If you were wanting the best performance from a very large and complex organisation who would you want running it?
Would you want people with the skills and experience best suited to the task or a random group chosen by people who know little, if anything, about the requirements and those they are backing?
Health boards need the former but the system gives us the latter.
Otago University pro vice chancellor and Dean of Business, Professor Robin Gauld says it is clear the elected boards are not fit for purpose. . .
Boards have oversight for budgets worth billions of dollars and make key executive appointments, but all too often do not have the right skills, he said.
People voted in tend to be those with a high profile, often ex-mayors, MPs or sportspeople, who have name recognition.
The skills necessary are complex – everything from understanding medical IT, to how to deliver primary care, and financial skills – and the reality is that most candidates are unqualified, he said.
He wants more doctors on boards, but added it was just as important that they have the right skills.
Gauld believes the best solution is to scrap boards altogether. . .
He is right.
Churchill said that democracy is the worst form of Government except for all those other forms that have been tried from time to time.
That may be right for Government but it’s not for the governance of health boards which are well and truly past their use-by date.