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Speaker 1: Hither do for cel.

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Speaker 2: Late last week we found out that Health New Zealand

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Speaker 2: had decided that fourteen to twenty four year olds and

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Speaker 2: Hawks Bay would have to pay for their GP visits again,

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Speaker 2: but it would then also remain free for this age

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Speaker 2: group as long as they're Mario Pacifica. The Health Minister,

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Speaker 2: Shane Retti asked for a please explain from Health New Zealand.

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Speaker 2: He's with us now.

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Speaker 1: Hey, Shane, Hey, good even here. The good to speak

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Speaker 1: with you.

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Speaker 2: It's good to talk to you. Did you get the

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Speaker 2: answer you were looking for?

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Speaker 1: Yes? Did. When my office was made aware last Thursday

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Speaker 1: that there was going to be a change, we communicated

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Speaker 1: back to them that it was not consistent with government policy,

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Speaker 1: certainly not consistent with my government policy statement. They've worked

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Speaker 1: on that and there has now been changed. Be meeting

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Speaker 1: him this morning and it has been changed.

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Speaker 2: Okay, So what did they say to you about why

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Speaker 2: they did this? Even though you have this policy in government,

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Speaker 2: they must have known it.

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Speaker 1: Yeah, I mean they're trying to target the most vulnerable.

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Speaker 1: But I've always said and my government policies that would

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Speaker 1: clearly say is the very first imperative is on health

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Speaker 1: need and then benderneath that, we understand there are those

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Speaker 1: that are at a more at risk, like they're now

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Speaker 1: doing with some of the targeting, But they got that

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Speaker 1: round the wrong way and have now corrected it.

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Speaker 2: And so what has it changed too?

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Speaker 1: So what a change to is it is available for

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Speaker 1: under twenty four year olds that have free access to

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Speaker 1: a GP if you currently hold a community services card,

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Speaker 1: currently reside in the Quintal five area, and have a

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Speaker 1: diagnosed long term condition which includes a number of conditions.

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Speaker 1: So the first I criteria our ability to pay and

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Speaker 1: the third criteria is your clinical need.

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Speaker 2: And so nothing about ethnicity anymore, No, Shane, did they

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Speaker 2: were they being deliberately rogue or were they just being

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Speaker 2: a bit dumb?

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Speaker 1: Look, I truly believe they were well intentioned, but they

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Speaker 1: hadn't read the room. And they are are still to

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Speaker 1: fully embrace the direction of my government policy statement and

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Speaker 1: the direction of this government.

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Speaker 2: They don't love it.

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Speaker 1: We will distribute health resources based on need.

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Speaker 2: First, they disagree with you.

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Speaker 1: They got this policy wrong. They have rapidly reshaped it

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Speaker 1: and they're learning that.

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Speaker 2: I mean, do you know whether because I mean surely

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Speaker 2: you asked this question, are you people deliberately disobeying what

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Speaker 2: we're saying, or did you just not know? Did you

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Speaker 2: ask that question?

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Speaker 1: Look? I asked how it came to be that My

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Speaker 1: government policy statement is very clear and the case was

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Speaker 1: made well, look at Mary are clearly a group that

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Speaker 1: have challenges and their ability to pay and have these

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Speaker 1: clinical needs, to which I said to them, while look,

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Speaker 1: you know there are actually other non marty who are

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Speaker 1: also in similar situations and have that clinical need as well,

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Speaker 1: and we need to be embraceive of them all, So

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Speaker 1: change the policy.

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Speaker 2: The reason I'm asking you this question is because it

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Speaker 2: feels like there's a pattern developing here with Health New

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Speaker 2: Zealand where they just continuously do staff that they know

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Speaker 2: is contrary to what you guys want.

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Speaker 1: Yeah, there is some reading of the room that they

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Speaker 1: continue to need to do, and I know the Commissioner

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Speaker 1: and certainly the senior team are certainly firming up on

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Speaker 1: what is no longer acceptable. My government policy statement has

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Speaker 1: been out for several months now. Read the room, Read

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Speaker 1: the statement that is the direction of travel.

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Speaker 2: How high up the food chain did someone sign off

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Speaker 2: on that thing in Hawks Bay?

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Speaker 1: Oh? I don't know an answer to that here that

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Speaker 1: I need to find that out.

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Speaker 2: You should probably find that out because that person is

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Speaker 2: the person you need to fire, Shane, isn't it what

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Speaker 2: Lets think about it or just put them on like

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Speaker 2: a first warning or something like that.

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Speaker 1: Look, I would hope that they're there in the right place,

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Speaker 1: doing the right job. But they got this wrong and

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Speaker 1: I have my expectation is that they will touch this

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Speaker 1: learning under their belt and not get it wrong again,

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Speaker 1: is it?

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Speaker 2: Hope?

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Speaker 1: So?

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Speaker 2: But then they do work at Health New Zealand, So listen,

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Speaker 2: what do you make of the staff at Health New

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Speaker 2: Zealand having to sign these gag orders here?

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Speaker 1: You know, that's commercial practice and I have no concerns

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Speaker 1: with that. The previous government did as well. Whether they

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Speaker 1: use confidentiality agreement or NBA's similar sort of process, they

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Speaker 1: need to be used appropriately, but it's commonplace in commercial

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Speaker 1: environments when there's particularly sensitive issues.

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Speaker 2: Shane, thank you for your time. Really appreciate you coming

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Speaker 2: on the show and explaining it to us as doctor

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Speaker 2: Shane Ritti, it's the Health Minister. For more from Hither

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Speaker 2: Duplessy Allen Drive. Listen live to news talks it'd be

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