On 19 May 2021 the Democracy Project published an article by me discussing how a ‘very bureaucratic coup’ was successfully undertaken to undermine the district health board with the strongest leadership engagement culture of the 20 DHBs responsible for the provision of health services from community to hospital in New Zealand’s public health system: A …
Jacinda Ardern’s Government was judged to have handled the first outbreak of Covid in 2020 extremely well. In 2021 there are signs that the Government is being judged differently. Highly competent lockdown decisions and communications with the public are one thing, but questions are being raised about whether the Government has used the last year …
The Prime Minister’s protective cloak of stardust is slipping from her party’s shoulders, Graham Adams argues, just when it will be sorely needed to sell the contentious health reforms. During 2017’s election campaign, Prime Minister, Bill English, predicted the “stardust” that surrounded the newly minted leader of the Labour Party would “settle”. He couldn’t have …
Health commentator Ian Powell (formerly the Executive Director of the Association of Salaried Medical Specialists) continues to tell the troubling story of what has occurred in the Canterbury District Health Board. This article is the second of a two-part series on a very bureaucratic coup against the senior management team at Canterbury District Health …
Health commentator Ian Powell (formerly the Executive Director of the Association of Salaried Medical Specialists) tells the troubling story of what has occurred in the Canterbury District Health Board. Previously (9 February) I wrote about how business consultants Ernst & Young were used to do a hatchet job on the former senior management team …
The area of mental health has been a key strength for Jacinda Ardern and her Labour Government over the last few years. They campaigned strongly in 2017 on fixing up the dysfunctional system, and initially they made some vital strides forward in reforming the sector. An in-depth inquiry was instigated and the Wellbeing Budget of …
Increasingly external business consultants are helping “fix” the country’s District Health Boards, with EY becoming the preferred company hired by the Ministry of Health. But health commentator Ian Powell (formerly the Executive Director of the Association of Salaried Medical Specialists) argues that this highlights the shallowness of political governance, and he tells the story of …
The opportunity for public voice is vital for the effective functioning of New Zealand’s health system. Inevitably voice boils down to the accessibility quality of comprehensive healthcare services for patients both at an individual treatment and population health level. This voice can come from a range of people including patients themselves, health professionals (whose …
The incoming new government can be transformational, especially with help from the Greens. According to health commentator Ian Powell this is especially apparent in the health sector. In the lead up to the general election I was predicting a Labour-Greens coalition with, as a second option, a Labour majority government. The first was based on …
The Government has announced further funding of $180m for the Canterbury District Health Board. But this should not be termed a “bailout” according to Health commentator Ian Powell who explains what’s been going on and what now needs to happen with health funding. In his 3 October article Stuff Political Editor Luke Malpass described …
There’s a debate raging about how serious the Government’s Covid-19 border testing botch-ups are. Many Labour partisans are calling complaints and media investigations into border management a beat-up and overly-aggressive. They claim problems at the border are being exaggerated, with testing failures of minor importance in the government’s overall success in dealing with the pandemic. …
It might seem like just another complicated local management tussle, but the current turmoil in the Canterbury District Health Board reflects some significant changes in health policy. Health commentator Ian Powell says the management of our hospitals and care systems is heading down a “centralist authoritarian path” that will have major ramifications for the quality …
Health commentator Ian Powell – formerly the Executive Director of the Association of Salaried Medical Specialists – visited Cuba earlier this year, learning about their health system, and says the country has now done extremely well in combating Covid-19, especially given the attempts by their neighbour to undermine their very existence. The United States …
When Jacinda Ardern unexpectedly became the Labour Party leader shortly before the 2017 general election, she promised to lead a government of transformation. After nearly three years occupying the Treasury benches, health professionals working in public hospitals have been keenly waiting for transformational progress, including in the capacity and quality of hospital buildings where a …
No one could have predicted when David Seymour’s End of Life Choice Bill was passed by Parliament last November that the referendum required to bring the legislation into force would be held against the backdrop of a deadly global pandemic. Since then, the mounting tally of casualties around the world has thrust death and dying …
Could the quarantine and testing botch-ups have an impact on the election? The Government might have been hoping that the scandal was a one-week wonder, but the stories of quarantine and testing fiascos keep coming and will be felt strongly by the public. Many voters will now have much less confidence in the Government’s handling …
One of the valuable things about Health & Disability Commission (HDC) decisions (findings) is that interesting experiences are published in a readable manner from which much can be learned. Decisions are specific to their own distinctive circumstances. Each HDC decision involves some form of tragedy. But they can provide insights into how our health system …
The right of employees to strike is an internationally recognised employment right that has been a feature of New Zealand’s industrial relations system for over a century, albeit with different constraints and limitations at different times. Although more restricted, this right even continued under the anti-union Employment Contracts Act (1993-2000). It is a basic right …
In mid-April, as New Zealand entered its fourth week of alert level 4, the Prime Minister warned us not to make comparisons with other countries over our Covid-19 pandemic response. This extraordinary advice came after Simon Bridges had urged the government to adopt a less-stringent lockdown similar to those in some Australian states. He told …
New Zealand and its prime minister Jacinda Ardern have received international attention and praise, rightly so, for decisive leadership, clear communication and scientific management of the coronavirus pandemic. Observers point out that the nation has been through multiple crises under Ardern’s leadership – such as the Christchurch terrorist attack and the White Island volcanic eruption …
Questioning the number of district health boards in New Zealand has got to the extent that “too many DHBs” has become a perceived truth requiring no further elaboration. It is rarely challenged by policy advisers, academics, and journalists. But when one drills down further it becomes clear that the number of DHBs is the wrong …