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Cancer patients left with no hot water in Auckland hospital ward

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A man who was seriously ill with cancer and underwent a bone marrow transplant at Auckland City Hospital last year had to boil water in a kettle and use a disposable vomit bowl to wash themselves, because the ward had no running hot water.

Health New Zealand (HNZ) confirmed it became aware of water heating and pressure issues in the support building in 2023, and a partial replacement of the heating plant in mid-2024 “did not meet expectations” – meaning that while hot running water was now available, intermittent issues were ongoing.

A number of water leaks at Auckland hospitals have occurred recently, including a water outage at Auckland City hospital in January, and a power outage at the Greenlane Clinical Centre last week after a water leak damaged circuit boards.

Andrew Mackintosh, who had lymphoma, was staying in Auckland City Hospital’s hematology ward for five weeks in September last year as he underwent a bone marrow transplant.

The ward is part of a 45,000 sqm facility built in stages between 1965 and 1971, and has a range of ageing infrastructure issues.

Mackintosh said cleanliness was critical to patients like him who are severely immunocompromised and prone to infections that would increase the risks of dying during the process.

He had a private bathroom in his room, and the bedsheets had to be changed daily.

Mackintosh said the shower was not working and there was no running hot water 90 percent of the time.

“The water was very, very low pressure like a trickle going down the handle as opposed to a shower spray coming out of the shower, and it was nearly always cold, so even if it had been warm the flow wasn’t enough to wash under,” he said.

Mackintosh said he had to resort to filling disposable vomit containers with kettle-boiled water, then washing with a cloth.

He said it was a struggle to wash in this way in his weakened state.

“Every day it would be a task that I would dread coming in the day, it was just a real undertaking to go through it physically, so that was the starting point, but then I had the anxiety around the fact that i wasn’t doing a good enough job [washing] and worrying that it would be a real negative impact on my situation,” he said.

Mackintosh said the nurses provided good care for him, but were helpless to fix the water problem.

He said the hot water supply was also intermittent when he was staying in the same ward at Auckland City Hospital for chemotherapy in late 2023.

Mackintosh said he was angry and frustrated, and has heard that other bone marrow transplant patients also had similar challenges with water at the hospital.

“If it had been a short isolated thing and it was just me, I could accept that, but the fact that patients today will be going in to that same room, or that same set of rooms, and having the same problems that I grappled with.

“And having their very expensive, very difficult bone marrow transplant process put at risk because of such a simple thing as not providing suitable hot water, it just seems a crazy thing to be doing, a crazy thing to be allowing to continue for so long,” he said.

HNZ spokesperson Chris Cardwell said in a statement that he acknowledged the patient’s experience and accepted that “we did not deliver the quality of care we aspire to”.

“We recognise patient hygiene is an integral part of patient care, and at times this has been challenging due to water related issues,” he said.

Cardwell said when HNZ became aware of the water heating and pressure issues in 2023, it triggered investigations and “critical planned maintenance and investment” work was carried out, including the partial replacement of the heating plant in mid-2024.

“The project work did not fully meet expectations meaning that remedial work to resolve water pressure issues is ongoing,” he said.

Cardwell said while maintenance work continued, there were contingencies in place to minimise disruptions to patients.

“We endeavour to relocate patients within the ward, where possible, or offer alternate shower facilities,” he said.

Other water network issues at Auckland City Hospital

On 29 January, a water outage in the hospital’s main building – building 32 – for more than 12 hours affected the hospital’s emergency department, inpatient wards, operating theatres, Starship Children’s hospital’s emergency department and cardiac ward.

Cardwell said the shutdown was because of a “pipe fracturing and an absence of control valves”.

He said there have been no further leaks in building 32 throughout February.

The risks with the pipes were identified in mid-2022, and were at the time managed through “reactive maintenance processes”, said Cardwell.

He said a detailed independent engineering review followed and a report was produced in mid-2023, recommending the investigation of long term solutions.

“With incidents occurring more frequently in 2024, we sought concept designs and independent costings of options for phased remediation works,” he said.

Cardwell said there were a number of minor leaks throughout 2024, with one major leak occurring in July 2024 – but would not confirm how many leaks had happened.

He said leaks would have occurred in numerous locations across the hospital, and that RNZ would need to send an official information request to find out the number.

On 18 February, Health Minister Simeon Brown announced $14 million of funding to replace Auckland City Hospital’s pipes which are more than two decades old.

The minister said the project will take place over three phases, with the first phase expected to take over 13 months.

Cardwell said the tender for the remediation works went live on 21 February and closed on 7 March.

HNZ is expecting the works to begin in late April.

HNZ confirmed that the $14 million is a reallocation of funding from the existing budget within the “facilities infrastructure remediation programme”, and will cover just the first phase of the works, while future funding of the project will need to be reviewed after completion of the first phase.

Brown said he will consider advice on the future funding of the project in due course.

HNZ said it was looking at an alternative temporary water supply during this project.

Cardwell said at this stage, HNZ was not expecting any surgeries to be delayed or relocated as a result of repair works.

Source: RNZ

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Police say person who fired gun at officers still at large

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Police say a person who fired a gun at officers in Napier is still at large.

Eastern District Commander Superintendent Joel Lamb said Police tried to stop a vehicle in the Pirimai Area at about 10pm on Tuesday.

He said someone in the back seat pointed what was presumed to be a firearm at officers pursuing the vehicle.

“Staff have then heard two distinct gunshots as the firearm was discharged.

“Fortunately, neither of our officers were injured, and the patrol vehicle did not sustain any damage.”

He said hours later, the vehicle was seen travelling north on the Waikato Expressway towards Auckland.

Police seized the vehicle at an address in Manurewa, but they had not found the alleged offender.

Lamb said people who lived at the Manurewa address were engaging with Police.

He said Eastern District and Counties Manukau Police were making enquiries.

“Presenting a firearm at a Police officer is a serious escalation that puts our staff and the wider community at risk. This behaviour is entirely unacceptable.

“We are taking this incident extremely seriously and will be pursuing all lines of enquiry to locate the offender and hold them accountable.”

Police asked anyone who witnessed the incident to contact Police on 105 or online using the reference number 261111/3764.

Information could also be provided anonymously via Crime Stoppers on 0800 555 111.

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New Zealand sides named for RLWC finals

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The players tasked with ending Australia’s Rugby League World Cup dominance have been named.

The Kiwis and Kiwi Ferns have announced their squads for this Sunday’s World Cup finals in Brisbane.

Both sides are chasing their first titles since 2008, and both are looking to end their opponents run of three crowns in a row.

“Our Kiwi Ferns have been so dominant in years gone by, and we want to bring dominance back to this jersey, so I think it will be a case of who wants it more,” said co-captain Georgia Hale of the impending clash.

The Kiwis get a major boost for the final as they welcome back Ronaldo Mulitalo after he served a one-match ban for a high tackle against Fiji Bati.

Mulitalo replaces Charnze Nicoll-Klokstad, who moves to the six-man bench, which again includes utility Te Maire Martin, middle forwards Naufahu Whyte, Erin Clark and Xavier Willison plus fullback Keano Kini.

Loose forward Joseph Tapine will make his 30th Test appearance in a familiar pack again, including second-rowers Isaiah Papali’i and Briton Nikora, and props James Fisher-Harris and Moses Leota.

Winger Jamayne Isaako is on the cusp of claiming the New Zealand record for most Test points.

His five goals against Tonga lifted his career points tally to 225 – level with Shaun Johnson – while centre Casey McLean goes into the final with 16 tries in just eight Tests.

Fisher-Harris will again captain the team.

Fullback Ponga said the goal of the group was clear.

“We have high expectations around what we want to achieve, and obviously winning a world Cup is one of them.”

Meanwhile, Ricky Henry has selected a settled side to take on the Jillaroos, led by their lethal centre combination of Stacey Waaka and Mele Hufanga.

Veteran Apii Nicholls takes the number one jersey, Leianne Tufuga and Mackenzie Wiki on the wings.

Henry has stuck with his halves pairing of Chantay Kiria-Ratu and Raecene McGregor with Alexis Tauaneai, Georgia Hale and Otesa Pule up front.

Rounding out the starting pack is Shaniece Monschau, Kaiyah Atai, and Angelina Teakaraanga-Katoa.

“We have been building well throughout the tournament; we understand the Jillaroos side, and will give it our all to make New Zealand proud this weekend,” said Henry.

RLWC Finals:

Kiwi Ferns vs Jillaroos- 6.10pm

Kiwis vs Kangaroos – 9.35pm

Sunday November 15

Suncorp Stadium, Brisbane

Live blog updates on RNZ

Kiwi Ferns:

1. Apii Nicholls 2. Leianne Tufuga 3. Mele Hufanga 4. Stacey Waaka 5. Mackenzie Wiki 6. Chantay Kiria-Ratu 7. Raecene McGregor 8. Alexis Tauaneai 9. Georgia Hale 10. Otesa Pule 11. Shaniece Monschau 12. Kaiyah Atai 13. Angelina Teakaraanga-Katoa.

Interchange: 14. Ashleigh Quinlan 15. Annessa Biddle 16. Shannon Mato 17. Ivana Lauitiiti.

Reserves: 18. Brooke Anderson 19. Zahara Temara 20. Brianna Clark 21. Abigail Roache 22. Tenika Willison.

Kiwis:

1. Kalyn Ponga, 2. Jamayne Isaako, 3. Dane Gagai, 4. Casey McLean, 5. Ronaldo Mulitalo, 6. Kodi Nikorima, 7. Jahrome Hughes, 8. James Fisher-Harris (c), 9. Jeremy Marshall-King, 10. Moses Leota, 11. Isaiah Papali’i, 12. Briton Nikora, 13. Joseph Tapine (v/c).

Interchange: 14. Te Maire Martin, 15. Naufahu Whyte, 16. Erin Clark, 17. Xavier Willison.

Reserves: 18. Keano Kini, 19. Phoenix Crossland, 20. Charnze Nicoll-Klokstad, 21. Scott Sorensen, 22. Leo Thompson.

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Opportunities to mitigate multi-million-dollar RNZ budget blowout likely missed – experts

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Multiple opportunities to identify and mitigate a multi-million-dollar budget blowout at RNZ appear have been missed, according to the former executive director at Audit New Zealand.

The public broadcaster on Monday revealed a near $12 million shock financial loss after a litany of financial blunders, which will now lead to sweeping job cuts.

The $11.8m loss is more than 25 times the $470,000 RNZ had expected to lose over the year to June.

CEO Paul Thompson took responsibility for the result, and said internal reports gave an inaccurate picture of the finances, meaning the scale of the loss only became clear in October.

RNZ’s former chief financial officer Hilary Parker resigned unexpectedly in early October.

The board said it would commission an independent review into what went wrong.

Independent contractor Stephen Walker, who left the Audit Office earlier this year, said the size of the loss was surprising, as was the length of time it took to identify it – months after the financial year ended.

Stephen Walker.
Independent contractor Stephen Walker is a former executive director at Audit New Zealand.

Supplied / OAG

“Probably more of a concern is that they had seemingly been unaware that they were running up a significant deficit until they were in the preparation stage of their annual report in October.”

Walker said public entities typically produced monthly financial reports.

An interim audit also took place before the end of the financial year, he said, but if the organisation hadn’t identified significant losses at that stage, the auditor could also be in the dark.

“It seems that there’s a real weakness in forecasting and budgeting that’s occurred here and that the monthly accounts, when they’re produced, either haven’t identified these significant variances against budget or the magnitude of them really hasn’t come to light until right towards the end of the financial year,” Walker said.

“And really at that point, there’s no opportunity for the chief executive, the leadership team to take, and the board to take, any corrective action because the year has effectively been completed.”

Walker said the “significant miss” was difficult to account for given it was more than 10 percent of RNZ’s total funding.

He said based on RNZ’s annual report, financial complexity didn’t appear to be a factor.

“This $11.8m loss isn’t made up of one particular item … it seems to have been contributed to by a number of separate expense lines running over budget. So I don’t think it’s necessarily to do with complexity.”

Among the errors, RNZ wrongly counted $2m from land sales as income in its budget. Staff costs also came in $3.2m over budget, including $1.4m in redundancy payments.

Professor at Auckland University’s business school Norman Wong said based on media reports the issues identified were “significant and troubling”.

Norman Wong.
Norman Wong.

Supplied / University of Auckland

“But recognising the sale of land as income in their budget is a basic error that one would have expected to have been caught and corrected well before it got to this point.”

With funding reductions at RNZ over the past two years, Walker expected greater scrutiny of financial results.

“Virtually every public entity has had their annual budget reduced. And so you would expect … the leadership team on a monthly basis and board – I’m not sure how frequently the board will consider the information – but you would expect them to be interrogating the results on a regular basis throughout the year,” he said.

Walker said initiating an independent review was the correct course of action and that he’d want to understand what information the leadership team and the board were regularly receiving.

He said he’d “love to say” surprising financial results were rare, but conceded they occured on a semi-frequent basis during his time leading the Audit Office.

“The benefit of independent scrutiny by the Audit Office – and the auditors providing that support to the Auditor General – [is] that the reporting is fairly presented at the end of the year, whether it’s good, bad or ugly.”

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