Policy

Health - OVERVIEW
Health

Health is an area I have been responsible for since coming to Parliament in 2002. I worked in the health field for 13 years before becoming an MP, having begun my working life as a physiotherapist – I trained at the Otago School of Physiotherapy from 1982-24 – in both New Zealand and the UK. I later worked as a Medical Research Co-ordinator on multi-national projects, meaning that my experience is relatively broad and traverses both public and private sectors.Read More

New Regulations No Cure For Obesity
Health

The Government should not be telling schools what sorts of foods they can or cannot make available to pupils – that is a decision that only each Boards of Trustees and parents should be making, ACT New Zealand Health Spokesman Heather Roy said today.

“Today there has been a lot of talk about the heavy-handed new national guidelines that the Government has imposed, telling schools what foods they can sell to pupils – but this is not a decision the Government should be making,” Mrs Roy said.

“This is especially true given the fact that many schools have already shown that they are playing their part in the battle against childhood obesity – many schools, having canvassed their parent communities, have already removed vending machines and limited the sale of such items as soft drinks and chocolate bars.

“Further, schools also understand that diet is just one factor contributing to obesity, and that exercise is the major factor in determining a child’s level of obesity and future risk of diabetes.

“It is for this reason that many schools are responsibly introducing increased exercise regimes and sporting options for their students – research has also shown that students concentrate much better when they’ve had adequate exercise.

“If the Government were truly serious about dealing with childhood obesity it would be putting its energies elsewhere – not imposing heavy-handed regulations on schools, which are already doing everything they can to address this issue,” Mrs Roy said.


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Keep Your Nose Out, Mr Gosche
Health

While it’s good to see that the Service and Food Workers Union is now negotiating with Spotless Services without involving District Health Boards, these new developments do not change the fact that Labour should not have stuck its nose where it doesn’t belong, ACT New Zealand Health Spokesman Heather Roy said today.Read More

What Point In DHB Elections?
Health

ACT New Zealand Health Spokesman Heather Roy today labelled District Health Board elections a complete waste of time and money, and demanded to know what point there was in going through the rigmarole of electing officials who have absolutely no power.

“In response to my question in Parliament today, Prime Minister Helen Clark could not name a single thing that DHBs can do without first seeking the approval of Health Minister Pete Hodgson or the Ministry of Health,” Mrs Roy said.

“That’s because there IS nothing. At the end of the DHB elections, new and appointed members – under the mistaken belief that they will be representing their community – attend their first meeting and are told what their real job consists of: towing the Labour line and implementing Government policy.

“As such they are given no financial flexibility and no power to speak of – no autonomy to make any kind of decision to benefit their local community, lest they go against the wishes of their political masters.

“Everyone knows this to be true – those who didn’t until now have had it confirmed by the Prime Minister herself in Parliament today.

“With this being the case, why should we have to go through the rigmarole – not to mention expense – of having these phoney elections? The public is forced to pay for these hamstrung officials – the least the Government could do is stop making them pay for the elections as well.

“The fact is that the public pays for the illusion of regional responsibility in health when central control by Government is the reality. The fact is that, despite the best efforts of their well-intentioned members, everything that DHBs currently do could just as easily be done by a three-person committee,” Mrs Roy said.


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DHBs: Central Control, Not Regional Responsibility
Health

ACT New Zealand Health Spokesman Heather Roy today called on Health Minister Pete Hodgson to come clean and admit that it is his Government – not District Health Boards – that controls public health in New Zealand.

“It’s not as if the Minister would be telling us something we didn’t know: this year’s low number of DHB candidates – 92 fewer than in 2004, and 657 fewer than in 2001 shows that fewer and fewer people are interested in standing in these phoney elections,” Mrs Roy said.

“But who could blame them? DHBs consist of passionate, skilled and well-meaning people who think they’ve been elected to represent their local community – only to be told their real job is to tow the Labour line, implement Government policy without question and take the fall when those policies fail.

“These elections are a complete and utter farce: DHB members aren’t there to serve their friends and neighbours; they’re there to do what they’re told – and the Government controls them by giving them no financial flexibility or power to speak of. Despite their best efforts, DHBs are able to make little meaningful difference for their communities.

“This is why we have hardly anyone interested in standing in these so-called ‘elections’ – and, if Christchurch surgeon and former Canterbury DHB member Philip Bagshaw is to be believed, we’ll see hardly anyone interested in voting in them as well.

“With this being the case, Mr Hodgson may as well come clean and admit that public health in New Zealand is a matter of central control under the guise of regional responsibility. Once he’s done this we could at least drop the charade and stop wasting everyone’s time with these phoney DHB elections,” Mrs Roy said.


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Health Dollars Blown On Bureaucracy
Health

ACT New Zealand Health Spokesman Heather Roy today questioned what value there was in being a member of District Health Boards New Zealand, given that this membership is costing DHBs around the country tens of thousands of dollars each year.

“These figures – the first released by DHB NZ since it became subject to the Official Information Act – show that being signed up to DHBNZ cost the country’s DHBs a total of $723,040 in the 2006/07 financial year alone,” Mrs Roy said.

“Broken down, this was tens of thousands of dollars paid by each individual DHB for that year – with Canterbury, Waitemata and Counties-Manukau DHBs each paying an astounding $89,280, $86,560 and $80,320 respectively.

“Given that $723,040 could fund a large number of surgical procedures – approximately 25 Coronary Bypasses, 47 Hip Replacements operations, or 241 cataract operations – this information raises serious questions about the sort of value there is to be gained in our DHBs being signed up to this national body.

“The question of value is even more pertinent in light of the fact that Auckland withdrew from the national body more than two years ago, and Canterbury DHB voted to follow suit in July 13 of this year – with Chair Syd Bradley having been reported in the media as believing that CDHB was not getting value for money and criticising DHBNZ as a ‘flawed and unaccountable’ entity.

“These comments, combined with the amount of Health dollars being poured into DHBNZ membership – enough money to provide grommets for a massive 628 children – are extremely worrying.

“Precious Health dollars should be spent on alleviating the pain and suffering of those waiting far too long on hospital waiting lists not on the extra layer of pointless and ineffectual bureaucracy that DHBNZ represents,” Mrs Roy said.


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PHO Scheme To Blame For After-Hours Crisis
Health

The crisis with ‘after hours’ care on the Kapiti Coast is due, not just to a doctor shortage but also, to a complete lack of foresight by those designing the PHO scheme, ACT New Zealand Health Spokesman Heather Roy said today.

“It would seem that no thought was given to the funding of ‘after hours’ care when Primary Health Organisations were set up,” Mrs Roy said.

“People do not just get sick between 9am and 5pm – ‘40-hour week’ thinking in healthcare is an inevitable consequence of having decision makers with no front-line clinical experience with patients.

“Prior to PHOs being established, New Zealand had an extremely well-functioning network of ‘after hours’ primary care clinics throughout the country. These were set up and run by GPs themselves. The fee for service funding model with top up charges worked well and GP practices voluntarily joined together to provide ‘after hours’ primary healthcare, organising their own rosters to spread the workload.

“PHOs changed all of that: funding was not allocated to these services and GPs were expected to fund them out of existing resources. As a result a large number of GPs have withdrawn from these services, and many have closed – with the only other option the local A&E Department.

“Other ‘after-hours’ clinics have to charge such high prices to stay afloat that patients largely choose instead to head for the local free A&E Department anyway – even for minor conditions. This has placed huge pressure on hospitals.

“Doctors continue to leave New Zealand shores for greener pastures elsewhere, making the problem even worse.

“It is no surprise that the privately-owned White Cross is expanding across New Zealand, and looking to step into the breach on the Kapiti Coast. White Cross provides an accessible and affordable system that is available to more Kiwis and appears to be a much better employer than the New Zealand Government,” Mrs Roy said.


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Healthcare Choice The Answer
Health

It is encouraging to learn from the Health Funds Association of New Zealand that 1.38 million Kiwis now save the public health system around $400 million a year by having health insurance – more Kiwis clearly realise that our over-stretched public health system cannot cater for all health needs, ACT New Zealand Health Spokesman Heather Roy said today.Read More