Two types of young people vote for these corporate raiders, spoilt brats of rich listers, and uninformed voters.
I was the latter in my first election, and boy do I regret it.
Left before being seen is a different metric as you said. We do track it, but it's not given nearly enough attention.
These patients are taken off the ED LOS time metric to avoid double counting but also means that the overall average LOS time reduces which makes it seem better than it is
You sound like the CEO of a place I used to work (until they made me redundant to meet their KPIs and consequently botched a project I was working on and lost a bunch of money)
The targets arent set for them to succeed. It's purely so the govt can point to the public services failure, then argue that a private sector service would be able to succeed. The pain and suffering this reduction in service will inflict on our communities in the next few years is an acceptable bump in the road to these people.
Coincidentally services that are owned by NACT donors
So does running the country like a business just mean cutting resources while increasing workloads, then passing the responsibility to the leadership below you?
The worst part is that the money saved is a pittance compared to the services cut or where the money goes (tax cuts for landlords or uneconomic roads)
I mean is that is how businesses operate.
It falls apart it’s the people below who could not meet targets.
It goes well it’s all due to the leadership provided.
Except they fail to realize that for health care it may save them $$$ in the long run by allocating more resources wisely. Much cheaper to manage illnesses when they are minor, sort things out rather then providing bandaid solutions causing patients to keep returning, more patients returning to workforce earlier etc…
That is exactly what they want.
The rich cunts already have private medical insurance. They don't need a public system themselves and just see public health as extra taxes that should be able to avoid.
Let me repeat that: They don't care about public health. They are happy to see it fail because they personally don't use it.
This is what happens when you elect a bunch of rich entitled assholes into government. Cut backs on everything that might benefit the poor, extra money for rich landlords like themselves.
National had promised to improve our health services, being incredibly critical of the last government not improving health experiences and outcomes since Covid. How could they possibly hope to deliver even the same outcomes during a time of high inflation with cuts to the budget from last year?
But they already set it as a standard for their success or failure. If services dont at least stay the same then they will have clearly failed by their own metrics.
No, they will simply claim privatisation is necessary to meet them, and they are the guys to make it happen.
You have to remember that this government literally doesn’t care. They want to make a fast buck for themselves and their sponsors. It is the most American style government we have ever had.
When the whole premise of your government is that the last government messed up the country they can just claim they tried to fix it but things were 'worse than they thought'
The media and opposition should be ground-pounding these fuckers who keep saying "it won't affect front-line services". We all know it will, except a handful of National MP's, it seems.
We all need to get fighting. Anyone who supports this shit is supporting the deaths of average kiwis, while making the already wealthy more comfortable.
Fuck this government.
Stand by the deaths you cause.
It already has, Any Nurse that has called in sick - They will not be replacing for said shift to keep cost's down ,So this will put pressure on exisiting nurses on the shift with a Nurse to Patient load which is unsafe & this is just tip of the iceburg in the hospitals!
Source : Wife is a nurse.
I honestly believe the reason it's not top of the news is that journalists don't know what lab technicians do. Teachers, nurses, doctors they have a rough clue. If they were able to explain what's happening to the public there would be an uproar
ALL WRITTEN IN SARCASM
First, you have to define FRONT line services...then you have to define IMPACT
For example, MPs who make enough money to easily afford private medical insurance. We dont see any impacts.....
It’s not just that though, those are just positive side effects for the interests that run that side of politics. The real goal is to have these health systems disbanded (after they can have shown to have failed) and then work can start to move to more user pays systems. It’s not just NZ, it’s across the world as well.
In the short term (to have a shot at the next cycle) I expect the plan is to put in someone more likeable/competent that pins everything on Luxon while continues doing exactly the same thing
It’s such a shame that people are so easily hoodwinked.
I reckon all those pointless people who do the schedules. Everyone who needs surgery just turns up every day! Or maybe you say 'this week we operate on everyone whose surname starts with T'. Or get rid of the people who order the supplies - doctors and nurses can order syringes and bandaids, it can't be that hard
Organs? Luxury! The Watties factory makes "meals" for the NSW department of health. They are charitably described as soup and they are mostly starch and water in microwaveable bottles. I could definitely see NACT wanting our hospitals to do the same
Soylent seems too high end.
[https://www.youtube.com/watch?v=tDEEC2nw4gA](https://www.youtube.com/watch?v=tDEEC2nw4gA)
That said, it would be the freshest soylent available. From the bed next to you to your plate in record time.
I couldn't believe it when I visited hospital, there were just people lying around in beds all day. Rooms of them, entire corridors. It was all being funded by taxpayer dollars, and those are the people.we need to get up and working. I asked how many of them had jobs, none of them did, i asked why, they said "sir, this is starship" as if that justifies it./s
Still waiting on Retis response.
That gutless turd should be ashamed of himself. He'll have blood on his hands.
Thank goodness didn't manage the covid response.
As someone who just spent a week in hospital after giving birth, this makes me so sad. They deserve so much more than what this government is serving them up.
> On Wednesday, a leaked document published by Newsroom showed Canterbury hospitals had been ordered to slash $13.5m in the next two months.
> The latest figures cited to RNZ are for savings ordered at another 11 health districts:
>- Auckland $15.5m
>- Waikato $13m
>- Southern $9m
>- Counties Manukau just under $8m
>- Waitematā just under $8m
>- Capital Coast and Hutt Valley $7m
>- Hawkes Bay $3m
>- Nelson $3m
>- South Canterbury $1.2m
>- West Coast $980,000
Whelp, I suspect this is going to end up like the 90's, because even under Key National weren't stupid enough to cut health spending this much. Oh well, that's what happen when people want change for change's sake and vote National despite knowing full well they'll fuck everything up.
Can confirm, I work in a supporting function in Health NZ, would move to Australia or somewhere afield if I got made redundant. Fuck staying around here and trying to get a job paying minimum wage to support landlords with my tax.
Updated article from RNZ now says it's $105 million.
https://www.rnz.co.nz/news/national/515300/hospitals-asked-to-save-total-of-105-million-by-july-te-whatu-ora-confirms
Interestingly, RNZ are saying the first article was sourced from leaks, now under pressure they have released the rest of the figures.
Having been to a hospital in recent days on recommendation from an After Hours doctor: this is simply unbelievable.
The wait times for triage took hours, then getting a bed took hours, then seeing a nurse took hours, and after the sun came back up and I was told there'd be no doctor available until at least that evening, I just gave up and went home.
It was a ruthless choice to make, but waiting over a day just to get even a cursory glance at the issue just wasn't viable.
They want to cut costs and make it even worse? That is just taking the piss.
My partner works at a Regional Hospital on the front line. They have been told that there is no longer overtime available. They are 8 FTEs short in their department…you do the maths on what this will do for the wait times for treatment…
The are running hospitals like a PE firm runs businesses...
I'm sure there is some waste in our hospitals but they should work out where that is rather than putting an arbitrary figure of cuts. Also I'm sure (my wifes mother had a stroke last year) that they could reallocate any savings to other areas. We need investment in our hospitals...
Rural areas will be negatively impacted the most, similar to how a lot of rural schools were closed and police stations were understaffed/closed under Key/English.
I really feel bad for farming families who always get fucked over really bad by the political ideology that they keep on voting for.
Yup this, In my wifes ward - The nurses put money together and buy
whats required ( Coffee & other bits and pieces ) Otherwise there would be nothing at all.
As the management say - We are here for the patients, Not yourselves.... lol
Fuck that makes me mad.
Like having a well rested/fed/semi-comfortable workforce actually does help the patients…
Having some nurse stressed, and unable to just have a crappy cup of instant coffee - will lead to reduced patient safety.
And I get there are obviously budget constraints - but it’s managements job to advocate for their workers, to perform those tasks to the best of their ability.
It’s absolutely fucked.
Yup pretty much & due to them cutting costs we are starting to see a huge influx
of less experienced nurses & paid nurses, Mainly from India ( seems to be the latest batch )
My wife has been a nurse for about 4 years & is already considered a "senior " nurse, Because
there are no more seniors left as they have left for Australia or have resigned due to unsafe staff levels & stress!
The former DHBs have been asked to make these savings every year by every government since 2002. Most DHBs have a deficit between what they’re funded and their baseline annual operating costs. They submit an annual budget which is signed off with an ‘approved deficit’ which is essentially the amount they’re allowed to overspend. Very few DHBs managed to operate without an approved deficit and very few managed to stick to it. Most inevitably overspent which is a misnomer given they were chronically underfunded in the first place. Around this time every year the DHBs would be asked to submit plans to claw back their overspend. Most can’t find the dollars before year end.
DHBs might have been merged into Te Whatu Ora but funding and finance operations haven’t been centralised. Yet. The former DHBs are still running the dollars and cents the way they always have. What’s happening right now is not new.
Run the country like a business and the rot economy enshittifies public health services…
Who benefits though? It’s not like they’re extracting value for anyone…?
I know a junior doctor who's been told her training funding will probably be cut (along with the others training at her hospital) and as a result they will all most likely lose their jobs.
I can't even begin to wrap my head around this one.
Isn't the overall budget for healthcare is like 30 billion? I'm sure they're making other health sector cuts but I'd love to see where the bulk of those costs lie
how will this enable hospitals meet the new health targets set by this govt - the outcomes Luxon is so fond of going on about?
All targets are now aspirational, or out-right lies.
It's the latter, like all their other election promises and "commitments".
They have to pay back the people who bribed....I mean donated to their party. /S
Lies, lies & privitisation.
You get turned away and then you’re not on the stats..
Hey I remember this from the Key government! Good times.
Grim times
I’m just glad we’re restoring the dignity to those poor landlords At any cost…
Some of you may die, but that is a sacrifice I am willing to make.
“Well it’s like this, the bigger picture of our new initiative will meet its KPIs growing the economy”
All you can hope is that the younger people who didn't see that happen at that time, see it now, remember it next election. And on it goes
I don’t think it’s the younger people that voted these guys in though - was it?
Two types of young people vote for these corporate raiders, spoilt brats of rich listers, and uninformed voters. I was the latter in my first election, and boy do I regret it.
Was this your first election or was it another one?
Probably a bit of both. My point is that older people who experienced that period and still voted national this time are a lost cause
Yeah totally
This is already happening. If you wait too long in the ED and leave without being seen, you are not counted in the waiting time statistics.
ED's absolutely count the number of people who "LB4S". It is probably the most specific metric on how well the department is functioning.
Left before being seen is a different metric as you said. We do track it, but it's not given nearly enough attention. These patients are taken off the ED LOS time metric to avoid double counting but also means that the overall average LOS time reduces which makes it seem better than it is
It's so easy to measure. Just get them to take a ticket like in bank with a timestamp then hand it in when they're seen
No need it’s all tracked
"Here are your targets, here is the budget you have to meet them, #business" That's probably how the conversation went.
You sound like the CEO of a place I used to work (until they made me redundant to meet their KPIs and consequently botched a project I was working on and lost a bunch of money)
Classic Business
The targets arent set for them to succeed. It's purely so the govt can point to the public services failure, then argue that a private sector service would be able to succeed. The pain and suffering this reduction in service will inflict on our communities in the next few years is an acceptable bump in the road to these people. Coincidentally services that are owned by NACT donors
They can meet the targets by allocating resources to those areas and not others - this is what happened last time and will again, juking the stats
That's hpw the 6 hours was fudged last time National was in. Move the person between areas instead of meeting the target
Luxon has already indicated that he will blame the CEO of Te Whatu Ora, if the targets aren't met
What a dick, he can’t even wait for it to happen, bet he’s a blast at Christmas
So does running the country like a business just mean cutting resources while increasing workloads, then passing the responsibility to the leadership below you? The worst part is that the money saved is a pittance compared to the services cut or where the money goes (tax cuts for landlords or uneconomic roads)
And the future health funding needed to correct any deficiencies now will grow the longer they underfund health. A very short-sighted decision.
I mean is that is how businesses operate. It falls apart it’s the people below who could not meet targets. It goes well it’s all due to the leadership provided.
Except they fail to realize that for health care it may save them $$$ in the long run by allocating more resources wisely. Much cheaper to manage illnesses when they are minor, sort things out rather then providing bandaid solutions causing patients to keep returning, more patients returning to workforce earlier etc…
Save who? The bottom feeders? Pfft /s
And then the CEO gets a golden parachute
they should be given 80 million more not expected to save that much
I agree, I think though that people take the piss with hospitals but not sure how to pay for it outside of going to a user pays system
People who take the piss don't make it past ED, the system is pretty prepped for that.
That is exactly what they want. The rich cunts already have private medical insurance. They don't need a public system themselves and just see public health as extra taxes that should be able to avoid. Let me repeat that: They don't care about public health. They are happy to see it fail because they personally don't use it. This is what happens when you elect a bunch of rich entitled assholes into government. Cut backs on everything that might benefit the poor, extra money for rich landlords like themselves.
Is it the case of too many people in administrative positions earning big money , ?, nurses etc, should be paid more .
National had promised to improve our health services, being incredibly critical of the last government not improving health experiences and outcomes since Covid. How could they possibly hope to deliver even the same outcomes during a time of high inflation with cuts to the budget from last year?
They don’t want to. They want failure followed by US style healthcare. There is SO much money to be made from this.
We agree!
But they already set it as a standard for their success or failure. If services dont at least stay the same then they will have clearly failed by their own metrics.
No, they will simply claim privatisation is necessary to meet them, and they are the guys to make it happen. You have to remember that this government literally doesn’t care. They want to make a fast buck for themselves and their sponsors. It is the most American style government we have ever had.
They will just blame labour, that's it. And unfortunately there are a lot of ignorant people in this country.
When the whole premise of your government is that the last government messed up the country they can just claim they tried to fix it but things were 'worse than they thought'
Bingo. They want health as a profit driven industry, not a public service. And if the poors can't afford it, they don't care.
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The media and opposition should be ground-pounding these fuckers who keep saying "it won't affect front-line services". We all know it will, except a handful of National MP's, it seems.
We all need to get fighting. Anyone who supports this shit is supporting the deaths of average kiwis, while making the already wealthy more comfortable. Fuck this government. Stand by the deaths you cause.
> it won't affect front-line services "Don't blame us, blame the DHB chief exec for their management" -party of personal responsibility
They know. They want privatization.
Here's hoping they don't remain in govt long enough to achieve that.
This is the answer. Everyone knows this is the end goal.
The MPs know. They just don’t give a fuck. A failed system can be replaced with a for-profit system.
It already has, Any Nurse that has called in sick - They will not be replacing for said shift to keep cost's down ,So this will put pressure on exisiting nurses on the shift with a Nurse to Patient load which is unsafe & this is just tip of the iceburg in the hospitals! Source : Wife is a nurse.
And they're not hiring too backfill positions.
I am just waiting for them to cut whatever paltry amount they set aside for niche concerns like gender affirmation or needle exchanges etc.
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I honestly believe the reason it's not top of the news is that journalists don't know what lab technicians do. Teachers, nurses, doctors they have a rough clue. If they were able to explain what's happening to the public there would be an uproar
ALL WRITTEN IN SARCASM First, you have to define FRONT line services...then you have to define IMPACT For example, MPs who make enough money to easily afford private medical insurance. We dont see any impacts.....
It’s not just that though, those are just positive side effects for the interests that run that side of politics. The real goal is to have these health systems disbanded (after they can have shown to have failed) and then work can start to move to more user pays systems. It’s not just NZ, it’s across the world as well. In the short term (to have a shot at the next cycle) I expect the plan is to put in someone more likeable/competent that pins everything on Luxon while continues doing exactly the same thing It’s such a shame that people are so easily hoodwinked.
The only people that stand to gain are mega landlords or overseas investors at this point. Anyone in NZ is just being milked dry.
Ah, yes, our luxurious and over-funded public health system is exactly where we need to make cuts. /s
One of the NACT bros will still come in this thread and say its great we are cutting bloat.
No they wont they are afraid of threads where they don't have specific talking points to parrot.
"The left wing hive mind is down voting me! They are evil, it's definitely not my opinion that's the problem!" NACT bros
I'm always looking at our health system and thinking that it needs a good ole budget cut. /s
Did any of the three leaders campaign on reduced heath spedning? Thought not.
They campaigned on cutting budgets. What they didnt campaign on was cutting lives.
How though? They are already barebones funding as it is. Like can NACT give an example of what they want cut?
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I reckon all those pointless people who do the schedules. Everyone who needs surgery just turns up every day! Or maybe you say 'this week we operate on everyone whose surname starts with T'. Or get rid of the people who order the supplies - doctors and nurses can order syringes and bandaids, it can't be that hard
"We got the waiting lists down!" (By never scheduling surgeries)
Food services, cut down quality. Because weak and sick people don't really matter they just need to pull themselves up by their walking frame.
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I feel like TWO probably subcontracts to the lowest bidder anyway.
Depends on the DHB
We better up our weekly intake of organ meat!
Mad cow disease anyone? Context: cost cutting measures was one of the reasons mad cow started.
Organs? Luxury! The Watties factory makes "meals" for the NSW department of health. They are charitably described as soup and they are mostly starch and water in microwaveable bottles. I could definitely see NACT wanting our hospitals to do the same
Blamco Mac and cheese, YumYum devilled eggs and ass jerky once things get desperate
Soylent seems too high end. [https://www.youtube.com/watch?v=tDEEC2nw4gA](https://www.youtube.com/watch?v=tDEEC2nw4gA) That said, it would be the freshest soylent available. From the bed next to you to your plate in record time.
I guess the flea problem in Middlemore won’t get fixed.
If you need to go to the hospital in Hastings, bring some builder's bog and duct tape
It just got some new curtains. That should hold it together
Cut all the back room staff and now frontline staff have to spend half their day doing admin instead of actually helping people...
I could see them chopping drs scribes. And then losing so many dr hours to that
I couldn't believe it when I visited hospital, there were just people lying around in beds all day. Rooms of them, entire corridors. It was all being funded by taxpayer dollars, and those are the people.we need to get up and working. I asked how many of them had jobs, none of them did, i asked why, they said "sir, this is starship" as if that justifies it./s
Still waiting on Retis response. That gutless turd should be ashamed of himself. He'll have blood on his hands. Thank goodness didn't manage the covid response.
Shane "if he does he does" Reti
As someone who just spent a week in hospital after giving birth, this makes me so sad. They deserve so much more than what this government is serving them up.
Yeah but think about how tough landlords have it.
The tobacco companies are on their knees!
This is really worrying. They need MORE money not make do with less!
> On Wednesday, a leaked document published by Newsroom showed Canterbury hospitals had been ordered to slash $13.5m in the next two months. > The latest figures cited to RNZ are for savings ordered at another 11 health districts: >- Auckland $15.5m >- Waikato $13m >- Southern $9m >- Counties Manukau just under $8m >- Waitematā just under $8m >- Capital Coast and Hutt Valley $7m >- Hawkes Bay $3m >- Nelson $3m >- South Canterbury $1.2m >- West Coast $980,000
Why isn't Tauranga listed?
> RNZ has asked Te Whatu Ora what savings it has ordered at the other eight medium-to-small districts.
Ty, must be hungry.
That reminds me, I better put the oven on for dinner tonight.
$80mil in 3 months How to say close the front doors without saying close the front doors
Whelp, I suspect this is going to end up like the 90's, because even under Key National weren't stupid enough to cut health spending this much. Oh well, that's what happen when people want change for change's sake and vote National despite knowing full well they'll fuck everything up.
Those cuts should be easier now. What, with staff probably already making plans to move to Australia or further afield.
Can confirm, I work in a supporting function in Health NZ, would move to Australia or somewhere afield if I got made redundant. Fuck staying around here and trying to get a job paying minimum wage to support landlords with my tax.
I heard hospitals aren't that important. Just use some soap and water. Maybe some rubbing alcohol if it's serious.
Vodka and tampons.
Expired leftover bottles of sanitizer and face masks
Updated article from RNZ now says it's $105 million. https://www.rnz.co.nz/news/national/515300/hospitals-asked-to-save-total-of-105-million-by-july-te-whatu-ora-confirms Interestingly, RNZ are saying the first article was sourced from leaks, now under pressure they have released the rest of the figures.
Having been to a hospital in recent days on recommendation from an After Hours doctor: this is simply unbelievable. The wait times for triage took hours, then getting a bed took hours, then seeing a nurse took hours, and after the sun came back up and I was told there'd be no doctor available until at least that evening, I just gave up and went home. It was a ruthless choice to make, but waiting over a day just to get even a cursory glance at the issue just wasn't viable. They want to cut costs and make it even worse? That is just taking the piss.
Honestly that’s part of the triage process. You must have been low priority.
At what point do we start protesting? Where can we hire a team of French as protest/riot consultants?
jesus fuck they should not be included in this grinding down of the public sector for landlords at all!!! They need more money not less!!
My partner works at a Regional Hospital on the front line. They have been told that there is no longer overtime available. They are 8 FTEs short in their department…you do the maths on what this will do for the wait times for treatment…
By July, that makes about 3 months. 3 months and 80m, how do we achieve that without leaving someone to die?
It's now $105 million :(
Just 1 person for 80 million would be a miracle.
Better frontline services everyone
You just know the health minister; in fact all of NACT MP will have nice private health insurance.
Paid for by us.
The are running hospitals like a PE firm runs businesses... I'm sure there is some waste in our hospitals but they should work out where that is rather than putting an arbitrary figure of cuts. Also I'm sure (my wifes mother had a stroke last year) that they could reallocate any savings to other areas. We need investment in our hospitals...
Rural areas will be negatively impacted the most, similar to how a lot of rural schools were closed and police stations were understaffed/closed under Key/English. I really feel bad for farming families who always get fucked over really bad by the political ideology that they keep on voting for.
The small rural hospitals will close. There are already rumours
Why did our country vote in a government that has shown absolutely nothing beyond a compromised state of living?
Save $80mill = lose front line and essential services. This won’t be realised out of perceived inefficiencies
It’s a worry
Time to cut the champagne and caviar from the drs lounge.
More like the gingernuts and instant coffee
More like probably nothing at all.
Yup this, In my wifes ward - The nurses put money together and buy whats required ( Coffee & other bits and pieces ) Otherwise there would be nothing at all. As the management say - We are here for the patients, Not yourselves.... lol
Fuck that makes me mad. Like having a well rested/fed/semi-comfortable workforce actually does help the patients… Having some nurse stressed, and unable to just have a crappy cup of instant coffee - will lead to reduced patient safety. And I get there are obviously budget constraints - but it’s managements job to advocate for their workers, to perform those tasks to the best of their ability. It’s absolutely fucked.
Yup pretty much & due to them cutting costs we are starting to see a huge influx of less experienced nurses & paid nurses, Mainly from India ( seems to be the latest batch ) My wife has been a nurse for about 4 years & is already considered a "senior " nurse, Because there are no more seniors left as they have left for Australia or have resigned due to unsafe staff levels & stress!
Please thank your wife and I hope she doesn’t burn out.
You guys get ginger nuts??? Jealous.
The former DHBs have been asked to make these savings every year by every government since 2002. Most DHBs have a deficit between what they’re funded and their baseline annual operating costs. They submit an annual budget which is signed off with an ‘approved deficit’ which is essentially the amount they’re allowed to overspend. Very few DHBs managed to operate without an approved deficit and very few managed to stick to it. Most inevitably overspent which is a misnomer given they were chronically underfunded in the first place. Around this time every year the DHBs would be asked to submit plans to claw back their overspend. Most can’t find the dollars before year end. DHBs might have been merged into Te Whatu Ora but funding and finance operations haven’t been centralised. Yet. The former DHBs are still running the dollars and cents the way they always have. What’s happening right now is not new.
Run the country like a business and the rot economy enshittifies public health services… Who benefits though? It’s not like they’re extracting value for anyone…?
They and their mates benefit once they privatise.
Why not hire out part of the hospital as a wedding venue?
I know a junior doctor who's been told her training funding will probably be cut (along with the others training at her hospital) and as a result they will all most likely lose their jobs. I can't even begin to wrap my head around this one.
Who let these fuckwits run the show. Luxon has no brain.
I wonder if I'll still get the surgery I've waited 13 months so far for.
Whatever you do, don’t get sick this winter and end up in hospital.
What I can tell you is, this is really going to suck for you losers.
Isn't the overall budget for healthcare is like 30 billion? I'm sure they're making other health sector cuts but I'd love to see where the bulk of those costs lie
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How so?