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If this move reduced wasted money, streamlined procurement in a way that I assume pharmac works, in theory this should be a good move. Can the government pull it off? Who will run this new super organisation? I will need convincing that this won't be a decent idea screwed up
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@canefan Of course a socialist governement would love central control
Long overdue, although the rationalisation of different IT, management, and staff is going to be a long drawn out process. A lot of people will lose their jobs, and people in cities will be fine, I suspect rural towns will still struggle to get quality healthcare.
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@kirwan said in NZ Politics:
@canefan Of course a socialist governement would love central control
Long overdue, although the rationalisation of different IT, management, and staff is going to be a long drawn out process. A lot of people will lose their jobs, and people in cities will be fine, I suspect rural towns will still struggle to get quality healthcare.
Yes the infrastructure gains should be significant. As you say it remains to be seen if it delivers better care for all. I am sure middle management will find a way to save themselves...
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@kirwan said in NZ Politics:
@canefan Of course a socialist governement would love central control
Long overdue, although the rationalisation of different IT, management, and staff is going to be a long drawn out process. A lot of people will lose their jobs, and people in cities will be fine, I suspect rural towns will still struggle to get quality healthcare.
Unless some of the wasted money is re-directed to setting up better provincial facilities.
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@kirwan said in NZ Politics:
@canefan I've seen waiting lists in Wellington for stuff like MRI scans, and just up the road in Lower Hutt with spare capacity. No communication between DHBs or sending people up the road to get a scan.
Probably has killed people.
They applied the same logic to the Auckland Super City, why have a bunch of councils with differing objectives that results in a lack of cohesive plan and lots of waste and overlap? I don't think everyone is entirely happy with the way that has turned out (it has made little significant difference to my life either way).
But getting them all on the same page regarding communication and systems, and being able to save some money by procuring in bulk at least should be an improvement.
Whether they offset those savings to maintain services in outer areas, as Crucial says, will be interesting
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@crucial said in NZ Politics:
@kirwan said in NZ Politics:
@canefan Of course a socialist governement would love central control
Long overdue, although the rationalisation of different IT, management, and staff is going to be a long drawn out process. A lot of people will lose their jobs, and people in cities will be fine, I suspect rural towns will still struggle to get quality healthcare.
Unless some of the wasted money is re-directed to setting up better provincial facilities.
That's very optimistic. Look at the Auckland super city, they just find a new way to waste money. Labour's record of actually implementing policy has been disastrous.
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@kirwan said in NZ Politics:
@crucial said in NZ Politics:
@kirwan said in NZ Politics:
@canefan Of course a socialist governement would love central control
Long overdue, although the rationalisation of different IT, management, and staff is going to be a long drawn out process. A lot of people will lose their jobs, and people in cities will be fine, I suspect rural towns will still struggle to get quality healthcare.
Unless some of the wasted money is re-directed to setting up better provincial facilities.
That's very optimistic. Look at the Auckland super city, they just find a new way to waste money. Labour's record of actually implementing policy has been disastrous.
I can't imagine this will be implemented quickly either. Cue lots of consultants at exorbitant rates
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@dogmeat said in NZ Politics:
the three Akl DHB's and to an extent Northland have tried to work together on waiting lists and purchasing. Without a lot of success.
Do they operate the same IT systems? If not, and with each DHB having their own booking/procurement departments and no access to see each other's information I would imagine it is pretty difficult
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@canefan There are a multitude of different Patient Management Systems across the country. One of the ideas of having a cradle to grave National Health Identifier was so that you could have a national database but the reality is patients have multiple files even within the same DHB let alone across them.
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@mokey said in NZ Politics:
Maybe they'll even improve women's health with some of the saved money. I'm imagining a utopia where smear results don't have to be FAXED cos no central system that all docs can access.
For a country as small as NZ, that's criminal.
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@kirwan said in NZ Politics:
@mokey said in NZ Politics:
Maybe they'll even improve women's health with some of the saved money. I'm imagining a utopia where smear results don't have to be FAXED cos no central system that all docs can access.
For a country as small as NZ, that's criminal.
FFS how hard can it be? We have a population less than Melbourne
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@paekakboyz said in NZ Politics:
@canefan spread out a tad more tho
Makes no difference in the electronic age. In fact, because we are spread out, a centralised IT system is a bigger advantage. And for a such a small population, implementing one is trivial.
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