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Health Services—Home Support

Wednesday 2 June 2010 Hansard source (external site)

Dyson10. Hon RUTH DYSON (Labour—Port Hills) Link to this
to the Minister of Health

Does he stand by his statement “No one will be left unsafe or unable to manage on their own as a result of the changes”?

RyallHon TONY RYALL (Minister of Health) Link to this

Yes, that is what I have been advised by district health boards in relation to home support. District health boards are spending more on home support this year than they did last year, and they will spend more again next year. Around 75,000 people receive home support at some time each year, and around 15,000 people come on, and 15,000 people go off, home support each year. I ask any member with concerns about any person being left vulnerable to let me know about that.

DysonHon Ruth Dyson Link to this

Can he guarantee that people with mental illness in the Wellington region will be safe when Capital and Coast District Health Board, a board that is already sending staff home to save money, reports in its board minutes that the only option to make savings in mental health is to cut the number of staff?

RyallHon TONY RYALL Link to this

I am not aware of that report in the board’s papers. What I am aware of is that Capital and Coast District Health Board is getting an extra $24 million this year, and that we will be spending an extra $174 million on mental health in the next 4 years.

DysonHon Ruth Dyson Link to this

Can he guarantee—[ Interruption]

SmithMr SPEAKER Link to this

I ask members to show some courtesy to the Hon Ruth Dyson.

DysonHon Ruth Dyson Link to this

Can he guarantee that people with mental illness in Golden Bay will be safe when, according to the Nelson Evening Mail, the Nelson Marlborough District Health Board has cut $1.5 million from mental health services in its district, and Te Whare Mahana, the only mental health service in Golden Bay, has had 30 percent of its funding cut?

RyallHon TONY RYALL Link to this

I am aware of the Golden Bay situation, which apparently has 60 clients and about 30 staff working on a part-time or a full-time basis. In the Nelson Marlborough District Health Board area, I can advise the member that that board has received an increase in funding for next year, totalling a very significant $10 million.

HutchisonDr Paul Hutchison Link to this

What reports has he received on his recent statements?

RyallHon TONY RYALL Link to this

I have seen reports that members of the Opposition have criticised aspects of the way that district health boards are managing home support. That includes a criticism that some recipients’ needs have been assessed by telephone. In fact, this system of assessment was trialled in 2004, approved in 2007, and funded in 2008 by the previous Labour Government. I am advised that the process was started under the specific oversight of the then Associate Minister of Health, one Ruth Dyson. Further, in terms of ongoing reassessment, at the same time that the previous Government brought in telephone assessments, it changed or stopped home support for hundreds of people, including around 300 in Wanganui and hundreds more in Otago-Southland.

DysonHon Ruth Dyson Link to this

Can he guarantee that patients in Nelson Hospital will be safe, given reports in the Nelson Evening Mail that nurses at the hospital told Golden Bay resident Victoria Davis that they were too busy to give her mother the care that she needed in hospital and suggested that she hire a private nurse?

RyallHon TONY RYALL Link to this

In my view, that would be unacceptable behaviour. The district health board did not know that a private nurse was being paid. It would not approve of that, and it is not aware of that happening before.

DysonHon Ruth Dyson Link to this

Can he guarantee that people in Wanganui will be safe, given the statement today by his former colleague Mayor Michael Laws—

MallardHon Trevor Mallard Link to this

Friend and colleague.

DysonHon Ruth Dyson Link to this

—friend and colleague—that his requirements of Whanganui District Health Board “represent the gravest danger to health services in the region, and a threat to Wanganui’s quality of life”?

RyallHon TONY RYALL Link to this

Yes, I have seen those reports, which come 6 months before the local body elections.

DysonHon Ruth Dyson Link to this

I seek leave to table Mayor Michael Laws’ statement of 1.54 p.m. today, which states: “There will be job cuts and there will be service cuts”—

SmithMr SPEAKER Link to this

Leave is sought to table that document. Is there any objection? There is no objection.

Document, by leave, laid on the Table of the House.

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