"The National Party's Monty Python health (non) reform is a comedy. In order to cut layers of management, new layers are being introduced. ...
"First, old man Levy ... has been brought back to be the super-duper CEO boss of existing Health NZ CEO boss ... Four new 'Deputy CEOs' have just been appointed below [that] to manage each of four regions NZ has been divvied into. ... The funniest part of National's Health Minister Reti's 'plan' to get health back on track is that [not one] is a doctor. ...
"What's most amusing is how Minister Reti is trying to portray these moves as a profound reform in which more power is being returned to regions. Bollocks. Both National & Labour supported abolishing the 20 District Health Boards that existed in 2020 to 'centralise' health-care. The only difference is National argues the system should not be quite as centralised as Labour wants. Big Deal.
"The thrust of the reforms both parties are pushing is to keep our existing single public payer-single public provider system intact (bar a limited role for private provision). Whether one decides to have it administered by 20, 4 or one Board wont change service provision quality. ...
"Luxon and Reti better get their head around the idea of centralised payment yet decentralised (private) provision fast, or our system will fully implode. The current reforms, based around calling everyone a super CEO, a CEO or a Deputy CEO, titles which are dishonest in the public sector since its a private sector title, will go nowhere."~ Robert MacCulloch from his post 'More Layers of Management Kick in under National as the Frontline of NZ's Health System is wiped out - Not one Doctor is Appointed to Lead a Region'
Friday 2 August 2024
"The National Party's Monty Python health (non) reform is a comedy. In order to cut layers of management, new layers are being introduced."
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2 comments:
Why exactly is it necessary to have a doctor in charge of a health authority? There is evidence that many of the problems in health were caused by mis-management (ideologically driven) than by mis-doctoring. Please enlighten us.
And furthermore, titles of CEO (and derivatives thereof, though until now I have never heard of a “Super CEO”) have been around in the Public Sector since the reforms of the 1980s. So nothing new there and not peculiar to the private sector.
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