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	<title>Comments on: The future of public services- your thoughts</title>
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	<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/</link>
	<description>A blog written by Labour MPs</description>
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		<title>By: Marian Hobbs</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-36479</link>
		<dc:creator>Marian Hobbs</dc:creator>
		<pubDate>Sun, 14 Mar 2010 20:13:14 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-36479</guid>
		<description>Size is not the only means  for judgement. Sometimes it is the particular nature of the job. You mention Archives, Grant. They are tiny, but for specialist reasons and constitutional ones, they should remain separate</description>
		<content:encoded><![CDATA[<p>Size is not the only means  for judgement. Sometimes it is the particular nature of the job. You mention Archives, Grant. They are tiny, but for specialist reasons and constitutional ones, they should remain separate</p>
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		<title>By: Draco T Bastard</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-36006</link>
		<dc:creator>Draco T Bastard</dc:creator>
		<pubDate>Sat, 13 Mar 2010 02:39:31 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-36006</guid>
		<description>&lt;blockquote&gt;Draco just because overpaid consultants (who are no doubt contracted to the public service in their day job) failed to find any waste, doesn’t mean to say there isn’t any!&lt;/blockquote&gt;
No, it really does mean that there&#039;s none to be found. One even had enough of a conscience to refuse to be paid. And, no, they weren&#039;t part of the public service in their day jobs - they were external and independent.

&lt;blockquote&gt;But, as you are so quick to label my opinion &amp; experience as BS, pray do share – what experience do you have to back up your views?&lt;/blockquote&gt;
Oh, I&#039;ve been all over the show from large public service to large corporations. I&#039;ve seen comparable waste in all of them.

&lt;blockquote&gt;Perhaps though it comes down to the size of the organisation rather than the fact that they are private or public. &lt;/blockquote&gt;
That would equate with the experience that I&#039;ve had. Small bureaucracies tend to be more aware of what&#039;s happening but that doesn&#039;t mean that you should go out and make all large public organisations into lots of small ones as you rapidly hit diminishing returns.

&lt;blockquote&gt;where the public service &amp; their back office is concerned, people start to mind their p’s &amp; q’s a little more when the unlimited resources suddenly become limited.&lt;/blockquote&gt;
They should never have been under the impression that resources were unlimited but that is not the same as cutting resources. They do, after all, need enough resources to do the job.

&lt;blockquote&gt;In the private sector there has been the move to involve employees in improving productivity...&lt;/blockquote&gt;
Yeah, I&#039;ve seen that. I told them to eff off as, although they wanted my ideas, they didn&#039;t want to pay for them.

But, other than that, I actually do think it&#039;s a good idea.</description>
		<content:encoded><![CDATA[<blockquote><p>Draco just because overpaid consultants (who are no doubt contracted to the public service in their day job) failed to find any waste, doesn’t mean to say there isn’t any!</p></blockquote>
<p>No, it really does mean that there&#8217;s none to be found. One even had enough of a conscience to refuse to be paid. And, no, they weren&#8217;t part of the public service in their day jobs &#8211; they were external and independent.</p>
<blockquote><p>But, as you are so quick to label my opinion &amp; experience as BS, pray do share – what experience do you have to back up your views?</p></blockquote>
<p>Oh, I&#8217;ve been all over the show from large public service to large corporations. I&#8217;ve seen comparable waste in all of them.</p>
<blockquote><p>Perhaps though it comes down to the size of the organisation rather than the fact that they are private or public. </p></blockquote>
<p>That would equate with the experience that I&#8217;ve had. Small bureaucracies tend to be more aware of what&#8217;s happening but that doesn&#8217;t mean that you should go out and make all large public organisations into lots of small ones as you rapidly hit diminishing returns.</p>
<blockquote><p>where the public service &amp; their back office is concerned, people start to mind their p’s &amp; q’s a little more when the unlimited resources suddenly become limited.</p></blockquote>
<p>They should never have been under the impression that resources were unlimited but that is not the same as cutting resources. They do, after all, need enough resources to do the job.</p>
<blockquote><p>In the private sector there has been the move to involve employees in improving productivity&#8230;</p></blockquote>
<p>Yeah, I&#8217;ve seen that. I told them to eff off as, although they wanted my ideas, they didn&#8217;t want to pay for them.</p>
<p>But, other than that, I actually do think it&#8217;s a good idea.</p>
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		<title>By: Grant Robertson</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35998</link>
		<dc:creator>Grant Robertson</dc:creator>
		<pubDate>Sat, 13 Mar 2010 02:01:56 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35998</guid>
		<description>thanks for all the comments. It might just be a question of language but when I say &quot;the users of services&quot; I do actually mean all of us. 

Labour did actually promote a number of initiatives that saw public services delivered in partnership with community and private interests.  I think this needs to be handled carefully as the introduction of a profit motive into the delivery of important services can limit access, and see corners cut. But the bottom line is we do need to be flexible as to the best way to meet community needs. 

I am in favour of a productivity commission like the Australian model, so long as we get the definition of productivity right. Efficiency can come in many guises.  In the case of Archives NZ we have a very efficient small agency, providing better services than when it was part of a bigger bureaucracy.</description>
		<content:encoded><![CDATA[<p>thanks for all the comments. It might just be a question of language but when I say &#8220;the users of services&#8221; I do actually mean all of us. </p>
<p>Labour did actually promote a number of initiatives that saw public services delivered in partnership with community and private interests.  I think this needs to be handled carefully as the introduction of a profit motive into the delivery of important services can limit access, and see corners cut. But the bottom line is we do need to be flexible as to the best way to meet community needs. </p>
<p>I am in favour of a productivity commission like the Australian model, so long as we get the definition of productivity right. Efficiency can come in many guises.  In the case of Archives NZ we have a very efficient small agency, providing better services than when it was part of a bigger bureaucracy.</p>
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		<title>By: Spud</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35933</link>
		<dc:creator>Spud</dc:creator>
		<pubDate>Fri, 12 Mar 2010 21:14:43 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35933</guid>
		<description>Maybe the DHB is starved for money, hey the docs don&#039;t have to starve, they just have to pay for it themselves. I do take the tightwad point though.</description>
		<content:encoded><![CDATA[<p>Maybe the DHB is starved for money, hey the docs don&#8217;t have to starve, they just have to pay for it themselves. I do take the tightwad point though.</p>
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		<title>By: Just Right</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35901</link>
		<dc:creator>Just Right</dc:creator>
		<pubDate>Fri, 12 Mar 2010 15:20:54 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35901</guid>
		<description>SPC - I agree with your comments about centralisation in once sense. On the other I can not fathom that a small country like ours needs 22 DHB. If I was the &#039;Health System Architect&#039; I would have 4 total... just think how much you could increase the wages of Nurses &amp; Docs with the savings in replicated services.

Mate of mine is Surgeon. Every week he gets together with his team for a bite to eat &amp; discuss their various patients etc. Just recently Management told them they were allowed to spend $4.93 (YES, that is the actual figure) on lunch each. But during those same lunches they get to perscribe $40K per annum of drugs for a person.

Sorry, but if there is a person who is focusing on $4.93 for the DHB then they should not be there!</description>
		<content:encoded><![CDATA[<p>SPC &#8211; I agree with your comments about centralisation in once sense. On the other I can not fathom that a small country like ours needs 22 DHB. If I was the &#8216;Health System Architect&#8217; I would have 4 total&#8230; just think how much you could increase the wages of Nurses &amp; Docs with the savings in replicated services.</p>
<p>Mate of mine is Surgeon. Every week he gets together with his team for a bite to eat &amp; discuss their various patients etc. Just recently Management told them they were allowed to spend $4.93 (YES, that is the actual figure) on lunch each. But during those same lunches they get to perscribe $40K per annum of drugs for a person.</p>
<p>Sorry, but if there is a person who is focusing on $4.93 for the DHB then they should not be there!</p>
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		<title>By: Spud</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35767</link>
		<dc:creator>Spud</dc:creator>
		<pubDate>Fri, 12 Mar 2010 08:12:39 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35767</guid>
		<description>What SPC said :-D</description>
		<content:encoded><![CDATA[<p>What SPC said <img src='http://blog.labour.org.nz/wp-includes/images/smilies/icon_biggrin.gif' alt=':-D' class='wp-smiley' /> </p>
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		<title>By: SPC</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35759</link>
		<dc:creator>SPC</dc:creator>
		<pubDate>Fri, 12 Mar 2010 07:57:56 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35759</guid>
		<description>The DHB&#039;s do provide some public accountability and that is their purpose. 

As to the idea of centralisation, the problem is that there are advantages that occur from allowing different management strategy, and good ideas are discovered - the ones that deliver the best results. What is needed is performance accountability and systems which allow other DHB&#039;s to follow the best practice of the best DHB in that field. 

Only in some areas are their cost efficiency gains from centralisation, and the advantages from this can be lost if any trend in that direction goes too far (the risk of applying a flawed policy across the whole system - with no reference to a more effective approach so it is changed asap).</description>
		<content:encoded><![CDATA[<p>The DHB&#8217;s do provide some public accountability and that is their purpose. </p>
<p>As to the idea of centralisation, the problem is that there are advantages that occur from allowing different management strategy, and good ideas are discovered &#8211; the ones that deliver the best results. What is needed is performance accountability and systems which allow other DHB&#8217;s to follow the best practice of the best DHB in that field. </p>
<p>Only in some areas are their cost efficiency gains from centralisation, and the advantages from this can be lost if any trend in that direction goes too far (the risk of applying a flawed policy across the whole system &#8211; with no reference to a more effective approach so it is changed asap).</p>
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		<title>By: George</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35730</link>
		<dc:creator>George</dc:creator>
		<pubDate>Fri, 12 Mar 2010 06:22:40 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35730</guid>
		<description>It does seem strange that a country with only just over 4M people needs so many DHBs, each with its own support services (finance, HR, IT etc).  There surely must be potential savings here.  4M in the big world isn&#039;t even a decent sized city.</description>
		<content:encoded><![CDATA[<p>It does seem strange that a country with only just over 4M people needs so many DHBs, each with its own support services (finance, HR, IT etc).  There surely must be potential savings here.  4M in the big world isn&#8217;t even a decent sized city.</p>
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		<title>By: Rebecca</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35725</link>
		<dc:creator>Rebecca</dc:creator>
		<pubDate>Fri, 12 Mar 2010 06:12:53 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35725</guid>
		<description>Cut the DHBs &amp; put the money back into funding staff costs so the public actually manages to get free health care when they need it! I have a couple of mates who are doctors who work the most extraordinary hours &amp; are thinking of becoming locums because the pay is better. And I have a few friends who have been nurses for at least 10 years and are to this day still doing the work of sometimes 3-5 nurses (depending of course on the number of patients that have to provide full physical care for) and any time they are on leave they get called into work (unless they manage to actually use their leave &amp; escape overseas). It&#039;s a mess and seems to be getting worse. Then you see things like the closure to that youth health clinic in CHCH. We&#039;re going to hell in a hand basket I tell you. Again it&#039;s a personal view without perhaps much academic basis.....</description>
		<content:encoded><![CDATA[<p>Cut the DHBs &amp; put the money back into funding staff costs so the public actually manages to get free health care when they need it! I have a couple of mates who are doctors who work the most extraordinary hours &amp; are thinking of becoming locums because the pay is better. And I have a few friends who have been nurses for at least 10 years and are to this day still doing the work of sometimes 3-5 nurses (depending of course on the number of patients that have to provide full physical care for) and any time they are on leave they get called into work (unless they manage to actually use their leave &amp; escape overseas). It&#8217;s a mess and seems to be getting worse. Then you see things like the closure to that youth health clinic in CHCH. We&#8217;re going to hell in a hand basket I tell you. Again it&#8217;s a personal view without perhaps much academic basis&#8230;..</p>
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		<title>By: Spud</title>
		<link>http://blog.labour.org.nz/2010/03/12/the-future-of-public-services-your-thoughts/comment-page-1/#comment-35713</link>
		<dc:creator>Spud</dc:creator>
		<pubDate>Fri, 12 Mar 2010 05:48:07 +0000</pubDate>
		<guid isPermaLink="false">http://blog.labour.org.nz/?p=12102#comment-35713</guid>
		<description>Cut health budgets and they become more efficient by offering the public less. :-(</description>
		<content:encoded><![CDATA[<p>Cut health budgets and they become more efficient by offering the public less. <img src='http://blog.labour.org.nz/wp-includes/images/smilies/icon_sad.gif' alt=':-(' class='wp-smiley' /> </p>
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