Parliament

Gordon Campbell | Parliament TV | Parliament Today | Video | Questions Of the Day | Search

 

New Zealand Pharmacy Forum Panel Discussion Speech

Hon Annette King
22 April 2001 Speech Notes

Noon, Sunday, April 22
New Zealand Pharmacy Forum panel discussion

Noon, Sunday, April 22


Thank you Bernie for your invitation to speak today and thank you Kim for chairing the discussion today

I would like to welcome you all here as I know many of you have taken time out of your busy schedules to participate in this event. Linda, thank you for your presentation on the initial findings of National Pharmacy Intervention Day and I am looking forward to joining Joan, Graeme and Ben as part of the panel discussion.

This is my second visit to Dunedin this week, so I can nearly claim to be a local. To start I would like to acknowledge the daily effort and contribution you make to the health sector. Pharmacy and pharmaceutical services are a critical part of our health service.

I know many of you are asking yourselves why you have given up lying in bed this Sunday morning. I know I was questioning this as the alarm went off at 6am.

The reason I am here is because I wanted to take up this chance to say I need your help. The Government wants to reduce inequalities between groups, and to deliver improved health services.

We can not do that by lying in bed, of course. In fact, given that Kim is chairing this discussion, I should put it on record that you cannot achieve anything by lying at all, even tiny little white lies.

Seriously, however, I cannot do my bit to provide better health services without the help of health professionals like you.

As you know, we have made changes to the health structures. We needed to change from a commercially driven health sector, to one with a strategic focus. That focus is clearly outlined in the New Zealand Health Strategy.

The NZHS provides the umbrella under which other strategies will operate. One of the most critical of these is the Primary Health Care Strategy, which I released in February this year. This strategy will directly impact on your work and the services you provide.

The Primary Health Care Strategy involves a new direction for primary care, with a greater emphasis on prevention, focus on population health, health education and promotion, and community partnership. This government believes that improved primary care services are integral to driving future health gain.

I believe there are some very positive opportunities presented by the Primary Health Care Strategy for pharmacy. We want primary care to move from a GP dominated sector, to one based on teamwork and a population focus – the right professional at the right time is the goal.

The key organisations through which primary care services will be delivered will be Primary Health Organisations (PHOs). PHOs will be formed as non-for-profit bodies to look after primary health care needs of a defined population. PHOs will involve different health practitioners and local communities will have a say in their governance, to ensure local views and priorities are taken into account.

So who will be involved in PHOs?

I need to make it absolutely clear that Primary Health Organisations are not IPAs with new letterhead. They will include general practitioners, nurses and others who will network together in PHOs covering a population of people who have enrolled with them.

PHOs will have service agreements with DHBs under which they will be funded for the provision of an essential set of primary health care services to that population. This is likely to include budgets for pharmacy services. There are no plans for them to hold budgets for secondary services.

In addition, in the medium term, District Health Boards are likely to contract for packages of services for particular patient groups. Many of these packages of services are likely to include a pharmacy component; for example, management of the health needs of diabetics is likely to include pharmacy services.


Like every other aspect of health, pharmacy is changing and we want to help in developing the new face of the profession.

The profession of pharmacy has the potential to contribute to improved medicines use through a range of new pharmacy services, such as pharmaceutical review. The Government wishes to ensure that pharmacy contracts and the regulatory framework around pharmacy practice facilitate the development of these new services.

Moving into this new era the Government has been keen to work with pharmacy to discuss, examine and find solutions to problems. The Ministry of Health’s Pharmacy Forums are designed to bring all the interested parties together to discuss how best to move the sector forward.

I realise that some issues are heated, and I know that there will not always be agreement, but I believe that by working together we are more likely to reach workable solutions to our problems and challenges. What I want to hear from is pharmacy as a whole, and the forum is the best place for that to start.

It is this same philosophy of working in cooperation that underpins the changes in primary care. As Primary Health Organisations will be required to offer a range of services, it is expected that they will be multi-disciplinary organisations.

In relation to pharmacy, there is a range of options that PHOs can take up, including having pharmacists as members, sub-contracting pharmacy, and employing pharmacists for services like pharmaceutical review and medicines management for patients with chronic conditions.

The Government is not dictating what happens. The Primary Health Care Strategy does not specify just one model, as one size does not fit all. Instead the is emphasis on developing workable models of teamwork and recognising the complementary skills of others, as well as a willingness to share power in order to achieve group goals.

In other words, it is up to health professionals to develop the working relationships. The Government and DHBs want to work with people who are working together.

To achieve this we need to be clear about each other’s roles and responsibilities. We will strengthen professional regulations, as they are there to protect the public and professional integrity

Recently you will have all witnessed the Gisborne Inquiry, the Cull report, and mounting public and media interest in professional accountability. The public rightly expects Government and health professionals to be accountable for their actions. Their confidence in the systems has been eroded, and it is in all our interests to restore that confidence.

The Health Professionals Competency Assurance Bill will update Acts such as your own Pharmacy Act dating back to 1947, and will reform all health occupational regulation statutes. The current regulation statutes are considered to be inflexible and prescriptive.

New Zealand is not alone here; every country is tackling the issues of safety and quality in health. We must move away from a name, blame and shame culture, and instead focus on developing systems which encourage sharing of information, and learning from best practice.

Finally, we can only talk about quality and safety if we have a trained workforce to deliver the service. The health sector’s ability to recruit and train competent staff is very important to the government. I have established the Health Workforce Advisory Committee which will be the body responsible for recommending strategies for the future development of a health workforce.

The Government is determined to provide the leadership that is needed in health. This Government wants to work with pharmacy and I want to use this panel discussion today to share ideas on how we can do things better.

I wish you well for the rest of your time here in Dunedin and thank you again for inviting me to be part of this panel discussion.


ENDS

© Scoop Media

 
 
 
Parliament Headlines | Politics Headlines | Regional Headlines

Gordon Campbell: On The Peters/Ardern Triumph

There are a lot of good reasons to feel joyful about this outcome. It is what so many young voters – the best hope for the country’s future – wanted.

Far more important than the implications for the Economy Gods ( is the dollar up or down? ) last night’s outcome will also mean many, many vulnerable New Zealanders will have a better life over the next three years at least.

Yet the desire for change was in the majority, across the country..>>>More


Reaction

Labour on its agreement |Peters: Post-Election Announcement Speech | Greenpeace “cautiously hopeful” about new Government | ACT - Madman on the loose | E tū ecstatic | Chamber welcomes the outcome | Greens on their joining Govt | EDS welcomes new govt | Immigrant groups worry | Feds ready to engage new coalition government | Labour Ministers of the Crown announced

 

Climate: Increasing Greenhouse Emissions Hit NZ

New Zealand is seeing impacts of excess greenhouse gas emissions in our climate and oceans, according to the latest national report from the Ministry for the Environment and Stats NZ about the state of the atmosphere and climate…More>>

ALSO:


Wellington.Scoop: Arrests At Blockade Of "Weapons Expo"

“We encourage people in Wellington to get down to the Westpac Stadium now for a day of awesome peace action. There will be plenty of food, music and activities to keep us sustained through the day.” More>>

ALSO:

Rorschach Restructuring: PSA Taking Inland Revenue To Court Over Psychometrics

The Public Service Association will be seeing Inland Revenue in Employment Court over its intention to psychometrically test employees reapplying for their roles at the department as part of its controversial Business Transformation restructuring plan. More>>

ALSO:

Nuclear Disarmament: Nobel Peace Prize 2017 Awarded To ICAN

Congratulations from iCAN Aotearoa New Zealand to international iCAN, the other iCAN national campaigns and partner organisations, and the countless organisations and individuals who have worked so hard for a nuclear weapons-free world since 1945. More>>

ALSO:

Expenses: Waikato DHB CEO Resigns

An independent inquiry has identified that Dr Murray had spent more than the agreed $25K allocated for relocation costs, and other unauthorized expenses involving potential financial breaches of the chief executive’s obligations. More>>

ALSO:

Wellington.Scoop: Sad About The Trolley Buses?

The Regional Council’s MetLink is today spending money to tell us that it really loves Wellington’s trolley buses, even though they’re all being taken off our roads by the end of this month. More>>

ALSO:

Post-Election: Preliminary Coalition Talks Begin

New Zealand First will hold post-election preliminary discussions in Wellington with the National Party tomorrow morning and the Labour Party tomorrow afternoon. More>>

 
 
 
 
 

LATEST HEADLINES

  • PARLIAMENT
  • POLITICS
  • REGIONAL
 
 

Featured InfoPages

Opening the Election