1 00:00:00,080 --> 00:00:02,720 Speaker 1: So we start with Samian Brown health Minister who's with us. 2 00:00:02,759 --> 00:00:05,640 Speaker 1: Snickeler willis on holiday. This week we have Simion Brown 3 00:00:05,680 --> 00:00:08,400 Speaker 1: good evening, Good evening, Ryan, Good to have you on 4 00:00:08,400 --> 00:00:09,840 Speaker 1: the show. Minister. So you're doing a bit of a 5 00:00:09,960 --> 00:00:13,400 Speaker 1: governance rejig health in z First of all, why are 6 00:00:13,440 --> 00:00:16,840 Speaker 1: you keeping less delivery on for another month? Another twelve months? 7 00:00:17,680 --> 00:00:20,040 Speaker 2: This is about making sure we have a continuity of 8 00:00:20,120 --> 00:00:25,079 Speaker 2: leadership at Health New Zealand. The organization's going through a 9 00:00:25,200 --> 00:00:28,000 Speaker 2: reset in terms of its making sure it's refocused back 10 00:00:28,040 --> 00:00:31,800 Speaker 2: on patients and focused on delivery of our five health targets. 11 00:00:32,400 --> 00:00:35,360 Speaker 2: He's been our commissioner over the last twelve months and 12 00:00:35,400 --> 00:00:38,200 Speaker 2: has been instrumental in terms of bringing that refocus back 13 00:00:38,240 --> 00:00:41,239 Speaker 2: to the organization. And his role now is to make 14 00:00:41,280 --> 00:00:44,080 Speaker 2: sure that we continue to stabilize Health New Zealand so 15 00:00:44,120 --> 00:00:47,480 Speaker 2: it can continue to focus on getting those weightless under control, 16 00:00:47,960 --> 00:00:49,920 Speaker 2: ensuring patients can get the treatment they need in a 17 00:00:49,920 --> 00:00:52,800 Speaker 2: more timely body manner, and make sure that the organizations 18 00:00:52,840 --> 00:00:56,240 Speaker 2: are delivering within budget. But we've also, alongside him, appointed 19 00:00:56,680 --> 00:01:00,280 Speaker 2: a range of board members who will work along signe 20 00:01:00,400 --> 00:01:04,240 Speaker 2: him to bring that focus for patients to this organization. 21 00:01:04,440 --> 00:01:06,440 Speaker 1: Is it possible he could go beyond the twelve months 22 00:01:06,560 --> 00:01:07,840 Speaker 1: or are you done with them after that? 23 00:01:09,040 --> 00:01:11,319 Speaker 2: He's agreed to do another twelve months. 24 00:01:11,400 --> 00:01:11,959 Speaker 1: We will be. 25 00:01:15,440 --> 00:01:18,880 Speaker 2: A long term cheer later this year to replace Lester 26 00:01:19,520 --> 00:01:23,840 Speaker 2: from the middle of next years. Done. He has he 27 00:01:23,920 --> 00:01:25,679 Speaker 2: has done a good job in terms of bringing that 28 00:01:25,840 --> 00:01:30,039 Speaker 2: focus back to the organization of patients, putting the focus 29 00:01:30,040 --> 00:01:33,399 Speaker 2: on patients, delivering within budget, and making sure that we 30 00:01:33,440 --> 00:01:36,679 Speaker 2: are achieved, working towards achieving our health targets and the 31 00:01:36,680 --> 00:01:39,440 Speaker 2: work that you know we announced last week around the 32 00:01:39,440 --> 00:01:43,240 Speaker 2: elective's boost, delivering more elective treatments or patients. That's you know, 33 00:01:43,280 --> 00:01:45,640 Speaker 2: the hip knees and cataract operations. That is the work 34 00:01:45,680 --> 00:01:49,200 Speaker 2: that he has been delivering for us, and that is 35 00:01:49,320 --> 00:01:51,200 Speaker 2: meaning that we're starting to see those weight times and 36 00:01:51,200 --> 00:01:52,800 Speaker 2: those weight lists actually reduced for. 37 00:01:52,800 --> 00:01:55,000 Speaker 1: Patients and needing those treatments. He's been delivering them through 38 00:01:55,040 --> 00:01:56,280 Speaker 1: the private sector, I suppose. 39 00:01:56,560 --> 00:01:58,760 Speaker 2: But yeah, well, his role is to make sure we're 40 00:01:58,800 --> 00:02:02,400 Speaker 2: unlocking and unlock and care for patients, whether that's through 41 00:02:02,400 --> 00:02:05,880 Speaker 2: the public system, private system. My focus on hates get 42 00:02:05,920 --> 00:02:08,239 Speaker 2: the treatment they need, the timely quality. 43 00:02:08,000 --> 00:02:12,840 Speaker 1: Man fair enough, Now what faith confidence do you have 44 00:02:12,919 --> 00:02:16,440 Speaker 1: in Health New Zealand when you simultaneously appoint a board 45 00:02:16,880 --> 00:02:19,160 Speaker 1: also and a Crown observer. 46 00:02:21,240 --> 00:02:22,680 Speaker 2: Look, the key thing here is we need to make 47 00:02:22,680 --> 00:02:26,800 Speaker 2: sure this organization is delivering within its budget. It is 48 00:02:26,840 --> 00:02:30,560 Speaker 2: going through a time of change as we re establish 49 00:02:30,880 --> 00:02:34,920 Speaker 2: board governance, and this is about making sure that the 50 00:02:34,960 --> 00:02:38,360 Speaker 2: government continues to keep a particularly close eye around how 51 00:02:38,600 --> 00:02:41,639 Speaker 2: Health New Zealand's delivering within its budget and also against 52 00:02:41,840 --> 00:02:43,960 Speaker 2: those target measures. And so honey, Order Balcott, it has 53 00:02:43,960 --> 00:02:45,880 Speaker 2: been a point as a Crown observer. It's not unusual 54 00:02:45,919 --> 00:02:49,280 Speaker 2: for Crown observers to be appointed. It's about supporting the 55 00:02:49,320 --> 00:02:50,640 Speaker 2: re establishment. 56 00:02:50,240 --> 00:02:52,440 Speaker 1: Even as you're an appointing the brand new board. So Hammon, 57 00:02:52,520 --> 00:02:53,760 Speaker 1: when does the new board take. 58 00:02:53,600 --> 00:02:56,320 Speaker 2: Effect from the twenty third of July? 59 00:02:56,560 --> 00:03:00,400 Speaker 1: Twenty third of July, how many people on the board? Pointed? 60 00:03:00,480 --> 00:03:01,079 Speaker 2: Seven members? 61 00:03:01,160 --> 00:03:04,560 Speaker 1: Seven members starting twenty third of July. And already you've 62 00:03:04,600 --> 00:03:06,680 Speaker 1: decided someone needs to hold their hand. 63 00:03:07,760 --> 00:03:11,440 Speaker 2: Well, two of the two of those boardombers, one is 64 00:03:11,760 --> 00:03:15,160 Speaker 2: Lester Levy who is the commissioner, and one is Roger 65 00:03:15,240 --> 00:03:17,560 Speaker 2: Jared who is the deputy commissioner. Five of them, I 66 00:03:17,639 --> 00:03:21,680 Speaker 2: knew they were all incredibly experienced members. But look, this 67 00:03:21,720 --> 00:03:22,840 Speaker 2: is an organization. 68 00:03:23,040 --> 00:03:25,680 Speaker 1: Point commissioner. Every time you put five new people on 69 00:03:25,720 --> 00:03:27,000 Speaker 1: a board, do you this? 70 00:03:28,040 --> 00:03:29,840 Speaker 2: I guess the point that's going to point here is 71 00:03:29,840 --> 00:03:33,320 Speaker 2: this organization matters to all New Zealanders and its success 72 00:03:33,320 --> 00:03:36,280 Speaker 2: matters to all New Zealanders because health matters to all New. 73 00:03:36,240 --> 00:03:38,840 Speaker 1: Zealanderses education, so does education. 74 00:03:39,440 --> 00:03:41,080 Speaker 2: What's incredibly focused? 75 00:03:41,840 --> 00:03:44,160 Speaker 1: I know you're incredibly focused, but just level with me, minister, 76 00:03:44,320 --> 00:03:47,600 Speaker 1: is this because you don't trust down the line at 77 00:03:47,640 --> 00:03:49,640 Speaker 1: Health end Z? That's what this is about? 78 00:03:49,760 --> 00:03:52,040 Speaker 2: Well, this is an organization which we inherited, which has 79 00:03:52,040 --> 00:03:54,400 Speaker 2: gone through a significant amount of changes. You may have 80 00:03:54,440 --> 00:03:57,520 Speaker 2: read the Deloitte report which was released earlier this year 81 00:03:57,560 --> 00:04:00,800 Speaker 2: which showed while the last government amalgamated the twin DHBs, 82 00:04:01,520 --> 00:04:05,840 Speaker 2: the fund that inherent Health New Zealand, they were operating 83 00:04:05,840 --> 00:04:09,280 Speaker 2: a thirty billion dollar organization out of an Excel spreadsheet. 84 00:04:09,840 --> 00:04:12,120 Speaker 2: That's not how you operated That's not how you operate 85 00:04:12,160 --> 00:04:15,240 Speaker 2: a thirty billion dollar organization which delivers critical health care 86 00:04:15,400 --> 00:04:18,440 Speaker 2: to five million kiwis. And so there are significant system 87 00:04:18,520 --> 00:04:21,960 Speaker 2: changes and processes that need to be developed. Your maturity 88 00:04:21,960 --> 00:04:24,479 Speaker 2: of this organization significant. 89 00:04:24,120 --> 00:04:25,360 Speaker 1: Is here to say Minister. 90 00:04:25,400 --> 00:04:29,720 Speaker 2: Your ones permitted to doing that through through government putting 91 00:04:30,720 --> 00:04:34,400 Speaker 2: a professional governance board in place, but having an observer 92 00:04:34,560 --> 00:04:36,360 Speaker 2: helps assist us in delivering that. 93 00:04:36,760 --> 00:04:39,640 Speaker 1: Is it fair to say, just to use colloquial terms, 94 00:04:39,960 --> 00:04:45,120 Speaker 1: you're once bitten twice shine. Well, we want to. 95 00:04:45,040 --> 00:04:48,000 Speaker 2: Make sure that Health New Zealand is an organization that 96 00:04:48,040 --> 00:04:50,240 Speaker 2: delivers for New Zealanders. That's what we're focused on. 97 00:04:50,360 --> 00:04:52,000 Speaker 1: When will the delivery happen? When is it going to 98 00:04:52,040 --> 00:04:52,840 Speaker 1: be back in surplus? 99 00:04:53,120 --> 00:04:55,360 Speaker 2: Well, we're already seeing the weight light the waight times 100 00:04:55,360 --> 00:04:59,400 Speaker 2: come down for elective for the electives, were starting to 101 00:04:59,440 --> 00:05:02,640 Speaker 2: see the special the appointment waitlists come down. We're seeing 102 00:05:02,640 --> 00:05:06,000 Speaker 2: our emergency departments improve in terms of their weight times, 103 00:05:06,000 --> 00:05:08,440 Speaker 2: We're seeing immunization rates increase. So we are starting to 104 00:05:08,480 --> 00:05:11,520 Speaker 2: see delivery, which is very positive. There's a long way 105 00:05:11,560 --> 00:05:14,680 Speaker 2: to go that Health New Zealand is a massive organization. 106 00:05:15,279 --> 00:05:19,000 Speaker 2: It's full of incredible people who work incredibly hard. We're 107 00:05:19,040 --> 00:05:21,960 Speaker 2: focused on making sure that every quarter we continue to 108 00:05:22,000 --> 00:05:24,800 Speaker 2: improve what is delivered for New Zealanders. 109 00:05:25,000 --> 00:05:29,000 Speaker 1: In Wellington, apparently they're going to lose maternity ward beds 110 00:05:29,320 --> 00:05:31,800 Speaker 1: to ed beds. Does that worry you? 111 00:05:33,360 --> 00:05:38,360 Speaker 2: Look, Health Usians consulting on a change. There is a 112 00:05:38,520 --> 00:05:41,920 Speaker 2: speck capacity in in terms of beds available, in terms 113 00:05:41,960 --> 00:05:44,000 Speaker 2: of the average number which are utilized in that part 114 00:05:44,080 --> 00:05:47,440 Speaker 2: of the hospital. They're consulting about using a wing of 115 00:05:47,480 --> 00:05:51,479 Speaker 2: that part of the hospital for medical patients who are 116 00:05:51,480 --> 00:05:53,960 Speaker 2: currently waiting an ed because there's no beds available on 117 00:05:54,000 --> 00:05:56,600 Speaker 2: their part of the hospital. Look, they're working with the 118 00:05:56,640 --> 00:05:58,800 Speaker 2: clinicians on that. It's about making sure that there is 119 00:05:59,560 --> 00:06:02,200 Speaker 2: utilized in the capacity that is available in the best 120 00:06:02,240 --> 00:06:05,919 Speaker 2: interests of patients. Obviously, there are things they need to 121 00:06:05,920 --> 00:06:09,240 Speaker 2: work through with staff. I've been I've had the assurance 122 00:06:09,240 --> 00:06:12,359 Speaker 2: that they will work through those issues with staff, that 123 00:06:12,440 --> 00:06:14,320 Speaker 2: the patients who go into that part of the hospital 124 00:06:14,360 --> 00:06:16,680 Speaker 2: will obviously be in a separate part. There will be 125 00:06:16,720 --> 00:06:19,760 Speaker 2: female patients. But you know, this is a hospital which 126 00:06:19,800 --> 00:06:22,960 Speaker 2: is severely capacity constrainted, as the worst ed in terms 127 00:06:23,000 --> 00:06:26,200 Speaker 2: of d performance in the country. We're investing a significant 128 00:06:26,240 --> 00:06:29,360 Speaker 2: amount of money to rebuild their emergency department and put 129 00:06:29,400 --> 00:06:31,839 Speaker 2: more beds into this hospital. But they do need to 130 00:06:31,839 --> 00:06:34,880 Speaker 2: look just like other hospitals do around the country. How 131 00:06:34,880 --> 00:06:37,520 Speaker 2: do you maximize the use of your beds to ensure 132 00:06:37,520 --> 00:06:39,440 Speaker 2: that patients can be seen and get the treatment they need. 133 00:06:39,520 --> 00:06:42,159 Speaker 2: So look, these are always sensitive matters. They're working through 134 00:06:42,200 --> 00:06:45,200 Speaker 2: it to make sure that they can sound the best 135 00:06:45,440 --> 00:06:47,600 Speaker 2: sounds like you're across it, so do the best of patients. 136 00:06:47,640 --> 00:06:50,080 Speaker 1: So no new mum would be kicked out of hospital 137 00:06:50,120 --> 00:06:51,799 Speaker 1: earlier than they needed to be discharged. 138 00:06:52,080 --> 00:06:53,359 Speaker 2: No, no, no. 139 00:06:53,240 --> 00:06:55,960 Speaker 1: You'll confirm that for us. All right, that's good to know. Hey, 140 00:06:56,240 --> 00:06:58,800 Speaker 1: what about the SOEs you've been lights that are lining 141 00:06:58,800 --> 00:07:00,919 Speaker 1: them up for a bit of a fire sale potentially 142 00:07:00,960 --> 00:07:03,159 Speaker 1: after the election when you guys get re elected. Have 143 00:07:03,279 --> 00:07:05,960 Speaker 1: you any on the list yet or who's top of 144 00:07:05,960 --> 00:07:06,320 Speaker 1: the list. 145 00:07:07,400 --> 00:07:11,440 Speaker 2: Well, well, Ryan, we're not, we're not. We're not selling 146 00:07:11,840 --> 00:07:13,640 Speaker 2: s O ees. What we are focused on is making 147 00:07:13,640 --> 00:07:19,360 Speaker 2: sure they're actually operating profitably and uh and enacting in 148 00:07:19,680 --> 00:07:22,160 Speaker 2: my job as the c s OE ministers to ensure 149 00:07:22,200 --> 00:07:26,960 Speaker 2: that their focus is on delivering for the government. There 150 00:07:26,960 --> 00:07:29,080 Speaker 2: are a number of organized number of those sees which 151 00:07:30,400 --> 00:07:33,040 Speaker 2: I think in more challenging positions, one of them, particularly 152 00:07:33,120 --> 00:07:36,920 Speaker 2: lend Corp, which has failed to deliver over a longer 153 00:07:36,960 --> 00:07:40,000 Speaker 2: period of time. And my focus is very much on 154 00:07:40,160 --> 00:07:43,360 Speaker 2: ensuring that business is doing what it's core businesses, which 155 00:07:43,440 --> 00:07:46,720 Speaker 2: is farming. It is, it is over. The has got 156 00:07:46,800 --> 00:07:50,200 Speaker 2: involved in various other activities and my focus is get 157 00:07:50,240 --> 00:07:50,920 Speaker 2: back to basics. 158 00:07:52,120 --> 00:07:57,040 Speaker 1: Yeah okay, so Parmy number one, who'd be number two? Well? 159 00:07:57,040 --> 00:07:59,400 Speaker 2: I think my point, my point here Ryan is we 160 00:07:59,480 --> 00:08:03,000 Speaker 2: want these these companies to be operating profitably. 161 00:08:03,160 --> 00:08:06,320 Speaker 1: Yeah yeah, well I guess there's the questions. 162 00:08:05,680 --> 00:08:08,120 Speaker 2: Delivering a return on a return on investment to text 163 00:08:08,160 --> 00:08:09,120 Speaker 2: pace and that's what. 164 00:08:09,400 --> 00:08:11,840 Speaker 1: If they can do that by election day, then they 165 00:08:11,920 --> 00:08:13,000 Speaker 1: won't be on the dropping block. 166 00:08:14,200 --> 00:08:17,520 Speaker 2: Oh look, our focus, our focus, my focus is on 167 00:08:17,640 --> 00:08:19,000 Speaker 2: making sure that they are operating. 168 00:08:19,760 --> 00:08:21,520 Speaker 1: All right, appreciate your time, minister, Thanks so much for 169 00:08:21,560 --> 00:08:25,120 Speaker 1: coming on so Minister Health Minister Simeon Brown. For more 170 00:08:25,200 --> 00:08:28,520 Speaker 1: from Hither Duplessy Allen Drive Listen live to news Talks 171 00:08:28,520 --> 00:08:31,680 Speaker 1: it'd be from four pm weekdays, or follow the podcast 172 00:08:31,840 --> 00:08:32,800 Speaker 1: on iHeartRadio