News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search


“Increasing concern over new health bureaucracies”

6 October 2004

“Increasing concern over new health bureaucracies”

“There is increasing concern over the new government-supported Primary Health Organisations simply becoming another layer of bureaucracy in an already heavily bureaucratised health system,” said Mr Ian Powell, Executive Director of the Association of Salaried Medical Specialists, today. Mr Powell was responding to the decision of the Hutt Valley District Health Board to grant an additional $250,000 to support its PHOs.

“There is a serious risk of the much promoted Primary Health Organisations becoming parallel bureaucracies alongside the existing 21 district health boards. It would make more sense to use the existing resources of district health boards to provide organisational, computer and other necessary support for PHOs.”

“This growth of new layers of bureaucracy seems to be based on unnecessary distrust and lack of confidence in the relationship between primary care and district health boards. But the creation of new bureaucratic structures instead risks increasing this distrust and lack of confidence.”

“Primary Health Organisations have great potential to further improve the quality and accessibility of primary care and to increase its coordination with hospital-based services. However, this potential will be undermined by excessive bureaucracy,” concluded Mr Powell.


© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Howard Davis Review: A Bigger Splash - Te Papa Celebrates Twenty Years

Considering the available resources, this is a decidedly hit-and-miss affair, mainly due to some highly questionable curatorial decisions. In their overweening wish to "push boundaries," Charlotte Davy and Megan Tamati-Quennell have made a number of serious miscalculations by ignoring a basic rule - keep it simple. More>>

Howard Davis Review: Smelling the Merchandise - The Death of Stalin

Having satirised British democracy with such devastating effect, Armando Iannucci has now turned his lens on the dangers inherent in Soviet authoritarianism. Every gag is girdled with fear and the bleak humour is so pitch black it could only have been pumped from deep underground. More>>

Howard Davis Review: The Creole Stylings of Cécile McLorin Salvant

"You only get a singer like this once in a generation or two," commented Wynton Marsalis, who has repeatedly hired her to front his jazz orchestra and mounted a 25 foot high portrait of her on the exterior of Lincoln Center. “She radiates authority. She has poise, elegance, soul, humour, sensuality, power, virtuosity, range, insight, intelligence, depth, and grace.” More>>

Max Rashbrooke Review: The King's Singers and Voices New Zealand

To be good at one thing is impressive; to be so versatile across a range of genres is truly exceptional. The latest incarnation of this six-strong male singing group includes Kiwi Christopher Bruerton, and it was a delight to hear him sing the solo on the achingly beautiful My Love Is like a Red, Red Rose. More>>



  • Wellington
  • Christchurch
  • Auckland