1 00:00:00,040 --> 00:00:02,720 Speaker 1: It's the dire state of House New Zealand's books has 2 00:00:02,759 --> 00:00:04,920 Speaker 1: been laid there. It turns out the deficit is near 3 00:00:05,000 --> 00:00:07,720 Speaker 1: a billion dollars and that is worse than expecting with 4 00:00:07,800 --> 00:00:11,840 Speaker 1: us now is House New Zealand's chief executive Margi Upper Hey, Marjie, Oh, 5 00:00:11,880 --> 00:00:14,120 Speaker 1: good morning. How did you guys go from expecting a 6 00:00:14,200 --> 00:00:16,840 Speaker 1: surplus of about five hundred million bucks in March to 7 00:00:16,840 --> 00:00:19,239 Speaker 1: then a deficit of nearly a billion dollars in June? 8 00:00:21,200 --> 00:00:26,960 Speaker 2: Probably three key drivers a comment on Heather. We certainly 9 00:00:27,080 --> 00:00:30,000 Speaker 2: recruited a head of budget, so we have ended the 10 00:00:30,120 --> 00:00:33,600 Speaker 2: year with over our four thousand more clinical staff of 11 00:00:33,640 --> 00:00:37,360 Speaker 2: which half a wound and budget. We did have some 12 00:00:37,479 --> 00:00:40,920 Speaker 2: one off that landed in Q four which on reflection, 13 00:00:41,000 --> 00:00:43,239 Speaker 2: we really should have smoothed junior year, which would have 14 00:00:43,240 --> 00:00:47,080 Speaker 2: made our monthly financial show that we weren't as in 15 00:00:47,120 --> 00:00:49,240 Speaker 2: as positive a position as we were, and we have 16 00:00:49,320 --> 00:00:54,640 Speaker 2: made different decisions and of timing the we got. We 17 00:00:55,000 --> 00:00:58,800 Speaker 2: ended a period of gene still and yet about four 18 00:00:58,920 --> 00:01:02,840 Speaker 2: hundred and nineteen million pay investment which has been received. 19 00:01:02,880 --> 00:01:05,880 Speaker 2: We've gotten that last week. The mystery for. 20 00:01:08,240 --> 00:01:11,119 Speaker 1: So if we take take out the one offs, take 21 00:01:11,160 --> 00:01:14,520 Speaker 1: out their pay equity and take out the staff that 22 00:01:14,600 --> 00:01:17,520 Speaker 1: you recruited early. Does that mean that next year, next 23 00:01:17,520 --> 00:01:19,040 Speaker 1: financial year, the one that we're in at the moment, 24 00:01:19,080 --> 00:01:20,039 Speaker 1: we won't have a deficit. 25 00:01:22,040 --> 00:01:25,440 Speaker 2: We're working to try to get back to budget, but 26 00:01:25,520 --> 00:01:27,959 Speaker 2: we don't want to. You know, we've got good clinical 27 00:01:27,959 --> 00:01:30,200 Speaker 2: staff and place, so we want to make sure that 28 00:01:30,200 --> 00:01:33,319 Speaker 2: we're getting really big value out of the time of 29 00:01:33,400 --> 00:01:37,319 Speaker 2: our clinical frontline people and in particular achieving targets because 30 00:01:37,319 --> 00:01:40,400 Speaker 2: that's that's the big delivery priority for Health New Zealands 31 00:01:40,400 --> 00:01:41,559 Speaker 2: to meet those short weight times. 32 00:01:42,360 --> 00:01:44,319 Speaker 1: That doesn't sound like you were super confident you're going 33 00:01:44,400 --> 00:01:45,920 Speaker 1: to be able to get back into surplus. 34 00:01:47,680 --> 00:01:53,440 Speaker 2: We're we're tattoed. So we've managed to stop our cost growth, 35 00:01:53,920 --> 00:01:57,680 Speaker 2: particularly in this past quarter, so we're tatitle stabilized in 36 00:01:57,720 --> 00:01:59,800 Speaker 2: this quarter. The rest of the year, we do need 37 00:01:59,840 --> 00:02:03,120 Speaker 2: to take out some costs. We've got to also balance 38 00:02:03,200 --> 00:02:05,360 Speaker 2: that with making sure we deliver on the targets and 39 00:02:05,480 --> 00:02:06,920 Speaker 2: use the kind of call workforce that we've gone. 40 00:02:06,960 --> 00:02:08,919 Speaker 1: Madia, you guys still losing more than one hundred million 41 00:02:08,960 --> 00:02:09,440 Speaker 1: bucks a month. 42 00:02:11,200 --> 00:02:13,400 Speaker 2: We're spending at a rate of more than one hundred 43 00:02:13,400 --> 00:02:15,560 Speaker 2: million a month. Yes, and there's some that hasn't changed 44 00:02:15,560 --> 00:02:19,240 Speaker 2: the initiatives we've got underway. It's plateaued over the last 45 00:02:19,680 --> 00:02:20,160 Speaker 2: this quarter. 46 00:02:20,560 --> 00:02:23,919 Speaker 1: Okay, so yeah, okay, so it was growing beforehand, it's 47 00:02:23,960 --> 00:02:25,919 Speaker 1: now not growing now, it's just sitting at that level. 48 00:02:25,960 --> 00:02:27,160 Speaker 1: But you've got to bring that down, don't you. 49 00:02:28,320 --> 00:02:30,000 Speaker 2: Yes, yes, we need to reduce our call all right 50 00:02:30,120 --> 00:02:30,560 Speaker 2: here on the. 51 00:02:30,560 --> 00:02:33,000 Speaker 1: Bright side on the targets, you have managed to hit 52 00:02:33,080 --> 00:02:35,440 Speaker 1: four of the five targets now not by a lot, right, 53 00:02:35,639 --> 00:02:38,000 Speaker 1: So is that just because it's over only a three 54 00:02:38,040 --> 00:02:40,160 Speaker 1: month period. It'll just keep keep adding all the little 55 00:02:40,160 --> 00:02:42,200 Speaker 1: increments together and at the end of the year looks bigger. 56 00:02:43,680 --> 00:02:47,560 Speaker 2: Yeah. And we also Q four is also our winter season, 57 00:02:47,680 --> 00:02:50,959 Speaker 2: so we do tend to see it's a passion of 58 00:02:51,120 --> 00:02:54,919 Speaker 2: not seeing the kind of growth improvement over this period 59 00:02:54,919 --> 00:02:56,680 Speaker 2: and there'll be a little bit of the pertectay over 60 00:02:56,760 --> 00:02:59,160 Speaker 2: the July August. Yeah, we're still seeing some winter volume 61 00:02:59,240 --> 00:03:01,200 Speaker 2: through yes hospitals in particular. 62 00:03:01,440 --> 00:03:03,760 Speaker 1: Okay, Margie, thanks very much, appreciate. Maggie upper Health New 63 00:03:03,840 --> 00:03:07,240 Speaker 1: Zealand Chief Executive. 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