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.


© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Howard Davis: Review - A Girl Named Mo

Moana Ete brought her three-piece band A Girl Named Mo to Wellington's intimate and iconic Bats Theatre last week for a five-night residency. Each show was recorded and filmed live for the release of her debut album 'Platonic/Romantic' on Loop records later this year. More>>

For The Birds: Who Will Be Crowned Bird Of The Year?

The competition involves well-known and enthusiastic New Zealanders acting as ‘campaign managers’ for their favourite birds with many going to great lengths to get New Zealanders to vote for their chosen bird... More>>


  • Greening the Red Zone - Bird of the year heats up: kōtare concedes, backs kea
  • Image Out-Link - Giselle Clarkson on Twitter
  • Gordon Campbell: On Bob Dylan's Nobel (And The Surplus)

    So Bob Dylan has just won the Nobel Prize for… Literature? Wow. I’d be just as happy if he’d won for his work on particle physics (“One Grain of Sand”, “Simple Twist of Fate”) or got the Economics prize for his work on the theory of contracting (“Don’t Think Twice Its Alright”) ... More>>


    Scoop Review Of Books: Whose Goat Was That?

    Mysterious Mysteries of Aro Valley is a sharp, satirical and sometimes downright scary romp through and around that valley in ways that made me question the realities of the places I thought I knew so well. More>>


    NZ On Air TV Funding: More Comedy Comes Out Of The Shadows

    Paranormal Event Response Unit is a series conceived by Jemaine Clement and Taika Waititi as a TV spin-off from their highly acclaimed feature film What We Do In The Shadows. More>>


    Mars News: Winners Announced For The 2016 Apra Silver Scroll Awards

    Wellington singer-songwriter and internationally acclaimed musician Thomas Oliver has won the 2016 APRA Silver Scroll Award with his captivating love song ‘If I Move To Mars’. More>>


    Get More From Scoop



    Search Scoop  
    Powered by Vodafone
    NZ independent news