Interesting to see this article (hat-tip to kiwiblog, but this is the
cited article)
https://tinyurl.com/bd9jaa6w
I most certainly don't agree with McCrea's sentiments on
centralisation: the DHB structure produced bloated fiefdoms and
postcode treatment lotteries. It was itself a reform away from the centralised model that delivered no benefit but cost extra. If there
is now a regional failure in healthcare delivery this should be
addressed. The principles behind Health NZ
(https://www.tewhatuora.govt.nz/) were in effect prior to 2001 when
the reforms of the day produced the DHB structure. All other
government departments, most notably Police, have the same centralised structure with significant regional management within it.
There are a number of other areas that McCrae throws light on and I
would hope that our next Minister of Health will see the wisdom of
retaining the basic structure of what we have now but with
considerable fine-tuning of corporate structure and a focus on
producing better health outcomes. I expect that staff numbers could
be cut substantially without losing any practicing medical staff.
--
Crash McBash
On 2023-10-08, Crash <nogood@dontbother.invalid> wrote:
Interesting to see this article (hat-tip to kiwiblog, but this is the
cited article)
https://tinyurl.com/bd9jaa6w
I most certainly don't agree with McCrea's sentiments on
centralisation: the DHB structure produced bloated fiefdoms and
postcode treatment lotteries. It was itself a reform away from the
centralised model that delivered no benefit but cost extra. If there
is now a regional failure in healthcare delivery this should be
addressed. The principles behind Health NZ
(https://www.tewhatuora.govt.nz/) were in effect prior to 2001 when
the reforms of the day produced the DHB structure. All other
government departments, most notably Police, have the same centralised
structure with significant regional management within it.
There are a number of other areas that McCrae throws light on and I
would hope that our next Minister of Health will see the wisdom of
retaining the basic structure of what we have now but with
considerable fine-tuning of corporate structure and a focus on
producing better health outcomes. I expect that staff numbers could
be cut substantially without losing any practicing medical staff.
The task is to get the regional and central sections functioning correctly. >The value of the health dollar needs to be proven. This is a huge task.
Having gone regional DHB and back to central the moral of the workers will >not have been enhanced. From what I remember the change was one of Labour's >idealogical changes and as such the dysfunction will be high. The Health >Minsters have not sold the change to the public.
Getting everyone agreed and keen on the road to a great health system is the >task. A huge task. The media needs to step up to shining some light onto the >reality and reporting how progress is.
Interesting to see the mention, and praise of Maori health aspects. Does >appear that they are showing what/how should be done. Let us build on this.
Interesting to see this article (hat-tip to kiwiblog, but this is the
cited article)
https://tinyurl.com/bd9jaa6w
I most certainly don't agree with McCrea's sentiments on
centralisation: the DHB structure produced bloated fiefdoms and
postcode treatment lotteries. It was itself a reform away from the centralised model that delivered no benefit but cost extra. If there
is now a regional failure in healthcare delivery this should be
addressed. The principles behind Health NZ
(https://www.tewhatuora.govt.nz/) were in effect prior to 2001 when
the reforms of the day produced the DHB structure. All other
government departments, most notably Police, have the same centralised structure with significant regional management within it.
There are a number of other areas that McCrae throws light on and I
would hope that our next Minister of Health will see the wisdom of
retaining the basic structure of what we have now but with
considerable fine-tuning of corporate structure and a focus on
producing better health outcomes. I expect that staff numbers could
be cut substantially without losing any practicing medical staff.
On Monday, October 9, 2023 at 10:27:58?AM UTC+13, Crash wrote:
Interesting to see this article (hat-tip to kiwiblog, but this is the
cited article)
https://tinyurl.com/bd9jaa6w
I most certainly don't agree with McCrea's sentiments on
centralisation: the DHB structure produced bloated fiefdoms and
postcode treatment lotteries. It was itself a reform away from the
centralised model that delivered no benefit but cost extra. If there
is now a regional failure in healthcare delivery this should be
addressed. The principles behind Health NZ
(https://www.tewhatuora.govt.nz/) were in effect prior to 2001 when
the reforms of the day produced the DHB structure. All other
government departments, most notably Police, have the same centralised
structure with significant regional management within it.
There are a number of other areas that McCrae throws light on and I
would hope that our next Minister of Health will see the wisdom of
retaining the basic structure of what we have now but with
considerable fine-tuning of corporate structure and a focus on
producing better health outcomes. I expect that staff numbers could
be cut substantially without losing any practicing medical staff.
--
Crash McBash
I find it amusing that no matter how much money Labour claims to be pouring into the health system it still has chronic staffing shortages that this government has failed miserably to address despite all their efforts!
On Sun, 8 Oct 2023 19:39:16 -0700 (PDT), John BowesRhetoric unsupported by evidence.
<bowesjohn02@gmail.com> wrote:
On Monday, October 9, 2023 at 10:27:58?AM UTC+13, Crash wrote:
Interesting to see this article (hat-tip to kiwiblog, but this is the
cited article)
https://tinyurl.com/bd9jaa6w
I most certainly don't agree with McCrea's sentiments on
centralisation: the DHB structure produced bloated fiefdoms and
postcode treatment lotteries. It was itself a reform away from the
centralised model that delivered no benefit but cost extra. If there
is now a regional failure in healthcare delivery this should be
addressed. The principles behind Health NZ
(https://www.tewhatuora.govt.nz/) were in effect prior to 2001 when
the reforms of the day produced the DHB structure. All other
government departments, most notably Police, have the same centralised
structure with significant regional management within it.
There are a number of other areas that McCrae throws light on and I
would hope that our next Minister of Health will see the wisdom of
retaining the basic structure of what we have now but with
considerable fine-tuning of corporate structure and a focus on
producing better health outcomes. I expect that staff numbers could
be cut substantially without losing any practicing medical staff.
--
Crash McBash
I find it amusing that no matter how much money Labour claims to be pouring >>into the health system it still has chronic staffing shortages that this >>government has failed miserably to address despite all their efforts!
They have addressed quite a few of them - the pay rises for Nurses are
having an effect, but there is a serious problem that was not
addressed at all by National - too many GPS and particularly
Specialists are as a group getting near retirement age - and National
did not increase the number being trained - Labour has done that, but
there is a long training period - we are likely to have to pay higher
rates to attract sufficient from overseas, even with our being an
attractive destination due to our excellent Covid response.
On Sun, 8 Oct 2023 19:39:16 -0700 (PDT), John BowesWhat utter left wing garbage! It took Labour fucking years to give them a pay rise! YEARS! It isn't doing a bloody thing because the nurses are so fed up with your useless fucking government they're still heading to Australia where things are better than
<bowes...@gmail.com> wrote:
On Monday, October 9, 2023 at 10:27:58?AM UTC+13, Crash wrote:
Interesting to see this article (hat-tip to kiwiblog, but this is the
cited article)
https://tinyurl.com/bd9jaa6w
I most certainly don't agree with McCrea's sentiments on
centralisation: the DHB structure produced bloated fiefdoms and
postcode treatment lotteries. It was itself a reform away from the
centralised model that delivered no benefit but cost extra. If there
is now a regional failure in healthcare delivery this should be
addressed. The principles behind Health NZ
(https://www.tewhatuora.govt.nz/) were in effect prior to 2001 when
the reforms of the day produced the DHB structure. All other
government departments, most notably Police, have the same centralised
structure with significant regional management within it.
There are a number of other areas that McCrae throws light on and I
would hope that our next Minister of Health will see the wisdom of
retaining the basic structure of what we have now but with
considerable fine-tuning of corporate structure and a focus on
producing better health outcomes. I expect that staff numbers could
be cut substantially without losing any practicing medical staff.
--
Crash McBash
I find it amusing that no matter how much money Labour claims to be pouring into the health system it still has chronic staffing shortages that this government has failed miserably to address despite all their efforts!They have addressed quite a few of them - the pay rises for Nurses are having an effect, but there is a serious problem that was not
addressed at all by National - too many GPS and particularly
Specialists are as a group getting near retirement age - and National
did not increase the number being trained - Labour has done that, but
there is a long training period - we are likely to have to pay higher
rates to attract sufficient from overseas, even with our being an
attractive destination due to our excellent Covid response.
Rich80105 <Rich...@hotmail.com> wrote:Rich is like Labour. All talk and no fucking do! Useless is an accolade in his strange little red tinged world!
On Sun, 8 Oct 2023 19:39:16 -0700 (PDT), John Bowes
<bowes...@gmail.com> wrote:
On Monday, October 9, 2023 at 10:27:58?AM UTC+13, Crash wrote:
Interesting to see this article (hat-tip to kiwiblog, but this is the >>> cited article)
https://tinyurl.com/bd9jaa6w
I most certainly don't agree with McCrea's sentiments on
centralisation: the DHB structure produced bloated fiefdoms and
postcode treatment lotteries. It was itself a reform away from the
centralised model that delivered no benefit but cost extra. If there
is now a regional failure in healthcare delivery this should be
addressed. The principles behind Health NZ
(https://www.tewhatuora.govt.nz/) were in effect prior to 2001 when
the reforms of the day produced the DHB structure. All other
government departments, most notably Police, have the same centralised >>> structure with significant regional management within it.
There are a number of other areas that McCrae throws light on and I
would hope that our next Minister of Health will see the wisdom of
retaining the basic structure of what we have now but with
considerable fine-tuning of corporate structure and a focus on
producing better health outcomes. I expect that staff numbers could
be cut substantially without losing any practicing medical staff.
--
Crash McBash
I find it amusing that no matter how much money Labour claims to be pouring
into the health system it still has chronic staffing shortages that this >>government has failed miserably to address despite all their efforts!
They have addressed quite a few of them - the pay rises for Nurses are >having an effect, but there is a serious problem that was notRhetoric unsupported by evidence.
addressed at all by National - too many GPS and particularly
Specialists are as a group getting near retirement age - and National
did not increase the number being trained - Labour has done that, but >there is a long training period - we are likely to have to pay higher >rates to attract sufficient from overseas, even with our being an >attractive destination due to our excellent Covid response.
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