Sick leave saga, public v private health claims

media health 4 minutes ago
Mediawatch looks at the debate over whether private or public providers should be cutting waiting lists for surgery, or what combo of both will work best - and how sick leave suddenly surged to the top of the news agenda, sparked by an unlikely source.

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RNZ News

an hour ago

RNZ News

Pacific news in brief for 23 June

Photo: 123RF A senior health official in Papua New Guinea is promising action after revelations some nurses are wanting payment for writing referrals for patients. The Post Courier reports claims of such a practice were made by gynaecologist Dr Gen Mola, who said he's been informed some nurses in the National Capital District are asking up to 20 kina to write a referral. The chief executive of the Provincial Health Authority in the capital, Dr Robin Oge, said they are investigating the concerns raised by Dr Mola and they will take appropriate action. The Papua New Guinea prison service has signed an MOU with the Department of Education which will see education and training programmes rolled out in jails across the country. NBC reported that the memorandum highlights the vital role education plays in restoring dignity, instilling hope, and creating opportunities for those seeking a second chance. The rollout of structured learning and skills training within prisons is expected to transform lives behind bars. The acting Corrections Commissioner Bernard Nepo called the initiative a lifeline for inmates. Fiji Government officials have met with a three-member high-level persons group, which was commissioned by the Pacific Islands Forum Chair to talk to Forum members on the Review of the Regional Architecture. Fiji permanent secretary for foreign affairs, Dr Raijeli Taga, said the dialogue is timely, given the complexities that the Pacific region is navigating and in the Pacific Way. The outcomes of these talanoa will inform recommendations to Forum leaders at the annual Forum Leaders' Summit in Solomon Islands in September. The Human Rights Protection Party in Samoa says it wants to scrap Value Added Goods and Services Tax, because of the dire state of the economy. Party leader, Tuilaepa Sailele Malielegaoi, has told the Samoa Observer that if returned to power in the August election, the HRPP would removed the 15 per cent tax. He said this is part and parcel of the HRPP assistance to people who are struggling amid soaring prices. Challenged on why such proposals were not introduced during his administration's four decades in power, Tuilaepa said there's been a dramatic increase in living costs under the current government. The US Department of Defense (DoD) says construction of the Tinian Divert Airfield in the Northern Marianas is about 70 percent complete. This was updated at last week's CNMI stakeholders meeting on Saipan. The DoD said the majority of the earthwork activity is complete. Meanwhile, renovations to the Tinian North Field continue and would include roadway repairs and vegetation clearance. During the stakeholders meeting, the DoD also discussed proposed improvements to Tinian Port facilities, and Saipan and Rota international airports, along with environmental impact considerations. In Tonga, 14 new US Peace Corps trainees have been welcomed with a traditional Tongan 'Ouau Kava (kava ceremony) in Tongatapu. The 87th cohort of Peace Corps volunteers in Tonga will provide English language development and environment adaptation and resilience training. Local media reported this new group is set to undergo a procedural training for three months before serving in primary and secondary schools and various communities, alongside district and town officers, to build climate resilient communities. Since 1967, the Peace Corps has sent more than 1770 volunteers to serve in Tonga.

RNZ News

a day ago

RNZ News

Media in the middle of political skirmishes over sickness and health

Last weekend's Sunday Star Times digs into the political battleground of healthcare. Photo: Sunday Star Times Mediawatch : This week the latest Ipsos Issues Monitor survey showed 'inflation/cost of living' was - again - the top concern of Kiwis. No surprise there - or that 'healthcare/hospitals' was in second place. "It continues on its upward trend, reaching its highest level of concern (43 percent) since tracking began," Ipsos said. That - and the fact that more of those surveyed chose Labour as the party most capable of managing health - would have stood out for the government. The same is true of how the issue plays out in the media. Under the headline The political problem of health Health Minister Simeon Brown told the Sunday Star-Times last weekend the job "matters to every New Zealander from the moment they're born to the moment they die. It's a huge responsibility, but there's also significant opportunity." He'd just announced an opportunity for private hospitals - instructing Health NZ to make long-term deals with them for elective surgeries. "We haven't been ideological about it, we've been focusing on pragmatic solutions to ... maximise what's delivered both in the public and private system," Brown told Newstalk ZB the same day. The next day, New Zealand Herald political editor Thomas Coughlan reported official papers showed Treasury reckoned further cuts to health would be needed to meet the demands of the government's health delivery plan. But that didn't come up when the prime minister appeared that day on Newstalk ZB for his regular Monday morning chat. The host Mike Hosking said he couldn't agree more when the PM said people don't care who's doing their long awaited op when they are staring at the hospital ceiling. But then Hosking told the prime minister about an interview last week with a Christchurch surgeon who works in both the public and the private systems. "We need to be more flexible in public (hospitals). They even come round at one o'clock and say it looks like you'll finish after 4 or 4.30, so we won't let you do your second case," Chris Wakeman told Hosking last week. "You wouldn't close your factory at 4 o'clock if you still had work to do," he added. Later, Mike Hosking read out a text from an unnamed listener who claimed nurses and anaesthetic technicians insist operating stops early if it looks like it's going to go past 4pm. The following day Mike Hosking asked Brown if surgeries that might overrun 4pm were routinely postponed. "Look, there are heavily unionised contractual arrangements in the public system and so you do end up with inefficiencies throughout the system. Those issues need to be dealt with by Health New Zealand to make sure that it is more efficient," Brown replied. "These union agreements ... drive inefficiency and a lack of productivity. These are issues that do need to be resolved as part of (Health New Zealand) negotiations with the unions." Health Minister Simeon Brown Photo: RNZ / REECE BAKER "Absolutely not. The limits are more about management decisions on staffing costs, availability of recovery beds and how to distribute operating theatres between acute and elective work," Sarah Dalton, executive director of the Association of Salaried Medical Specialists told Mediawatch . "The barrier to providing more elective surgeries is a refusal to pay staff required to work longer hours ... and inability to provide sufficient staff to run our operating theatres to their maximum capacity." "We don't have anything in place that would stand in the way of doctors opting to work in a different work pattern or longer hours. And in fact, many of them frequently do. "Typically surgeons and anaesthetists work 10 hour days. A number of hospitals sometimes run what are sometimes called twilight theatres in the early evening or on weekends. "I don't think the way that the discussion has been presented is entirely fair - and it is somewhat misleading. "It is concerning to us that 'private' is seen as the answer when in fact they are already near capacity for what they can do. And we also have significant doctor shortages." Sarah Dalton Photo: LDR / Stuff / Kevin Stent Hosking [ returned to the issue] with Health NZ's Chief Clinical Officer Dr Richard Sullivan on Thursday. He said the proportion of "early finishes" in theatres doing elective surgery is declining - and under the government's 'elective boost' programme they had been doing some surgeries on Saturdays and Sundays too. "It's more than just the unions. You'd need a quite a big workforce to run full Saturday lists all the time. That's not to say we shouldn't look at that, but we need the most efficient way of getting people through our theatres," Dr Sullivan said. Hosking told his listeners the bottom line in public hospitals was: "If it's 4:30, we're going home." There's a bit more to it than that. While there is some extra capacity in theatres, many more people would have to be paid for more hours to do more out-of-business-hours. They don't have all the staff to do a lot more of elective surgeries, in either public or private hospitals And as the Herald' s Thomas Coughlan reported earlier this week, Treasury reckoned the Health Delivery Plan targets could mean increased spending cut targets in the year ahead. Health workforce pay increases would be limited to a degree described as "unprecedented," Treasury documents also stated. In the Herald , Brown rejected Treasury's conclusions. He said government provided Health NZ additional funding in three successive Budgets and Treasury had not consulted the Ministry of Health or Health NZ before reaching its conclusions. "Why do we still have 10 days' sick leave?" Hosking also asked the PM last Monday. He said the question had been put to him by "my tech guy" working at his house. The tech guy got a headline-making response on that from the nation's leader. "So we had five sick days until Jacinda [Ardern] decided we needed ten for Covid. Can we agree that it's gone-ish - and therefore we might need to do something about sick leave?" Hosking asked. "We might need to do things about pro rata and sick leave as well, because you know, people who are on part time contracts are getting full-time 10-day equivalency. Brook Van Velden is working through some of those issues," Luxon replied. The possibility of that went straight into Newstalk ZB's news bulletins. When the prime minister did his turn on RNZ's Morning Report soon after that, he was asked if he would support a cut in sick leave. "Well, I think there's probably a need for us to look at it ... and just make sure that we've got that setting right," he replied. ZB's political editor Jason Walls was puzzled. "Sick leave is an entitlement that everybody has. So it's not just some beltway story. It is an interesting thing for the Prime Minister to bring up. It was just Mike's mate that was talking about it." But Mike's mates behind the mic at Newstalk ZB were teed up to talk about sick leave all day. "A very strong hint that 10 days of sick leave might be going the way of the dodo," was Kerre Woodham's take when she followed the Mike Hosking Breakfast . "I get that it's a godsend if you are prone to infections during winter, but really spare a thought for the employers." Employers such as perhaps Nick Mills, a hospo guy in the capital who's also the host of Wellington Mornings on Newstalk ZB. "I go with the flow. But I'm in an industry where people take the absolute mickey," Mills told his listeners in the capital. "They're just teasing it a bit at the moment on the fact that it's going to be for only part- time employees, but that's going to change," he said. One hour later they were hearing more on this on ZB in Canterbury from the local host, John MacDonald. When Matt Heath and Tyler Adams took the ZB mic for the full national ZB network at noon, they had a similar sense of what was common sense. "10 days a year? Does the average person walking around need 10 sick days a year? I don't think so," Heath said. The questions for the workplace relations minister Brooke van Velden followed. On ThreeNews and Checkpoint she batted back questions about whether it was a gender issue. She was also taken aback that this was a talking point at all. "The only reason we're talking about this is because Mike Hosking was talking about it this morning. There was nothing from the government side to say we had an announcement to make," she told ThreeNews . In the end it will be months before all this is fully aired in Parliament, long after Mike Hosking's tech guy first put it on the agenda. Sign up for Ngā Pitopito Kōrero, a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

RNZ News

a day ago

RNZ News