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Health Services—Quality of Advice

Tuesday 23 October 2007 Hansard source (external site)

Street11. MARYAN STREET (Labour) Link to this
to the Minister of Health

Is he satisfied with the quality of advice available from the New Zealand health system?

HodgsonHon PETE HODGSON (Minister of Health) Link to this

Yes; in general, I am. However, last week National’s Tony Ryall claimed that the MidCentral District Health Board was not offering patients treatment in Australia when, in fact, it is. He seems unable to keep up. Also, last week Katrina Shanks stated that 600 midwives had left the sector in the past 12 months when, in fact, the number of midwives has risen slightly. She cannot keep up either, and she cannot count. Then we had National’s Wayne Mapp saying that too many people are going to the emergency department, whereas National’s Tony Ryall says that a National Government will remove the cap on general practitioner’s fees, which would lead to more people going to the emergency department. So National members cannot keep up, they cannot count, and they cannot agree amongst themselves.

StreetMaryan Street Link to this

What other misleading statements and poor conclusions on New Zealand’s health system seem to be coming out of the National Party camp?

HodgsonHon PETE HODGSON Link to this

Many statements, all issued regionally, all from National’s Tony Ryall—

BrownleeGerry Brownlee Link to this

I raise a point of order, Madam Speaker. Surely at least the wording of that question was wrong. I think the intent was quite inappropriate for parliamentary question time, but if that is not to be ruled, I think the wording was inappropriate.

WilsonMadam SPEAKER Link to this

It is a matter of debate, but maybe the member would like to rephrase the question for the Minister.

StreetMaryan Street Link to this

What other reports has the Minister seen recently on the conclusions arising out of the New Zealand health system?

HodgsonHon PETE HODGSON Link to this

I have seen a number of reports. For example, I have seen reports responding to the many statements issued from the National Party’s Tony Ryall, saying that first specialist assessments for elective surgical—

SmithHon Dr Nick Smith Link to this

I raise a point of order, Madam Speaker. You will recall that last Thursday you asked me to leave the Chamber in respect of a question to the Minister of Justice about New Zealand First and what reports had been received. I simply ask for a little bit of consistency. You ruled on that occasion that it was not appropriate to ask the Minister of Justice a question on what reports he had received about New Zealand First in respect of the electoral law before the House. Why is there a change of rules today—

WilsonMadam SPEAKER Link to this

Would the member please be seated. I thank the member. I recall the matter clearly; it was a matter of ministerial responsibility. The Minister had no ministerial responsibility, another Minister did, and I ruled accordingly. Would the Minster please address the question.

HodgsonHon PETE HODGSON Link to this

Yes. I have had many reports in response to regionally issued statements from National’s Tony Ryall. All of these reports said that first specialist assessments for elective surgical services had dropped drastically. The feedback from district health boards has been very interesting. A few pointed out that Mr Ryall had his facts wrong; one was able to point out that Mr Ryall had his facts wrong again. But of all the rebuttals heaped on National’s head, my favourite comes from the Canterbury District Health Board, which said that rather than counting the number of first specialist assessments, it measures efficiency and quality of service. It went on to say that the 100 percent increase in the number of hips and knees replaced in Canterbury since 2004 has been achieved with a reduced number of first specialist assessments being required. We can see that more surgery means less assessment. Mr Ryall continues to find fault at a time when elective surgical services are at an all-time high since reliable reporting began.

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