Tag Archives: Otago Southland

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.
Read more

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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.
Read more

█ SDHB to consider submissions before announcing the final structure in June.

Related Posts and Comments:
8.4.17 Questions over Council’s Dunedin Hospital SOS campaign
6.4.17 ODT editor comments strongly #tick —Dunedin Hospital rebuild
27.3.17 Site Notice #DunedinHospital
26.2.17 Dunedin Hospital Redevelopment
6.2.17 Let the Ombudsman recommend for democracy at SDHB
24.1.17 SDHB/Govt : Physio Pool GRIEF
9.1.17 Audit NZ admonishes commissioner Grant and SDHB #Health
18.12.16 DCC set to take away CBD car parks without Economic Impact research
20.11.16 Delta at Dunedin Hospital #worseluck
7.11.16 SDHB #FAILS with Healthcare Communication and Governance

█ 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.

9 Comments

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

Let the Ombudsman recommend for democracy at SDHB

As we know, the slippery triumverate – Kathy Grant, Richard Thomson and Graham Crombie – have had a lot to answer for at both the SDHB and DCC/DCHL. An unsavoury grouping, best dissolved. Unfortunately, Health Minister Jonathan Coleman is not that bright.

### ODT Online Mon, 6 Feb 2017
SDHB restricts information access
By Eileen Goodwin
The Southern District Health Board is clamping down on information it has previously released without objection. Last week, the SDHB said it could no longer release commissioner Kathy Grant’s official correspondence unless the Otago Daily Times stated “specifically” which letters it is after. Previously, the board agreed to a general release of top-level inward and outward correspondence, subject to redactions to protect individual privacy. […] The ODT has also complained to the Office of the Ombudsman about the board’s response.
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For more, enter the terms *sdhb*, *kathy grant* and *hospital* in the search box at right.

Posted by Elizabeth Kerr

This post is offered in the public interest.

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Audit NZ admonishes commissioner Grant and SDHB #Health

kathy-grant-govt-nz-bw[govt.nz]

“By not declaring all interests, particularly the pecuniary interests, exposes the DHB to an increase in conflict of interest risk and potential for reputational damage.” –Report, Audit New Zealand

The auditors were also disappointed at a lack of progress in other areas. There were no up-to-date disaster recovery plans, a shortcoming identified previously. (ODT)

### ODT Online Mon, 9 Jan 2017
SDHB rapped over non-disclosures
By Eileen Goodwin
Audit New Zealand has told the Southern District Health Board to sharpen up its act on financial  disclosures after finding some interests had not been declared. Commissioner Kathy Grant made new declarations after the issue was raised by auditors, she confirmed to the Otago Daily Times. Mrs Grant had not realised they had to be declared.
….In its 2015-16 audit, Audit New Zealand recommended the DHB implement regular checks of the New Zealand companies office register to check for non-disclosures.
….The auditors said the DHB’s “key challenge” was maintaining sustainable services while trying to improve its financial position.
Read more

Kathy Grant is a consultant at Dunedin law firm Gallaway Cook Allan.

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Southern District Health Board
End of year update on the Dunedin Hospital redevelopment project

Wednesday, 14 December 2016
The Southern Partnership Group (SPG) is pleased with progress towards having an Indicative Business Case, with a shortlist of options for the redevelopment of Dunedin Hospital, completed by mid-next year. “Despite the ambitious timeframe, we’ve met our deadline to workshop the longlist of options by Christmas and are on track to have that narrowed down to a shortlist by mid next year,” SPG Chair Andrew Blair says. “The longlist options range on a spectrum from replacing the Clinical Services Building and refurbishing or replacing the Ward Block, to moving all hospital facilities to an entirely new hospital campus either nearby or somewhere else in Dunedin City….”
Read more

SDHB Annual Report 2016

Audit NZ 2015-16 Management Report

Posted by Elizabeth Kerr

This post is offered in the public interest.

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SDHB #FAILS with Healthcare Communication and Governance

randy-glasbergen-2000-glasbergen-com-via-funnyandhumorous-com[glasbergen.com]

“I read it in the paper — all the information I’m getting is from the ODT. Management doesn’t talk to us, really.” –Prof Jean-Claude Theis

### ODT Online Mon, 7 Nov 2016
Patients turned away
By Eileen Goodwin
Nearly a third of orthopaedic patients referred for a first specialist assessment are being turned away from Dunedin Hospital, and the situation is becoming “untenable”, orthopaedic surgeon Prof Jean-Claude Theis says. The Dunedin School of Medicine professor of orthopaedic surgery  said the relationship with Southern DHB management had become “very bad”. Orthopaedic surgeons were not consulted about a recent decision to outsource 129 surgeries. Prof Theis had not known about the outsourcing until an Otago Daily Times story a little over a week ago. […] “With management, we’re not getting anywhere. There’s no engagement. There’s no clinical governance any more, across the hospital.”
Read more

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Locum ophthalmologist Dr Peter Haddad last week blasted the SDHB for keeping quiet, calling the decision “grossly unethical”.

### ODT Online Mon, 7 Nov 2016
ODT: SDHB wanted ‘free and frank’ debate
By Eileen Goodwin
The need for “free and frank” debate among Southern District Health Board bosses meant they kept quiet about the growing ophthalmology waiting list and cases of patient harm. The issue was not discussed in hospital directorate reports presented at public committee meetings since May, when those meetings resumed. […] The board notified patients less than two weeks before the release of the annual national adverse events report, later this week, in which patient-harm cases have to be disclosed. It will show 30 cases of harm from ophthalmology delays in 2015-16. There is likely to be more recent cases not included in the report …. [Interim chief executive Chris Fleming] admitted patients should have been told sooner. In an interview last week, Mr Fleming argued the situation was in part “good news”.
Read more

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the-most-common-hospital-surgical-procedure-today-inkcinct-com-au[inkcinct.com]

Sun, 6 Nov 2016
ODT: Petition started about hospital rebuild
Frustration with what she sees as lack of progress on the rebuilding of Dunedin Hospital’s clinical services block has prompted a Dunedin woman to circulate a petition she wants people to send direct to the Prime Minister or National MPs. Those who sign will “pledge not to support the National Party in the next general election unless we have an officially approved blueprint from the Government, acceptable to staff at the hospital and the medical school, to rebuild the clinical services block at the Dunedin Hospital by November 2017”. Cont/

Sat, 5 Nov 2016
ODT: Mental health petition delivered to Parliament
Dunedin mental health campaigners delivered a petition to Parliament this week calling for a nationwide inquiry. The Life Matters Suicide Prevention Trust collected 1740 signatures. Chairwoman Corinda Taylor, with Denise Kent, presented the petition to Maori Party co-leader Marama Fox on the steps of Parliament on Wednesday. “The petition respectfully requests the House of Representatives to conduct a nationwide inquiry into mental health services to determine if current services meet the demand and if future planning is adequate to meet future demand.” Cont/

Fri, 4 Nov 2016
ODT: SDHB conduct ‘unethical’
Not telling patients sooner that they risked permanent sight loss from delayed hospital appointments was “grossly unethical”, says an eye doctor who last year warned the board about the problem. In response, the Southern District Health Board admitted yesterday it should have told patients earlier. More than 4600 patients have been notified they are overdue for their ophthalmology appointment. In the past two years, 34 patients have lost part of their sight permanently, and that number is likely to increase. Cont/

Thu, 3 Nov 2016
ODT Editorial: Eye off the ball?
OPINION The latest revelations around ophthalmology pressures at the Southern District Health Board are confronting, and the problems are only part of the iceberg nationally. Earlier this week, this newspaper reported patients were going partially blind while they waited for SDHB appointments. […] Fixing or managing problems can prevent issues compounding, and alleviate financial and physical pressures on the health system further down the line. […] Commissioner Kathy Grant has said she has confidence in SDHB medical oversight and governance, yet the problem is such that the board is prepared for more cases of harm to emerge and has notified more than 4600 patients they have been identified as being overdue for appointments. Cont/

Wed, 2 Nov 2016
ODT: Ministry of Health ‘ducking’
The Ministry of Health has been accused of “ducking responsibility” on the hospital eye appointment “disaster”. The ophthalmology pressures at the Southern District Health Board have caused some patients to go partially blind while waiting for an appointment. The senior doctors’ union and the Royal Australian and New Zealand College of Ophthalmologists say problems highlighted in the SDHB are widespread throughout New Zealand. Cont/

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“The problem has been exacerbated by the state of our information systems not being able to clearly identify this issue.” –Commissioner Kathy Grant

Wed, 2 Nov 2016
ODT: Grant stands behind Southern DHB
Commissioner Kathy Grant declined to be interviewed yesterday about the patient harm cluster in ophthalmology, but says she has confidence in Southern District Health Board medical oversight and governance. In a statement, Mrs Grant said she was told about Dunedin Hospital’s ophthalmology waiting list problem in the middle of this year. This week the board revealed 30 patients suffered partial sight loss in 2015-16 because of overdue appointments, on top of a group of four patients the year before. Six of the 30 have a “severe” degree of loss. […] The board has admitted it is not on top of the situation in Dunedin, and more cases of harm may emerge. More than 4600 affected patients have been notified. Cont/

2.11.16 ODT: Eye clinic treatment lists blow out

Sun, 30 Oct 2016
ODT: Extra orthopaedic operations sought
The Southern District Health Board is trying to find an external provider for an extra 129 orthopaedic surgery cases in a bid to meet a national health target. A request for proposal issued last week on a government website says SDHB would fund up to 129 extra orthopaedic procedures in 2016-17 in order to achieve a national health target. […] Orthopaedic surgery waiting times have been a source of tension between DHB management and orthopaedic surgeons. Surgeons have lobbied for more operations, and have suggested southern orthopaedic patients need to be more debilitated than in other parts of the country before qualifying for surgery. Cont/

Sat, 29 Oct 2016
ODT: Doctors’ strike caused hundreds of postponements
The Southern District Health Board has released new figures showing the impact of the junior doctors’ strike. Fifty-two patients had a procedure postponed and 725 outpatients had a hospital appointment postponed. Another 52 patients were not booked for an appointment or procedure once the strike notice was received, the board told the Otago Daily Times yesterday. Cont/

█ For more, enter the terms *sdhb*, *southern district health board*, *hospital*, *commissioner*, *food*, *pool*, *south link health*, *swann* or *white collar criminals* in the search box at right.

Posted by Elizabeth Kerr

This post is offered in the public interest.

nicefood-wolfescape-com[wolfescape.com]

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SDHB ‘food’ : Our eyes glaze over . . . .

Hospital food IMG_1206 main [Gurglars 1.5.16] 1Main, Dunedin Hospital – 1 May 2016 [Gurglars Media]

Fri, 2 Sep 2016
ODT: Petition calls on SDHB to ditch Compass
A petition calling on the Southern District Health Board to ditch its contract with the company supplying hospital meals in the area has been presented to the board’s commissioner. Real Meals coalition spokesperson Anna Huffstutler said they had gathered 3000 signatures for their petition to get rid of Compass. “We want the Compass contract gone, and the job of preparing hospital meals and Meals on Wheels back where it belongs – in hospital kitchens where local ingredients are used and local people are doing the work.”

Deputy commissioner Richard Thomson said a survey of SDHB patients showed satisfaction with meals in July was over 90%.

Sat, 3 Sep 2016
ODT: Anti-Compass deal petition presented
A petition calling for the Southern District Health Board (SDHB) to end the contentious Compass food contract was presented to SDHB commissioner Kathy Grant yesterday. The SDHB has faced criticism over the quality of the frozen meals since previously in-house hospital kitchen meals were outsourced in January. [Dunedin South MP Clare Curran] said the Compass contract was a “flawed project” which had caused a lot of grief for people in Otago and Southland.

### dunedintv.co.nz Thu 1 Sep 2016
The South Today
Petition calls for dumping of Compass contract
A food-oriented organisation has called on the Southern District Health Board to end its contract with Compass. The Real Meals Coalition has gathered thousands of signatures supporting the dumping of the contract. The quality of Compass meals in the region’s hospitals has been called ‘rubbish’. The petition, with 3000 signatures on it, is going to be presented to Commissioner Kathy Grant tomorrow. Compass has a 15 year contract with the DHB to provide ready-made meals, which some have criticised as disgusting and inedible.
Ch39 Link

Related Posts and Comments:
1.5.16 Hospital food according to Gurglars
8.4.16 Worsted
23.12.15 SDHB underfunded, no bandage
3.11.15 SDHB will ‘takeaway’ more than freshly cooked meals…
30.10.15 Dunedin Hospital #despair
17.6.15 Southern District Health Board sacked !!!
9.6.15 Southern District Health Board
16.4.15 Talk of replacing SDHB with commissioner
21.8.14 Dirty pool? #SDHB #University
6.8.14 Otago Therapeutic Pool at Dunedin Hospital
1.5.14 Dunedin Hospital buildings SORRY STATE
5.12.13 Swann case: ODHB/SDHB and friends

Posted by Elizabeth Kerr

Election Year. This post is offered in the public interest.

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C R I M E • against • S O C I E T Y

Commissioners who should know better

Kathy Grant
Richard Thomson
Graham Crombie
Angela Pitchford

### ODT Online Wed, 15 Jun 2016
$7000pw fees and expenses
By Eileen Goodwin
The commissioner regime is costing the Southern District Health Board more than $7000 in fees and expenses every week, an Official Information Act request shows. Between November 17 and May 17, the commissioner team incurred $159,600 daily fees and $25,405 for travel, accommodation and food.
As commissioner, Kathy Grant receives the biggest daily fee, $1400, and over six months she charged for 55.5 days, a total of $77,700. Mrs Grant’s annual pay is capped at $180,000.
Read more

leavingshame_peters [virtuartgallery.com] 1

Posted by Elizabeth Kerr

*Image: virtuartgallery.com – leaving shame behind (Peters)

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Barry Stewart –ODT editor

Barry Stewart [ODT files] 1b### ODT Online Fri, 14 Aug 2015
Stewart named 15th ‘ODT’ editor
The appointment of Barry Stewart as the next editor of the Otago Daily Times was announced yesterday by the managing director of Allied Press, Sir Julian Smith. Mr Stewart (57) will be the 15th editor in the 154-year history of New Zealand’s oldest daily newspaper.
Mr Stewart will also be editor-in-chief of Allied Press community newspapers The Star, The Ensign, Mountain Scene, Central Otago News, Southern Rural Life, The Courier (Timaru), Central Rural Life, Ashburton Courier, The News (North Canterbury), Southland Express and the Oamaru Mail.
Read more

Posted by Elizabeth Kerr

*Image: odt.co.nz – tweaked by whatifdunedin

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