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	<title>Comments on: Response to Health Changes</title>
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	<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html</link>
	<description>DPF&#039;s Kiwiblog - Fomenting Happy Mischief since 2003</description>
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		<title>By: Southern Raider</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-623276</link>
		<dc:creator>Southern Raider</dc:creator>
		<pubDate>Fri, 23 Oct 2009 07:15:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-623276</guid>
		<description>Imagine even the savings on taking 25,000 plus cellphones to market and the rate they could get and thats just one item. Let alone servers, software, WAN links.</description>
		<content:encoded><![CDATA[<p>Imagine even the savings on taking 25,000 plus cellphones to market and the rate they could get and thats just one item. Let alone servers, software, WAN links.</p>
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		<title>By: tvb</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622941</link>
		<dc:creator>tvb</dc:creator>
		<pubDate>Thu, 22 Oct 2009 11:08:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622941</guid>
		<description>The Boards will be removed of any real significance a bit like the way the Queen has been stripped of all executive authority and is just a figurehead.  The Boards will be similar.  Think about it, a significant number of staff in the Boards will be employed by the Ministry of Health in Wellington.   One &quot;cultural restraint officer&quot; (I kid you not these people EXIST) based in Wellington.  One cultural thingy person who goes around the maori patients asking them &quot;is everything all right&quot; - yup - a tick with a little stamp.  There are heaps and heaps of these drones in hospitals.</description>
		<content:encoded><![CDATA[<p>The Boards will be removed of any real significance a bit like the way the Queen has been stripped of all executive authority and is just a figurehead.  The Boards will be similar.  Think about it, a significant number of staff in the Boards will be employed by the Ministry of Health in Wellington.   One &#8220;cultural restraint officer&#8221; (I kid you not these people EXIST) based in Wellington.  One cultural thingy person who goes around the maori patients asking them &#8220;is everything all right&#8221; &#8211; yup &#8211; a tick with a little stamp.  There are heaps and heaps of these drones in hospitals.</p>
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		<title>By: bchapman</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622912</link>
		<dc:creator>bchapman</dc:creator>
		<pubDate>Thu, 22 Oct 2009 09:43:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622912</guid>
		<description>Another Wellington statutory board to give more jobs for the boys- just what we need!</description>
		<content:encoded><![CDATA[<p>Another Wellington statutory board to give more jobs for the boys- just what we need!</p>
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		<title>By: Flashman</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622814</link>
		<dc:creator>Flashman</dc:creator>
		<pubDate>Thu, 22 Oct 2009 05:56:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622814</guid>
		<description>A good start.  

Next on the chopping block should be the bloated back-office tertiary education bureaucracy - 20-odd polytechnics each with their own CEO [sic], finance department, IT department, HR department, marketing [sic] department, curriculum development department, quality [sic] department, etc. etc..  The waste of money fostered by these make-work chair polishing jobsworths is incredible.</description>
		<content:encoded><![CDATA[<p>A good start.  </p>
<p>Next on the chopping block should be the bloated back-office tertiary education bureaucracy &#8211; 20-odd polytechnics each with their own CEO [sic], finance department, IT department, HR department, marketing [sic] department, curriculum development department, quality [sic] department, etc. etc..  The waste of money fostered by these make-work chair polishing jobsworths is incredible.</p>
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		<title>By: backster</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622682</link>
		<dc:creator>backster</dc:creator>
		<pubDate>Thu, 22 Oct 2009 02:18:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622682</guid>
		<description>Ithink he could have started by reducing the number of Boards and also by reducing the number of elected drones who add nothing to efficiency.</description>
		<content:encoded><![CDATA[<p>Ithink he could have started by reducing the number of Boards and also by reducing the number of elected drones who add nothing to efficiency.</p>
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		<title>By: bchapman</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622671</link>
		<dc:creator>bchapman</dc:creator>
		<pubDate>Thu, 22 Oct 2009 01:55:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622671</guid>
		<description>Is it a good idea to centralise IT functions? Most doctors I know are 1 fingered typists who barely know how to send an email. Don&#039;t think they are going to want to sit on a phone waiting for an IT specialist from Wellington or Bangalore or wherever when their computer crashes. 

Payroll yes can be done from anywhere- no reason why it all has to be done in Wellington via another bureaucracy though.</description>
		<content:encoded><![CDATA[<p>Is it a good idea to centralise IT functions? Most doctors I know are 1 fingered typists who barely know how to send an email. Don&#8217;t think they are going to want to sit on a phone waiting for an IT specialist from Wellington or Bangalore or wherever when their computer crashes. </p>
<p>Payroll yes can be done from anywhere- no reason why it all has to be done in Wellington via another bureaucracy though.</p>
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		<title>By: tvb</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622656</link>
		<dc:creator>tvb</dc:creator>
		<pubDate>Thu, 22 Oct 2009 01:21:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622656</guid>
		<description>Early days yet but Tony is approaching this reform with skill, determination and finesse.  I hope Nich Smith is watching carefully.  That man could lose the ACC reforms through his obdurance.</description>
		<content:encoded><![CDATA[<p>Early days yet but Tony is approaching this reform with skill, determination and finesse.  I hope Nich Smith is watching carefully.  That man could lose the ACC reforms through his obdurance.</p>
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		<title>By: RRM</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622650</link>
		<dc:creator>RRM</dc:creator>
		<pubDate>Thu, 22 Oct 2009 00:52:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622650</guid>
		<description>&quot;and we got condemned by every health group and political party there was – including National’s own Minister and Under-Secretary :-) &quot;

Google &quot;Labtests performance NZ&quot; for a good example of the reason. 
Handing some entrepreneur a monopoly = doin&#039; it wrong.</description>
		<content:encoded><![CDATA[<p>&#8220;and we got condemned by every health group and political party there was – including National’s own Minister and Under-Secretary <img src='http://www.kiwiblog.co.nz/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />  &#8221;</p>
<p>Google &#8220;Labtests performance NZ&#8221; for a good example of the reason.<br />
Handing some entrepreneur a monopoly = doin&#8217; it wrong.</p>
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		<title>By: RRM</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622639</link>
		<dc:creator>RRM</dc:creator>
		<pubDate>Thu, 22 Oct 2009 00:33:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622639</guid>
		<description>^^^ Cause with Sonny Blount you&#039;re debating personalities, not politics. Awesome.</description>
		<content:encoded><![CDATA[<p>^^^ Cause with Sonny Blount you&#8217;re debating personalities, not politics. Awesome.</p>
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		<title>By: Sonny Blount</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622635</link>
		<dc:creator>Sonny Blount</dc:creator>
		<pubDate>Thu, 22 Oct 2009 00:23:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622635</guid>
		<description>&lt;blockquote&gt; PS: A leftie cheers the Nat gummint on a Right blog and still gets the thumbs down for it. Pathetic little haters. Time to log off the computer and grow up. &lt;/blockquote&gt;

This was only childish post on this thread. Tedious hypocrit.

That is why the karma is by the name of the poster. The first thing you read is &quot;RRM&quot; then you click the little red button.</description>
		<content:encoded><![CDATA[<blockquote><p> PS: A leftie cheers the Nat gummint on a Right blog and still gets the thumbs down for it. Pathetic little haters. Time to log off the computer and grow up. </p></blockquote>
<p>This was only childish post on this thread. Tedious hypocrit.</p>
<p>That is why the karma is by the name of the poster. The first thing you read is &#8220;RRM&#8221; then you click the little red button.</p>
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		<title>By: NoCash</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622620</link>
		<dc:creator>NoCash</dc:creator>
		<pubDate>Wed, 21 Oct 2009 23:56:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622620</guid>
		<description>&lt;i&gt;Adolf Fiinkensein (1211) Vote: Add rating 1  Subtract rating 0   Says:
October 22nd, 2009 at 12:38 pm

Shit eh? Just as well Dyson didn’t think of it. Cullen might have bought another train set.
&lt;/i&gt;

nah... Cullen would have just paid even more for the same set...</description>
		<content:encoded><![CDATA[<p><i>Adolf Fiinkensein (1211) Vote: Add rating 1  Subtract rating 0   Says:<br />
October 22nd, 2009 at 12:38 pm</p>
<p>Shit eh? Just as well Dyson didn’t think of it. Cullen might have bought another train set.<br />
</i></p>
<p>nah&#8230; Cullen would have just paid even more for the same set&#8230;</p>
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		<title>By: big bruv</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622618</link>
		<dc:creator>big bruv</dc:creator>
		<pubDate>Wed, 21 Oct 2009 23:49:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622618</guid>
		<description>Paul Henry gave Ryall a bit of a battering this morning and with good reason, while I am glad that the Nat&#039;s are getting stuck in to reducing he bureaucracy Henry did make the point that it should not take four to five years to get rid of 500 people.

Ryall also said (surprisingly so) that the bureaucracy had increased by 2500 people under Labour, immediately he was attacked by Henry for only attempting to reduce that same bureaucracy by 500 when it is clear that they should be reducing it by far more.

Still, it is a start and it is to be applauded, I would just like the numbers to be far higher and for them to be sacked far quicker.</description>
		<content:encoded><![CDATA[<p>Paul Henry gave Ryall a bit of a battering this morning and with good reason, while I am glad that the Nat&#8217;s are getting stuck in to reducing he bureaucracy Henry did make the point that it should not take four to five years to get rid of 500 people.</p>
<p>Ryall also said (surprisingly so) that the bureaucracy had increased by 2500 people under Labour, immediately he was attacked by Henry for only attempting to reduce that same bureaucracy by 500 when it is clear that they should be reducing it by far more.</p>
<p>Still, it is a start and it is to be applauded, I would just like the numbers to be far higher and for them to be sacked far quicker.</p>
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		<title>By: Adolf Fiinkensein</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622611</link>
		<dc:creator>Adolf Fiinkensein</dc:creator>
		<pubDate>Wed, 21 Oct 2009 23:38:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622611</guid>
		<description>Shit eh?  Just as well Dyson didn&#039;t think of it.  Cullen might have bought another train set.</description>
		<content:encoded><![CDATA[<p>Shit eh?  Just as well Dyson didn&#8217;t think of it.  Cullen might have bought another train set.</p>
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		<title>By: Sam A</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622609</link>
		<dc:creator>Sam A</dc:creator>
		<pubDate>Wed, 21 Oct 2009 23:29:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622609</guid>
		<description>That&#039;s pretty amazing. Bravo Tony Ryall!</description>
		<content:encoded><![CDATA[<p>That&#8217;s pretty amazing. Bravo Tony Ryall!</p>
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		<title>By: Inventory2</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622595</link>
		<dc:creator>Inventory2</dc:creator>
		<pubDate>Wed, 21 Oct 2009 23:11:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622595</guid>
		<description>RRM - having been involved in several RFP&#039;s for information systems in the health sector, I can say with some certainty that there is potential for significant savings in that area alone. Even given that different DHB&#039;s will have purchased systems from different providers, there should be little difficulty in building interfaces to enable those systems to intercommunicate. And it makes no sense whatsoever for non-clinical services in Palmerston North and W(h)anganui (for example) to be duplicated when one organistaion could provide support services for both DHB&#039;s at significantly less cost.

Ryall seems to be onto a winner here, and big ups to you for acknowledging that :-)</description>
		<content:encoded><![CDATA[<p>RRM &#8211; having been involved in several RFP&#8217;s for information systems in the health sector, I can say with some certainty that there is potential for significant savings in that area alone. Even given that different DHB&#8217;s will have purchased systems from different providers, there should be little difficulty in building interfaces to enable those systems to intercommunicate. And it makes no sense whatsoever for non-clinical services in Palmerston North and W(h)anganui (for example) to be duplicated when one organistaion could provide support services for both DHB&#8217;s at significantly less cost.</p>
<p>Ryall seems to be onto a winner here, and big ups to you for acknowledging that <img src='http://www.kiwiblog.co.nz/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
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		<title>By: davidp</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622594</link>
		<dc:creator>davidp</dc:creator>
		<pubDate>Wed, 21 Oct 2009 23:09:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622594</guid>
		<description>The trouble with 22 IT systems (DHBs and the Ministry) isn&#039;t just that you have to implement the same applications 22 times, but that it costs a fortune to integrate them all. I don&#039;t think the government will have any trouble at all finding the savings. 

However, I think it&#039;d be nice if some or all of the shared services were based in the regions rather than Wellington. I&#039;m all in favour of spreading a bit of government spending around the country, rather than concentrating even more of it in the capital.</description>
		<content:encoded><![CDATA[<p>The trouble with 22 IT systems (DHBs and the Ministry) isn&#8217;t just that you have to implement the same applications 22 times, but that it costs a fortune to integrate them all. I don&#8217;t think the government will have any trouble at all finding the savings. </p>
<p>However, I think it&#8217;d be nice if some or all of the shared services were based in the regions rather than Wellington. I&#8217;m all in favour of spreading a bit of government spending around the country, rather than concentrating even more of it in the capital.</p>
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		<title>By: david</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622587</link>
		<dc:creator>david</dc:creator>
		<pubDate>Wed, 21 Oct 2009 22:53:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622587</guid>
		<description>RRM, it may be one of your own that is trying to distance themselves from your peculiar outbreak of logic and commonsense.  As we have seen before, oddballs like Trevor Mallard and sonic also lurk in these murky waters.</description>
		<content:encoded><![CDATA[<p>RRM, it may be one of your own that is trying to distance themselves from your peculiar outbreak of logic and commonsense.  As we have seen before, oddballs like Trevor Mallard and sonic also lurk in these murky waters.</p>
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		<title>By: david</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622585</link>
		<dc:creator>david</dc:creator>
		<pubDate>Wed, 21 Oct 2009 22:52:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622585</guid>
		<description>If he can pull thye savings off, Ryall has just delivered a significant funding boost to the health sector.  
I just hope it doesn&#039;t get gobbled up by the Junior Doctors in more travel, free meals for the family, and the replacement of overtime with more expensive (but often the same person) locums.  
Rorts are more common in the Health sector than in the Beehive.</description>
		<content:encoded><![CDATA[<p>If he can pull thye savings off, Ryall has just delivered a significant funding boost to the health sector.<br />
I just hope it doesn&#8217;t get gobbled up by the Junior Doctors in more travel, free meals for the family, and the replacement of overtime with more expensive (but often the same person) locums.<br />
Rorts are more common in the Health sector than in the Beehive.</p>
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		<title>By: RRM</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622584</link>
		<dc:creator>RRM</dc:creator>
		<pubDate>Wed, 21 Oct 2009 22:50:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622584</guid>
		<description>PS: A leftie cheers the Nat gummint on a Right blog and still gets the thumbs down for it. Pathetic little haters. Time to log off the computer and grow up.</description>
		<content:encoded><![CDATA[<p>PS: A leftie cheers the Nat gummint on a Right blog and still gets the thumbs down for it. Pathetic little haters. Time to log off the computer and grow up.</p>
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		<title>By: RRM</title>
		<link>http://www.kiwiblog.co.nz/2009/10/response_to_health_changes.html#comment-622577</link>
		<dc:creator>RRM</dc:creator>
		<pubDate>Wed, 21 Oct 2009 22:41:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.kiwiblog.co.nz/?p=37595#comment-622577</guid>
		<description>Sorry to be a bore but let&#039;s wait and see if they can REALLY save $700 million over 4 years just by streamlining the timesheets &amp; toilet rolls side of the operation. That is a sh!t load of money. Seems almost too good to be true...

But this leftie thinks it&#039;s awesome that Ryall is focussing on cutting fat not core services! :-)</description>
		<content:encoded><![CDATA[<p>Sorry to be a bore but let&#8217;s wait and see if they can REALLY save $700 million over 4 years just by streamlining the timesheets &amp; toilet rolls side of the operation. That is a sh!t load of money. Seems almost too good to be true&#8230;</p>
<p>But this leftie thinks it&#8217;s awesome that Ryall is focussing on cutting fat not core services! <img src='http://www.kiwiblog.co.nz/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
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