Centralised healthcare lacks ‘local accountability’
By David Hill, Local Democracy Reporter
Bringing some healthcare decisions back into communities will help plug the gap in local accountability, say two North Canterbury mayors.
Waimakariri mayor Dan Gordon and Hurunui mayor Marie said they were pleased Te Whatu Ora Health New Zealand was considering local solutions for healthcare, but wanted to know more details on the plans.
In a major shakeup of the health system in 2021, locally-elected district health boards were scrapped and replaced with the centralised Te Whatu Ora.
However, in an interview with RNZ in February, Health Minister Dr Shane Reti indicated some health decision-making would return to the regions.
Responding to questions from Local Democracy Reporter, Reti said he expected to receive advice from the Ministry of Health soon.
This included future operating and funding models for primary and community care.
‘‘Community involvement in health service planning, with local solutions to local health challenges will remain essential to the delivery of health services,’’ he said.
‘‘These local groups should be involved in the design and delivery of services, so the healthcare focuses on the needs of, and is effective for, the community.’’
Local primary health organisations (PHOs), such was the Waitaha Canterbury PHO, played a key role in supporting their local communities and were providing input into Health NZ’s primary care development programme, he said.
The Government has also signalled Iwi-Māori Partnership Boards will play a key role in supporting high-quality community-led health care.
Gordon said since the demise of the Canterbury District Health Board (CDHB) there were gaps in ‘‘local accountability’’.
He is the council’s representative and deputy chairperson of the Waitaha Canterbury PHO board.
‘‘I have found since the centralsation of healthcare it has been a struggle to find local accountability. Even a local contact or authority to speak to.
This must be addressed.
Having a local voice close to the issues is vital.’’
The lack of a local board chairperson meant concerns would often be raised directly with the health minister, Gordon said.
‘‘The important thing for me is the patient and ensuring they are cared for and their needs are met, and if we have an issue, where do we go to get answers?’’
Black said retaining a local voice in healthcare was crucial, particularly for rural districts.
‘‘The important thing is we retain what we have and if we can increase health provision, that is where I would be lending my support.’’
She said the Hurunui District Health Services Group had been making good progress working with the former CDHB.
But this work had been on the backburner since the board was dissolved, ‘‘so whether there is the energy to reconsider this, I don’t know’’.
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
A reminder this hunting season
As thousands of hunters are making their plans for autumn – the Roar – recreational firearms groups are urging hunters to always be 100% sure of their targets.
Te Tari Pureke - Firearms Safety Authority NZ, which chairs the Recreational Firearms Users Group, has begun a public information campaign reminding hunters everywhere of Rule #4 of the Firearms Safety Code: to identify their target beyond all doubt.
Director Communities and Corporate, Mike McIlraith, says there is an estimated 50,000-60,000 New Zealanders involved in big game animal hunting each year, and the Roar is the key event for many hunters each year.
“The Roar is a fantastic time of year for hunters to get out into the hills after a trophy animal but hunting safely and making sure everyone gets home in one piece, still must be the most important goal of every trip,” says Mike McIlraith.
“The consequences of not fully identifying your target beyond all doubt can be catastrophic. Our message to hunters is a really simple one: If you are not sure, then don’t shoot.”
Mike McIlraith says while hunting fatalities are thankfully rare, research has shown that misidentification of the target is the largest firearms related risk to New Zealand deer hunters, and 80% of the time this involves members of the same hunting group.
The Authority says hunters should not feel pressured to take a shot: “Instead, hunters should take the time to analyse their target, wait and see if it is a hind or stag, how old is the animal, how many points does its antlers have? Identifying your target means never firing at sound, shape, colour or movement alone.”
Mike McIlraith says good hunters will slow down, and run through some simple mental checks:
- Can I see the whole animal, or could this be another hunter?
- Where are my hunting companions – could this be them or someone else?
- How much of the animal can you see, if it is a hind or stag, how old is the animal, how - many points does its antlers have?
“Taking a little extra time to identify your target and check the firing zone is the key to safer hunting. No meat or no trophy is better than no mate,” he says.
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