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Speaker 1: Good afternoon. The government has ordered Health New Zealand to

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Speaker 1: unwind some of Andrew Little's centralization from the last government

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Speaker 1: and delegate some of its decision making back to the regions.

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Speaker 1: Simeon Brown, the Health Minister, says it won't be a

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Speaker 1: return to the days of DHBs, but it is a

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Speaker 1: significant reform.

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Speaker 2: This is about making sure the right decisions are being

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Speaker 2: made at the right level and absolutely putting staff closer

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Speaker 2: to the decisions and patients closer to the decisions. I

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Speaker 2: think is a good thing and will ultimately mean better

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Speaker 2: care for patients.

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Speaker 1: Now, Doctor Andrew Brandt is the acting Health New Zealand

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Speaker 1: Chief Executive and with us.

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Speaker 3: Now, Hi Andrew, good afternoon.

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Speaker 1: Now, you guys had some papers given to you recently

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Speaker 1: about this. They say there's the papers say there's an

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Speaker 1: extreme risk of or not having enough workers.

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Speaker 3: Do you agree this change of the devolution is a

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Speaker 3: really good next step of the evolution of Health New Zealand.

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Speaker 3: That report that you're referring to is actually just describing

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Speaker 3: how well we are doing currently in our financial situation

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Speaker 3: and how we're managing in twenty five twenty six, and

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Speaker 3: it's rather positive, but it also highlights about the devolution

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Speaker 3: and the risk and benefits of devolution, and quite rightly

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Speaker 3: within it, it highlights some of the challenges and risks

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Speaker 3: of doing that. Obviously, Health New Zealand has just been

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Speaker 3: through a whole period of time bringing together twenty DHBs,

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Speaker 3: very centralized. It went through financial difficulties in the last

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Speaker 3: couple of years. It has improved that position the last

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Speaker 3: couple of years and now also we're delivering more as well.

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Speaker 3: But if that report highlights actually we need to change

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Speaker 3: things if we're going to keep going with improvement. And

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Speaker 3: really the key changes is actually bringing the operating model

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Speaker 3: much more to the frontline, bringing those coinitions into the

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Speaker 3: decision making, bringing our community as well into the decision making,

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Speaker 3: and that really is the next step and that's what

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Speaker 3: this is all about. But it's a big change because

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Speaker 3: of course we're a large organization one hundred thousand people,

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Speaker 3: thirty one billion dollar budget and we've got to do

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Speaker 3: this devolution carefully and bringing that so we could bring

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Speaker 3: that decision making to improve the care for our patients

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Speaker 3: and population in a careful and stage manner.

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Speaker 1: How is this good for us?

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Speaker 3: Why it's good is because you know, we've got i

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Speaker 3: think a lot of benefits you know, from actually the

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Speaker 3: controls we've had in the last year, we've had improved

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Speaker 3: performance and improve financial performance. But when you're so large,

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Speaker 3: and actually you can imagine how large it is and

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Speaker 3: all the hospitals and community services, you know, are we

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Speaker 3: making the absolutely right decisions at the front line? We

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Speaker 3: can't know that all centrally. So actually the next step

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Speaker 3: is actually making sure people at the front line help

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Speaker 3: are engaged in their budgets and the decision making. Are

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Speaker 3: we making the right decisions? Is this the right care model?

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Speaker 3: And to get that next level of improvement for health

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Speaker 3: design and for the population, we really need to empower

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Speaker 3: the frontline.

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Speaker 1: Andrew, it's good to talk to you. Thanks for your time.

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Speaker 1: Andrew Brandt, Health New Zealand Acting Chief Executive.

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