Gordon Campbell | Parliament TV | Parliament Today | News Video | Crime | Employers | Housing | Immigration | Legal | Local Govt. | Maori | Welfare | Unions | Youth | Search

 

Health boards past their use-by date

An article* published this month in the Journal of Health Organization and Management raises questions over the way health board members are elected and whether the boards are even needed.

Co-author Dr Greg Clydesdale, of Lincoln University, said health boards have had a poor run recently, and that may be due to how their members are appointed.

“Health management and governance have become highly specialised but, every three years, voters with no knowledge of healthcare decide who should be on the board,” he said.

“It is an exceptionally poor way to appoint people to such a specialised activity.”

The analysis also raised questions about whether a board was even necessary. Their research revealed that 99% of all motions presented to the board were accepted.

“This rubber stamping of management proposals raises questions whether the boards are adding value to the decision-making process.”

“Often the board are not given any options, in which case, we need to ask, why are they needed.”

Their research also studied the minutes and agendas of health board meetings at the Canterbury District Health Board. It found that there were no public presentations to the board in the period studied.

This suggested that the current structure is not the best way to facilitate public participation.

The intention of the electoral process is to ensure public participation in health care, but Dr Clydesdale questioned whether board level was the appropriate level to engage with the public.

“The current electoral model reflects our passion for democracy but, it may not be the best process for a health sector given its specialised nature. The public simply don’t have the necessary knowledge to make an informed decision.

“Most people do not know what boards do. Let alone Health Boards.”

He said, not surprising, voting on electoral health boards has experienced decline. In 2001, the voter turnout was 47%. By 2013, it had declined to 43%. Not only does this suggest reduced public participation, but that elections might not provide a board that truly represents the public.

“It is also failing to provide efficiency.”

He said in 2015, the Southland District Health Board was sacked and replaced by a commissioner. This year, the Waikato District Health Board suffered the same fate. At Canterbury, a crown monitor has been appointed to help guide the board.

One of the Waikato board members claimed that “democracy lost”, but Dr Clydesdale suggested that we may not be using democracy efficiently. “For other departments, like transport and social welfare, we elect the government who appoints ministers, but in health we have two layers of democracy – is that necessary?”

“The failings are now so common that we must question the structure and method of appointing talent.”

Dr Clydesdale co-authored the article with colleague Dr Gillis MacLean and John Sheard. He is a senior lecturer in the Faculty of Agribusiness and Commerce, who has authored a number of books on business and prosperity, and has expertise in creativity, entrepreneurship and economic growth.

*https://www.emeraldinsight.com/doi/abs/10.1108/JHOM-11-2018-0336


© Scoop Media

 
 
 
Parliament Headlines | Politics Headlines | Regional Headlines

Gordon Campbell: On The Clark Exit, Convention Centres, And The Killing Of Hachalu Hundessa


Goodbye, David Clark. In the end, the outgoing Health Minister decided that in the midst of a pandemic the best thing he could do for New Zealand would be to no longer be there – given that being there had involved hiving off on his mountain bike during a lockdown, and throwing the country’s most beloved Health bureaucrat under a bus. As Clark indicated so memorably at last week’s press conference, when it comes to managing public health risks at the border the buck stops with…that guy over there! In the aftermath of that debacle, Clark reached the same conclusion the nation had reached some time ago, that leadership just wasn’t his thing. Once again, he got on his bike.... More>>
 

Government: David Clark Resigns As Health Minister

The Prime Minister Jacinda Ardern has accepted David Clark’s resignation as Health Minister. More>>

ALSO:

Election 2020: Green Party Unveils Income Policy

The Green Party is today unveiling its Poverty Action Plan, which includes a Guaranteed Minimum Income to ensure people have enough to live with dignity. The scheme resets income support payments to ensure everyone not in full-time paid work gets at least ... More>>

ALSO:


Conservation: New Protection For Dolphins

Extensive new protections are being put in place as part of an updated plan to look after New Zealand’s native Hector’s and Māui dolphins, announced Minister of Fisheries Stuart Nash and Minister of Conservation Eugenie Sage today. More>>

ALSO:

Auckland: Water Consent Referred To Board Of Inquiry

Environment Minister David Parker has today “called in” Auckland’s application to the Waikato Regional Council to take an extra 200 million litres of water a day from the lower reaches of the Waikato River for Auckland drinking water and other municipal uses... More>>

ALSO:

Gun Law: A New Firearms System Focused On Safety

Tougher gun laws will begin to take effect from next week following the passage of new firearms legislation through Parliament today. The Minister of Police says the Third Reading of the Arms Legislation Bill is an historic milestone for community ... More>>

ALSO:

Government: Building A Stronger Health And Disability System

The Government is committing to a long-term programme of reform to build a stronger New Zealand Health and Disability System that delivers for all. More>>

ALSO:

National: Todd Muller Announces Caucus Reshuffle

Today I am confirming a minor shadow cabinet reshuffle due to the retirement of Paula Bennett. Dr Shane Reti will be ranked number 13 and will take on Associate Drug Reform. Shane has demonstrated a huge intellect and capacity for work, supporting ... More>>

Biosecurity: Winston Peters On EU Travel: 'We're Not Going To Compromise Our Country's Health'

Foreign Minister Winston Peters says New Zealanders who head to Europe on holiday should pay for their two weeks' hotel quarantine when they return. More>>

Economy: Infrastructure Investment To Create Jobs, Kick-Start COVID Rebuild

A new package of infrastructure investments will help kick-start the post-COVID rebuild by creating more than 20,000 jobs and unlocking more than $5 billion of projects up and down New Zealand. Finance Minister Grant Robertson and Infrastructure Minister ... More>>

ALSO:

Covid-19: Isolation System To Be Beefed Up After Stress

A range of improvements are already underway to address issues identified in the rapid review of the Managed Isolation and Quarantine system released today, Housing Minister Megan Woods said. The review was commissioned just over a week ago to identify ... More>>

ALSO:

Election 2020: Parties Get Into Gear

ACT has today announced its list for the 2020 General Election. “The calibre and experience of our candidates will impress voters of every persuasion. We have candidates from all walks of life. People who have built their homes, families and businesses ... More>>

ALSO:


Int'l Trade: New Zealand To Host Virtual APEC In 2021

Foreign Affairs Minister Winston Peters and Trade and Export Growth Minister David Parker announced today that New Zealand’s hosting of APEC in 2021 will go ahead using virtual digital platforms. Mr Peters said the global disruption caused by COVID-19, ... More>>

ALSO:

 
 
 
 
 

LATEST HEADLINES

  • PARLIAMENT
  • POLITICS
  • REGIONAL
 


 

InfoPages News Channels