Scoop has an Ethical Paywall
Ian Powell
Otaihanga Second Opinion is a regular health systems blog in New Zealand.
Ian Powell is the editor of the health systems blog 'Otaihanga Second Opinion.' He is also a columnist for New Zealand Doctor, occasional columnist for the Sunday Star Times, and contributor to the Victoria University hosted Democracy Project. For over 30 years , until December 2019, he was the Executive Director of Association of Salaried Medical Specialists, the union representing senior doctors and dentists in New Zealand.
Ian Powell - Latest News [Page 9]
Taking The Threat To New Zealand’s Health System Out Of Simpson
Thursday, 4 March 2021, 4:40 pm | Ian Powell
On 23 February I had a lengthy article on the Heather Simpson review of New Zealand’s health and disability system published online by the Democracy Project . https://democracyproject.nz/2021/02/23/ian-powell-rescuing-simpson-from-simpson/ The essence of my article was that the Simpson review’s proposed major overhaul ... More >>
Reforming The Funding Of District Health Boards
Monday, 1 March 2021, 7:31 am | Ian Powell
There is a compelling case for reforming the way New Zealand’s district health boards (DHBs) are funded starting with two relatively low cost technical measures. DHBs are important because they are responsible for both community and hospital healthcare ... More >>
Public Health System Subsidises Private Health System But!
Thursday, 25 February 2021, 6:41 pm | Ian Powell
The relationship between New Zealand’s public and private health systems has long been a subject of debate, wariness and occasional controversy. Yesterday the results of a University of Otago study of patients who needed public hospital care after ... More >>
Rescuing Simpson From Simpson
Wednesday, 24 February 2021, 10:06 am | Ian Powell
(Originally published at The Democracy Project ) Will the health reforms proposed for the Labour Government make the system better or worse? Health commentator Ian Powell (formerly the Executive Director of the Association of Salaried Medical ... More >>
Patience Required For Vaccine Supply In New Zealand
Sunday, 31 January 2021, 2:43 pm | Ian Powell
Andrea Vance is a journalist I respect highly and make a point of reading both her columns and more in-depth pieces. I also admire her preparedness to call the government out for failings in the application of our internationally successful elimination ... More >>
Misplaced Attack On New Zealand's Response To Covid-19
Sunday, 24 January 2021, 7:19 pm | Ian Powell
Peter’s Covid dunne-over misplaced Former longstanding minister, including associate health, in both National (mainly) and Labour led governments Peter Dunne has earned a deserved reputation for his measured and methodological approach to matters. I ... More >>
Is There A Difference Between A Powerful Government And A House Of Cards?
Friday, 22 January 2021, 3:27 pm | Ian Powell
The 2020 general election produced the most powerful government New Zealand has ever had since proportional representation (mixed member representation) began in 1996. With three year terms we have now had nine elections under this system. For ... More >>
Simpson Restructuring Could Stifle Potential To Address Inequitable Māori Cancer Care
Monday, 21 December 2020, 6:06 am | Ian Powell
I have always been a fan of public radio and, in particular, Radio New Zealand. While one can question from time to time some of its reporting, generally it is solid and informative. Democracy is not just spending around 2-3 minutes every three years ... More >>
Necessary Health System Trade-offs Should Be Unnecessary
Friday, 11 December 2020, 5:49 am | Ian Powell
The National Bowel Screening Programme (NSBP), which began in 2017 following a pilot that started at Waitemata District Health Board five years earlier, is a welcome initiative long in its gestation and implementation. The screening programme is for ... More >>
Little In Health Systems Are What They First Appear To Be
Tuesday, 8 December 2020, 6:22 am | Ian Powell
One thing I quickly learnt after commencing work as the first Executive Director of the Association of Salaried Medical Specialists (ASMS) over three decades ago was that in the health sector little that happens is what it first appears. Invariably ... More >>
Health Restructuring Threatens Patient Voice
Monday, 7 December 2020, 10:09 am | Ian Powell
The opportunity for public voice is vital for the effective functioning of New Zealand’s health system. Inevitably voice boils down to the accessibility quality of comprehensive healthcare services for patients both at an individual treatment and population health ... More >>
Pay Equity Settlement For DHB Administration Staff Has Valuable Lesson For Medical Specialists
Friday, 4 December 2020, 6:18 am | Ian Powell
Under new gender pay equity legislation through an amendment to the Equal Pay Act in July the Public Service Association (PSA) has achieved a major win for clerical and other administration staff employed by New Zealand’s 20 district health boards ... More >>
Foot And Mouth By Health Unions Not Smart
Monday, 30 November 2020, 3:56 pm | Ian Powell
Health systems are labour intensive which makes workforce critical to their performance. The fact that New Zealand’s public system is highly unionised, especially health professionals, is a systemic strength. Health unions have proven to be essential ... More >>
Collective Bargaining And Health Systems: Place And Tide
Sunday, 22 November 2020, 6:21 pm | Ian Powell
Otaihanga Second Opinion is a health systems blog with a largely New Zealand focus. Otaihanga on the Kapiti Coast and by the Waikanae River is where I live. It is a Maori name meaning the place made by the tide. Linking collective bargaining to health ... More >>
The Extreme Consequence Of Overworking Medical Specialists
Wednesday, 18 November 2020, 6:18 pm | Ian Powell
One of the most distressing parts of my years working for the Association of Salaried Medical Specialists was when there was a member suicide. These tragedies were infrequent and invariably due to a range of factors. But they were a constant reminder to me ... More >>
Nursing Union Right To Encourage Nurses Not To Work In Unsafe New Zealand Quarantine Facilities
Sunday, 15 November 2020, 7:11 pm | Ian Powell
As a union the New Zealand Nurses Organisation (NZNO) is taking a strong line on what it has concluded to be serious health and safety risks for nurses working in government managed isolation (quarantined) Covid-19 facilities. NZNO NZNO is well ... More >>
Greens Need To Provide An Independent Voice Over New Zealand’s Health System
Tuesday, 3 November 2020, 6:12 am | Ian Powell
The stunning election outcome led to the largely unexpected outcome confirmed on 1 November of both New Zealand’s first single party (Labour) majority government since mixed member representation was introduced in 1996 and a cooperation agreement, ... More >>
Health Minister Talking Bonkers On Postcode Lottery And Simpson Review
Friday, 30 October 2020, 5:41 am | Ian Powell
Minister of Health Chris Hipkins is trying to justify the restructuring of DHBs proposed by the Heather Simpson review of New Zealand’s health and disability system with the argument that it will solve the problem of what he labels as the postcode ... More >>
Leadership Failures Threaten Public Trust And Confidence In Covid-19 Response
Wednesday, 21 October 2020, 6:14 am | Ian Powell
New Zealand’s response to the coronavirus has been outstanding by international standards. Even with the second recent outbreak in Auckland, according to World Health Organisation data as of 16 October, our mortality rate remained one of the best in ... More >>
Medical Profession: A Driver Of Health System Innovation
Friday, 16 October 2020, 6:36 pm | Ian Powell
During my over 30 years representing medical and dental specialists, primarily those employed by district health boards, it never ceased to impress me how much they generate sustainable innovation. Specialists by their nature and training are masters of complexity ... More >>
