Dunedin Hospital buildings SORRY STATE

An Official Information Act request by Labour health spokeswoman Annette King revealed there had been major equipment failures, including power outages to wards and an incident this year of a public ward block lift “free falling” five floors.

### ODT Online Thu, 1 May 2014
Hospital upgrade tipped
By Hamish McNeilly
Outgoing Health Minister Tony Ryall dropped his strongest hint yet of when a major upgrade of Dunedin Hospital could be expected. “I expect Cabinet will consider a business case next year and an announcement would be made then,” Mr Ryall said last night. Upgrading Dunedin Hospital was “one of our next projects”, following upgrades of hospitals in Canterbury and the West Coast.
Read more

****

Dunedin Hospital from Signal Hill Sep 2007 [wikimedia.org] 3

### tvnz.co.nz 7:19PM Wednesday April 30, 2014
Source: ONE News
Nurse claims Dunedin Hospital facilities are putting patients at risk
There are disturbing claims the state of facilities at Dunedin Hospital are putting patients at risk. ONE News has spoken to a senior nurse and health and safety representative at the hospital who says it’s now so bad operations are sometimes being delayed. Deslee Howell has had enough of the hospital facilities after working there for the past 14 years. “This is patient safety that we are putting at risk. We’ve got new health and safety legislation coming in in 2015 and I don’t think we’re going to do well,” says Ms Howell.

“If we had been a factory we’d have been shut down.”

Ms Howell says the hospital’s windows were leaking so badly on Good Friday “it was like Noah’s Ark”. She claims that after years of complaints to management and temporary fixes, Good Friday’s downpour was the final straw.
Read more + Video (2:04)

Related Posts and Comments:
17.6.15 Southern District Health Board sacked !!!
9.6.15 Southern District Health Board
16.4.15 Talk of replacing Southern District Health Board with commissioner

Posted by Elizabeth Kerr

*Image: wikimedia.org – Dunedin Hospital from Signal Hill Sep 2007 (re-imaged by whatifdunedin)

Advertisements

182 Comments

Filed under Architecture, Business, Construction, Democracy, Design, Economics, Media, Name, New Zealand, People, Politics, Project management, Property, SDHB, Site

182 responses to “Dunedin Hospital buildings SORRY STATE

  1. Peter

    All credit to Deslee Howell for taking her job seriously and speaking out. How many would have thought it safer to not rock the boat and have their job ‘restructured’ as a punishment for speaking out? I don’t think they would dare now.
    How I love whistleblowers.

  2. This article is palpably awash with ‘play down’ weasle words from the top SDHB official.

    ### ODT Online Mon, 5 May 2014
    Hospital deteriorates faster than expected
    By Eileen Goodwin
    A building at Dunedin Hospital deteriorated more quickly than anyone expected, Southern District Health Board chairman Joe Butterfield says. Under pressure last week because of national media coverage about leaks in the surgical theatre suite, Health Minister Tony Ryall confirmed last Wednesday night the Cabinet was expected to consider a business case for the project next year. Mr Butterfield said the leaks affecting the surgical theatre suite would be fixed, and the job was unaffected by the wait for confirmation of the rebuilding.
    Read more

  3. Hype O'Thermia

    There should have been a Diabetic Alert at the top of that story. It contained dangerous amounts of Fact Fudge with Nuts.

  4. The lack of clarity around “free fall” of the lift is extraordinary. As soon as we learned of this incident by media we wanted to know if anyone was in the lift at the time and were there injuries? Today we’re told one person was in the lift – and it wasn’t “free fall”. Excuse me, what really happened? By this time I’m in a diabetic coma. Thank god ED is on the ground floor.

  5. Hype O'Thermia

    Free fall is when it’s totally buggered, it accelerates on the way down. In this case, as I read it, the “stop here” mechanism blew but the lift was on a normal controlled-speed descent.
    So far so good.
    Next question please.

    Yes, thank you for raising that point. If the “stop here” widget is stuffed there are reasons for concern that the “hey don’t let go completely” doofer may also be in an unhealthy state. It is probably perfectly fine, just showing a little “age-related deterioration” as ACC puts it. With conscientiously evaluated, risk-assessed deferred maintenance it SHOULD be okey-dokey for, oh, like AGES.

  6. I notice that the phrase “free fall” may have emanated from the SDHB reply to Annette King’s Official Information Request.

    Unusual for such a term to be used if in fact there was “a normal controlled-speed descent” which elevator lifts are practically designed for.

    Yep. Not reassured by SDHB, not for AGES.

    I’m still at ED.

  7. Hype O'Thermia

    Nah, they’re designed for “a normal controlled-speed descent” AND stopping at the floor chosen by whoever presses the button. It wasn’t really a fail, not totally: (a) it stopped before hitting the bottom of the shaft but (b) the person who pressed the button had a more interesting experience than he/she expected. No panics, truly. It’s good exercise, taking the stairs.

    • Um. Did learn about various elevator lift technologies at Architecture School; including experience of construction lifts for tower buildings in USA.
      You might be surprised by what can happen :O

      Also, my metaphorical clinging to ED is more about Dunedin Hospital patient services. Witnessed a lot on various floors since Jan 2011. Have made a couple of formal complaints. Obtained relevant files. More “admin” pending.

  8. I am slightly nonplussed about the suggestion that they are talking of a rebuild? That complex (the main hospital ward block as I understand) was only built in the 1960s. If a solid concrete pile like that has a use-by date of just 50 years then what’s the point of rabbiting on about ‘heritage’ buildings twice that age? I think the bureaucrats show a lot of incompetence when they are seduced by the “experts” advising them. One could almost be excused for wondering if those so called “experts” are not in ‘cahoots’ with the building industry. Surely board member Richard Thomson could bring all his talent and intellect to bear on the matter. Or would that be too taxing?

  9. Nobody really expects institutional or commercial buildings of this type construction in New Zealand to last a mere ’50 years’ – simple economics demand a much longer lifespan. And, this isn’t to say “rebuild” doesn’t mean “redevelopment” within or extending vertically or horizontally beyond the superstructure of any one of the existing hospital buildings. We can be fairly sure the Ward Block isn’t going anywhere.

    A rebuild may comprise a number of buildings on site. Historically and more recently we’ve seen or heard about various concept plans that involve demolition and replacement of lesser structures to advance the hospital’s space programme.

    Upgrades for neo-natal care and the children’s ward have been major spends. A lot of the remaining treatment wards, clinical service areas, and the now infamous leaky operating suite are clearly no longer fit for purpose or verging on being so. The answer to these is massive capital expenditure to meet present and future demands for contemporary health care.

    All up I would rather pay for an up-to-date regional hospital system than a flipping useless rugby stadium – whichever way I’m taxed. That’s my triple bottom line.

    [Heritage building classifications via the Act may legally occur at any time following construction although it is usual to allow time to elapse before nomination and assessment processes commence.]

  10. SDHB chairman Joe Butterfield confirmed ‘the board would need to cut costs further to finance the capital charge’. The cost of the hospital rebuild ‘was likely to range from $250 million to $500 million’. (ODT)

    ### ODT Online Fri, 9 May 2014
    Board urged to be upfront about rebuild
    By Eileen Goodwin
    A Southern District Health Board member is imploring the board to be upfront about the strings attached to rebuilding Dunedin Hospital. Speaking at yesterday’s meeting, Richard Thomson said the board might need to find an additional $30 million a year for the charge on the capital. He was not sure how the deficit-ridden board would do so. It seemed ”almost impossible”. Board members were also given an indication of the timeframe for the rebuild. A completed hospital was five to seven years away, finance director Peter Beirne said.
    Read more

  11. ### ODT Online Wed, 21 May 2014
    $1m repair bill likely
    By Eileen Goodwin
    The bill for repairing Dunedin Hospital’s leaks will be at least $1 million, Southern District Health Board chairman Joe Butterfield says. Mr Butterfield did not have the cost estimate report from management yet, but it was clear the bill for fixing the clinical services building would be significant. It included scaffolding and concrete work.
    Read more

  12. Elizabeth

    ### ODT Online Sun, 20 Jul 2014
    Theatre block waits in wings
    By Eileen Goodwin
    Commissioned in 1967, the seven-storey clinical services building [Dunedin Hospital] needs replacement or major refurbishment, until which time as little as possible was to have been spent on it. The April downpour proved a wake-up call, and $1.75 million has been allocated to fix the building’s leaks. The unwelcome and unplanned spending perfectly illustrates the board’s bind, its financial catch-22. Government approval for funding to rebuild – which could be $200 million or more – depends on the board showing itself on a path to surplus so it can afford to service the $20 million a year or so interest and depreciation.
    Read more

  13. Elizabeth

    ‘Physio pool to be closed’, OH NO IT AIN’T !!!!!!
    (Tagged Community Donations and Bequests Welcome – get your personal, family trust and company solicitors to advise how you can assist now and in the future)

    http://www.odt.co.nz/news/dunedin/310290/physio-pool-be-closed

  14. Hype O'Thermia

    Physio pool, eh. It’s for healthy exercise, esp for people whose bodies limit what they can do. It’s for individuals and families. In other words, it’s not for team sports, elite athletes, professional sports. It’s not for TV, not for spectators to whom overpriced snacks and drinks can be sold. It’s not going to save the planet.
    What’s the point of a facility like that? This is New Zealand, specifically Dunedin, NZ. We know where to pour money like water. Don’t we just!

  15. A seven story monolithic concrete building built in 1967. How can it be ‘shagged’ in 47 years? May Stephenson and Turner turn in their graves and the government employees who signed it off be excoriated on the alter of mediocrity. Good God! if cathedrals can be built and last for thousands of years with the technology available at the time, what does it say about today?

    {Referring to the Clinical Services Block at Dunedin Hospital. -Eds}

  16. Elizabeth

    ### dunedintv.co.nz July 23, 2014 – 5:58pm
    Physiotherapy pool on thin ice
    There’s uncertainty about the future of Dunedin’s historic physiotherapy pool, which is proving costly to run and is in need of an upgrade.
    Video

  17. This issue has obviously struck a nerve with the public. The ODT online comments are illuminating. Any half nous politician both national and local should have their antennae well and truly tuned. Will they? Nah! Too busy messing around with cycles, stadiums, sea rising and suchlike. On the national front if it’s not Auckland or Christchurch then there is no great number of votes to be harvested. And anyway, they’ve shown us the light by Hillside and Invermay. One can’t help but get the feeling that Dunedin is in a serious decline. Could it be that it is overseen by incompetents on the local scene? Perish the thought.

    • Hype O'Thermia

      Headlined “You use it, you pay” in today’s ODT

      Dunedin physio pool users will have to pay the cost if they want to keep the pool open.
      Southern District Health Board member Richard Thomson made the comment yesterday when contacted about the announcement the historic Otago Therapeutic Pool will close in December.
      ”I’d be very happy for the physio pool to stay open, but the people who are using it would have to be funding it.” more – http://www.odt.co.nz/news/dunedin/310372/you-use-it-you-pay

      One rule for professional sport, another for lowly ratepayers. Nice one Richard! Or should that be Dick?

      • Hype O'Thermia

        Cr Thomson goes on to point out the city doesn’t need two pools, with very different functions and users:
        “Mr Thomson, who is also a Dunedin city councillor, said it was ”highly unlikely” the city would agree to step in and support another pool.”

  18. Hype O'Thermia

    Radio, 08.56am national program:
    Mr Cull said the pool was primarily a health facility.

    Not for general health exercise? Not like e.g. recreational cycling?

    True it’s definitely not like a professional sports facility… for which the odd $million here and there is totally reasonable, and vital for Dunedin’s progress because of all the extra students and visitors it attracts. The man’s got his brain cross-threaded!

  19. Rob Hamlin

    I have just posted a reply on the Mc.P. website to Cr Thomson’s position on the physio pool. Here it is if it does not appear there.

    Councillor Thomson makes his policy position on this facility clear:

    “I’d be very happy for the PHYSIO POOL to stay open, but the people who are using it would have to be funding it.”

    This is an excellent and logical policy position taken by Cr Thomson. But only if he applies it consistently to all users of sports and therapeutic facilities. So let’s try this one:

    ”I’d be very happy for the FORSYTH BARR STADIUM to stay open, but the people who are using it would have to be funding it.”

    How about it Cr Thomson? And if you’re not up for applying your new policy to this far more expensive and supposedly primarily commercial sporting facility that is primarily for the use of healthy people – Why not?

    • Mike

      You just know he’s going to come back and point out that sitting on your arse and drinking beer is not a sport, the rugby stadium is an entertainment facility and therefore of course it should be treated differently.

      To be fair he would have a point – funding of the physio pool is probably more on par with providing rugby grounds for the few citizens who actually play rugby since it’s a public exercise facility – if you’re going to argue that the city has no interest in public health then if we follow your argument to its conclusion then we should build over all the playing fields

      • Elizabeth

        Getting v.specious.
        The pool is what it is and should be treated on its own merits and according to how keenly people want to donate to its upgrade and repair.

        • Mike

          Well of course I’m being a bit silly there, but only to show up Thomson’s equally silly inconsistent point of view.

          When I was injured and going to the physio pool every day (and paying to get in every day mind you, at the same price as for Moana) there was no alternative, Moana pool wasn’t accessible (I started off having to be winched in) and I would have frozen there quickly – I think that the SDHB should contribute to it being open, the alternative is sending people to gyms with multiple live people to look after them (rather than just one lifeguard) – but equally I think there’s a bunch of, mostly older, people who do use the pool as some younger person might use a playing field – the city should kick in something there too.

          Certainly keeping the physio pool open is more important that subsidising places for people to sit on their arses, drink beer, and watch sport – that’s what pubs are for.

        • Elizabeth

          I’m annoyed – had just obtained my doctor’s letter to qualify for discounted pool entry, was heading to get a concession ticket for aqua jogging to lengthen muscles in lower left leg (to correct ‘mountain goat’), and BAM~!!! No pool ahead…. Clearly, Mike, you’ve found Physio pool use to be a major factor in your recovery. Previously, I used it to repair back injury. TBH really miss the Auckland heated backyard pool society – had a great pool and spa for about 4 years, spoilt rotten.

        • Mike

          Yes I am too, while I no longer need the pool I may yet again, but equally every person in Dunedin is one miss-step away from what I went through, I just generally see this as a greater communal good that should be available and I want it to be there whether I need it again or not – I’m going to write a big cheque.

          Of course the people who really need the Physio pool aren’t going to be marching down George St.

        • Elizabeth

          You’re onto it. Nice.

  20. Elizabeth

    ### dunedintv.co.nz July 24, 2014 – 6:06pm
    Options explored to save historic facility
    Staff and users of Dunedin’s physiotherapy pool are exploring options to save the historic facility. The Southern District Health Board plans to close the pool in December because it’s too expensive to run and needs an upgrade. But dozens are eager to find a solution, as it means more to the city than many may think.
    Video

  21. Elizabeth

    ### ODT Online Thu, 31 Jul 2014
    Something special about physio facility
    By Eileen Goodwin
    The cash-strapped Southern District Health Board plans to close the [physio]pool in December. It is now up to city leaders and pool users to find a way to save the therapeutic and historic facility.
    Read more

  22. Elizabeth

    Physio Pool DONATIONS

    In reply to a letter by Sue Heap to the ODT editor today the following information is given:

    “Donations can be made to the Otago Therapeutic Pool Trust, c/o Neville Martin, secretary-treasurer, PO Box 870, Dunedin 9054.”

    Online banking: For those who no longer use Cheques, you may want to contact Mr Martin for the pool trust’s bank number.

    A new post will be made at this website later today to highlight the quest for donations.

  23. Elizabeth

    Trust will lobby to keep pool
    http://www.odt.co.nz/news/dunedin/311722/trust-will-lobby-keep-pool

    The news article explains that there is a meeting of the SDHB tomorrow to which the pool trust will present its submission. The meeting is open to members of the public. Details for the meeting will be added here and at a new post later today.

  24. Elizabeth

    Ironical:

    ### dunedintv.co.nz August 8, 2014 – 6:58pm
    Local supermarket launches fundraiser for the Dunedin Public Hospital
    A local supermarket [Countdown] has launched a fundraiser for the Dunedin Public Hospital. It’s part of a national campaign targeting medical facilities across the country. And those involved with the appeal have some lofty goals.
    Video

    See recent post and other new comments:
    6.8.14 Otago Therapeutic Pool at Dunedin Hospital

  25. Elizabeth

    Work split into four stages for Clinical Services Building.

    ### ODT Online Wed, 13 Aug 2014
    Scaffolding rises at Dunedin Hospital
    By Eileen Goodwin
    Scaffolding has started to go up on Dunedin Hospital’s clinical services building, which is being repaired to stop leaks. All contractors had been engaged for the major components of the $1.75 million repairs, and scaffolding had started on the south side of the building, Southern District Health Board finance director Peter Beirne said.
    Read more

  26. Elizabeth

    BIG promises from Labour!
    H-words: Hospital and Hillside

    “We’re going to do it here, we’re going to lead the way. Let’s go, let’s make a positive future for Dunedin and Otago.” –David Cunliffe

    ### ODT Online Fri, 22 Aug 2014
    Labour promises city millions
    By Eileen Goodwin
    Labour, if elected, will invest millions in Dunedin manufacturing and fast-track the Dunedin Hospital rebuild in a bid to restore the city’s fortunes, leader David Cunliffe promised on a visit to the city yesterday. The Hillside Engineering Workshops in Dunedin would be reopened using about $5 million from a new regional development fund, Mr Cunliffe told cheering union and party members gathered at Hillside Rd for the announcement yesterday afternoon.”
    Read more

    ****

    We saw the woodlouse coming, he seals it here.

    Dunedin list MP and former chief executive of Dunedin’s Mercy Hospital Michael Woodhouse, was also scathing of Labour’s promise to fast-track the Dunedin Hospital rebuild, calling it ”irresponsible”.

    ### ODT Online Fri, 22 Aug 2014
    Policies damaging, Joyce says
    By Vaughan Elder
    Labour’s policies would be damaging for Dunedin’s economy and its plan to revive Hillside Workshops shows it is out of date, Economic Development Minister Steven Joyce says. In contrast, Rail and Maritime Transport Union (RMTU) hailed the plan to revive Hillside as bringing hope to former workers yet to find skilled work since losing their jobs in 2012.
    Read more

    Yesterday: http://www.odt.co.nz/news/dunedin/313305/labour-promises-reopen-hillside

    Related Post and Comments:
    19.4.12 Auckland convention centre and 500 new gaming machines, or Hillside?

  27. Elizabeth

    ### ODT Online Sun, 19 Oct 2014
    Hospital sealing continues
    By Eileen Goodwin
    Repairs continue on Dunedin Hospital’s east face, on Cumberland St. Southern District Health Board finance director Peter Beirne said work had finished on the south and north faces of the building, including edge roof flashing and protection, sealing exterior concrete panels, and window repairs.
    Read more

  28. Elizabeth

    It’s not just the Hospital buildings that are in a sorry state (see post at top of thread), or indeed the callow majority sitting on the Southern District Health Board — led by ugly fruitcake Butterfield (pass me the sick bag), it’s now CRAZY DESPICABLY SORRY AT THE KITCHENS. There they are, a large knife held to their throats wielded by Central Government and the derelicts in governance at SDHB who are about to serve up spray-drenched shite from bloody China to all who sail (excuse the pun) in her. Yeah take them out —patients, staff, families, local suppliers, public…. cut costs, give them contaminated plane-style food, really? Like they don’t have enough to deal with on the health and wellness front already. Jesus Frigging Christ. And ruddy CATFISH, you fukkers.

    —-

    ### stuff.co.nz Last updated 17:36, December 11 2014
    Broccoli from China for patients?
    By Wilma McKay
    The Southern DHB envisages almost $900,000 in annual savings if it joins a national food services contract but hospital food workers say expect broccoli from China and catfish from Vietnam on menus. The DHB announced today it had decided to pursue a Health Benefits Ltd (HBL) business case for national provision of hospital food services. First it would consult with staff, board chairman Joe Butterfield said.
    Read more

    ODT 12.12.14 SDHB backs privatised kitchens

    INSULT TO INJURY
    ODT 12.12.14 Health Board head’s salary up $70k

    • Elizabeth

      When the [SDHB] approved privatisation in principle last year, it publicised claimed savings of $870,000 in the first full year, without mentioning implementation costs.

      ### ODT Online Tue, 17 Feb 2015
      Kitchen change will have cost
      By Eileen Goodwin
      Privatising southern hospital kitchens will cost hundreds of thousands of dollars before any “savings” can be realised, a new document reveals. A consultation document released by the Southern District Health Board shows the net extra cost in the first few months of Compass Group taking over the service would be $690,000. That is based on $1.12 million newly revealed implementation costs, offset by “gross benefits” of $430,000, in 2015-16.
      Read more

      • @Elizabeth
        February 14, 2015 at 7:57 am
        The Health Board better be careful. From Wikipedia – Compass Group
        The Compass Group is a huge multinational company. There have been many criticisms of that group. Criticisms of Compass Group include eg 2005 United Nations misconduct incident, Canadian Prisons but this one is interesting:-

        February 2013 Horse meat scandal
        In 2013, as part of the 2013 meat adulteration scandal DNA tests revealed that horsemeat was present in some meat products sold in Lancashire and Northern Irish meals.
        On 7 February 2013, it was revealed by the Food Standards Agency that the Findus beef lasagne range in the UK contained horse meat without proper declaration or official scrutiny Findus, Compass Group, Whitbread, Brewers Fayre and Premier Inn were indited for illegally selling concealed horse meat in food products. Compass Group had sold it to 47 Lancashire schools and a “small number” of schools in Northern Ireland.

        Patients might need to stick to ‘bangers and mash’.
        Moral of story ‘stick to your local supplier’. At least you can identify and clobber them.

        • Elizabeth

          Mick, too true.
          Sustainability, low food miles, health and safety, good nourishment/high food standards, efficiencies, employment and training, affordability, and happy ‘eaters’ can all be achieved for SDHB catering – with improvements to the existing SDHB kitchen system, food supply and staffing regimes without a major revolution (and certainly not by going with Compass !!).

        • Hype O'Thermia

          Remember the shortages and distribution problems when Christchurch got the shakes?
          What’s Plan B when there’s a road accident, resulting in many hours of detours and delays?
          What’s Plan C for when there’s a flood and roads get washed out, bridge approaches get washed out, maybe a bridge gets wrecked?
          What’s Plan D for when there’s a disaster (bus crash, building collapse….) or epidemic here with an unexpect6ed influx of patients, some requiring special diets including people who genuinely suffer life-threatening reactions it they don’t have gluten-free, no seafood and so on?
          What will these add to the predicted costs? My guess is that the predictions are based on not much going wrong, not often, and only on a minor scale. That’s how hokey “money-saving” schemes are usually promoted.

        • Elizabeth

          Hype, I would send this to financial wizard Richard Thomson (SDHB) if he hasn’t read it here first.
          (Hi Richard)

        • @Hype O’Thermia
          February 17, 2015 at 5:37 pm
          ‘What will these add to the predicted costs? My guess is that the predictions are based on not much going wrong, not often, and only on a minor scale. That’s how hokey “money-saving” schemes are usually promoted.’

          Well Hype, what I am pointing out is that these outfits like The Compass Group have a track record of smart arse shortcuts all taken at the expense of the ‘aunt sally’ places like Hospital Boards, Local and Central Government agencies. The will get entry by these so-called ‘cost savings’ but they will cream the system in short order. The Horse Meat deal that I mentioned is simply an illustration of this. Our local hospital was taken in bigtime by a wide boy who ‘swanned’. And the nitwits that allowed this to happen are still around for ‘seconds’ and seem to have learnt nothing. What happens is that the good old reliable and honest providers get swept away under these circumstances leaving the field open to the ‘wide boys’. Horse meat today – rice from China tomorrow. Not even a locally grown Brussel Sprout on the menu. There is every opportunity to cream the system and you can be sure that the opportunities won’t be missed.

      • Elizabeth

        ### ODT Online Fri, 6 Mar 2015
        Reprieve on hospital kitchens
        By Eileen Goodwin
        Unions have succeeded in securing a one-month delay in the decision on whether to outsource southern hospital kitchens. It allows more time to form a counterproposal to that of food giant Compass Group, in a bid to prevent the Southern District Health Board privatising hospital kitchens in Dunedin and Invercargill. The Service and Food Workers’ Union and the Amalgamated Workers’ Union formed a delegation to yesterday’s health board meeting in Dunedin to make the case.
        Read more

        • Elizabeth

          LET’S INCREASE OUR FOOD MILES, THAT’S CORPORATE-SPEAK FOR “SUSTAINABILITY”

          Patient meals would be prepared on-site, using components driven ”around New Zealand” in trucks, Compass said.

          ### ODT Online Fri, 13 Mar 2015
          Frozen meals – sent from Auckland
          By Eileen Goodwin
          Meals on wheels will be made in Auckland and trucked to Dunedin and Invercargill under a proposal to outsource hospital food services, the Compass Group confirmed yesterday. The Southern District Health Board is yet to decide whether to approve the proposal.
          Read more

        • Elizabeth

          There is – rightly – a healthy amount of scepticism about the reality of “savings”, the transparency of procedures, not to mention the flow-on effects and local impact of health proposals. (ODT)

          In the interim, it is to be hoped other counterproposals may offer a more palatable solution, which can retain jobs and services locally. (ODT)

          ### ODT Online Sat, 14 Mar 2015
          Editorial: Proposal hard to stomach
          OPINION The latest details of the proposal to outsource Dunedin and Invercargill hospital food services leave a bad taste in the mouth for southerners. The outsourcing was first proposed two years ago as part of a “national food service”, driven by Health Benefits Ltd, the Government’s health cost-cutting entity. HBL pushed the NZ arm of Compass Group, an international food and support services company, as its preferred provider for the service.
          Read more

          ****

          ### ODT Online Sat, 14 Mar 2015
          Frozen meals for South slammed
          By Eileen Goodwin
          A proposal to truck frozen meals on wheels from Auckland to Dunedin and Invercargill has sparked outrage in the South. Auckland is 1435km from Dunedin and 1639km from Invercargill. The Southern District Health Board hopes to save $7 million over a 15-year outsourcing contract with Compass Group, and will decide in May whether to approve the plan. […] The final decision will be made at the board’s May meeting.
          Read more

        • Elizabeth

          Communications director Steve Addison was jeered by some when he told them Compass would provide “nutritionally superior” meals.

          ### ODT Online Wed, 25 Mar 2015
          Hospital food outsourcing critics air concerns
          By Eileen Goodwin
          Concern over the proposed outsourcing of hospital kitchens dominated the first 30 minutes of a Southern District Health Board public meeting in Dunedin last night. The meeting was to discuss the board’s recently adopted “Southern Strategic Health Plan”.
          Read more

  29. Elizabeth

    The document shows Southern DHB could receive a funding increase of 1.89%, compared with the national average of 2.81%.

    ### ODT Online Wed, 17 Dec 2014
    ‘Brutal’ cuts will hit SDHB hardest: doctors
    By Eileen Goodwin
    The South will be hit especially hard by potential health cuts revealed in a leaked Cabinet committee paper, the senior doctors’ union warns. The papershows the Treasury warned the Government’s operating budget was “over-subscribed”, which meant making “difficult trade-offs” in next year’s budget.
    Read more

    ****

    Hospital Kitchens…….

    ### ODT Online Wed, 17 Dec 2014
    Costing details withheld
    By Eileen Goodwin
    The Auckland-based entity driving the privatisation of southern hospital kitchens refuses to release information about purported savings, citing commercial sensitivity. Announcing its decision to privatise the kitchens, the Southern District Health Board claimed it would save $870,000 in the first year alone. Asked for more information on claimed savings, the health board told the Otago Daily Times to ask Health Benefits Ltd, in Auckland.
    Read more

  30. Elizabeth

    The exterior is being fixed in a $1.75 million repair job, after the leaking clinical services building generated national publicity earlier this year.

    ### ODT Online Tue, 23 Dec 2014
    Hospital problems being fixed: board
    By Eileen Goodwin
    The poor condition of parts of Dunedin Hospital highlighted in official documents released yesterday by a Labour MP are being dealt with, the Southern District Health Board says. Dunedin North MP David Clark said in a press statement yesterday board documents he received under the Official Information Act showed an ”ongoing and embarrassing pattern of major building leaks and equipment failures”.
    Read more

  31. Elizabeth

    Grim cost realities – on top of the recent loss of ICU training accreditation (see ODT 20.12.14) due to the poor state of intensive care facilities at Dunedin Hospital. Insufferable.

    In a blow to Dunedin’s reputation as a teaching hospital, the College of Intensive Care Medicine of Australia and New Zealand withdrew the unit’s training accreditation, and last month turned down an appeal against the decision. The unit could no longer train intensive care specialists, apart from those already signed up. The problem could affect other specialties’ registrars too. (ODT 22.1.15)

    Government won’t sign off new hospital until SDHB improves its books. Further $72 million needed for ward block in next 10 years.

    ### ODT Online Mon, 26 Jan 2015
    $50m bill looms for Dunedin Hospital
    By Eileen Goodwin
    Up to $50 million will be needed to keep the clinical services building at Dunedin Hospital going for another 10 years, according to an assessment by the Beca consultancy group. It has to last until a new clinical services building is completed, which last year the Southern District Health Board estimated would take up to 10 years. The plan to rebuild has not been signed off yet; a business case is expected to go before the Cabinet some time this year.
    Read more

    Issues identified for Clinical Services Building (via ODT)
    • Damaged concrete on external panels with underlying steel reinforcement corrosion.
    • Water entering through roof requiring remedial work to gutters, parapets and penetrations.
    • Water entering concrete walls causing cracking and loosening of copings.
    • Windows in poor condition.
    • Replacement of large areas of internal suspended ceilings and mineral-fibre tiles.
    • Linoleum floor tiles beyond serviceable life.
    • Majority of the building internal areas deemed in need of refurbishment or redecoration.
    • Investigation required to fifth-floor egress routes and use of corridors for clinical equipment storage because of lack of storage space.
    • Numerous areas identified as containing asbestos.

  32. Calvin Oaten

    Those buildings were built in the ‘sixties’, just less than fifty years. Amazing, how, with all the modern technologies and methods that we still can’t match the builders of a thousand years ago. Look around Europe and see the cathedrals, Universities and all manner of structures that the only depreciation is the wearing out of flagstones from foot traffic. Could it be planned obsolescence as policy? I can understand the replacing and upgrading of furniture and technical apparatus, but Buildings?

    • Elizabeth

      The structural frames are one thing, the external claddings another; the internal services, layouts and fitouts (partitioning, gear, furniture etc) are quite another and very far from contemporary clinical standards. How many Governments have left the place to run down. Meanwhile spending on stadiums, rugby teams, racing, Rugby World Cup, America’s Cup, cycle networks, Treaty settlements (see Tremain today…Iwi investments lose $50m of $66m Treaty Settlement) – ie good money after bad. Let’s not start on the LGA and the millions and millions of dollars needlessly squandered by the likes of DCC. Through taxes, Dunedin Hospital deserved/deserves better but then look at the hopeless SDHB and its immediate predecessors. The chief executive is barely worth noting, or repeating. Just absolute rubbish at the board table and worse at the Ministry.

      Then, the often quite ridiculous demands we place on the Hospital as consumers of health services, albeit a trajectory of rising hopes of technical intervention to stave of death, attend to injury or other physiological/metabolic breakdown…. what if we each decide to forget, philosophically, the privilege paid to long-life uniqueness and difference – to again value the short and sweet humdrum human life, quickly amounting to compost was it.

      • Mick

        Well Elizabeth
        Perhaps the next thing will be to remove its status as a teaching hospital – that would be the coup de grace. The hospital would shrink to its perceived by some, proper status of ‘cottage hospital’ in keeping with the size of the shrinking city.

        • Elizabeth

          Mick, there is some appeal with that! Dunedin having been strangled to its demise more than helped by the DCC brainless-entitled – would have safely ejected the riff raff to other cities for work – leaving a few of us to face a brave new world. Sanitising. Clinical, even.

        • Mick

          Elizabeth
          There is always an upside to these things. Micawber would approve.

  33. Elizabeth

    There needs, promptly, to be a clear signal and timetable for a replacement clinical services building.

    ### ODT Online Tue, 27 Jan 2015
    Editorial: Dunedin Hospital’s Catch 22
    The problems at Dunedin Hospital’s seven-storey clinical services building keep mounting. […] The latest examination, released by Dunedin North Labour MP David Clark after he obtained it under the Official Information Act, is much bleaker. […] The detailed planning has to get under way in earnest and the Government must signal the go-ahead. It seems it will most likely be sited where the current children’s pavilion is and be of three or four storeys.
    Read more

  34. Elizabeth

    ### ODT Online Wed, 4 Feb 2015
    Hospital downgrade fears
    By Eileen Goodwin
    Views diverge sharply about whether Dunedin Hospital should become a lower-grade hospital, or should try to hold on to its existing status, feedback on a new Southern District Health Board strategic plan indicates. Part of the planning process for a new clinical services building at Dunedin Hospital, the strategy has been tweaked after consultation, and is before a health board committee in Invercargill today for approval. Submitters were “highly polarised” on the question of centralising some highly specialised services in Christchurch.
    Read more

    ****

    ### ODT Online Wed, 4 Feb 2015
    Hospital repair costs could reach $50m
    By Eileen Goodwin
    Throwing good money after bad on the clinical services building at Dunedin Hospital does not make sense and the rebuild should be sped up, Southern District Health Board member Dr John Chambers says. A 10-year informal estimate for the rebuild seems “extremely long” to him. It has been revealed in a new assessment the beleaguered clinical services building could need up to $50 million of repairs to keep it operational for another 10 years.
    Read more

  35. Elizabeth

    As announced by ODT’s Barry Stewart on Ch39 News last night, a helpful sign from the NZ Government.

    “The minister and I have an understanding that I will retire.” –Joe Butterfield

    ### ODT Online Thu, 5 Feb 2015
    New SDHB chairman, Butterfield to go
    By Eileen Goodwin
    Southern District Health Board chairman Joe Butterfield is to be replaced in the role. Contacted at health committee meetings in Invercargill yesterday, the Timaru accountant said he was “quite comfortable” with Health Minister Dr Jonathan Coleman’s decision to appoint a different person.
    Read more

    ****

    The public not engaging, and yet Ms Heatly now employs HOW MANY Comms staff – who must turn up to eat their lunch only.

    Committee members did not focus on the aspect said to have “polarised” those making submissions – a possible downgrading of Dunedin Hospital and more specialties centralised in Christchurch.

    ### ODT Online Thu, 5 Feb 2015
    Public not engaging with SDHB: Heatly
    By Eileen Goodwin
    Consulting on a plan for the future of health in the South revealed many people did not know how to engage with the Southern District Health Board, chief executive Carole Heatly told a health committee yesterday.
    The community and public health committee approved the plan, subject to minor changes, which is to set a “strategic” direction. Needed for developing a business case for a new clinical services building at Dunedin Hospital, it will go before the full board next month.
    Read more

    ****

    ### ODT Online Thu, 5 Feb 2015
    Clinical building ‘stuffed’
    By Eileen Goodwin
    A report showing the clinical services building at Dunedin is “stuffed” was received without surprise or disagreement at the Southern District Health Board’s hospital committee yesterday. The Beca peer review assessment says the building is uneconomic to refurbish to a modern hospital standard, and might cost up to $50 million to keep it operational until a new building is completed.
    Read more

  36. Elizabeth

    When SDHB and Richard Thomson (who is also DCC Chair of Finance, aaaagh!! aaaagh!!!! aaaagh!!!!!!) are asleep, history repeats….

    Given the high reliance of the DHB on information technology systems to deliver services, ”continuity of operations is a significant business risk”.

    ODT Online Sat, 7 Feb 2015
    `Significant risk’ found in state of SDHB’s IT disaster recovery plans
    By Elspeth McLean
    The Southern District Health Board’s lack of up-to-date disaster recovery plans for its computer systems is exposing it to significant risk, Audit New Zealand says. In its latest audit report on the board, completed in late September and released under the Official Information Act, Audit NZ said it was ”again” highlighting the risk around this, and the lack of a disaster recovery testing regime.
    Read more

    SAVE OUR PUBLIC HOSPITAL

    • Hype O'Thermia

      Relax. Lightning doesn’t strike in the same place twice…
      *#*ZAP*#*
      …aaaghhhhhh, it’s deaded me again, Neddy.

  37. Elizabeth

    ### ODT Online Sun, 8 Feb 2015
    Audit scrutinises board
    By Elspeth McLean
    Urgent improvement to the cash-strapped Southern District Health Board’s budgeting and forecasting practices is sought by Audit New Zealand. The audit report for past financial year, released under the Official Information Act, makes seven recommendations, classing four of them as urgent.
    Six months into the new financial year, the board’s proposed annual plan, with a $14.8 million deficit in a budget with $879.5 million revenue, has yet to be approved by the Ministry of Health. By the end of December, the board had blown this proposed budget, with its deficit at $14.9 million, $5 million more than planned for at that time.
    Read more

  38. Elizabeth

    Richard Thomson’s comments unhelpful (surprise!), and in regards to the social media campaign.

    Social media campaign founder Simon Smith, a gib stopper, of Dunedin, told the ODT he set up the page because of concern about the potential cost of repairs to the clinical services building. It was a “temporary fix” when a replacement building was needed.

    ### ODT Online Mon, 9 Feb 2015
    Swift denial of hospital ‘downgrade’
    By Eileen Goodwin
    The Southern District Health Board has moved swiftly to allay fears of a downgrade of Dunedin Hospital after more than 10,000 people joined a social media campaign in just over three days. The “Stop Dunedin Hospital from being downgraded” Facebook page had garnered more than 10,300 “likes” last night. Hundreds commented on the page with personal experiences of the hospital, condemnation of the Government, and pleas to the public to fight back.
    Read more

    https://www.facebook.com/pages/Stop-Dunedin-Hospital-from-being-downgraded/670234713085374

    Facebook - Stop Dunedin Hospital from being downgraded [modified screenshot 9.2.15]

  39. Elizabeth

    http://www.odt.co.nz/opinion/editorial/332543/public-fears-understandable

    Today’s editorial at ODT hits the spot and underlines the concerns most of us probably had with Richard Thomson’s statements published yesterday.

  40. Elizabeth

    ### ODT Online Sat, 14 Feb 2015
    Health board’s operational philosophy questioned
    By Eileen Goodwin
    The Southern District Health Board may be ”blindly following” now-discarded overseas trends of centralising specialist services, the Dunedin School of Medicine (DSM) has warned. The medical school says Dunedin Hospital and Southland Hospital could be promoted as teaching hospitals. This would draw on local resources to solve local health problems, rather than relying increasingly on the bigger centres.
    Read more

  41. Peter

    Well, Florence Nightingale did her nursing in tents with very poor lighting. Hence the lamp. Maybe that is good enough for the government?

  42. Jumbo

    There is no money to be saved in the kitchens, look further up the food chain.

  43. Calvin Oaten

    Richard Thomson’s bleat on the 10th Feb is commonplace for that man. He really likes the sound of his own voice – albeit in print – as he leaps to the front on most issues be it on SDHB business or DCC Council. It is salutary that he got the DCM (don’t come Monday) as SDHB chair from Minister Ryall only to sit in the corner and sulk instead of doing what Ryall intended and resign. No, he then puts himself forward at the next election and ‘name recognition’ got him re-elected. He has been the one continuous thread right through all the hospital’s trials and tribulations, with the major ‘snafu’ being the Swann debacle. It has never been satisfactorily explained how he, as chairman didn’t even have the ‘nous’ to ask about the Ferrari in Swann’s car park. The whole place is a chapter of ‘cockups’ one after the other with senior managers on obscene salaries sucking furiously at the public’s ‘hind teat’ with not a thought for the reason why hospitals exist. The fact that the only customers they get are inevitably in some sort of trouble is not a consideration, they are simply client units. It’s the Medical staff, the doctors and nurses who carry the real responsibility, and they do this brilliantly under duress. We see and hear of budget cuts and so called efficiency moves, all to little avail, just listen to Dr Chambers of the emergency triage department. Meanwhile we just hear that the Board CEO gets a salary hike of $70K. Putting her up towards $400K. Now we hear that the poor “clients” are to be fed with preprepared ‘wotsits’ of doubtful origin. Nothing in-house therefore unsupervised in terms of quality or freshness. All to save a few $100Ks. That of course makes way for the salary increases.
    Meanwhile the ‘braying’ of Thomson goes on and on, not a word being believable, just a massaging of a tarnished goods.

    {Link added. -Eds}

    • @Calvin Oaten
      February 17, 2015 at 11:12 pm
      “The whole place is a chapter of ‘cockups’ one after the other with senior managers on obscene salaries sucking furiously at the public’s ‘hind teat’ with not a thought for the reason why hospitals exist. The fact that the only customers they get are inevitably in some sort of trouble is not a consideration; they are simply client units. It’s the Medical staff, the doctors and nurses who carry the real responsibility, and they do this brilliantly under duress”

      Yes Calvin this whole debacle is leading us inexorably to degradation of hospital services at the expense of the Dunedin public. I truly fear that the next casualty will be the Teaching Status of the hospital with its impact on the University and again Dunedin. The signals are already apparent.

      {This morning’s posting of this comment, deleted. -Eds}

  44. Hype O'Thermia

    “All to save a few $100Ks.” I predict there will be bog-all savings, though the spending may be shuffled around into different columns in the spreadsheet to confuse the easily bewildered.
    Eg people who can see a Ferrari and either not know it’s way-way more expensive than your average Toyota, or know yet feel no curiosity about how it was paid for.

  45. Russell Garbutt

    There is no doubt whatsoever that Richard Thomson does not have the financial nous to understand what is actually going on under his nose. The Swann issue was going on for many years and no-one thought to ask why these “services” were being out-sourced? Mr Thomson took some days to comprehend that advance operational income was not the same as private construction funding on the stadium debacle, and certainly under his watch on the current DCC Council the city continues to bleed money for insane projects that no-one can afford.

    Public bodies governance – including the national government – are riddled with people who are either not qualified or capable of carrying out basic governance roles and there is the rub. Go round the Council table and figure out which multimillion-dollar company would appoint these people onto their Boards. And then do the same for the dross that sit in Parliament.

  46. Elizabeth

    Board member for SDHB has speaking rights? Is this by default in light of Mr Butterfield’s removal (cough, resignation).

    Thomson believed the board gave a potentially misleading “impression of immediate savings”.

    ### ODT Online Wed, 18 Feb 2015
    SDHB’s move ‘unhelpful’
    By Eileen Goodwin
    The Southern District Health Board should have been more upfront with the public about the cost of privatising the hospital kitchens, board member Richard Thomson says. It has been revealed the board will have to pay implementation costs of $1.12 million before it can reap the millions in promised savings from a 15-year contract with multinational food giant Compass Group.
    Read more

  47. Elizabeth

    Another STRONG reason not to vote Richard Thomson onto SDHB or DCC, again……….

    “[Richard Thomson] would not say if he had voted in favour of privatisation.” (ODT 18.2.15)

    Accountability to his constituents is off the menu.

  48. Peter

    Words like ‘unhelpful’… or ‘disappointing’… to describe a cock up…. are weasel words designed to smooth the waters, to appear to apologise without doing so, to get one’s organisation off the PR damage hook.
    This outsourcing, to achieve savings, is a ruse. The alleged $7m savings will disappear due to ‘unforeseen’ cost blowouts, such as transport costs between here and Auckland. (We are already $1.2m down) Compass is a multinational company, well versed in maximising profits for its shareholders. They are not fools. We are. For letting this happen by a Board that is obviously underperforming. Butterfield is gone. How long for Carol Heatley?
    So much for ‘food resilience’ here in Dunedin.

  49. Hype O'Thermia

    This outsourcing, to achieve savings, is a ruse……. So much for ‘food resilience’ here in Dunedin.”
    No, Peter. You are inappropriately demonstrating joined-up thinking. We don’t do joined-up thinking in Dunedin. Respect our top-level culture and stop being a misfit, please.

    • @Hype O’Thermia
      February 18, 2015 at 5:39 pm
      No, Peter. You are inappropriately demonstrating joined-up thinking. We don’t do joined-up thinking in Dunedin. Respect our top-level culture and stop being a misfit, please.

      Absolutely right Mr Hype O’Thermia. ‘Joined up thinking’ is so passé these days. And furthermore we all know that in Dunedin ‘nothing is connected to anything’. As Mr H so clearly observes is the case.

  50. Elizabeth

    Ms Curran said the board representatives ”fobbed off” most of the committee’s questions.

    ### ODT Online Thu, 19 Feb 2015
    SDHB ‘dropped ball’ at meeting
    By John Lewis
    Dunedin South Labour MP Clare Curran said the Southern District Health Board ”dropped the ball” during a health select committee meeting in Wellington yesterday. The SDHB delegation was fronted by chief executive Carole Heatly and several hospital officials, who faced a grilling from Ms Curran, a select committee member, who said Dunedin Hospital was an ”old, leaky building in desperate need of rebuilding”.
    Read more

  51. Elizabeth

    The Otago Daily Times had requested to individually profile specialties deemed to be vulnerable, but that was effectively declined.

    ### ODT Online Sun, 22 Feb 2015
    Future of vulnerable specialties unclear
    By Eileen Goodwin
    A controversial health plan says some specialties at Dunedin Hospital are struggling and may need to be combined with those of other health boards. […] Just what constitutes a struggling specialty at Dunedin Hospital is decidedly tricky to pin down. Specialty vulnerability has been identified in a new Southern District Health Board plan; but centralisation as a suggested remedy has drawn sharp reactions from some quarters.
    Read more

    The outline (via ODT)
    Southern Health Services Plan
    • Ten-year plan for health services in the South.
    • Criticised for lacking specific information and vague language.
    • Board members to consider approving plan on March 5.
    • Some submitters opposed suggestions of centralisation.
    • Plan to be used to help design a new clinical services building at Dunedin Hospital.

    ****

    ### ODT Online Sun, 22 Feb 2015
    Talks over redirecting patients
    By Eileen Goodwin
    Some South Island cardiothoracic patients seem likely to be redirected to other hospitals to give Dunedin more patients. Talks have been under way for months over redirecting South Canterbury cardiothoracic patients from Christchurch to Dunedin. Because of a domino effect, all Nelson-Marlborough cardiothoracic patients would then need to go to Christchurch. At present, some go to Wellington, and some to Christchurch.
    Read more

  52. Elizabeth

    ### dunedintv.co.nz February 25, 2015 – 7:17pm
    Southern District Health Board in the national spotlight
    The performance of the Southern District Health Board is in the national spotlight. Details about its latest health targets have been released by the Ministry of Health. Data shows the SDHB is excelling in some areas, but lagging behind in others.
    Video

  53. Elizabeth

    ### ODT Online Thu, 26 Feb 2015
    No takers for job, MP says
    By Eileen Goodwin
    No-one seems to want the “hospital pass” of being chairman of the beleaguered Southern District Health Board, Dunedin North MP David Clark says. It is three weeks since Joe Butterfield confirmed he was retiring at the request of Health Minister Jonathan Coleman. […] Dr Coleman said this week Mr Butterfield would stay until the middle of the year, and no-one had been offered the job yet.
    Read more

  54. Elizabeth

    ### dunedintv.co.nz February 26, 2015 – 6:02pm
    Dunedin Hospital overrun with visitors
    More money for Dunedin Hospital is being pledged by Health Minister Jonathan Coleman. He’s just toured the hospital, while in Dunedin for the local Cricket World Cup match. And while his visit drew attention from health board heavyweights, it was the sight of other big names that had patients excited.
    Video

    • Calvin Oaten

      Jonathon Coleman just had to look around himself and he would have spotted the most experienced and most self qualified person in the room. He would only have to plead briefly and Richard Thomson would be in like a ‘robber’s dog’.

  55. Elizabeth

    Health Minister Jonathan Coleman said the Cabinet would ”some time next year” consider a business case for the clinical services building rebuild.

    ### ODT Online Fri, 27 Feb 2015
    Date for new hospital ‘slipping’
    By Eileen Goodwin
    The Government’s time frame for a new clinical services building at Dunedin Hospital appears to have slipped. It comes as a new plan emerged yesterday for a $25 million upgrade for other parts of the hospital complex.
    […] Since the cash-strapped Southern District Health Board pulled out of its planned upgrade of Lakes District Hospital, last September, there has been uncertainty around Queenstown health services.
    Read more

    ****

    WISE DEBATE

    Would Waitaki be better served by the Timaru-based South Canterbury District Health Board.

    ### ODT Online Fri, 27 Feb 2015
    Health service split aired
    By David Bruce
    Waitaki’s health service is pondering a split from the financially troubled Southern District Health Board. The issue is raised in a report by Waitaki District Health Services, the company owned by the Waitaki District Council to provide health services in the district and to own and operate Oamaru Hospital.
    Read more

  56. Elizabeth

    Comment received Wed, 4 Mar 2015 at 9:15 a.m.

    What if? moderators unsure where to file this, under Hospital or DCC ?

    Management responsibility

    “Stoke Mandeville hospital has updated its senior management structure to include ‘spineless’ in addition to two existing layers in place since the 1980s: upper management, responsible for anything they were informed about, and lower management, responsible for not informing upper management about anything…….”
    Read more

  57. Elizabeth

    ### ODT Online Thu, 5 Mar 2015
    Hospital rebuild group formation pleases MP
    By Eileen Goodwin
    The Ministry of Health is forming a group, to include The Treasury, which will plan the rebuild of the Dunedin Hospital clinical services building. The chief executive’s report to today’s Southern District Health Board meeting says the membership of the “partnership group” will be confirmed next month.
    Read more

  58. Elizabeth

    Belatedly, to update the What if? archives:

    ### ODT Online Fri, 20 Mar 2015
    SDHB ‘in extreme difficulties’
    By Eileen Goodwin
    The Southern District Health Board is facing ”extreme financial difficulties”, meaning tough decisions have to be taken, departing chairman Joe Butterfield says. In an interview, Mr Butterfield disclosed the board’s likely deficit for the year had blown out further, into the ”high 20s” of millions of dollars. The situation will become clearer at a meeting on April 2, but it will be far more than the cash-strapped board’s initial projected deficit of $14.8 million.
    Read more

    ****

    ### ODT Online Sat, 21 Mar 2015
    Obscure health funding upsets
    By Eileen Goodwin
    Concerns over the fairness and secrecy of health funding have re-emerged in the wake of Southern District Health Board warning its deficit has blown out and it must cut costs. Critics of population-based funding say the formula does not allow for the health board’s large land area, and its high proportion of older people, while there is too much secrecy over how it works.
    Read more

    • Peter

      Frankly l have no real idea where the real problem is with health funding for the SDHB. Is it the government screwing down funding or an incompetent Board that won’t do its job properly? Probably both.
      For a start l am not reassured by the SDHB after the Swann fraud under Richard Thomson’s watch nor from the performance of Butterfield who seems to have been shown the door. His support for outsourcing hospital meals from Auckland is truly bizarre. Same for Thomson. Nor do I have faith in a Government led by John Key which appears to make up policy on the run to secure political advantage.

      • Hype O'Thermia

        The government underfunds health. It does the same as the DCC – there’s money for shiny things (and to invest in trying to squeak past Winston in the Northland buy-election) but necessities? Ahh, sorry. Sell some of the people’s money-earning investments for spending money. Squander it on yacht racing, stadium, sports-associated nice-to-haves, junkets, pay rises for people who realistically aren’t world-beaters who’d be snapped up like top footballers, ahem, if only… they may not be monkeys but they’re not all that far above, despite what their salary level implies.
        So then what do health spenders do with the limited amount of money they’ve got?
        Well, there was the period when our local yokelry took its eyes off the ball altogether while millions vanished out the staff door. Oops. Slow reactions to hints and mumbles, which didn’t reach the exalted ears, apparently.
        That’s what you get when management multi-task as test dummies for trainee anaesthetists.
        Then there’s an inbuilt warped sense of price vs value. Staff who do the diagnosing and taking apart and putting back together and good drugging and dealing with bad drugging and tranfusing and managing agony of body and mind, and do all the other stuff that makes a direct difference to people who aren’t okay, these are “worth” a certain salary per unit.
        Top management is worth a very great deal because it’s a world-wide market and if you pay peanuts you get monkeys – this must be true, it’s repeated so many times, right?
        This makes management totally unlike cardiologists, anaesthetists and do on, I mean where’s the world-wide demand for them eh? They are more akin to shelf-stackers, aren’t they – if they aren’t interested in working in an underfunded leaky hospital where treatment has to be rationed for $$ reasons even when the clinician has time and there are operating theatres available – if they aren’t prepared to work for the salary NZ has decided it’s prepared to pay – well sod off, we’ll re-fiddle the waiting lists and redefine “urgent” as “manana”. Anyway it’s not that much of an issue, anyone who really needs treatment gets it: they go private here or in Asia. Or put up with it with true Kiwi grit, no wonder there’s growing public acceptance of the idea of voluntary euthanasia.
        Given the way central government and local government manage allocation of that scarce resource, Money, it’s kind of weird that Peter asks, “Frankly l have no real idea where the real problem is with health funding for the SDHB. Is it the government screwing down funding or an incompetent Board that won’t do its job properly?”

        Short answer: Yes. And not or.

  59. Elizabeth

    ### ODT Online Wed, 1 Apr 2015
    Surgical suite waterproofed
    By Eileen Goodwin
    Almost a year after parts of the surgical theatre suite were drenched, causing surgery delays, work to repair leaks in the clinical services building at Dunedin Hospital is all but finished. The repair job cost just over $1 million, and would finish a couple of weeks ahead of schedule, facilities and site development manager Warren Taylor said yesterday.
    Read more

  60. Elizabeth

    ### ODT Online Thu, 2 Apr 2015
    Report suggests further delay for hospital rebuild
    By Eileen Goodwin
    A report suggesting another delay for the rebuild of the clinical services building at Dunedin Hospital is just a “pessimistic guess”, Southern District Health Board finance head Peter Beirne says. […] The paper to a board committee yesterday said detailed planning work for the $200 million clinical services building would be completed by December 2016.
    Read more

  61. Elizabeth

    Peter Beirne will oversee the development of the business case for the $200 million clinical services building.

    ### ODT Online Sun, 5 Apr 2015
    Role’s focus on rebuild
    By Eileen Goodwin
    The head of finance at Southern District Health Board is switching to a new position focused solely on the Dunedin Hospital rebuild. The creation of the new position is a sign of progress in the project, for which the board and the Government have been criticised for an apparent lack of urgency.
    Read more

  62. Elizabeth

    ### dunedintv.co.nz April 8, 2015 – 6:53pm
    Dunedin Hospital forging ahead with redevelopment plans
    The plan to completely redevelop Dunedin Hospital is forging ahead, with a person employed to oversee the project.
    Video

  63. Lyndon Weggery

    Having just recently attended the SDHB’s Strategic Health Plan feed back in Dunedin (all four of us) I came away with the impression that this Board Management is secretive, thinks it runs the health services in our
    Region – both governance and operations, and effectively stymies Board members from engaging in public debate. You cannot even email Board Members direct. The fixation with a deficit (est. $27M) which is little compared to the size of the budget ($850M) is alone driving their cost cutting; despite conveniently ignoring the abundance of “over paid” managers including the CEO. Financial management seems loose and the drive to cut costs as part of a continuation of the early 1990s’ health reforms seems to be the sole rationale for say, outsourcing the food preparation to Compass, nothing more, nothing less. At least I was able to extract a promise from Carole Heatly at the public meeting that she would find out the rationale for her management colleagues in Hamilton recommending to the May Board meeting of that DHB that they hold off turning their kitchen over to Compass until they see what develops in Auckland. Apparently there are employment issues with Compass that involve ex Hospital Board employees – not a good look and reason enough to exercise caution down here. But don’t hold your breath!!!

  64. Elizabeth

    ### ODT Online Thu, 9 Apr 2015
    Kitchen job losses outlined
    By Eileen Goodwin
    Up to 20% of hospital kitchen jobs in the South could be lost if a proposal to outsource southern hospital kitchens goes ahead. The figure is given in an assessment commissioned by the Southern District Health Board from Auckland consultant Pat Snedden.
    Read more

    ****

    SDHB AND RURAL HOSPITALS

    ### ODT Online Thu, 9 Apr 2015
    Hospital fund cut disparity warning
    By Eileen Goodwin on Thu, 9 Apr 2015
    A proposed 5% funding cut by the Southern District Health Board for its rural hospitals will affect some areas more than others, Clutha Health First chief executive Ray Anton says. Dunstan Hospital management has warned it would be forced to cut services if its funding fell 5% in the next financial year.
    Read more

  65. Elizabeth

    ### dunedintv.co.nz April 9, 2015 – 5:54pm
    Service and Food Workers Union prepares counterproposal to planned outsourcing
    The Service and Food Workers Union is preparing a counterproposal to the planned outsourcing of kitchen work at local medical facilities.
    Video

  66. Elizabeth

    ### ODT Online Fri, 10 Apr 2015
    Positives in meals outsourcing – report
    By Eileen Goodwin
    The money invested in Dunedin Hospital’s kitchen in recent years was not analysed in a report out this week giving the green light to outsourcing, its author says. “It just wasn’t part of the brief,” Auckland consultant Pat Snedden told the Otago Daily Times this week. […] Asked if the report considered the carbon miles involved in trucking meals and meal components to the South, he said it did not.
    Read more

  67. Hype O'Thermia

    Yay, the secret to presenting a convincing case for whatever you want: omit all significant “anti” factors.
    I tried that with my parents. I was a kid, I didn’t have a suit and a degree. They weren’t fooled for a moment.

  68. Elizabeth

    Golly-gee. It’s not like DCC doesn’t share crippling debt too before it slams SDHB.

    ### dunedintv.co.nz April 14, 2015 – 6:43pm
    City councillor slams proposal to outsource kitchen work
    A Dunedin city councillor is slamming the proposal to outsource kitchen work by the Southern District Health Board. Councillor Kate Wilson’s airing her concerns about what the deal could mean for struggling southern food suppliers. But those likely to take over say the new agreement could come with many positives.
    Read more

  69. Elizabeth

    ### ODT Online Wed, 15 Apr 2015
    Kitchen outsourcing defended
    By Vaughan Elder
    The organisations behind a plan to outsource hospital kitchens gave a presentation to Dunedin City Council without realising their comments could be reported. Representatives from Compass Group and Health Benefits Ltd, the Government’s health cost-cutting entity, defended the outsourcing plan at yesterday’s planning and regulatory committee meeting after the plan came under attack from Dunedin Mayor Dave Cull. If the proposal goes ahead, it is expected to result in up to 20% of hospital kitchen jobs being cut from kitchens in Dunedin Hospital, Wakari Hospital and Southland Hospital.
    Read more

  70. Elizabeth
    It is well for people to be aware of Compass Group and in particular this article cited below in Wikipedia especially under the heading ‘Criticisms of Compass Group.’
    I would be concerned about handing things over in this manner. It seems however to be the favoured ‘modus operandi’ of central government ATM.
    http://en.wikipedia.org/wiki/Compass_Group

  71. Elizabeth

    Govt appointee Butterfield is more dense than I thought.

    ### ODT Online Thu, 16 Apr 2015
    Volunteer quits over food plan
    By Eileen Goodwin
    Volunteers who refuse to deliver Compass-made meals on wheels will be doing the health system a ”disservice”, Southern District Health Board chairman Joe Butterfield says. Age Concern Otago, which co-ordinates the volunteer drivers, confirmed a volunteer driver resigned over the plan to truck meals on wheels from Auckland.
    Read more

  72. Elizabeth

    The Southern District Health Board will decide next month whether to outsource its kitchens to the Compass Group.

    ### ODT Online Fri, 17 Apr 2015
    Volunteers unhappy at meals plan
    By Eileen Goodwin
    A proposal to outsource meals on wheels could put drivers in an “awkward position” because they volunteer to help the community, not a multinational company, historian and long-serving meals on wheels driver Dr Terry Hearn says. This week Age Concern Otago confirmed a driver resigned in protest over the plan, and a handful of other volunteers were unhappy about it.
    Read more

  73. Elizabeth

    ### dunedintv.co.nz April 17, 2015 – 6:49pm
    Future of hospital food services to be decided in upcoming weeks
    The future of workers in local hospital kitchens is set to be decided within the next few weeks. The Southern District Health Board is considering outsourcing its food services to an Auckland-based business. But the national Service and Food Workers Union hopes its counterproposal will be chosen instead.
    Read more

  74. Elizabeth

    FO Compass
    A protest is planned on May 2 in the Octagon.

    ### ODT Online Tue, 21 Apr 2015
    System scrapped under outsourcing
    By Eileen Goodwin
    An electronic food system worth $350,000 will be scrapped if Dunedin Hospital’s kitchen is outsourced. Southern District Health Board acting chief executive Lexie O’Shea confirmed in an email the system would be redundant.
    Read more

  75. Elizabeth

    ### dunedintv.co.nz April 22, 2015 – 5:40pm
    Your word on hospital meals
    A proposal by the Southern District Health Board to make Dunedin Hospital meals in Auckland and truck them south has been met with widespread opposition. It would save the health board money, but local staff would lose their jobs. So with that in mind, the 39 Dunedin News Word on the Street team asked the public if Dunedin Hospital meals should be made in Dunedin.
    Video

  76. Elizabeth

    ### ODT Online Fri, 24 Apr 2015
    Union warns SDHB of legal action
    By Eileen Goodwin
    The Service and Food Workers’ Union has warned the cash-strapped Southern District Health Board could find itself embroiled in costly legal action if it goes ahead with food service outsourcing. National secretary John Ryall said the union would lodge the a similar case against Southern to the one it is fighting with the Auckland DHB over outsourcing.
    Read more

    ****

    Invercargill Mayor Tim Shadbolt has written a letter supporting the SFWU’s opposition to the move.

    ### ODT Online Fri, 24 Apr 2015
    Outsourcing benefits sought
    By Eileen Goodwin
    Dunedin Mayor Dave Cull says he is looking to potential benefits of the Compass Group hospital food outsourcing, while maintaining some reservations about the controversial proposal.
    Read more

    █ A protest is planned on May 2 in the Octagon, Dunedin, starting at noon.

    • Hype O'Thermia

      “Mayor Dave Cull says he is looking to potential benefits of the Compass Group hospital food outsourcing” – o for the love of dog, gimme a break! This is the man who started his mayoralty by pumping more $$$ into the Fubar Stadium “to make it work”! And the pump has never been turned off despite years of evidence that the accursed Fubar is never going to pay its way either in $$$ or in days of use, not even counting uses for which there are other venues in Dunedin e.g. Sunday market.
      If he’s told it’s a good idea to perceive “potential benefits” he’ll switch in an instant from acting in Dunedin’s interests to acting in support of Compass, just as he switched from opposing the stadium and clearly expressing the reasons it was a scheme composed of pure horse shit, to manning the pump that sends incoming rates into the outgoing stadium life support system.

      • Hype O'Thermia

        ClarkandDawe Published on Sep 10, 2014

        Clarke and Dawe – Australian Voting to be Outsourced. Millions Saved.
        “Tony Abbott, Australian Prime Minister” Originally aired on ABC TV: 11/09/2014

        {Embedded. -Eds}

      • Peter

        Oh, yes, multinational group, Compass, is there to help a NZ province’s financially strapped Health Board and maximising their own profits have nothing to do with it. They are offering them the golden goose and they would be fools to question their grand plan in detail. In fact, they are offering us a very bad deal, for them, such is their altruism.

  77. Elizabeth

    Sheer blither from Compass Group.

    ### ODT Online Mon, 27 Apr 2015
    New food service will benefit patients
    By Glenn Corbett
    OPINION The Southern District Health Board food services proposal focused on improved patient care […] Adoption of the proposal would be an opportunity to enhance the food services provided in the SDHB region while delivering significant cost savings. We at present provide patient food services and Meals on Wheels to seven of the 20 DHBs in New Zealand.
    Read more

    ● Glenn Corbett is the managing director of Compass Group New Zealand.

  78. Hype O'Thermia

    So it’s a real surprise that Glenn Corbett, managing director of Compass Group New Zealand, is telling us that “New food service will benefit patients”. Was this clearly identified as “advertorial” or “published by arrangement” in the ODT?

  79. Elizabeth

    Would you trust this man.

    Southern District Health Board member Richard Thomson addresses what he sees as the myths, misunderstandings and dilemmas over planned changes to board food services.

    ### ODT Online Tue, 5 May 2015
    Diet of facts and fallacies
    By Richard Thomson
    OPINION […] If we spend more on non-clinical things then we have less to spend on clinical things and that weighs heavy on my mind. […] I need to be convinced the contract is sound (15 years is a long time), that we have given adequate consideration to alternative ways of making savings without outsourcing, and that there will not be unintended consequences that have not been thought through, and I have to decide whether the impact on staff and local suppliers (whether winners or losers) is justified.
    Read more

    █ SDHB votes on the Compass Group proposal on Thursday.

    • Mick

      Elizabeth Yes I read it too. My view?
      He wouldn’t know a Lamborghini from a Datsun.
      He wants to get into bed with the likes of these as reported in Wikipedia – and there is much more. The man is an oaf.
      April 2015 Exploiting US Senate kitchen staff
      On 22 April 2015 the Compass Group was accused of underpaying their employees in the US Senate’s kitchen.
      How does he reconcile all the bad news about this group that every man in the street can see yet he pisses about writng crap articles in the ODT.
      Sheesh.

    • Peter

      I learnt something today. Well, I think I have. Apparently snap frozen food as opposed to regular freezing is as nutritious as freshly cooked food.
      Is this correct? lt would be good to have this verified by an expert in the field.

      • Hype O'Thermia

        Freshly cooked food and freshly picked veges start to lose quality and gain bacteria within moments, not that it’s significant straight away. Bacteria and yeasts that cause spoilage take a while to build up critical mass. Depending on temperature and whether it was left on a dry bench or rinsed then stored in the fridge, the silver beet that was picked this morning will still be perky by the time you want to cook dinner, or sadly drooping.
        Snap freezing is so fast that spoilage doesn’t have time to get going.
        That said, it’s like ordinary freezing in that whatever bugs it had when it was frozen are probably not killed and when thawed will continue from where they left off back when they were a comfy temperature.

        • Elizabeth

          In any case, this explore doesn’t deal to excessive food miles and profits going overseas via the f***tards Compass. We can do without Thomson’s false moralising. He should have resigned from the SDHB after Swann was charged. Instead, a whitewash/cover-up using both definitions.

  80. Hype O'Thermia

    I’ve no doubt that a big company COULD prepare and supply excellent meals. I’m sure they WOULD too, until their clients had disposed of their own kitchens and the space had been converted into something else so to change back, they’d have immense expense. Isn’t that how it goes?
    Airlines, for instance. New cheaper airline, better service, more focus on what customers want. Old airline undercuts, adds services until new airline fails. Old airline reverts to previous “this is what we offer, take it or leave it” attitude.
    Old airline has dropped profits while it was seeing the newcomer off, but that’s OK. Back in monopoly or near-monopoly position it can get back all that, and more.
    Relevant?
    A pattern?

  81. Cars

    Why don’t they get the local food provider to meet the cost/quality of Compass provided food for the SDHB and get rid of the issue and retain most of the jobs in Dunedin? At the rate we are losing jobs, Cull’s plan for an additional 10,000 jobs only appears possible at ratepayers’ additional expense.

  82. Calvin Oaten

    “The meals will be less nutritious.” The standards for the meals have been determined by a panel of DHB nutritionists and then peer reviewed by two external agencies. They stipulate what must be provided and, not withstanding the high standards our staff maintain in Dunedin, the proposal requires Compass to exceed what we are offering. If quality deteriorates, there are outs that allow us to walk away.

    So, by what measure, and who will decide if the quality is not to Compass’s high standard? Richard Thomson or the patients? Or will it need a panel of inquiry should a complaint be aired? If so, and it is found true, the walk-away option might not be valid if the existing kitchen and staff have been downsized to the point where it couldn’t cater. What then? Rest assured Compass will maintain the “high standard” at least till it is in an unassailable position then profits will be the principal criteria. It was ever thus, but Richard would be unable to comprehend that.

    Richard goes on to say, “I need to be convinced the contract is sound (15 years is a long time, he’s right on that point) and that we have given adequate consideration to alternative ways of making savings without outsourcing, and there will not be unintended consequences that have not been thought through, and he has to decide whether the impact on staff and local suppliers (whether winners or losers) is justified.

    All in all that is as good an example of bureaucratic gobbledygook as I’ve seen in a long time. This is just one example of many equally stupid statements throughout the piece. Typical Thomson ‘claptrap’, issuing words words words, saying precisely damn all. He just has to front stage every time, even though he was marked down severely by Minister Tony Ryall over the Swann fraud event under his watch as DHB Chairman.

  83. Calvin Oaten

    The ODT has been on the streets for all of seventeen hours, yet online, not a single comment on the Cr Vandervis’ “casts votes, but they count for nothing” front page article. I wonder why?

    • Elizabeth

      No comments allowed, Calvin. As per usual. Helps our views. Lovely.

      At one of Tuesday’s DCC meetings though, I hear the mayor almost disappeared from view missing his high seat.

      Lummy. So the Ch39 video footage should be exceptional this time round. Don’t miss it, when published.

    • Hype O'Thermia

      From the end of the “casts votes, but they count for nothing” article online:

      “Council staff later confirmed the cost of Mr Garbett’s presence at yesterday’s meetings was about $400.
      chris.morris@odt.co.nz
      Printer-friendly version”

      …whereas article on speeded-up housing plan for Arrowtown –
      “Depending on the effects, this “can” be notified to adjoining neighbours, he said.
      – David Williams & Guy Williams
      » Add new comment Printer-friendly version”

      NOTE: comments not enabled for Vandervis article.

      – See more at: http://www.odt.co.nz/news/dunedin/341105/vandervis-casts-votes-they-count-nothing#sthash.jnYOHBvt.dpuf

      • Anonymous

        There’s a funny wee odour surrounding Dunedin City Council, Dave Cull and Otago Daily Times. Probably all that strenuous carpet lifting and sweeping they’ve been doing. Another thing they appear to have in common is petulance. Now, not meaning to distract from the more important issues raised above, but their public display of affection for each other recently should have made constituents blush.

  84. Elizabeth

    ### ODT Online Thu, 7 May 2015
    Anger vented at health board’s kitchens meeting
    By Eileen Goodwin
    A petition with more than 7000 signatures opposing the outsourcing of hospital kitchens was presented at a crowded Southern District Health Board meeting this morning. More than 100 members of the public attended to protest the plan, a decision on which is expected today.
    Read more

    ****

    What do Southern District Health Board members think about outsourcing to Compass Group? Despite the gagging order in place, find out here: ODT: DHB member speaks out over outsourcing plan

    (via ODT)
    The SDHB meeting is today at Wakari Hospital, in Dunedin, at 9am, where board members are to be met by protesters.

    Simon Smith, organiser of the “Stop Dunedin Hospital from being downgraded” Facebook page, which has 13,400 “likes”, said people were gathering at 8.30am outside the hospital.

    As the Facebook entry says: SDHB announces how it voted at 3pm today.
    COMPASS GROUP OR NOT . . . .

    FB Stop Dunedin Hospital from being downgraded (detail)

  85. Elizabeth

    COMPASS WINS

    FB Stop Dunedin Hospital from being downgraded (detail 1)

  86. Elizabeth

    MURDER INSURRECTION

    ### ODT Online Thu, 7 May 2015
    Jobs to go as hospital kitchens outsourced
    By Eileen Goodwin
    The Southern District Health Board has announced it is going ahead with a plan to outsource its hospital kitchens. The move will see up to 20% of food workers lose their job. The board was not swayed by the strong public presence at today’s meeting, at which Grey Power, unions, workers and members of the public implored the board to rethink the proposal.
    The decision was taken during the public-excluded section of this morning’s meeting in Dunedin. After the meeting, the board issued a press release.
    Read more

    (via ODT)
    Some reacted angrily when a bid by board member Mary Gamble to shift the decision into the public part of the meeting was rejected by other board members. Her motion found only one supporter, fellow elected board member Dr John Chambers.

    ****

    PRESS RELEASE
    Southern DHB approves Compass Food Services Proposal

    Thursday, 7 May 2015

    Southern District Health Board approved the Compass food services proposal at its meeting today.

    Staff were informed of this decision immediately.

    “This has been a contentious issue and a difficult time for staff. We will support all affected staff through the process of transferring to Compass and will work with Compass to ensure that any job losses are at a minimum,” Southern DHB Board Chair Joe Butterfield said.

    “The community can be assured that food will continue to be of a high quality and that the range of meals and nutritional content will be improved.

    “The supply of food will remain secure. Compass are experts in providing meals in situations where supplies would otherwise be interrupted and contingency plans will be in place for any natural events.

    “It is important that the DHB reduces it deficit so that it can continue to provide the health services the community needs. We need to ensure that we work to be more efficient and make changes that will reduce our expenditure without compromising the quality of care.”

    For a copy of the Southern DHB Food Services Consultation Summary click here

    For a copy of the overview of Feedback on the Proposal with Responses click here

    For further information, please contact:

    Southern DHB Media Liaison Officer Melissa Garry, on 027 226 0633 or email melissa.garry @ southerndhb.govt.nz

    Source: http://www.southerndhb.govt.nz/news/media-releases/food-services-proposal/#.VUrpi3KJhFQ

  87. Anonymous

    Reading that template-tripe press release makes me sick.

  88. Lyndon Weggery

    This decision is so typical of this DHB. No mention of Carole Heatly’s promise to hold off until she had conferred with her Waikato management colleagues. Great that Mary Gamble and John Chambers voted against it but we need to know how the other publicly elected members voted including Richard Thomson. Any chance Elizabeth of finding this out? There are local elections next year and voters have very long memories.

  89. Elizabeth

    ### dunedintv.co.nz May 7, 2015 – 5:57pm
    Southern District Health Board approves food services outsourcing
    Despite widespread public opposition, the Southern District Health Board is outsourcing its food services. Board members voted to approve the controversial plan, after receiving a public petition against it. And that’s put jobs on the line.
    Video

  90. Elizabeth

    Up to 20% of workers will lose their jobs, but employees will not know their fate for months.

    ### ODT Online Fri, 8 May 2015
    Hospital food decision a bitter pill
    By Eileen Goodwin
    The embattled Southern District Health Board has approved a 15-year deal with a multinational corporation for food services after facing down an acrimonious public at a board meeting in Dunedin yesterday. More than 100 people were in the Wakari Hospital boardroom to make their feelings known about the outsourcing, which was signed off in principle last year but needed final approval.
    Read more

    ****

    The public is fed up with southern job losses and local infrastructure being downgraded.

    ### ODT Online Fri, 8 May 2015
    Handling of food services a PR debacle
    By Eileen Goodwin
    OPINION The Southern District Health Board food services decision is a public relations debacle, just when the board needs public support. The SDHB appeared nonplussed by the public concern, and a lack of communication was acknowledged by chairman Joe Butterfield this week. But while communication has been abysmal, it is doubtful the public would have bought the idea of the 15-year deal with a multinational corporation even if the board was upfront about the details.
    Read more

  91. Elizabeth

    ### dunedintv.co.nz May 8, 2015 – 6:34pm
    Local union seeks legal advice over hospital food services outsourcing
    The Southern District Health Board may be taken to court for its decision to outsource food services. Local union members are seeking legal advice on the issue. And they’re slamming the DHB for how it’s going about the change.
    Video

  92. Elizabeth

    DIVERSION – (comedy) link supplied
    Fri, 8 May 2015 at 5:20 p.m.

    lironshani Uploaded on Jan 16, 2008
    Modern Times – eating machine scene 1
    Charlie Chaplin

  93. Elizabeth

    Compass Group and Health Benefits Ltd representatives were admitted to the public-excluded session on Thursday where board members were considering their decision.

    ### ODT Online Sat, 9 May 2015
    Union to take legal action
    By Eileen Goodwin
    The Service and Food Workers’ Union has notified its intention to take legal action against the Southern District Health Board over the unpopular decision to award a 15-year food service contract to the Compass Group. SFWU organiser Anna Huffstutler yesterday confirmed the move, which is likely to be based on law protecting vulnerable workers.
    Read more

    • Peter

      Cr Jinty MacTavish has been hot on the local food resilience issue, yet she seems to be publicly silent on what has happened. Is this in deference to her Greater Dunedin colleague, Richard Thomson who voted for the Compass deal? lf so, she leaves her own credibility open to question. I must say I am surprised. Or should I be?

  94. Cars

    Almost All of the Dunedin councillors voted for food resilience, which tells you after the lack of declamatory opinion on the SDHB, that the DCC are not interested unless they can spend other peoples’ money in pursuit of any ideal whether a Core belief or not.

    Hypocrites all.

    Particularly Thomson who voted for food resilience in Dunedin and when yet charged with protecting actual required workers he has “changed his mind”. Let us fervently hope this desire for efficiency and accountability spreads to his other publicly funded job (which takes up much of his valuable time and is underpaid).

  95. Calvin Oaten

    The food resilience philosophy promoted by staff and Cr Jinty MacTavish, is like the recent ‘fossil fuels’ divestment decision, totally devoid of any intellectual in-depth analysis. Like the SDHB and Cr Thomson’s changing of his hat from supporting the DCC’s food agenda, to that of his SDHB duties wherein he supported the trucking in of food from afar. Now if that doesn’t show a shallowness of intellect by all parties involved in all those decisions then I don’t know what else it does. All of them, would be ‘meddlers and improvers’ run by their own ‘egotistical hubris’ constantly grubbing around looking for things not ‘broken’, but with a determination to ‘fix’ them. It’s called ‘Democracy in action’.

  96. Hype O'Thermia

    He has famous precedents:
    The Rt. Hon. Sir Joseph Porter, K. C. B. (First Lord of the Admiralty):
    I grew so rich that I was sent
    By a pocket borough into Parliament.
    I always voted at my party’s call,
    And I never thought of thinking for myself at all.
    I thought so little, they rewarded me
    By making me the Ruler of the Queen’s Navee!
    —– Gilbert & Sullivan, from HMS Pinafore.

    And that born survivor, the Vicar of Bray, a man of Circ du Soleil-standard flexibility (of beliefs):
    When Royal Ann became our Queen, then Church of England’s Glory,
    Another face of things was seen, and I became a Tory:
    Occasional Conformists base I Damn’d, and Moderation,
    And thought the Church in danger was from such Prevarication.
    And this is Law, I will maintain unto my Dying Day, Sir.
    That whatsoever King may reign, I will be the Vicar of Bray, Sir!

    When George in Pudding time came o’er and Moderate Men looked big, Sir,
    My Principles I chang’d once more, and so became a Whig, Sir.
    And thus Preferment I procur’d, from our Faith’s great Defender,
    And almost every day abjur’d the Pope, and the Pretender.
    And this is Law, I will maintain unto my Dying Day, Sir.
    That whatsoever King may reign, I will be the Vicar of Bray, Sir!

  97. Elizabeth

    ### dunedintv.co.nz May 11, 2015 – 5:57pm
    Dunedin Hospital upgrades a hot topic in parliament
    Dunedin Hospital is a hot topic in parliament, as politicians consider the facility’s planned upgrade. The leader of the opposition has just toured the hospital, following a visit by the health minister in February. And it seems both sides are keen to claim kudos, although there’s still doubt over when any improvements will happen.
    Video

  98. Elizabeth

    ### dunedintv.co.nz May 13, 2015 – 7:24pm
    Local union takes legal action against SDHB
    Legal action is being taken against the Southern District Health Board. It has been initiated by local union members, in response to the DHB’s decision to outsource food services. And with jobs on the chopping block, union members are hoping for a win.
    Video

  99. Elizabeth

    ### ODT Online Thu, 14 May 2015
    Hospital kitchen major supplier faces doubt
    By Eileen Goodwin
    A major supplier to the Dunedin Hospital kitchen faces uncertainty, but hopes to become a supplier for the Compass Group and avoid job losses. Kaan’s Catering Supplies provides fruit, vegetables and some other goods to Dunedin Hospital’s kitchen.
    Read more

  100. Elizabeth

    This health board didn’t have RT, and it didn’t sell out like the SDHB…. Nope, it saw plain sense – before government-directed lunacy and corporate greed hit it between the eyes. Let’s leave DUD and move to the warm, mightily productive Hawkes Bay.

    ### ODT Online Thu, 28 May 2015
    Nth Island health board rejects Compass food plan
    By Eileen Goodwin
    Hawkes Bay District Health Board rejected the Compass Group food outsourcing being pushed by the Government entity Health Benefits Ltd. The rejection could affect the Southern District Health Board because the number of boards in the scheme has an effect on the savings that can be delivered by the company under a national contract.
    Read more

  101. Elizabeth

    At last, commissioner considered for SDHB.

    RT might get done out of one of his stipends.

    http://www.odt.co.nz/news/dunedin/345112/commissioner-considered-sdhb

  102. Elizabeth

    DUNEDIN HOSPITAL REBUILD
    (someone who can see RT for what he might be ?)

    ### ODT Online Wed, 23 Sep 2015
    Consultant charged with rebuild ‘listens’
    By Eileen Goodwin
    The Hawke’s Bay consultant charged with overseeing the $300 million rebuild of Dunedin Hospital says he will listen to the community, and he cites the controversial food services decision to back his claim. Southern Partnership Group chairman Andrew Blair (59) is also a Hawke’s Bay District Health Board member, and that board voted unanimously to turf out the proposal to award its food service to the Compass Group.
    Read more

    Related Posts and Comments:
    17.6.15 Southern District Health Board sacked !!!
    5.12.13 Swann case: ODHB/SDHB and friends

  103. Calvin Oaten

    So Richard Thomson is in on this rebuild project as well. That just about guarantees it will be a fiasco. Of course the plus as far as he is concerned is that he will get richer.

  104. Hype O'Thermia

    I’m potentially encouraged:
    “Mr Blair’s background involves private healthcare – he is a former chief executive of Acurity Health Group Ltd.
    He has not been involved in a big public hospital rebuild, but oversaw building in the private health sector.”

    “The private health sector” doesn’t have the same attitude to spending as the taxpayer-funded sector, answering to shareholders vs OPM (other people’s money). If clinicians are listened to about the conditions that make their work easier/harder some of those infuriating designer, architect and self-qualified experts’ inefficiencies based on lack of understanding of the jobs that have to be done in that workplace may be veto’d before a cent is spent.

  105. Elizabeth

    ### ODT Online Sat, 26 Sep 2015
    Editorial: Wary eye on hospital progress
    OPINION At long last Dunedin Hospital’s vital signs appear to be improving. Health Minister Dr Jonathan Coleman has announced funding approval of $22.5 million to upgrade the ageing intensive care, gastroenterology and audiology units, including $7.3 million for urgent deferred maintenance. He also announced the appointment of a Southern Partnership Group to oversee the separate $300 million rebuild of the run-down clinical services building. Both announcements are positive signs of progress.
    Read more

  106. Elizabeth

    Perhaps a happier outcome for DCC Finance Committee is truly possible!

    ### ODT Online Thu, 1 Oct 2015
    Health my first love – Thomson
    By Chris Morris
    The head of the Dunedin City Council’s finance committee, Cr Richard Thomson, says he is ”stretched” and may be forced to step down at next year’s local body elections.
    Cr Thomson, a two term city councillor, is also a member of the Southern Partnership Group, tasked with overseeing the $300 million rebuild of Dunedin Hospital.
    Read more

  107. Elizabeth

    ### ODT Online Tue, 20 Oct 2015
    Concerns over hospital rebuild
    By Eileen Goodwin
    A document revealing the next step in the Dunedin Hospital clinical services rebuild is “deeply” concerning and shows there is no guarantee the city will retain the same level of hospital, Dunedin North MP Dr David Clark says. Released under the Official Information Act, terms of reference for the political appointees tasked with leading the $300 million redevelopment did not say, even in the broadest sense, what kind of building was expected, or when construction would start, Dr Clark said yesterday.
    Read more

  108. Elizabeth

    ### ODT Online Thu, 22 Oct 2015
    Asbestos found at Dunedin Hospital
    By Eileen Goodwin
    A press conference will be held this afternoon at Dunedin Hospital about asbestos found in areas that have disrupted patient services. This morning, the Southern District Health Board said in a statement asbestos had been found in radiology, on level 1, a laboratory, on level 3, and clinic rooms, a corridor, and theatre change rooms, on level 4, all in the clinical services building.
    Read more

    █ Anyone with concerns should contact 0800 214579, which is being manned by Occupational Health and Public Health nurses.

    ****

    ### Stuff.co.nz Last updated 12:06, October 22 2015
    Routine testing reveals asbestos at Dunedin Hospital
    By Hamish McNeilly/Fairfax NZ
    Dunedin Hospital has tested positive for asbestos. On Wednesday, routine testing revealed positive surface area swabs in radiology, laboratory, level 4 clinic rooms, theatre and corridor change rooms, and two level 5 corridors. Some areas have now been closed, with patients diverted through other areas to access ultrasound. Southern District Health Board Commissioner Kathy Grant said the DHB had been advised the risk assessment from asbestos was negligible to low for patients and staff.
    Read more

    • Elizabeth

      A medical union has contacted ODT to advise that the disruption is greater than media has been told.

      ### ODT Online Thu, 22 Oct 2015
      Patients disrupted after Dunedin Hospital asbestos find
      By Eileen Goodwin
      Ultrasound outpatient appointments at Dunedin Hospital have been cancelled for the rest of this week, and hospital officials can’t rule out that white asbestos found in an area leading into the ultrasound suite having come into contact with patients. At a press conference this afternoon, officials said patients were able to access ultrasound by a different route, and claimed patient services had not been disrupted.
      Read more

  109. Elizabeth

    ### dunedintv.co.nz Thu, 22 Oct 2015
    Asbestos found at Dunedin Hospital
    Experts are being consulted about the discovery of asbestos at Dunedin Hospital. The Southern DHB has closed some services at the hospital after finding the mineral in several parts of the building. And that’s just the first step in addressing the problem.
    Ch39 Link

    39 Dunedin Television Published on Oct 21, 2015
    Asbestos found at Dunedin Hospital

  110. Elizabeth

    More parts of Dunedin Hospital closed tonight until further notice following discovery of asbestos.

    ### ODT Online Thu, 22 Oct 2015
    More hospital areas shut due to asbestos
    By Eileen Goodwin
    The Southern District Health Board released results of its latest tests after 9pm, advising that the mortuary, the main stairwell and molecular pathology testing rooms (on the third floor) are now out of bounds. Alternative arrangements were in place for mortuary users, while the stairwell would be decontaminated tomorrow. The board said that while important, molecular pathology testing was not urgent.
    Read more

  111. In the wake of our latest hospital health scare. The spin doctors get more attention than the real doctors…
    Asbestos is a risk but it doesn’t need to kill people.

    Unless of course you are the southern district health dictatorship, anointed by no other than our “dear leaders” cronyistic but benevolent hands.

    I expected to read that emergency measures were being undertaken to continue to provide urgent services in the ultrasound department. Last year my life was dependent on that particular service for a short period of time. God forbid anyone had post-op complications yesterday…I thank the staff from the bottom of my heart for their care. Why is it the union today had to tell the truth and not the political appointees??

    In the face of this emergency this was their response “A senior communications manager has been flown in from Canterbury District Health Board to co-ordinate the board’s public response.” WTF??

    What about flying people in to fix the asbestos??

    Let me remind everyone the Southern District Health Board, which is supposed to be elected and representative, has been replaced by a doublespeaking National Party oligarchy, in a manner that costs us people more and provides us less accountability and significantly less healthcare…

    This article is unbelievable!! Read the whole thing to get a feel of an unbelievable, contemptible arrogance, now prevalent in our once was paradise…

    Even the journalist was astonished, full article
    http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11533654

    • Elizabeth

      Rikki, thanks very much for your comment. My media contacts at the Herald (via social media today) are saying the asbestos problem at Dunedin Hospital has been known about for years. Yet no action until today.

    • Hype O'Thermia

      From http://www.aic.org.uk/asbestos-related-diseases/

      Commercial use of asbestos has mainly been made using the following fibres:
      Chrysotile (white)
      Amosite (brown)
      Crocidolite (blue)
      These three fibres can be split into two distinct groups:
      Serpentines
      Chrysotile (or white) asbestos is formed of several scrolls and could be said to have a curly, silky nature.
      There is increasing evidence that the curly nature helps the human body to remove chrysotile fibres from the lung.
      Amphiboles
      Amphiboles are all other asbestos types.
      These fibres are more rod like in nature with the cross section comprising a uniform stacked arrangement of structural units.
      Amphiboles are generally straight and stiff, and so are more able to penetrate the lung wall.
      It could be said that amphiboles asbestos is more dangerous in one sense, as a proportion of any amphiboles fibres inhaled will never be removed from the human body.

  112. Elizabeth

    ODT: Hospital moves on asbestos scare
    An asbestos find has forced cancellations and closures at Dunedin Hospital, and the possibility that pregnant women have come into contact with white asbestos cannot be ruled out.

  113. Calvin Oaten

    The asbestos causing this latest political (because that’s what it is) scandal is most probably present in the building since it was built back in the ’60s’. Ask the nutter who flew in from Christchurch on a flight of fancy if he thought to ask for the register of asbestos caused deaths recorded in the Dunedin Hospital since the buildings inception? Then ask of those how many were dedicated to the hospital as the source of the affliction? Too hard? I think so, particularly for the brain.

    • Hype O'Thermia

      From what I’ve read it takes prolonged exposure to asbestos, mining it or demolishing it or cutting materials made of it, to eventually cause the illnesses associated it, after many years.
      Patients are not in hospital long enough for this to be realistically a danger.
      Staff? Maybe.
      A meaningful assessment would be, checking staff who have been working in that environment for several years. If they’re OK, no signs of asbestos-caused conditions, dial the panic down to ho-hum.
      Smoking + large-scale asbestos exposure raises the risk bigtime.
      Double-check for realistic assessment of risk: check staff who have worked there many years and are smokers.

      • Hype O’Thermia
        October 23, 2015 at 11:10 am
        You say:
        From what I’ve read it takes prolonged exposure to asbestos, mining it or demolishing it or cutting materials made of it, to eventually cause the illnesses associated it, after many years.

        According to Environmental & Occupational Health > American Journal of Industrial Medicine > Vol 3 Issue 3 > Abstract Occupational exposure to asbestos: Population at risk and projected mortality – 1980–2030 –
        In the United States it is estimated that approximately 9,700 asbestos-related cancer deaths are now occurring annually. It is expected, the mortality rate from past exposure will decrease, but still remain substantial for another three decades.

        The overall death rate for the US is 2,596,993. At that rate the percentage of deaths caused by asbestos related diseases is 0.0037%.

        You are right.

        • Further to my comment above in answer to Hype O’Thermia I say

          But….
          It should also be noted that these data relate to PAST PROLONGED EXPOSURE TO ASBESTOS IN RELATED INDUSTRIES. (USA data)
          See below:
          Asbestos; occupational exposure; risk assessment; morality projections
          Abstract
          Estimates have been made of the numbers of cancers that are projected to result from past exposures to asbestos in a number of occupations and industries. From 1940 through 1979, 27,500,000 individuals had potential asbestos exposure at work. Of these, 18,800,000 had exposure in excess of that equivalent to two months employment in primary manufacturing or as an insulator (> 2-3 f-yr/ml). 21,000,000 of the 27,500,000 and 14,100,000 of the 18,800,000 are estimated to have been alive on January 1, 1980.

  114. Elizabeth

    ### dunedintv.co.nz Fri, 23 Oct 2015
    Hazardous substances continued to be found at Dunedin Hospital
    More asbestos has been discovered at Dunedin Hospital, forcing the closure of extra services.
    Ch39 Link

    39 Dunedin Television Published on Oct 22, 2015
    Hazardous substances continued to be found at Dunedin Hospital

  115. Elizabeth

    Health Minister Jonathan Coleman is unavailable for comment as he is on his way to the United Kingdom for the Rugby World Cup and other official business.

    █ Anyone concerned about the asbestos should call 0800 214579.

    ### ODT Online Sat, 24 Oct 2015
    Nervous staff want asbestos answers
    By Eileen Goodwin
    Staff at Dunedin Hospital are nervous in the wake of the clinical services building asbestos scare, and want to know the cause of the contamination, health multi-union spokeswoman Deborah Powell says. […] Speaking on behalf of radiographers, laboratory workers, radiology stenographers, mortuary technicians, and radiology registrars, Dr Powell said she wanted the board to find the source of the contamination.
    Read more

    Asbestos: (via ODT)

    Affected areas in clinical services block
    •Mortuary Central stairwell
    •Staff-only areas on third, fourth, fifth and sixth floors.
    •Ultrasound suite
    •Two lifts

    Cleaning involves using special vacuum cleaners, wiping all surfaces with sticky wipes followed by a wet wipe to ensure there are no traces of asbestos remaining.

    •Risk to patients considered negligible
    •Risk to general staff very low to negligible
    •Risk highest for maintenance staff

  116. Elizabeth

    Tweet
    24 Oct 2015 at 6:14 pm

    Media Man (@The WarRoomNZ) Dunedin Patients evacuated over Abestos http://www.stuff.co.nz/national/73277772/asbestos-closes-parts-of-dunedin-hospital @clarecurranmp @whatifdunedin

  117. Elizabeth

    ### ODT Online Thu, 29 Oct 2015
    Hospital asbestos questions
    By Eileen Goodwin
    Maintenance and trade staff at Dunedin Hospital were issued full-face asbestos protective gear up to six weeks ago, and now want to know why the Southern District Health Board supplied it at that time. The Public Service Association also says the board is not giving trade and maintenance staff adequate information and training to deal with the asbestos scare that has shut down parts of the clinical services building.
    Read more

  118. Hype O'Thermia

    It’s very dangerous but it’s nothing to worry about.

    Are asbestos granny-pants a wardrobe staple of Ms Heatly?
    They’re reputed to be efficacious in preventing bun-scorch due to nether-garments on fire.

  119. Calvin Oaten

    Efficacious!? I guess so. If that was the desired result then they would be general issue to SDHB members. Richard Thomson in asbestos ‘Y fronts’, now there is a sight to conjure. Talking about thoughts, I see the SDHB are looking for someone to “clearly articulate” its “vision” and improve its relationship with staff and the wider community. Now that’s right up Richard Thomson’s alley. If he applied and was appointed that would give him three bites at the same cherry, then he could resign from council. A ‘win win’ all round for the community I would have thought.

  120. Elizabeth

    ### dunedintv.co.nz Thu, 29 Oct 2015
    Impact of Dunedin Hospital’s asbestos problem still unknown
    Cleaners are continuing to remove asbestos from throughout Dunedin Hospital. The Southern District Health Board is focusing on getting patient services back to normal as soon as possible. But big questions remain about the impact of the problem.
    Ch39 Link

    39 Dunedin Television Published on Oct 28, 2015
    Impact of Dunedin Hospital’s asbestos problem still unknown

    ****

    ### dunedintv.co.nz Thu, 29 Oct 2015
    Nightly interview: Dr David Clark
    The government’s again coming under fire for not making the Dunedin Hospital rebuild a priority, following a large scale asbestos contamination. Dunedin North MP David Clark is the associate health spokesperson for the Labour Party, and he joins us to discuss the issue.
    Ch39 Link

    39 Dunedin Television Published on Oct 28, 2015
    Nightly interview: Dr David Clark

  121. Elizabeth

    Dr Margaret Wilsher’s appointment was announced by Health Minister Dr Jonathan Coleman in a press release yesterday.

    ### ODT Online Wed, 2 Dec 2015
    Criticism over city hospital role
    By Eileen Goodwin
    Auckland District Health Board’s chief medical officer has been named as the final member of the politically appointed group guiding the Dunedin Hospital redevelopment. Although called the “Southern Partnership Group”, four of its five members are in the North Island – three of them in Auckland.
    Read more

  122. Elizabeth

    Tue, 17 May 2016
    ODT: Hospital building project manager leaves
    The senior manager overseeing a multimillion-dollar building project at Dunedin Hospital has left for “family reasons”, and a project manager has been “seconded” from consulting firm PricewaterhouseCoopers. Southern District Health Board chief executive Carole Heatly said she accepted Peter Beirne’s resignation last month “with regret”.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s