenua in Aotearoa at their Party’s ...
The Prime Minister once again has a speaking slot at the pōwhiri in Waitangi after earlier on Saturday saying he would respect the wishes of the trust organisers by not doing so The Waitangi National Trust has given the green light for Chris Hipkins and other political leaders to speak ...
The Prime Minister will no longer speak at Waitangi commemorations after the organising trust moved the political leaders to a panel away from the main event The Waitangi National Trust wrote to political parties last month saying they didn’t want political leaders to speak at the pōwhiri held on the eve ...
It’s been exactly a decade since Seven Sharp first appeared on our screens. Remember the first episode? We’ve unearthed the tapes. On this day in 2013, a bombshell was thrown into the New Zealand television landscape. “Time for us to make way, because you’re here to see what everyone’s talking ...
MetService meteorologist Lewis Ferris has fronted endless media requests and live crosses this week. Is he getting it right? Lewis Ferris is trying to find his weather map. “This week’s been so insane” he mutters as he closes multiple tabs on the three screens across his Wellington desk. He’s ...
After four years, executive director Max Tweedie has stepped down from Auckland Pride. He tells Sam Brooks about shepherding the festival through a tumultuous few years, and where he’s going from here.This year’s Auckland Pride Festival is set to be the biggest one yet. Over the course of more ...
A flailing mayor was only the public face of a multifaceted flooding communications failure. Duncan Greive examines the mess, and asks what can be done to improve it.It’s a chilling timeline. Stuff’s Kelly Dennett catalogued, beat-by-beat, the 12 hours in which Auckland was pummelled by a catastrophic deluge, interspersing ...
The Dunedin branch of the Green Party has selected Francisco Hernandez as its candidate for the Dunedin electorate in this year’s general election. Francisco Hernandez was the Otago University Students Association President in 2013. He has held a number ...
Waitangi organisers are trying to push political leaders to the side at Sunday's pōwhiri, but Labour's deputy leader says it's not for them to decide who speaks. Te Tai Tokerau MP and Labour’s deputy leader, Kelvin Davis, says the Prime Minister will speak at Sunday’s pōwhiri at Waitangi, in defiance of local ...
Every weekday, The Detail makes sense of the big news stories. This week, we spoke to an aid worker who had made the trip to the war zone in Ukraine, looked at why Carmel Sepuloni was picked to be the new deputy prime minister, visited the flood-torn streets of Titirangi in West ...
Schools play an integral but often unrecognised and unacknowledged role in helping communities respond to and recover from disastersOpinion: Schools in Auckland and other flood-affected areas are about to re-open after a delayed start to the new school year. Students will return to school having experienced wide-ranging impacts. While some ...
A very short story for Waitangi weekend The pā is a lonely place nowadays. Gorse has marched on it like the British troops of old, consuming the hills and leaving the marae looking a bald patch on the head of the earth mother herself. Even the roads have worn thin, ...
This is The Detail's Long Read - one in-depth story read by us every weekend. This week, it's The School Away From School written by Bill Morris and published in NZ Geographic's January/February 2023 issue. You can find the entire article, with photos from Lottie Hedley, on the NZ Geographic website. One hundred years since its ...
COMMENTARY:By Kayt Davies in Perth I wasn’t good at French in my final year of high school. My classmates had five years of language studies behind them. I had three. As a result of my woeful grip on the language, I wrote a terribly bad essay in my final ...
RNZ Pacific Journalist Victor Mambor, who is the chief editor of the West Papuan newspaper and websiteJubi, has received the Oktovianus Pogau Award from the Indonesian-based Pantau Foundation for courage in journalism. The foundation’s Andreas Harsono said Mambor’s decision to return to his father’s homeland and defend the rights ...
RNZ News Green Party MP Chlöe Swarbrick is brushing off concerns a temporary rent freeze in flood-hit Auckland would just see landlords hike rents even more when the controls were lifted — arguing they should stay permanently. More than 20 organisations have signed a letter urging Minister for Auckland Michael ...
Iwi leaders have accused National and ACT of "fanning the flames of racism", urging the prime minister to be brave and not walk away from partnership on three waters. ...
About this time last week it had become apparent that Auckland was in for a bit more than just a wet Friday. While the state of emergency remains in place for another seven days, it appears the worst should now be behind us. Last night, Niwa shared a fascinating thread ...
Source: The Conversation (Au and NZ) – By John Hawkins, Senior Lecturer, Canberra School of Politics, Economics and Society, University of Canberra ShutterstockIndigenous Australians are respectfully advised that the following includes the names and images of some people who are now deceased. The Reserve Bank of Australia ...
The government has confirmed the money will be spent in Northland, including unlocking greenfields land and transport upgrades like a new bridge in Kamo. ...
Source: The Conversation (Au and NZ) – By Gabrielle Appleby, Professor, UNSW Law School, UNSW Sydney Prime Minister Anthony Albanese has confirmed that sometime between August and November this year, the Australian people will go to a referendum for the first time since 1999. We’ll be asked whether we support ...
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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
.
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.
/
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
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.