1
00:00:00,120 --> 00:00:02,719
Speaker 1: Right now though, the Health and Z Board is coming back.

2
00:00:02,840 --> 00:00:04,680
Speaker 1: This is eight months after they got rid of it.

3
00:00:04,920 --> 00:00:07,880
Speaker 1: Lest Levy, of course replaced the old board. Well, he'll

4
00:00:07,920 --> 00:00:10,399
Speaker 1: be the next to go. Simion Brown's the Health minister.

5
00:00:10,480 --> 00:00:13,600
Speaker 1: Hime minister, how are you good? Thank you? So Lester

6
00:00:13,720 --> 00:00:14,600
Speaker 1: Levy's gone.

7
00:00:15,800 --> 00:00:18,279
Speaker 2: Well, we're going to be replacing the commission with a

8
00:00:18,360 --> 00:00:21,080
Speaker 2: board from the end of the commission, which ends an

9
00:00:21,120 --> 00:00:23,640
Speaker 2: end of July. Expect Lester will continue to have a

10
00:00:23,760 --> 00:00:26,360
Speaker 2: role beyond that as we do to ensure we have

11
00:00:26,400 --> 00:00:29,840
Speaker 2: a successful transition in order to make sure that his

12
00:00:29,960 --> 00:00:33,520
Speaker 2: knowledge and also is able to be transferred across it's

13
00:00:33,520 --> 00:00:36,519
Speaker 2: the biggest, one of the biggest organizations in the Southern Hemisphere,

14
00:00:36,520 --> 00:00:39,280
Speaker 2: so it's critically important that we have a successful transition.

15
00:00:39,800 --> 00:00:42,800
Speaker 2: But what we're announcing today is that we're going back

16
00:00:42,840 --> 00:00:46,080
Speaker 2: to more traditional governance so we can focus the organization

17
00:00:46,240 --> 00:00:49,040
Speaker 2: and make sure it's working for patients across the country.

18
00:00:49,120 --> 00:00:52,400
Speaker 1: I've read this Deloitte report. It's absolutely damning. They basically

19
00:00:52,479 --> 00:00:54,320
Speaker 1: didn't know who was Arthur or Martha when it comes

20
00:00:54,360 --> 00:00:57,880
Speaker 1: to finances. Hence the problems when you say going back

21
00:00:57,920 --> 00:01:01,640
Speaker 1: to a local model, you don't DHBs, What do they

22
00:01:02,120 --> 00:01:03,400
Speaker 1: what does it look like and what it's about.

23
00:01:03,400 --> 00:01:07,959
Speaker 2: Its having nationally a nationally consistent model, locally delivered with

24
00:01:08,080 --> 00:01:12,440
Speaker 2: clear financial plans in place, clear financial output budgets. Well,

25
00:01:12,480 --> 00:01:14,520
Speaker 2: what's going to be happening in each district and the

26
00:01:14,600 --> 00:01:17,960
Speaker 2: national organization is holding those holding each part of the

27
00:01:18,040 --> 00:01:22,240
Speaker 2: organization accountable to deliver against that with proper financial controls

28
00:01:22,240 --> 00:01:22,679
Speaker 2: in place.

29
00:01:23,880 --> 00:01:26,920
Speaker 1: Organization who's in charge of the of the local areas

30
00:01:26,959 --> 00:01:30,520
Speaker 1: like they're going to be quasi d HB boards.

31
00:01:30,640 --> 00:01:33,960
Speaker 2: Well, now the organization is working, is devolved, is already

32
00:01:33,959 --> 00:01:37,679
Speaker 2: in the process of devolving into four regions. There's there's

33
00:01:37,840 --> 00:01:41,200
Speaker 2: regional leadership for each of those regions, so they'll be

34
00:01:41,360 --> 00:01:44,920
Speaker 2: established and they will hold the districts to account underneath that,

35
00:01:45,000 --> 00:01:48,760
Speaker 2: and it's about just putting in place good financial accountabilities,

36
00:01:48,880 --> 00:01:52,200
Speaker 2: delivery plans, to output plans, all of the things that

37
00:01:52,200 --> 00:01:55,200
Speaker 2: that Deloitte report has shown we're missing. Putting that in

38
00:01:55,240 --> 00:01:57,560
Speaker 2: place so we can focus every part of howth New

39
00:01:57,600 --> 00:01:58,920
Speaker 2: Zealand on delivering for patients.

40
00:01:59,040 --> 00:02:01,400
Speaker 1: It sounds like they need it now. The private hospital

41
00:02:01,400 --> 00:02:03,120
Speaker 1: is the use of private hospitals. You're going to put

42
00:02:03,120 --> 00:02:05,320
Speaker 1: fifty million dollars in over six months. That will clear

43
00:02:05,360 --> 00:02:08,680
Speaker 1: ten thousand hopefully at the backlog of the procedures. Are

44
00:02:08,680 --> 00:02:11,680
Speaker 1: we not doing We already do that, we do contract

45
00:02:11,720 --> 00:02:12,680
Speaker 1: with the private section.

46
00:02:13,040 --> 00:02:15,720
Speaker 2: Were changing Well, we do it at a very ad

47
00:02:15,760 --> 00:02:20,000
Speaker 2: hoc level. Basically it's done on very short term arrangements.

48
00:02:20,120 --> 00:02:23,040
Speaker 2: I want this. I want to move to longer term arrangements,

49
00:02:23,720 --> 00:02:26,600
Speaker 2: probably three year contracts, where we actually manage to get

50
00:02:27,280 --> 00:02:30,920
Speaker 2: value for money, and we're able to plan better for

51
00:02:30,960 --> 00:02:33,760
Speaker 2: the workforce between the public system and the private system

52
00:02:33,800 --> 00:02:37,520
Speaker 2: as well, and there's huge efficiencies that can be gained.

53
00:02:37,800 --> 00:02:41,160
Speaker 2: The reality is our hospitals are doing both what's called

54
00:02:41,160 --> 00:02:42,920
Speaker 2: acute care when someone turns up and may have an

55
00:02:42,919 --> 00:02:46,120
Speaker 2: accident or something that can often disrupt the plan care,

56
00:02:46,160 --> 00:02:49,519
Speaker 2: which is the elective surgeries. And what I'd like to

57
00:02:49,520 --> 00:02:51,080
Speaker 2: see is, over the long term, more and more that

58
00:02:51,200 --> 00:02:53,720
Speaker 2: can care being done by the private sector, just like

59
00:02:53,960 --> 00:02:56,840
Speaker 2: how acc does it, so we're able to maximize the

60
00:02:56,840 --> 00:02:59,880
Speaker 2: efficiency of our health system and get the best outcomes

61
00:02:59,919 --> 00:03:02,320
Speaker 2: of patients. And I don't think patients really care who's

62
00:03:02,360 --> 00:03:05,520
Speaker 2: delivering the healthcare. They just want to know that that

63
00:03:05,600 --> 00:03:08,120
Speaker 2: they can get the access they need in a timely manner.

64
00:03:08,440 --> 00:03:10,480
Speaker 1: The unions, of course, have come out and they worried

65
00:03:10,520 --> 00:03:12,920
Speaker 1: already because I suppose there is an argument to be

66
00:03:12,960 --> 00:03:16,280
Speaker 1: made if you're using private hospitals more and you're giving

67
00:03:16,280 --> 00:03:19,600
Speaker 1: them a certainty of work, three year planning, etc. Then

68
00:03:19,639 --> 00:03:21,920
Speaker 1: you might start to hollow out your public hospitals.

69
00:03:23,240 --> 00:03:26,920
Speaker 2: I understand the concern, and that's why I've also asked

70
00:03:26,960 --> 00:03:29,600
Speaker 2: Health New Zealand to work to come to put together

71
00:03:29,600 --> 00:03:33,000
Speaker 2: a memory and of understanding and a partnership approach between

72
00:03:33,000 --> 00:03:35,880
Speaker 2: public and private to make sure that we're looking at

73
00:03:35,880 --> 00:03:40,920
Speaker 2: how we can share workforces appropriately, manage training and also

74
00:03:41,120 --> 00:03:44,360
Speaker 2: potentially look at joint recruitments. The reality is we need

75
00:03:44,400 --> 00:03:48,240
Speaker 2: to see our health workforces competing with Australia rather than

76
00:03:48,240 --> 00:03:51,560
Speaker 2: competing amongst ourselves. And that's the approach I want to

77
00:03:51,600 --> 00:03:55,760
Speaker 2: see our health system taking here in New Zealand already

78
00:03:55,760 --> 00:03:58,280
Speaker 2: started and I think that's really important, so we actually

79
00:03:58,400 --> 00:04:01,960
Speaker 2: grow and develop our work forced together rather than just

80
00:04:01,960 --> 00:04:03,880
Speaker 2: simply take the ad hoc approach that's been done in

81
00:04:03,880 --> 00:04:04,280
Speaker 2: the past.

82
00:04:04,440 --> 00:04:06,320
Speaker 1: All right, Minister, appreciate your time. Thank you for that.

83
00:04:06,400 --> 00:04:08,279
Speaker 1: Simon Brown, who's the Health Minister.

84
00:04:08,640 --> 00:04:11,840
Speaker 2: For more from Heather Duplessy Allen Drive. Listen live to

85
00:04:11,920 --> 00:04:14,960
Speaker 2: news talks it'd be from four pm weekdays, or follow

86
00:04:15,000 --> 00:04:16,760
Speaker 2: the podcast on iHeartRadio