In Pyongyang there is a public service which would appeal to our own Public Service Commissioner in Aotearoa New Zealand. It never makes any dissenting or controversial view known.

Rather it readies itself for any potential change in the face of the Kim family leadership. Ever ready to resume the daily grind of boot-licking and box-ticking of a docile public service.

It is, as I like to say, neutered rather than neutral, but from above it can be very hard to tell the difference.

In the ideal world that seems to be preferred in “PyongPoneke”, there is no room for open debate and each word means what the Public Service Commissioner says it means.

It is rather like the world described by Lewis Carroll: “When I use a word”, Humpty said in a rather scornful tone, “it means just what I choose it to mean — neither more nor less.”

“The question is,” said Alice, “whether you can make words mean so many different things.”

“The question is,” said Humpty Dumpty, “which is to be master — that’s all”. Thank you Commissioner Humpty for your work taking the word “impartiality” out of the dictionary and into the public service world.

Imperial and colonial past
I am not against the public service. I am strongly for an excellent, efficient, equitable and effective public service. But you do not get that in a modern and complex society from a model of public service derived from a monocultural, inequitable and dare I say it (yes I do) imperial and colonial past.

In the real world what they like to call our public service is in fact a politically subservient service, far removed from the public it is supposed to serve.

This comment is not directed at the many thousands of public servants working closely with those they serve.

These people, the real public service, are often underpaid and overworked. They spend much time battling with the rules and processes and prejudices imposed on them by those at the top of the tree. Many are scared to speak up, so they leave or stay quiet.

I understand why, they need the job too much to risk being branded difficult. Not a few of them write to me, call me, or stop me in the street. And it is not to say “get back in line”.

They and the mandarins themselves know what the problem is. There is a square mile or so around the Beehive in Wellington, which is like the Vatican in Italy. A different country within a country. The world looks totally different from there.

Those there are mainly there for the same reason, and they are faced inwards, mentally at least, towards what they see as power and away from the people, the public they are supposed to serve.

They cannot understand Ōtara, or Cannons Creek . . .
They cannot see, hear or understand those in Ōtara, in Te Tai Tokerau, in Tairāwhiti, in Cannons Creek, on the West Coast or rural Southland.

Alongside the big consultancy firms that share their buildings, their CVs and their views, senior advisers draw up plans for the rest of us on whiteboards.

These are parsed by the “tier one” people who over coffee, wine, or whisky cosily massage these into an acceptable form for politicians. Just enough choices to create an illusion of political control, but not so much as to upset the system.

Are these people impartial or neutral ? No, they do not need to be. They have strong views which reflect the caste they belong to. Some of them even jokingly refer to this as “Poneketanga”.

They engage rafts of “communications” people to sell the story — often poorly as in Te Whatu Ora, where there are more than 200 such people and where despite that overload PR firms are often called in to sell better.

Back to basics
This is not a way to create an efficient, effective, excellent and equitable public service. To do that we will have to go back to some basics about the purpose of public service today and in the future.

To my mind this would include:

• Opening up jobs to a much wider range of people with real world experience, be that commercial or social, in forms that are not all for a lifetime, but which enable free and ongoing interchange;
• Opening up policy-making to start from the “bottom up”, and which are not based on “top down”, carefully framed, bogus consultations;
• Allowing people to speak their minds and debate difficult issues without having to assume that future political winners are not so prejudiced and narrow-minded as to refuse to work with anyone with a different opinion to theirs; and
• Paying real attention, not playing pretend attention, to the professional bodies and unions which represent staff, who mostly will prefer rightly to get on with their jobs.

None of that seems hard or dangerous to me. After all, it is only changing a public service model which has produced or failed to prevent all of the many crises we can observe around us.

Rob Campbell is former chairperson of Te Whatu Ora (Health New Zealand) and the Environmental Protection Agency (EPA). This article was first published by Stuff and is republished by Asia Pacific Report with the author’s permission.

Article by AsiaPacificReport.nz

Manukau Urban Māori Authority (MUMA) is welcoming the government’s health reforms as an important first step to improving Māori and Pasifika health in south Auckland.

But some in the health sector say the jury is still out on what will be achieved in Counties Manukau.

Under the reforms, the country’s 20 district health boards have now been replaced by Te Whatu Ora (Health New Zealand).

The new Crown entity will be responsible for running hospitals, primary and community health services.

The government says it will allow for more consistent delivery of health services nationwide and help stop the postcode lottery people face accessing healthcare based on where they live.

The reforms also include the establishment of Te Aka Whai Ora (the Māori Health Authority) to improve indigenous health which will work in partnership with Health NZ.

Muma chairman Bernie O’Donnell has seen the country’s district health boards work first-hand, as a member of the now-defunct Auckland DHB.

Greater responsibility for Māori
He said establishing a Māori Health Authority would give Māori greater responsibility for the delivery of their own health services.

“For too long the health system hasn’t addressed the wellbeing of Māori, or those at the bottom of the cliff,” O’Donnell said. “The reality is we couldn’t continue with what we had. Something had to be done and this is it.”

He said critics of the health reforms are defending a system which had to be replaced.

“The old way the DHBs were run didn’t work for our people. For too long it’s been non-Māori telling us what’s best for us.”

He said ongoing issues left by the Counties Manukau DHB, such as Middlemore Hospital’s under-pressure emergency department and its workforce shortages would all have to be addressed under the changes.

“But what we’re expecting is that Māori and Pasifika health in south Auckland will get better under the reforms,” O’Donnell said.

However, he admitted there’s a lot at stake.

‘Time will tell’
“If that doesn’t happen we won’t have achieved anything of significance,” he said. “But only time will tell.”

Yet not everyone is as certain as O’Donnell on what impact the changes will have.

Turuki Healthcare chief executive Te Puea Winiata said there were still a lot of unanswered questions about the reforms.

Winiata said the creation of the new authority dedicated to indigenous health is an important first step.

But she said it was vital that the new entity had the ability to make its own decisions and help support Māori self-determination.

“The resourcing of the Māori Health Authority is going to be critical to its success,” she said.

Many reform attempts
Winiata said she had worked in the health sector for the past 30 years and in that time had seen a number of attempts by the government of the day to restructure the health system.

She said it was hard to predict what impact the health reforms would have in south Auckland.

“But I think in 12 months’ time we will be able to look at what changes have been made and see what’s been achieved.”

Local Democracy Reporting is Public Interest Journalism funded through NZ on Air. Asia Pacific Report is an LDR partner.

Article by AsiaPacificReport.nz

More than two million New Zealanders will get a one-off $350 sweetener as part of the Budget’s centrepiece $1 billion cost-of-living relief package.

The temporary short-term support is counterbalanced by a record $11.1 billion for the health system as the government scraps district health boards (DHBs) and replaces them with a central agency.

“Our economy has come through the covid-19 shock better than almost anywhere else in the world,” Prime Minister Jacinda Ardern said in a statement. She is in covid isolation.

“But as the pandemic subsides, other challenges both long-term and more immediate, have come to the fore. This Budget responds to those challenges.”

Ongoing uncertainty over inflation, covid-19 and the Russian invasion of Ukraine continue to cast a pall over the economy until at least the end of the year.

A large $19 billion deficit is expected this year, returning to surplus in 2025.

Treasury is forecasting house prices to ease and unemployment to drop as low as 3 percent.

Cost-of-living sweetener
New Zealanders aged 18 and over will be eligible for the $350 payment unless they earn more than $70,000 a year or already receive the Winter Energy Payment.

The sum will be paid in three instalments over August, September and October, working out at roughly $27 a week.

The temporary payment is estimated to cost $814 million — funded out of the remaining money in the covid-19 war-chest which is now being wound up.

NZ Finance Minister Grant Robertson delivers Budget 2022. Video: RNZ News

The support comes with a two-month extension to the fuel tax reduction and half-price public transport given the current high fuel prices.

New Zealanders who have a community services card will continue to get half-price public transport permanently from mid-September.

“While we know the current storm will pass, it’s important we do what we can to take the hard edges off it now,” Ardern said.

The government will also rush through legislation under urgency over the next few days to crack down on supermarkets in an effort to reduce grocery bills.

The legislation will ban supermarkets from using restrictive covenants to prevent competitors from accessing land to open new stores.

Ministers flagged further announcements in response to the Commerce Commission’s recent report in the sector “in the coming days”.

Health service
The Budget contains “the largest investment ever in [the] health system” — $11.1 billion — as the government presses ahead with its plan to replace DHBs with a centralised health service.

An initial $1.8b annual investment this year will help clear DHBs’ debt, giving the replacement Health New Zealand service and Māori Health Authority a “clean start”.

Health Minister Andrew Little said the 20 DHBs had collectively run annual deficits in 12 of the 13 years since 2008.

“As Health NZ takes over the books from the 20 DHBs on 1 July, a funding boost is being provided so the national system can start with a clean slate.”

The Māori Health Authority will get $168m over four years to directly commission hauora Māori services.

New Zealand’s drug-buyer Pharmac will also get an extra $191m over the next two years – in what Little says is the medicine budget’s “biggest-ever increase”.

It brings total funding to $1.2 billion which is 43 percent higher than when Labour was elected in 2017.

“Pharmac has assured me it will use this funding to secure as many medicines on its list as it can, with a focus on better cancer treatments, to ensure as many New Zealanders as possible benefit from this biggest-ever increase to its medicines funding,” Little said.

More than $166 million has been put aside over four years for ambulance services, adding more than 60 vehicles to the road fleet and about 250 more paramedics and frontline staff. Another $90.7 million will go towards air ambulance services to replace ageing aircraft with modern helicopters.

The Budget increases dental grants for low-income families from $300 to $1000 in line with Labour’s 2020 campaign promise.

A new Ministry for Disabled People is also being established at a cost of $100 million.

Housing support
While the housing market is showing signs of slowing, the Budget includes more support for first home buyers with funding available for about 7000 more grants.

House price caps across regions have been increased to line up with lower quartile market values for new and existing properties.

It means some significant shifts — both Wellington’s cap and Queenstown’s jump from $650,000 to $925,000, and Tauranga’s jumps from $600,000 to $875,000.

The income caps remain the same but will be reviewed every six months along with the new house price caps.

A new $350 million housing fund has also been set up where not-for-profit developers can apply for grants to build affordable rental accommodation.

Education equity
Replacing school deciles is the single biggest area of new spending for education.

The Budget provides more than $80 million a year for the equity index which replaces deciles as the measure of disadvantage in schools.

Most of the money, $75 million a year, will go directly to schools, adding to the $150 million they currently receive through the decile-based system.

The budget increases school operations grants and tertiary and early childhood education subsidies by 2.75 percent.

There is also $266 million over four years to give early education teachers pay parity with school teachers.

In tertiary education, the Budget provides $56 million a year to pay for an expected increase in enrolments next year and in 2024.

There is also $40 million for modernising polytechnic facilities.

Māori health, wellbeing
More than half a billion dollars is being pumped into the Māori Health sector with $579.9 million going towards Māori health and wellbeing.

The Māori Health Authority, Te Mana Hauora, is set to be launched July 1 and will receive $188.1 million over four years for direct commissioning of services.

Some $20.1 million will go to support iwi-Māori partnership boards, and $30 million will be invested into Maori providers and health workers to provide support and sustain capital infrastructure.

Lack of workforce capability has been identified as a key factor in being able to bolster Te Mana Hauora — and $39 million will be used for Māori workforce training and development to support them within the new health system.

The $579.9 million invested in Māori health and wellbeing is on top of the $11.1 billion health allocation.

This article is republished under a community partnership agreement with RNZ.

Article by AsiaPacificReport.nz