Distracted health system leadership neglects kidney transplants

There are few things more self-evident that when a government focusses on major health structural change. Pressing issues in the health system are neglected by the system’s political and bureaucratic leadership. This is self-evident in several areas, most noticeably the woeful neglect by the Labour government of the severe health professional shortages in New Zealand’sContinue reading “Distracted health system leadership neglects kidney transplants”

When forensic lawyer forgets forensic mind

On 2 November BusinessDesk published my article on the politics of the Labour government’s pandemic traffic lights: https://businessdesk.co.nz/article/opinion/the-politics-of-pandemic-traffic-lights. I argued that the traffic lights were an important part of an after the event narrative to publicly rationalise a major error by the Government to take Auckland out of Level 4 lockdown too early. This decision wasContinue reading “When forensic lawyer forgets forensic mind”

Health polyclinics for New Zealand?

General Practice New Zealand (GPNZ) is an interesting organisation formed over a decade ago. General practitioner representation is fragmented in Aotearoa New Zealand but GPNZ’s formation did not add to the fragmentation. Instead it provides a voice for networks of general practices rather than individual GPs. In April 2019, GPNZ published a thoughtful discussion paper.Continue reading “Health polyclinics for New Zealand?”

A very scary graph: Comparing Delta variant in New Zealand and New South Wales

According to Wikipedia data science is an inter-disciplinary field that uses scientific methods, processes, algorithms and systems to extract knowledge and insights from noisy, structured and unstructured data, and apply knowledge and actionable insights from data across a broad range of application domains. This is what Auckland based Aaron Schiff does as a freelance dataContinue reading “A very scary graph: Comparing Delta variant in New Zealand and New South Wales”

Was Delta spread inevitable in New Zealand?

It has become somewhat of a casual mantra that the arrival and subsequent spread of the most recent, contagious and deadly of the Covid-19 variants, known as Delta, in New Zealand was inevitable. If this was to be believed it meant that elimination strategy of zero tolerance to the virus was no longer fit forContinue reading “Was Delta spread inevitable in New Zealand?”

Euthanasia and palliative care funding: “horribly distorted”

Dr Ben Gray is a very interesting doctor and one of the few that can lay claim to being a hippie back in the day: https://www.otago.ac.nz/news/news/otago824426.html. He is a medical graduate from the first class at the Wellington Clinical School when established as part of Otago University. Gray has worked as a general practitioner forContinue reading “Euthanasia and palliative care funding: “horribly distorted””

Is Delta Plus coming (the Boris variant)?

On 20 October the BBC published the kind of news that no-one would have wanted to know about: https://www.bbc.com/news/health-58965650. The heading alone was scary: Covid-19: New mutation of Delta variant under close watch in UK. This possible new more deadly Covid-19 variant than Delta is being referred to by some as ‘Delta Plus’. However, cautionContinue reading “Is Delta Plus coming (the Boris variant)?”

Jacinda’s Gladys moment

Gladys Berejiklian is an experienced Australian Liberal Party politician. First elected to the New South Wales Parliament in 2003, in January 2017 she became the state’s 45th Premier. Just over three years later she had to confront her greatest crisis – the coronavirus pandemic that we know as Covid-19. Berejiklian proved to be a competentContinue reading “Jacinda’s Gladys moment”

Where Britain goes Aotearoa should not go

At the outbreak of World War 2 the country’s first Labour Party Prime Minister Michael Savage declared that wherever Britain goes, New Zealand goes. At time it was a powerful rallying call and it happened. But 2021 is not 1939. I’m very critical of the performance and value of external business consultants in our healthContinue reading “Where Britain goes Aotearoa should not go”

Funding of high-needs primary healthcare needs an overhaul

The negotiation process that regularly updates terms and conditions for general practice funding barely works for privately owned practices (mainly small businesses and providing the large majority of primary healthcare in New Zealand). It works even worse for not-for-profit non-government organisations providing primary care. This raises serious issues that deserve further discussion and resolution withContinue reading “Funding of high-needs primary healthcare needs an overhaul”