{"id":6286,"date":"2023-07-07T17:36:49","date_gmt":"2023-07-07T05:36:49","guid":{"rendered":"https:\/\/thebuzz.apnanetwork.co.nz\/?p=6286"},"modified":"2023-07-07T17:36:49","modified_gmt":"2023-07-07T05:36:49","slug":"the-week-in-politics-the-extent-of-the-health-staff-shortage-hits-home","status":"publish","type":"post","link":"https:\/\/thebuzz.apnanetwork.co.nz\/?p=6286","title":{"rendered":"The Week in Politics: The extent of the health staff shortage hits home"},"content":{"rendered":"<p>Health workforce data shows the extent of the problem that this government and the next are facing, National and ACT reject a report which says the country can&#8217;t arrest its way out of the gang problem, and the Kiri Allan saga rumbles on as Labour&#8217;s internal problems continue to plague the party.<\/p>\n<p>The health workforce shortage is a decades-old problem but it wasn&#8217;t until this week the extent of it was precisely known &#8211; more than 8000 nurses, doctors and other health professionals.<\/p>\n<p>On top of that, an additional 1600 will be needed in the next year.<\/p>\n<p>Health Minister Ayesha Verrall released the data, put together by Te Whatu Ora, and her plan to meet the challenge.<\/p>\n<p>&#8220;Just like in medicine, you can&#8217;t start the treatment until you&#8217;ve got the diagnosis right,&#8221; Verrall said. &#8220;We need to know where the gaps are.&#8221;<\/p>\n<p>Her plan has six target areas and eight specific initiatives, they&#8217;re clearly set out in RNZ&#8217;s report.<\/p>\n<p>The Herald gave it the full treatment, with graphs showing New Zealand has the highest percentage of foreign-trained nurses in the OECD and the second highest percentage of foreign-trained doctors.<\/p>\n<p>The executive director of the Association of Salaried Medical Specialists, Sarah Dalton, welcomed Te Whatu Ora&#8217;s new data.<\/p>\n<p>&#8220;The fact they have put pen to paper, set down some numbers and established some accountabilities we can work with them against, year by year, is a positive step forward,&#8221; she said.<\/p>\n<p>The Nurses Union also welcomed the report.<\/p>\n<p>&#8220;Had such a plan been produced 20 years ago, when this current crisis was first predicted, we wouldn&#8217;t be in this mess,&#8221; said NZNO&#8217;s manager of nursing and professional services Mairi Lucas.<\/p>\n<p>National had nothing good to say and, inevitably, blamed the government.<\/p>\n<p>After six years of failure, all Labour could offer were &#8220;half-baked announcements&#8221;, health spokesperson Shane Reti said.<\/p>\n<p>&#8220;The government chose to focus on the bureaucracy rather than the frontline,&#8221; he said.<\/p>\n<p>&#8220;And with the workforce now in crisis, Labour is desperate to make it look like they&#8217;re doing something about it.&#8221;<\/p>\n<p>Third medical school in National&#8217;s plans<br \/>\nNo captionWaikato University would establish a third medical school under National&#8217;s proposal this week. Photo: CC 2.0 BY-SA New Zealand Tertiary Education Union from New Zealand<br \/>\nNational did have something to help address the shortage &#8211; it has revived its promise to set up a new medical school at Waikato University.<\/p>\n<p>The previous National-led government pledged to establish the third medical school in 2017, but the Labour-led government dropped the plans in 2018.<\/p>\n<p>Party leader Christopher Luxon announced the revival, saying the new school could be expected to train another 120 doctors a year.<\/p>\n<p>National would also increase the number of medical school placements at Auckland and Otago, in addition to the 50 extra places already funded by Budget 2023.<\/p>\n<p>&#8220;Together, this will see an additional 220 doctors graduating a year by 2030 compared to just 50 more under Labour&#8217;s plan,&#8221; Luxon said.<\/p>\n<p>National has costed the new medical school at $380 million to set up, with the government contributing up to $280m and the remainder raised by Waikato University.<\/p>\n<p>Verrall wanted to know where the money would come from.<\/p>\n<p>&#8220;The biggest issue here is that the National Party is simultaneously promising tax cuts and this expensive investment &#8211; which we agree is needed &#8211; but they need to show how they&#8217;re going to be able to pay for it,&#8221; she said.<\/p>\n<p>Despite the importance of the new data and the plan to address shortages, it didn&#8217;t generate much political heat this week &#8211; both main parties know how hard it&#8217;s going to be.<\/p>\n<p>Gang issue stirs debate<br \/>\nNational Party leader Christopher LuxonChristopher Luxon was unequivocal in his reaction to a new report on how to treat gangs. Photo: RNZ \/ Angus Dreaver<br \/>\nThe gang problem was a more lively issue.<\/p>\n<p>The prime minister&#8217;s chief science advisor, Professor Dame Juliet Gerrard, released a report examining the context within which gangs exist in New Zealand.<\/p>\n<p>It was requested last year by then prime minister Jacinda Ardern as part of her agenda to reduce gang harm.<\/p>\n<p>The report said reducing harm would require tackling the underlying and unsolved societal issues such as inequity, intergenerational trauma, housing and family violence.<\/p>\n<p>&#8220;We can&#8217;t, and won&#8217;t, arrest ourselves out of the &#8216;gang problem&#8217;,&#8221; it said.<\/p>\n<p>Enforcement served a purpose but was not the only solution.<\/p>\n<p>&#8220;The evidence indicates that interventions such as &#8216;scared straight&#8217; or boot camp approaches are ineffective. And a &#8216;zero tolerance&#8217; style of policing builds distrust in the communities that police are tasked to serve,&#8221; the report said.<\/p>\n<p>&#8220;It creates alienation and dislocation from communities and risks fuelling gang membership and increasing gang dislocation and isolation.&#8221;<\/p>\n<p>In other words, getting tough on gangs will make the problem worse.<\/p>\n<p>That wasn&#8217;t what National and ACT wanted to hear.<\/p>\n<p>Luxon told Morning Report he totally disagreed with its statement that a &#8216;zero tolerance&#8217; style of policing could risk fuelling gang membership.<\/p>\n<p>It gave him another opportunity to push National&#8217;s hardline policies.<\/p>\n<p>&#8220;I make no apologies for being tough on gangs,&#8221; he said.<\/p>\n<p>&#8220;We&#8217;re going to ban those gang patches. We&#8217;re going to give police dispersal powers for criminal activity, break-up powers, warrant and search powers.&#8221;<\/p>\n<p>He also said it was essential to rehabilitate gang members while they were in prison, and National would work on the causes of crime.<\/p>\n<p>Dealing with the causes of crime is much more difficult, and probably not what voters are particularly interested in when they&#8217;re exposed to reports of violence such as Thursday&#8217;s hammer-wielding Auckland dairy robbers who put the owner&#8217;s wife in hospital and unable to speak.<\/p>\n<p>It has not been reported as gang-related, but it&#8217;s the general threat of violence crime that&#8217;s getting through.<\/p>\n<p>Opposition parties know this, and they&#8217;re likely to be gaining support with their &#8220;get tough&#8221; policies.<\/p>\n<p>ACT Party leader David Seymour.David Seymour Photo: RNZ \/ Samuel Rillstone<br \/>\nLuxon denied politicising the issue, but then said: &#8220;They [Labour] are soft on crime. Crime is going up\u2026 this government&#8217;s operating in a very different way, it&#8217;s sent a message from the very top that they&#8217;re soft on crime.&#8221;<\/p>\n<p>ACT leader David Seymour dismissed the report.<\/p>\n<p>&#8220;They&#8217;re attempting to claim that if only the authorities are nice to gangs and treat them as friends they&#8217;ll start being nice back,&#8221; he said.<\/p>\n<p>&#8220;They don&#8217;t improve their behaviour, in fact they get worse.&#8221;<\/p>\n<p>Police Minister Ginny Anderson welcomed the report.<\/p>\n<p>&#8220;It identifies there are no quick fixes when it comes to gangs and the underlying social issues that drive gang membership and activity,&#8221; she said.<\/p>\n<p>Government action was focused on both stopping the harm that gangs cause as well as creating opportunities to ensure people did not join them in the first place, she said.<\/p>\n<p>Speculation continues on Allan&#8217;s fate<br \/>\nKiri Allan in Select CommitteeJustice Minister Kiri Allan is taking another break but that hasn&#8217;t stop media comment on her uncertain future. Photo: RNZ \/ Samuel Rillstone<br \/>\nWhen Prime Minister Chris Hipkins said on Monday Kiri Allan was taking a couple of weeks off and they would talk face-to-face when he returned from Europe next week, he may have been hoping that would at least temporarily shut down the controversy swirling around the justice minister.<\/p>\n<p>It didn&#8217;t, and this week there was more attention and comment about her behaviour and what the outcome of Hipkins&#8217; face-to-face might be.<\/p>\n<p>The prime minister was careful not to say anything that indicated Allan&#8217;s position was under threat, but Stuff headlined a column by Vernon Small &#8216;Kiri Allan&#8217;s future in the balance&#8217;.<\/p>\n<p>In the article Small, a long-time political journalist and a former ministerial advisor, said what was unusual about the case was the public acknowledgement of problems by senior public servants who reported to Allan.<\/p>\n<p>&#8220;The nature of the bureaucratic mandarin is that they would normally cut off an arm with a rusty saw than make a public criticism of a minister &#8211; even an implied one,&#8221; Small said.<\/p>\n<p>&#8220;It does not bode well for Allan.&#8221;<\/p>\n<p>Another Stuff columnist, Ben Thomas, a press secretary in the previous National government, held the same view.<\/p>\n<p>&#8220;Scuttlebutt about politicians is as common as wind in Wellington,&#8221; he said. &#8220;But public servants making anonymous allegations in the media is highly unusual.&#8221;<\/p>\n<p>There&#8217;s a lot more in Thomas&#8217; thoughtful article about relationships in the Beehive and how and why ministers can get offside with their departmental chief executives. In his opinion, it isn&#8217;t always the politicians who are at fault.<\/p>\n<p>The Weekend Herald considered the impact the government&#8217;s serial ministerial scandals could have on its election chances, and said that if it lost it may in part have its own internal issues to blame for that.<\/p>\n<p>&#8220;The exposed, self-inflicted wounds at cabinet level seem to betray tiredness and insufficient hunger to win,&#8221; it said in an editorial.<\/p>\n<p>&#8220;It doesn&#8217;t come across as a motivated group that wants to push on with enough internal discipline to ensure it gets the best chance of another term.&#8221;<\/p>\n<p>The editorial quoted political scientist Bryce Edwards: &#8220;It does feel, for a lot of people, that the wheels are falling off this government.&#8221;<\/p>\n<p>Mega donation for National<br \/>\nThe Herald reported this week on what it called National&#8217;s record-breaking fundraising blitz, and revealed the party had received a single donation of $500,000.<\/p>\n<p>It was one of the largest, if not the largest, in New Zealand&#8217;s recent history and exceeded all the large donations Labour had received this year combined, the Herald said.<\/p>\n<p>The donor was managing director of Fairview Metal Industries Warren Lewis. He didn&#8217;t want to talk about it, other than saying he was a National Party supporter. Yep, got that.<\/p>\n<p>The report said that overall National brought in $5.1 million in donations last year, 10 times Labour&#8217;s total.<\/p>\n<p>Labour&#8217;s campaign manager Hayden Munroe said he was confident the party would raise enough to run &#8220;a very competitive campaign&#8221;.<\/p>\n<p>He said the party had never relied on mega donors but on ordinary Kiwis who donated what they could when they could.<\/p>\n<p>Money doesn&#8217;t win elections in New Zealand, but it helps.<\/p>\n<p>*Peter Wilson is a life member of Parliament&#8217;s press gallery, 22 years as NZPA&#8217;s political editor and seven as parliamentary bureau chief for NZ Newswire.<\/p>\n<p>&nbsp;<\/p>\n<p>VIA RNZ<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Health workforce data shows the extent of the problem that this government and the next are facing, National and ACT reject a report which says the country can&#8217;t arrest its way out of the gang problem, and the Kiri Allan saga rumbles on as Labour&#8217;s internal problems continue to plague the party. The health workforce [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":6287,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[222,174],"tags":[],"class_list":["post-6286","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-latest-news","category-nz-news"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=\/wp\/v2\/posts\/6286","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6286"}],"version-history":[{"count":1,"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=\/wp\/v2\/posts\/6286\/revisions"}],"predecessor-version":[{"id":6288,"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=\/wp\/v2\/posts\/6286\/revisions\/6288"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=\/wp\/v2\/media\/6287"}],"wp:attachment":[{"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6286"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6286"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thebuzz.apnanetwork.co.nz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6286"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}