Secrets, fears and empty chairs

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Secrets, fears and empty chairs

The initial rush of interest from people wanting to stand when the DHBs were established has diminished over time

Many of the decisions our DHBs make – and the problems they face – are revealed months after the event. Is secrecy the problem, does the public care, or is something wrong with how we organise health governance?

We have no way of knowing if something is impacting on service delivery; we have to take DHBs at their word – Jackie Cumming ROTTING hospital bui, Jackie Cumming, Jackie Cumming


It is time for the DHBs to leave the health sector, localities with community involvement. This will dispense with the need for local elected members and could bring a more intimate form of community representation and input.

The most DHBs have spent their time focussed on the secondary care providers and have not had the bandwidth to look at integration with the primary sector.

It is time to move on and have a single purchaser for the Country for oversight and policy and create a peripheral drive of localities that can become integrated care systems that understand and serve their communities.

A single purchaser can then communicate to both the primary and secondary sector insisting in joint and integrated care pathways through the system for those localities that would like to be funded, this will bring the sectors together.

No Jonathan, they just named them wrong - they are District Hospital Boards.

That should tidy up any confusion.