DHB plans workshop to clarify roles

Brian Rousseau
Brian Rousseau
A "facilitated workshop" will clarify the roles of the DHB's board and management in response to criticism the two had become mixed up, a paper prepared for tomorrow's Southern District Health Board's hospitals' advisory committee says.

The workshop plan is one of 45 short "status updates" addressing the National Health Board report, which revealed a "culture of disempowerment" at Dunedin Hospital.

A previously signalled report from chief executive dealing with the issue of funding, which has proved controversial in the wake of the damning report, has not materialised.

In Monday's Otago Daily Times, 25 senior doctors took issue with the NHB's report, which they said ignored the role a lack of funding played in the hospital's woes.

Health Minister Tony Ryall has made it clear he believes the hospital's problems are due not to funding, but to a culture problem.

Questioned by the Otago Daily Times about the whereabouts of his report, Mr Rousseau referred to an agreement with the NHB not to waste time by debating the rights and wrongs of the report.

"Hence the agreement of the DHB and NHB to agree to disagree on the body of the report and focus on the recommendations, many of which we agree with."

Asked about funding, mention of which is largely absent from the "status updates", he said: "It is my view that, at the very least, hump funding will be required, and some of the recommendations will definitely require capital funding. Whether that is new funding or reprioritisation of existing funding will need to be determined."

Mr Rousseau noted the NHB had publicly acknowledged since publishing its report that many worthy initiatives already under way would address its concerns.

This is reflected in the paper for the meeting, in which the DHB frequently states suggested remedies are either already in place or planned.

Some responses say it would be up to the new chief executive to determine what measures are adopted. Mr Rousseau leaves the DHB on September 16.

The DHB rejects NHB criticism that old financial boundaries remain that should have gone in the 2010 Otago-Southland merger, stating there were no boundaries but a "perception of barriers". The clinical regional service model would prevent this in future, the DHB said.

The DHB appears to correct the NHB about the e-prescribing pilot, which it maintains was completed and evaluated in accordance with expectations, echoing comments in the Otago Daily Times last week by Dunedin Hospital internal medicine specialist Dr Andrew Bowers.

The DHB says it will hold a "CEO road show" early next month to ensure staff understand its vision and strategic direction. In addition, they would receive a "communication" on September 5.

The DHB would also appoint a short-term "public relations and marketing manager", subject to the new CEO's approval, to develop a communication strategy.

Association of Salaried Medical Specialists executive director Ian Powell told the ODT the management response appeared "muddled", with "tactics" seemingly designed to vindicate management and delay change.

It appeared from the paper that many NHB recommendations would not be implemented within the NHB's suggested time frames, he said.

Mr Powell said the issue of the old financial boundaries was "real" and had hindered the new DHB acting as a single entity.

eileen.goodwin@odt.co.nz

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