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Speaker 1: New chapter for our health system. Today, the board got sacked.

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Speaker 1: Lester Levy became the commissioner. He was charged with saving

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Speaker 1: money and tidying the place up. As of today, governance

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Speaker 1: Board returns with Lester's chair. I think that's how it works, Lester,

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Speaker 1: Morning to you, morning, Mike, as an exercise of getting

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Speaker 1: rid of the hopeless, stabilizing the joint, and getting some

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Speaker 1: fresh blood. And how's that gone.

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Speaker 2: Actually, it's been very challenging, Mike, but it's actually gone

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Speaker 2: very well. The organization is in much better shape. It's

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Speaker 2: more stable and more secure. We're financially on track, and

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Speaker 2: we have arrested the long run multi year decline in

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Speaker 2: the critical system level performance measures. So I think that

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Speaker 2: it's been difficult, challenging, but the outcome has been good

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Speaker 2: and we've got a very stable platform to move forward from.

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Speaker 1: Did the voluminosity surprise you.

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Speaker 2: Yes, yes, Well, I'll give you an indication. In a

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Speaker 2: period of the last twelve months, we would have had

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Speaker 2: twelve board meetings, we had seventy two commissioner meetings the

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Speaker 2: last one is tonight, and fifty sorry, sixty nine turnaround meetings.

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Speaker 2: So we've had to work at a very high cadence

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Speaker 2: and workload in order to get through the volume. But

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Speaker 2: that was necessary.

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Speaker 1: Is am I going to see this when Manie hurts

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Speaker 1: and I need a doctor or a nurse or an

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Speaker 1: operating theater.

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Speaker 2: Well, that's critical question. There has been a very long

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Speaker 2: run decline in a system level performance around waiting times,

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Speaker 2: immunization rates, productivity, and we have arrested that. So we've

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Speaker 2: stopped the decline and we've started the improvement. Just give

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Speaker 2: you us rough example, like immunization rates in December, we're

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Speaker 2: seventy five percent than are eighty two percent, first time

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Speaker 2: they've been over eighty four years. But if we can

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Speaker 2: get an increase of seven percent like that in six

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Speaker 2: seven months and keep doing that, that's when people will

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Speaker 2: see the real impact. So I think it's during this

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Speaker 2: next twelve months that will get that to the level

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Speaker 2: that people will start seeing the impact, because our whole

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Speaker 2: focus is on patient access and we realistic we need

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Speaker 2: to get these to a level where it actually starts

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Speaker 2: making a discernible difference to patients.

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Speaker 1: So you've got you guys, you've got an infrastructure committee,

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Speaker 1: and you've got a Crown observer as well. Is that

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Speaker 1: too many people?

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Speaker 2: Well, it's different to what we used to do. But

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Speaker 2: I think that there's good people and I think the

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Speaker 2: Infrastructure Committee is a big help because you know, we've

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Speaker 2: got to have the bandwidth to manage all their projects.

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Speaker 2: There's hundreds of them, and they will focus on the

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Speaker 2: more significant projects. There's really good established relationships between the

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Speaker 2: people who are working through this, so yeah, I think

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Speaker 2: it's going to work very well. The big issue is

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Speaker 2: we can't work at the cadence of a commissioner a system.

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Speaker 2: It won't be as agile as that, but we can't

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Speaker 2: work at the cadence of a typical board. We're going

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Speaker 2: to have to keep the cadence up in order to deliver.

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Speaker 2: Critical thing for me and the organization is we've reached

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Speaker 2: this point of turnaround, but we have got a lot

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Speaker 2: of work to do to devolve decision making and resources

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Speaker 2: close to the action, a lot of work to get

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Speaker 2: the clinicians fully involved in decision making, and most of all,

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Speaker 2: we have to get modern tools into the hands of

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Speaker 2: our workforce in order to do the work in the

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Speaker 2: best possible way. And I think the New Zealand helps them.

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Speaker 2: Has drifted for some years and the technological advances that

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Speaker 2: are available elsewhere aren't all available yet, and so we

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Speaker 2: don't have those announcements right yet. But in the next

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Speaker 2: three or four months we'll have significant announcements about modernization

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Speaker 2: of digital and also technological innovation, which will be great

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Speaker 2: for our clinicians in particular.

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Speaker 1: All I can do is wish you the very best, Lester,

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Speaker 1: and thank you for the work you've done so far.

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Speaker 1: Lester Leeby, who's the commissioner coming chairman, Commissioner now back

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Speaker 1: to chairman. And they seem slowly but surely now it's

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Speaker 1: highly political, but they seem slowly but surely be getting this.

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Speaker 2: For more from the Micro Asking Breakfast, listen live to

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