Red Alert

Posts Tagged ‘health cuts’

Abandoning provincial New Zealand

Posted by Grant Robertson on July 17th, 2011

DSCF0294How many times have you passed through Taihape? Have you stopped? Was it for more than just a cup of coffee at the most excellent Brown Sugar Cafe? Yesterday I spent several hours in Taihape with Labour’s candidate for the Rangitikei electorate Josie Pagani.

Like a lot of other provincial towns I have visited in the last couple of years, Taihape is struggling. There is a string of empty shops on the main street, and one of the local business people I met with yesterday told me he thought another half a dozen would close by the end of the year. Taihape folk know there has been a global recession, but they feel let down.

Exhibit A is the local hospital. Refurbished a few years back, operating as a first point of contact for medical emergencies, rest home, maternity wing. In short a small town hospital that gave people confidence, and also helped hold the community together, particularly a community with an ageing population. Then last year, without any consultation, the hospital was effectively closed down. There is still the maternity bit, and a some day stay capacity for elderly patients, but the rest is gone.

Its putting real pressure on the community. We were told the story of someone who badly cut their hand. He knew it was bad, and that he needed treatment. He began to drive to the nearest hospital in Palmerston North. He nearly made it, but passed out half an hour from his destination. Fourtunately he had rung ahead to a relative who came and got him. Old people have been scattered across the North Island, breaking down community and family connections. Other stories include someone ringing the emergency number that is now on the door of the hospital only to be told by the operator in Auckland to go to Taihape Hospital.

Its not just the hospital. This is a town, actually a region, crying out for some support to get economic development going. The people we spoke to yesterday weren’t the type who want the government to do everything for them, but they do want a government that gets its hands dirty helping to give people a start and some support, not sitting on the sidelines hoping the market will provide.

We finished the day at the school. It is brilliant. It is an area school that came about from one of Trevor’s school reviews, and it had some hefty investment behind it. Its modern, and a real community facility. As one local said yesterday, its building was the last time it felt like someone “gave a shit about us”.

I know Labour has not been traditionally popular in parts of provincial New Zealand, but actually when the people stop and think about the Labour approach of getting alongside communities vs National’s abandonment, there is a case for a re-think.


My day with Tony

Posted by Grant Robertson on June 22nd, 2011

This morning the Health Select Committee held its annual estimates hearing. This is the opportunity for MPs to quiz the Minister and officials on the Budget and plans for the coming year(s). Gerry Brownlee was next door talking Canterbury issues, and so the media (ex NZPA) were not present to cover what happened.

I wish they had been. It is clearly a planned strategy this year for Minister’s to do ’show and tell presentations’ as part of their appearances, to give a nice soft story and also to waste a bit of time. I was present for Judith Collins doing this with Police, and today Tony showed off some drugs and the new throat swabs.

Having got past that, my first question to Mr Ryall was to get him to be more specific about some of the health cuts in the Budget. The Ministry had provided a table (which will become public when the estimates are reported back) of the cuts, and it included an item “Public Health- Reprioritisations”. This is $60 million over four years, no small amount. After repeated attempts to find out what was actually been cut, it became clear the Minister had no idea. He started reading some names of programmes off a sheet, but he did not have a clue.

Even if you think its great that $60 million was cut from public health (which I don’t) you would at least expect that the Minister would know what it was he was cutting. The same thing applied when Iain Lees-Galloway asked him about mental health. No idea.

I then tried to see if he felt any need to intervene in another example of a community who’s after hours service is in danger, this time in Temuka and Geraldine. Again, he was not interested in answering on a specific issue.

As readers might have gathered by the time I got to the House for question I was pretty frustrated. I wont bore you with the details- but here is the link. The bottom line is that the Minister continues to pretend he is putting more real spending power into health, but the agencies who are actually delivering the services, such as the mental health and addicition services in the Northern Region, are getting nothing to help with increased cost pressures, and that can mean only one thing. A reduction in services. And that is the one thing Tony Ryall told us would not happen.


Where to in Health?

Posted by Grant Robertson on August 8th, 2010

In Wellington we woke to the news on Friday that Ken Whelan, the Chief Executive of the Capital and Coast District Health Board had resigned. In his farewell email to staff Whelan said

there was no more room to cut the district health board’s costs, despite Government pressure to do so. “I cannot see where any more major efficiency can come from without negatively impacting on services.”

Even Sir John Anderson, the government’s appointment to Chair the Board has said that any further savings “would cut into muscle”.

I have had a bit to do with Ken over the last 18 months or so that I have been an MP, and I regard him very highly. He listened, he was honest, and had a very good grasp on what was happening within the DHB. When he sounds the warning he has made on his departure, the government should listen. The two areas where I have the biggest concerns in Wellington are mental health and public health where cuts are starting to have an impact. In Mental Health this will get worse with the closing of the two community clinics in the city and Kilbirnie set to cause significant disruption to service, despite the best efforts of the staff involved.

When we combine what is happening in Wellington, the public uprising over neurosurgery in Dunedin, the at least 80 cuts to frontline services elsewhere across the country, as highlighted by my colleague Ruth Dyson, and the fact we still do not have a Director-General of Health in place, questions have got to be asked about where Tony Ryall is taking Health. It is never going to be easy. Maintaining and developing health services with an ageing population, increased costs and understandable public desire for locally accessible services is a tough ask. But it needs leadership and it needs to get beyond glib answers in Parliament.

A place to start? Of Capital and Coast’s $47 million deficit, $37 million of it relates to the building of the regional hospital. A senior health professional I spoke to on Friday noted that other DHBs with financial issues are also in this state because of costs related to the buildings. A chunk of this is due to the capital charging regime. I think we need to re-look at the capital charging regime. Of course we want DHBs and other government entities to be efficient in their use of buildings and capital, but if it starts to mean cuts into core medical services, we have to question if the priorities are right?


Ryall won’t answer the obvious question

Posted by Iain Lees-Galloway on June 16th, 2010

Tony Ryall appeared before the health select committee this morning to answer questions on the health budget.

I put it to him that the fact that DHBs are cutting frontline services tells us that the small increase in the health budget is not enough to cover the cost of maintaining current services.

So I asked him if he thought that reducing the supply of health services would reduce the demand. (ie if you take the service away, will the community suddenly no longer require it?).

He completely avoided the question instead choosing to talk about his pet projects. When I attempted to get him back on track, the chairman, Paul Hutchinson, shut me down.

Put simply, health services for those who need them are not a priority to this Government.  National’s priority is tax cuts for those who don’t need them. No wonder the Minister is so evasive.