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

 


DHB Governance Debate Around Fit for Purpose

Media Release

Date: 6 December 2012

DHB Governance Debate Around Fit for Purpose

The extent to which District Health Board governance was ‘fit for purpose’ was robustly debated in an evening meeting of the NZ Institute of Health Management this week in Auckland (3 December).

Attended by some 40 health managers, the audience included the Minister of Health Honourable Tony Ryall, the Associate Minister of Health Honourable Jo Goodhew and MP Dr Paul Hutchison.

In a session chaired by Stuart Francis, chairman of Francis Group International, Dr Lee Mathias, Deputy Chair of the Auckland District Health Board, Dr Tim Tenbensel of the University of Auckland and Graeme Milne, chair of the Waikato District Health Board shared their research, experience and opinions.

There was general agreement on a number of fronts:
• Public interest in transparency is not well served in the current model
• The current model of having a majority of elected board members is a problem
• Only few DHB board members have qualifications to manage billion dollar organisations
• Evolving the model to a majority of appointed members would lift board performance
Dr Mathias’ research in her doctoral thesis pointed strongly to a much reduced number of elected board positions. One of the most important attributes of successful board members is the skill of ‘metaliteracy’ – the ability to assimilate multiple viewpoints as part of a board’s decision making process.

She found far too few DHB directors possessed the necessary skills for the job.

Dr Tenbensel’s research, conducted in collaboration with colleagues from two other New Zealand Universities raise some issues around the value of existing democratic mechanisms. He advocated for more consistent and formal clinical leadership within DHBs and likewise found the skill of ‘versatility’ of juggling different imperatives a critical skill for board members.

Mr Milne, an experienced corporate leader and professional director, plainly stated that the level of performance he has seen in the DHB sector simply would not be tolerated in the commercial sector let alone of billion dollar organisations with thousands of employees. He pointed to the need for boards to act as coaches for managers grappling with strategic issues, the lack of talent and the negative consequences on performance of the current systems for ensuring public transparency over DHBs.

The President of the NZ Institute of Health Management, Jenni Coles, thanked Francis Group for their continued support and facilitation of the meeting. NZIHM has been the professional association for promoting health management in New Zealand since 1946. Francis Group is a leading health performance improvement consultancy in England with practices in New Zealand and Australia.


ENDS

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Game Review: Midsomer Murders Meets First Year Philosophy

Developed by The Chinese Room, Everybody's Gone to the Rapture sees the player exploring what appears to be a recently abandoned idyllic English village trying to figure out where everybody's gone. Spoiler: they've gone to the rapture. (On a serious note, this review contains plot spoilers.) More>>

Scoop Review Of Books: Clear Science

It was really after his move to Wellington, to Victoria University, that it became apparent that Sir Paul Cllaghan was much more than an eminent physicist... More>>

ALSO:

Francis Cook: Weekend SportzMania! All Blacks! Netball!

Sports were on all weekend. I normally don’t write about sports but with Richie McCaw tipped to be the next Prime Minister, and Colin Craig arguing sports are almost as important as politics, I thought “what better time to start!” More>>

ALSO:

Beervana: Aussie Pav Beer Declared Taste Of NZ

In a surprising upset, an Australian beer modelled on the pavlova, created by Brisbane brewery Newstead Brewing, the 250 Beers blog and Scratch Bar, has been announced the winner at the Beervana craft beer festival ‘Flag Brew’ competition, which challenged media and brewing teams to capture the distinctive taste of New Zealand. More>>

ALSO:

Transport: Air NZ Teams Up With All Blacks For Men In Black Video

Inspired by the Columbia Pictures global film franchise Men in Black, Air New Zealand’s latest safety instalment features All Blacks’ Captain Richie McCaw and Dan Carter as Men in Black agents. More>>

ALSO:

World Champions: BRADAS Of Identity Company Take On The World And Win Gold

This is only the second time since NZ has qualified for the HHI world finals that NZ has taken home a GOLD medal in this division. REQUEST Dance Crew being the only other NZ crew to achieve this. New Zealands only other medal this year was Silver for the Royal Family in a very close final in the Megacrew division. More>>

Scoop Review Of Books: Contrary To Popular Belief - Lloyd Geering

Many older Dunediners like myself, and indeed older Presbyterians and others throughout the country, will remember the controversy aroused by the articles and speeches of Professor Geering, Principal of Knox College Theological Hall in the late 1960s... More>>

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news