The 14 layers of National Party Management when it comes to their social policy

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.

• • 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