Red Alert

Posts Tagged ‘mental health’

Health Target Tinkering

Posted by on January 19th, 2012

Yesterday, Tony Ryall announced he is tinkering with his narrow and simplistic health targets. The changes in of themselves are positive but the targets are flawed. Even the Medical Association thinks so.

Association chairman Paul Ockelford said the health targets were commendable, but the emphasis on targets was flawed.

The targets needed to work alongside other approaches, such as housing and education, that influenced people’s health.

“If these are not addressed we will continue to have glaring health disparities in our communities and a high prevalence of preventable diseases that affect not only quality of life, but life expectancy,” Dr Ockelford said.

The targets were “narrow and simplistic”.

“They do not give a full picture of how our health system is performing because of the difficulty of linking these targets to information about patient and public health outcomes.”

The real challenges for our health system are the projected increasing cost of delivering healthcare and the increasing prevalence of preventable diseases such as diabetes and heart disease as well as depression and anxiety disorders.  

Tackling both of these requires that a much greater emphasis be placed on keeping people well and preventing the need for costly treatments. This is desperately lacking in National’ approach to health.

To me, two of the most glaring omissions from National’s priorities are mental health and chronic disease management. The lack of resources to respond to people with low acuity need in these areas means they end up with much bigger problems than necessary and the taxpayer foots a much bigger bill than we ought.

Tony Ryall will enthusiastically point to short term output data that my look impressive now, but what is his strategy doing to improve long term health outcomes for our nation?


Long Term Effects

Posted by on April 5th, 2011

Yesterday Otago University released data linking the increasing unaffordability of food with deteriorating mental health.

It’s a very good example of the need to consider the long term effects of government policy. Yes, we all understand that putting GST up without proper compensation for people on middle and low incomes is making life harder for kiwi families right now, but the long term effects are much more concerning.

National’s policies have not only increased inequalities, they are creating a problem for future governments by failing to keep people well and increasing future demand on all health services including mental health.

It might not be of much concern to John Key and co because it won’t be their problem. But someone will have to deal with it and we’d all be a lot better off (financially and socially) if we prevented the problem when we can see it coming rather than waiting for someone else to clean up the mess.


Where to in Health?

Posted by 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?