On Wednesday 22nd August UCAN made the following presentation to the CCDHB Governance Board.
Good afternoon. I will speak to the item about the ‘Citizens’ Health Council’.
The UCAN network strongly supports the moves the Board is making to draw on the knowledge and concerns of the residents of the District.
We also know from experience that it is not easy to facilitate productive public discussion in this political environment.
As most Board members know we have contributed to the public discussion of Health by drafting a Health Charter.
The Charter has been endorsed by a majority of the members of this Board, a dozen well known organisations and three political parties.
We produced the Charter because the equity of primary health provision – I mean ‘primary health’ defined broadly – was being undermined in the Capital and Coast District.
We noticed that the changes in Capital and Coast planning and funding were favouring people with the money, knowledge and day to day capabilities to manage their access to health services.
We were particularly concerned as community and union health services suffered a series of cuts and restructurings that changed the nature of primary health care.
For example, the disappearance of integrated, locality-based models for primary health such as SECPHO.
We doubt that the efficiencies being driven by the national consortium of General Practices as ‘Health Care Home’ are designed for or by high needs populations.
Given these kinds of national strategies, we also note that the logic of your funding arrangements seems to encourage the Board to prioritise the needs of your predominantly low NZ Dep populations.
There are deprived populations in this District, perhaps not as geographically concentrated as in other Districts.
Our other principle concern is provision for group living and day time activity for people with enduring mental illness.
We regard the events that led to the closure of Mahora House has a scandal that has not been addressed properly. A year has past since the Board received the Mellsop report.
However we acknowledge and support preparatory work done by this Board to consider improvements across the system for people with mental illness.
We suggest that the two issues I’ve raised – primary health care for high needs populations and residential and day provision for people with mental illness – should be early items on the agenda of the Citizens’ Health Council.
We also suggest that you call for nominations to the Council so that those who cope with the situations I have described have an opportunity to influence and validate the selection process.
A nomination process would also increase the likelihood of forming a genuinely diverse and creative Council.
Objectives of DHBs
Every DHB has the following objectives:
(a) to improve, promote, and protect the health of people and communities:
(b) to promote the integration of health services, especially primary and secondary health services:
(ba) to seek the optimum arrangement for the most effective and efficient delivery of health services in order to meet local, regional, and national needs:
(c) to promote effective care or support for those in need of personal health services or disability support services:
(d) to promote the inclusion and participation in society and independence of people with disabilities:
(e) to reduce health disparities by improving health outcomes for Maori and other population groups:
(f) to reduce, with a view to eliminating, health outcome disparities between various population groups within New Zealand by developing and implementing, in consultation with the groups concerned, services and programmes designed to raise their health outcomes to those of other New Zealanders:
(g) to exhibit a sense of social responsibility by having regard to the interests of the people to whom it provides, or for whom it arranges the provision of, services:
(h) to foster community participation in health improvement, and in planning for the provision of services and for significant changes to the provision of services:
(i) to uphold the ethical and quality standards commonly expected of providers of services and of public sector organisations:
(j) to exhibit a sense of environmental responsibility by having regard to the environmental implications of its operations:
(k) to be a good employer in accordance with section 118 of the Crown Entities Act 2004.
Great reportage from Virginia McMillian, Journalist from NZ Doctor magazine:
Virginia McMillan email@example.com Tuesday 15 August 2017, 3:31PM
Patients’ experiences living on low pay and in cold, overcrowded houses are too common, Hutt Union Community Health Service chair and Living Wage New Zealand committee member Muriel Tunoho says.
Both the organisations that Ms Tunoho serves have endorsed a Health Charter (see illustration) that proposes liveable incomes and homes as rights for all. The charter was today handed over to Labour MP Grant Robertson outside Parliament.
The charter, developed by the United Community Action Network, received the support of Mr Robertson and New Zealand First’s acting health spokesperson Ria Bond.
UCAN sees the charter as a founding document for health. Coordinator Debbie Leyland told the small gathering in the Parliament grounds it was a challenge by which to hold to account all MPs and political parties.
Ms Leyland says the typical waits of two months for mental healthcare (“if you’re lucky”) are not acceptable, and nor are the country’s high rates of suicide, homelessness and mental illness.
One tangible way to address poverty
Ms Tunoho says the living wage is one tangible way to address poverty. The point was underscored by Paul Barber, NZ Council of Christian Social Services’ policy advisor, who said benefits were too low and beneficiaries’ health suffered the most.
“One of the best health treatments is to lift benefits and lift incomes for the lowest-income people. It’s the simplest treatment and it can be administered tomorrow if we want to,” Mr Barber said.
Instead, the Government was arrogantly paying down debt “with the anguish of the poor”.
Thirty-seven organisations belong to the Equality Network, which has endorsed the UCAN charter, he said.
More funded visits for children – NZ First
Ms Bond said her party wants to lift the funding for under-13s care to cover three visits a year, and to raise the age at least to 15.
Mr Robertson said equitable access to healthcare was a mark of a decent society.
Speaking for the Tick for Kids and the Child Poverty Action Group, Lisa Woods called on all political parties to ensure New Zealanders have the resources they need to thrive.
Child Poverty Action is a signatory to the charter, as are the Public Health Association, the public health department of the University of Otago, Wellington, the three Wellington union health clinics and the NZ Nurses Organisation, among others.
NZNO president Grant Brookes says the organisation welcomes the charter, “a refresh of the original primary healthcare vision”, and its focus on population health and eliminating disparities.
United Community Action Network (UCAN) press release
For immediate release
Monday 14 August at 7am
Health charter to be delivered to parliament
The United Community Action Network (UCAN) will deliver it’s health charter to parliament tomorrow, Tuesday 14 August at 1230pm on parliament grounds.
The College of Nurses, low-cost health providers, The Equality and Living Wage Networks and the Public Health Association Wellington branch are some of the groups who have signed the charter.
The charter calls for the right to: health care, a living income, a safe and healthy home, the ability to take party in society, a safe environment and an education.
UCAN is a national grassroots health rights organisation based in Wellington.
The group’s spokesperson, Debbie Leyland, says the growing gap between rich and poor sits next to health under funding as the country’s biggest health concerns.
“More and more people are being denied health care because they can’t afford it,” she says. “Poor housing, homelessness and low wages and benefits are as big a health problem as our growing waiting lists and number of people who need surgery but can’t get on a list.”
New Zealand has enough wealth to provide for all citizens but wealth is “poorly distributed”, she says.
“The provision of basic rights for all citizens just isn’t a priority.”
Leyland is calling on all political parties to support the charter.
Labour party finance spokesperson, Grant Robertson, Green Party social development spokesperson Jan Logie will speak at the presentation alongside representatives from Child Poverty Action Group, The Equality Network and The Living Wage Network.
It is essential that the issue of reducing inequality remains forefront with an election breathing down our necks. Any inaction on concrete and committed longterm planning to reduce inequalities will continue to have long-reaching impacts for those who live in the harshest of conditions in Aotearoa.
It is essential to keep the pressure up.
Image: Screenshot of Radio NZ page
Help make Health Funding an Election issue
Join the greatest health minds and activists to make health funding a key election issue.
YesWeCare.nz and United Community Action Network [UCAN] invite you to Health Funding Crisis Forums on Saturday 1st July from 10 am – 3.30 pm.
Our main forum will be held in Christchurch. It will be streamed online to events in Auckland, Wellington, any self-hosted events and online for those who can’t attend an event or where there isn’t one yet. (Want to host an event in your town?)
The pre-election budget is out and the smoke and mirrors around health funding has cleared.
Without action, more Kiwis are going to miss out on the mental and physical health care they need, when they need it.
That’s where you come in.
We’ve invited the most active community groups, workplace and health activists to work on a grassroots election plan.
Campaigning has made mental health a key election issue. We need to keep the pressure up and make physical health funding a key election issue as well.
At the forum, you’ll:
- Hear about the latest research on unmet need and health underfunding,
- How campaigning made mental health a key election issue, and
- Learn how to get your story in the media, or
- Discover how our new health and safety laws can fix unsafe workloads.
We’ll provide lunch. You’ll provide the energy.
For more information visit: http://yeswecare.nz/forums
What are your top three election priorities?
At the conference, we’ll be announcing three health pledges we want all parties, candidates and politicians to commit to in this election. We’re crowd-sourcing the asks and need your help to develop them.
If you or your organisation will struggle with travel costs, please let YesWeCare.nz know. They have a small fund to help.
We look forward to seeing you there.
Nāku noa, nā.
YesWeCare.nz Campaign Coordinator
027 526 8704
Pat Bolster & Debbie Leyland
On behalf of UCAN
United Community Action Network