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Speaker 1: Morning, seven past seven. So for the first time a

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Speaker 1: health minister's put a price on renewing the sector's facilities,

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Speaker 1: twenty billion dollars as your bill. It's all part of

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Speaker 1: the government's new health infrastructure plan. Covers nearly thirteen hundred

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Speaker 1: buildings across eighty six campuses, the average age of facilities

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Speaker 1: forty seven years. Health ministers in me and Brown with us,

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Speaker 1: good morning, Good morning Mike. When you start wading through

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Speaker 1: buildings and campuses and bills the size of this, do

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Speaker 1: you get a sense of the size of the ship

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Speaker 1: and how hard it is to turn around?

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Speaker 2: Yeah? Look, absolutely, you see that there's been decades of

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Speaker 2: under investment in our health infrastructure. When you walk around

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Speaker 2: our hospitals, particularly in our regional hospitals, you see that

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Speaker 2: there's a real need to invest. And so what we've

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Speaker 2: done is we've put together a long term plan. This

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Speaker 2: is not going to be delivered overnight, but it gives

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Speaker 2: a clear indication of what needs to be done, what

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Speaker 2: services are needed in which regions, and then it allows

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Speaker 2: us also to look at from the government's perspective, look

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Speaker 2: at what investments needed over that time frame, and also

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Speaker 2: engage with the private sector. Around what capacity they have

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Speaker 2: to deliver and what capacity they have to invest in

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Speaker 2: our our health infrastructure as well.

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Speaker 1: Work us through the logistics of that. I'm an equity

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Speaker 1: fund you come to me for some money, I say,

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Speaker 1: I've got it. What do I get for investing in

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Speaker 1: the health sector.

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Speaker 2: Well, if there's a range of different funding and financing models,

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Speaker 2: and we've set up the National Infrastructure Funding and Financing Company,

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Speaker 2: their job is to work with these investors. Obviously there's

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Speaker 2: things like public private partnerships where maybe there could be

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Speaker 2: long term lease arrangements, there could be concessions, there could

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Speaker 2: be a whole range of different funding and financing options

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Speaker 2: on the table. The opportunity there is for these organizations,

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Speaker 2: these equity firms or whether it's super funds to come

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Speaker 2: and talk to the National Infrastructure Funding and Financing Company.

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Speaker 2: They'll engage with Health New Zealand and talk through what

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Speaker 2: those proposals might look like and then potentially put those

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Speaker 2: deals together. So we're looking at that across government. Infrastructure

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Speaker 2: ultimately is about making sure that the services which are

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Speaker 2: delivered are publicly funded. There's no change, but it's about

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Speaker 2: making sure that the infrastructure is able to deliver through

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Speaker 2: different ways of funding and financing it.

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Speaker 1: There's no shortage of money in the world, as the

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Speaker 1: Prime Minister's told as many times. So I'm assuming there's

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Speaker 1: a capacity constraint, because why don't we do it all

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Speaker 1: at once in your aunt's ryme assuming is we don't

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Speaker 1: have the people and we don't have the wherewithal to

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Speaker 1: get on with it even if we could get the money.

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Speaker 2: Well, there's the needing. The funding is one part of it.

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Speaker 2: There's also the capacity of the market, and that's why

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Speaker 2: this plan looks at how we can stage developments. If

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Speaker 2: you look at a lot of our regional hospitals, it's

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Speaker 2: about the capacity of the construction sector in those cities

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Speaker 2: and towns as well, and so you've actually got to

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Speaker 2: look at how do you stage those developments over time

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Speaker 2: so that you're able to deliver them in a timely,

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Speaker 2: end cost effective manner, rather than doing substantive builds, which

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Speaker 2: ultimately the construction sector can't necessarily respond to. So that's

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Speaker 2: why it's it's a long term plan. It identifies the needs,

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Speaker 2: It looks at what's you know, the under investment, what's

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Speaker 2: required to catch up, but also looks at the new

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Speaker 2: models of care and pushing services away from core hospitals

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Speaker 2: into the community so that the services can be delivered

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Speaker 2: a more cost effective manner to home for patients.

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Speaker 1: The heat you got yesterday from email Hollands and new

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Speaker 1: unions and stuff. Are they deliberate? I mean, are they

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Speaker 1: out to get you in that sense? Is there any

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Speaker 1: good will and health no matter what you try or not? Well?

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Speaker 2: Look, I think the unions are certainly putting politics ahead

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Speaker 2: of patients, particularly with the strike that they're proposing on

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Speaker 2: the first of May. I find that frankly unacceptable. We

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Speaker 2: have patients waiting too long already for care, and by

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Speaker 2: going on strike they are only going to delay the

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Speaker 2: care of patients further. So people who are supporting strikes

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Speaker 2: and also complaining about waitlists have frankly got their politics

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Speaker 2: in there and their priority is completely wrong. You can't

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Speaker 2: do both. So I'm calling on the doctor's union to

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Speaker 2: cancel the strike, get back to the negotiating table and

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Speaker 2: actually focus on putting patients first and deal with those

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Speaker 2: issues around the negotiating table and not using patients as

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Speaker 2: bargaining chips. I find that frankly unacceptable and the worst

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Speaker 2: type of politics.

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Speaker 1: Good to talk to you and have a good weekend.

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Speaker 1: Some me and Brown Health Minister of course living past soon.

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