Nothing manages to highlight the distance between the mental health coal face, the Bureaucrats trying to manage and a Government that doesn’t care than this secret recording by a Mum trying to get her son mental health care…
‘So broken’: Secret recordings reveal frank confessions from mental health staff
Last year, in the space of three months, 18-year-old Sam made a series of suicide attempts and was barely holding on. A psychiatrist acknowledged the risk but discharged him anyway, in a case described as illustrating a “broken” system. But the description does not come from a distressed family, as you might expect. It comes from the mental health workers themselves — in hours of conversations recorded by Sam’s parents. Paula Penfold reports on the unfiltered insight they offer into a system that is “not good enough”.
“It’s almost unbearable if I put myself in your shoes,” Psychiatrist A.
“This is my kid, and I want to keep him alive,” Mother.
…this Government is more focused on privatizing public health than support it.
Look at what they are attempting at Segar House!

Of all the shitty things this Government has done, this may well be the worst…
Auckland intensive mental health service proposed to close
The proposed closure of an intensive mental health service is “insulting nonsense”, according to one advocate, and news to the minister in charge, who found out on the day The Post put in a request for comment.
Te Whatu Ora – Health NZ proposed earlier this month to close Segar House ‒ its Auckland-based tertiary level specialist psychotherapy service ‒ and redistribute the services and funding.
Mental Health Minister Matt Doocey had not been told of the proposal until Thursday.
In the change document, which was leaked to psychotherapist, broadcaster and former Segar employee Kyle MacDonald, it proposes to disestablish the programme, re-invest the resources into community mental health teams and redeploy staff.
“It’s insulting nonsense,“ MacDonald said. ”Frankly, I think it’s going to put people’s lives at risk.“
…Segar House is one of the very few jewels in the crown of our mental health service.
I have known people whose lives and wellbeing were only achievable in a specialist centre like Segar, what is being proposed here is to smash the last remaining crown jewel so that Te Whatu Ora can sprinkle that smashed jewel as far and wide as possible because of intense budget and hiring pressures.
That the Minister was even aware of the decision is shameful.
I think this is a terrible, terrible, terrible decision that will cost far more money and damage many, many, many lives.
Segar House is one of only 2 live in centres like this, the other is in Dunedin.
It is a 24 hour lived in programme that helps the most damaged in society learn to live in the community!
These are people with enormous mental health issues and problems, if they are not in Segar House they are losing it in public and either damaging themselves or others.
You see their cost explode in ACC, the Police call outs, the ambulance call outs, the hospital costs and the judiciary costs!
Segar House is one of the few silver bullets we have, it desperately needs to be expanded NOT SHUT DOWN!
The argument that these desperately broken mental health patients will be somehow magically saved in the community by splitting Segar House up and spreading the specialists around is a fucking joke! These patients have ended up at Segar House because the Community can’t help them!
These patients will immediately choke up the crisis services and that will simply metastasise negatively in a. billion different ways.
Shutting Segar House is an obscenity of an idea, and it must be opposed at every step.
Labour, the Greens and the Māori Party must all make an immediate statement that they will rescind this decision and immediately seek to re-establish a far larger Segar House
This is a terrible, terrible, terrible idea!

Everything this Government touches is for privatisation. From roading, to infrastructure, to education, to health, everything this Government does is to advance the interests of their donors.
National uses small business morality (we can’t afford this, we can’t afford that) to advance big business profit margins.
They constantly tell us that the Government is like a household and you can’t spend beyond your means which is a total fabrication.
Government is NOT a household because no household has the capacity to just make money out of thin air.
Likewise, attempting to quantify Government services using profit margins is bullshit – Government Services aren’t there to make money, they are there to serve the people!
We have allowed so much Right Wing Free Market mythology to construct our low expectations of Government and the right always meets that low expectation by underfunding services to justify more privatisation.

Look at how National have purposely underfunded health below population inflation and an ageing population and how they will do it again this budget…
Billions Missing From Health Budget – NZCTU
New analysis from the New Zealand Council of Trade Unions Te Kauae Kaimahi shows that the health service is likely to be underfunded by between $1.2bn to $2bn at the Budget.
“We have examined the spending decisions and announcements of the Minister of Health over the past few months. These demonstrate a pattern of making a new service promise but not providing any new funding for that new service,” said NZCTU Economist Craig Renney.
“That means the commitments have to be paid out of the existing budget, which is already under huge pressure. These sneaky cuts add up to $1.2bn across 4 years.
“At Budget 2024 the government provided $1.370bn for cost pressures. This has been calculated by the Treasury as simply covering the cost of existing services. The $1.2bn of new spending are all new services on top. If they come from the ‘cost pressure’ payment above, that acts as a direct cut to existing health services.
“Assuming the Treasury cost pressure costs are right, health needs $1.713bn just to stand still at Budget 2025 in direct new funding – and likely a figure closer to $2bn once the unknown costs are added.
“If this money is coming from pay equity funding, it would be the equivalent of those low-income health workers paying for the new service themselves.
“In opposition, National said that it would “prioritise increases in funding for health and education to account for inflation.” The government now appears to be robbing the very funding set aside for inflation in health to pay for its new priorities, breaking their pre-election promise,” said Renney.
| New Announcements | |||||
| Commitment | Annual Amount ($m) | 4-year total ($m) | |||
| After Hours Care | 41 | ||||
| Cancer Medicines | 151 | ||||
| Hawkes Bay Endoscopy | 0.4 | ||||
| GP Practices | 95 | ||||
| Private Sector Support[1] | 50 | ||||
| Practice Nurses | 6 | ||||
| 343.4 | 1,223.80 | ||||
The government has also made the following announcements and has not provided any costing information with those announcements. These costs are likely in the hundreds of millions, but we simply have no current idea about if the government will provide any further resources for them.
| Unknown | |
| Bonding of Doctors | |
| 100 Overseas Doctors | |
| 400 graduate registered nurses | |
| New Digital Telehealth Service |
[1] The private sector surgery support is only for one year and so has only been accounted once.
…look at the creeping privatisation by stealth…
Waitākere Hospital ED diverting 25 patients a day to urgent care clinics with vouchers
Waitākere Hospital’s emergency department is sending about 25 patients a day to an urgent care clinic with a voucher to cover the cost.
The vouchers are offered to patients when emergency departments have long wait times and cover consultations that can cost as much as $200 at private centres.
Emergency department doctors and patients say the vouchers help relieve pressure on bottlenecked hospitals. Others say they are a quick fix that channels money away from public services.
The voucher system has been in place at emergency departments for at least 10 years. But their use has risen dramatically in the past few years at some hospitals.
…vouchers to be seen in the private sector!
The money the Government have committed for 24 hour access…
Budget 2025: Govt’s $164m plan for urgent, after-hours healthcare
…is a joke because the issue isn’t just access issues, it’s the fact it costs $200 a pop!
National are underfunding public services while subsiding more private services. They are doing this under the radar so you don’t realise what they are doing.
We are two huge sparsely populated Islands, we have always required the State to be the foundation because we simply don’t have the population density for free market dynamics to work efficiently, that’s why we end up with monopolies, duopolies and oligarchies.
The State is fundamental to NZ egalitarianism, the Right are fixated on amputating it with DOGE chainsaw revenge fantasies.
We need to stand for Egalitarian NZ, not Privatised NZ.

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I believe it’s a combination of that the CoC just don’t care and they don’t have anyone with enough intellect to run mental or physical health. We have never ever before seen the like of the number of medical professionals coming out and lambasting this CoC over understaffing, underfunding and not meeting the infrastructure costs to build adequate size facilities. What we have seen is cuts to health whilst given tax breaks to Farmers, Business and landlords. The usual critics will try to downplay such dramatic cuts until such a time they become personally affected in some way. Sadly with this Budget it is going to get a hell of a lot worse.
The destruction of mental health services worldwide was another of the evil neoliberal projects. Led by Ronald Reagan as governor of California in the US. And the wicked libertarian, Enoch Powell, in the UK.
Yes, mental health should not be getting rid of this resource or any resource. I see mentally unwell people daily. I also seem homeless people and many beggars. But we have a government that does not give a fuck they are heartless and all about the money. And why don’t they reduce their gold-plated superannuation scheme instead of getting rid of pay equity, this factor says a lot about the people who run this country and like the bald one said (about the Wellington council) you get what you voted for, and we got shit.
Yes, mental health should not be getting rid of this resource or any resource. I see mentally unwell people daily. I also seem homeless people and many beggars. But we have a government that does not give a fuck they are heartless and all about the money. And why don’t they reduce their gold-plated superannuation scheme instead of getting rid of pay equity, this factor says a lot about the people who run this country and like the bald one said (about the Wellington council) you get what you voted for, and we got shit.
…along with a lot of other nice things successful nations enjoy, but we cannot have them because we’re poor and unproductive. Fix that and maybe there will be more money in the kitty.
Green budget says you borrow heaps to make things free that does not seem very clever. There is not enough doctors and dentists as there is so remove cost as a barrier and you have a worse problem. Who will set the prices the state pays .I am old enough to remember when government set the price of fish and vegetables, It was a nightmare to conform with and lead to black market deals
Well Nationals budget isn’t working…
https://www.nzherald.co.nz/nz/mental-health-crisis-patients-abscond-daily-from-overwhelmed-hospital-eds/75I7BX6HTZCGDBLB6EL4QNKLZA/
What a fucking disgrace!
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