SDHB change management: 59 roles proposed to go

Updated post
Sat, 29 Apr 2017 at 6:37 p.m.

At Facebook:

### ODT Online Fri, 28 Apr 2017
Roles dumped in SDHB proposal
By Eileen Goodwin
The roles of chief operating officer (COO) and deputy chief executive will be dumped in a sweeping management restructure proposal unveiled at the Southern District Health Board. In the formal document released yesterday, chief executive Chris Fleming said a new director of specialist services would replace the COO role. The proposed restructuring would not slim the executive leadership team. Its number would increase by one to 13 (including the chief executive), but there is quite a bit of change in the make-up of the roles. The brunt of job losses would be borne at the next two levels of management.
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Restructure proposal appears to break up a joint decision-making model which involves senior doctors and nurses.

Sat, 29 Apr 2017
Proposal devastates nurses
By Eileen Goodwin
Nurses are “devastate” by the proposed restructuring at the Southern District Health Board. New Zealand Nurses Organisation Dunedin organiser Lorraine Lobb said the proposal removed budgetary and operational control from nursing leadership. There would be fewer nurse management roles, and those who remained would have less say in decision-making, Mrs Lobb said. “We’re quite devastated by this proposal. We’re all about safe staffing, [and that] requires nursing leadership,” she said. The proposal would see a net loss of 23 management positions. It was unclear how many were nursing roles. […] The new chief nursing and midwifery officer would have no control over budgets as their underlings would only report to them on professional matters, she said. […] The proposal also removes operational responsibilities from the board’s top doctor, the chief medical officer. On operational matters, medical directors would report to the director of specialist services, rather than the chief medical officer.
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█ SDHB to consider submissions before announcing the final structure in June.

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█ For more, enter the terms *hospital*, *sdhb* and *swann* in the search box at right.

Posted by Elizabeth Kerr

This post is offered in the public interest.

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9 Comments

Filed under Business, Dunedin, Economics, Finance, Health, Hospital, Media, New Zealand, People, Politics, Public interest, SDHB

9 responses to “SDHB change management: 59 roles proposed to go

  1. Hype O'Thermia

    Looks good – fewer layers of management-as-a-career types overpaid for getting between decisionmakers and the hands-on professional workers.
    Not so.
    Might have guessed.

    “….New Zealand Nurses Organisation Dunedin organiser Lorraine Lobb said the proposal removed budgetary and operational control from nursing leadership.
    There would be fewer nurse management roles, and those who remained would have less say in decision-making, Mrs Lobb said….
    “We’re all about safe staffing, [and that] requires nursing leadership,” she said….
    The new chief nursing and midwifery officer would have no control over budgets as their underlings would only report to them on professional matters, she said.
    “When we’re at the front 24 hours a day, seven days a week, this is not what nursing needs at this time.”
    The proposal also removes operational responsibilities from the board’s top doctor, the chief medical officer.
    On operational matters, medical directors would report to the director of specialist services, rather than the chief medical officer.
    Senior doctors’ union representative Dr John Chambers said the proposal appeared to break up a joint decision-making model which had involved senior doctors and nurses….”
    https://www.odt.co.nz/news/dunedin/health/proposal-devastates-nurses

    No, this looks like taking the bolt cutters to the chains linking patients’ health needs, professionals who hands-on address patients’ needs, and high’n’mighty keepers of funds and resources.
    I get the sense in losing the fiction that Invercargill and Dunedin are just across the corridor. A role in both places is a guarantee of wasted time & vehicle use, shouldn’t have taken this long for the bleeding obvious to percolate up to thick carpet territory.
    Wrong emphasis re cutting out the fat [salaries offices and bonuses] though.

    • Elizabeth

      Dire. Thanks for updating yesterday’s announcement with the hard truths as published. What a seedy misfit organisation the SDHB has become. Public health services, what are they?

  2. Calvin Oaten

    59 pissed off people. Where is Richard Thomson now? How many people might die? How could we ever know? What a bureaucratic nightmare, all built round the dollar. Watch for the rapid expansion of the Marinoto development kick up a notch. There lies the answer, private health care for those who can afford it.

  3. Elizabeth

    At Facebook:

  4. Elizabeth

    At Facebook:

  5. Elizabeth

    At Facebook:

  6. Hype O'Thermia

    “Invercargill surgeons were reluctant to lower the service level, arguing more resources should be provided in Otago instead.” To me this says there is actually a suggestion that Invercargill and Dunedin Hospitals should become equal … without Dunedin being given the resources to come up to Invercargill’s standard.
    How shocking is that!

  7. Hype O'Thermia

    John Chambers is highly respected by people who work in the hospital – the ones who take care of patients not necessarily the staff who take care of spreadsheets. And he’s a PITA to those who support under-funding, rationing, “savings” in money at the expense of Otago people’s health.
    ‘Areas that used to house patients had, in some cases, been turned into offices and storage facilities.
    ”A whole lot of beds have been shut in Dunedin Hospital over the past 20 years……… With a bed comes a nurse, and that costs money,” Dr Chambers said.’

  8. Elizabeth

    At Facebook:

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