Patients, doctors on list of ’14 layers of management’ at Health NZ
The “14 layers of management” at Health NZ Te Whatu Ora criticised by the government as bureaucratic bloat include the patient, and the nurse or doctor providing care for them.
Prime Minister Christopher Luxon a week ago announced alongside Health Minister Dr Shane Reti the board of the nationwide health would be sacked and replaced by a commissioner, who would be the chairperson Lester Levy.
The board had shrunk to two from the usual seven after several members resigned early, or declined to rejoin after the end of their terms.
Luxon and Reti, however, argued “major challenges” stemming from the merger of DHBs as part of the previous government’s health reforms had led to overspending of about $130 million a month, with the organisation on track for a $1.4 billion deficit by the end of the year.
Luxon said the reforms had led to a lack of performance monitoring, limited oversight of financial and non-financial performance and “up to 14 layers of management”.
“Having 14 layers between the CEO and the patient, if you’re a front-line doctor or nurse, what you’re hearing is lots of management mush, but you’re not getting real clarity about what’s being expected of you,” he said.
“We’re not getting the health outcomes against the five targets that we’ve got. We’re not managing the budget within the monthly deficit that’s been run up, and we certainly aren’t getting a clear organisational model when you’ve got 14 layers of management between the CEO and patient, and 2500 extra back-office staff. So those are the three things that we’re focused on fixing.”
Reti, asked about what those 14 layers were, and said the organisational chart he’d seen “is just mind boggling. I could not name the different layers of way finders, pathfinders, boundary spanners – Lord knows what else – from A to B”.
He said he would ask Levy to send the chart, and there should only be six layers of management.
“Six … because that’s the advice we’ve been getting from experts who are helping us with the change management. An organisation of this size should have roughly six layers between the chief executive and the patient.”
However, the list of layers of management provided by Reti’s office included in the 14 layers not only the chairperson, the board, the chief executive and their chief of staff, but the patient and the “team member” – doctor or nurse – themselves.
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- 1. Chairperson and Board
- 2. CE
- 3. Chief of Staff
- 4. National Director Hospital and Specialist Services
- 5. Regional Director Hospital and Specialist Services
- 6. Group Director Operations
- 7. General Manager
- 8. Service Manager
- 9. Manager
- 10. Assistant Manager
- 11. Team Leader
- 12. Team Supervisor
- 13. Team Member
- 14. Patient
A spokesperson said the list was for a specific team, and due to privacy considerations further information could not be provided at this time.
The Prime Minister is a lying prick, there are not 14 levels of management, it’s bullshit smoke National are blowing yup your arse in the hope you are too think to understand them lying to you.
In the Budget, National allocated just 2.9% increase to health services but inflation was 3.3% and population growth 2.6% while an ageing population adds more to costs.
National gave 2.9% for health but we needed 8% to stand still, blaming the Hospitals for budget short falls that National were perfectly well aware of is an unbelievable scam being perpetrated upon the NZ public.
Here are the 14 layers of Management when it comes to National Party Policy:
1 – Big Tobacco
2 – Anything America wants
3 – Billionaire Donor Class
4 – Mike Hosking
5 – Real Estate Pimps
6 – Trucking Industry Consultants
7 – Trans national Forestry and Mining conglomerates
8 – Corporate Dairy
9 – Health + Education Privatisation consultants
10 – Sean Plunkett and the Platform
11 – ZB Plus
12 – Taxpayers Union
13 – Redneck cracker settler racists
14 – NZ Herald readers
Of course he is a lying prick. When challenged on this number he said “ well you can debate it all day”. No once again he lied, or perpetrated one. Maybe he “misspoke” It is like the lie that they didn’t underfund health, or the cancer drugs were “complicated”.
As soon as they come up with the 14 layers comment I knew it was exaggeration, it was an easy way to spot those without any critical thinking ability though since they repeated the comment as if it was gold only to find it was a lot softer, stickier and stunk a lot.
The future of NZ in a very short time .
Private health care with no staff
Private police force with no staff
Private education with no staff