Yes Minister approach to funding

30/07/2008

Yes-Minister  approach to funding means Dunedin women are not getting treatment for post-natal depression.

Women with postnatal depression in Dunedin are missing out on support because a $140,000 service which should have gone ahead last September has not received Otago District Health Board funding, Plunket says.

Plunket Society operations manager for Otago-Southland Barb Long says lack of the service, which will proceed only in a limited way next year with private funding, is a huge gap in services.

She said the society, which had been identified by the board as the preferred provider for the service last July, was only advised in May that the board would not be funding it.

Board chairman Richard Thomson said while he understood Ms Long’s disappointment, it would have been irresponsible for the board to introduce services it could not fund in the long term.

He describes the board as being stuck in a “Yes, Minister” situation (a reference to a British television programme which highlighted the foibles of bureaucracy) where it may get money to start up a service but not be funded to sustain it.

This is not the only Yes-Minsiter aproach to funding in the region.

Oamaru Hospital bought a CT scanner last year but the ODHB which holds the contract for scans will not pass over payment for North Otago patients. This means North Otago patients who qualify for ACC are getting scans locally but other people have to travel to Dunedin Hospital for publicly funded scans or pay to have them in Oamaru.

This is a ridiculous situation when Oamaru has the equipment and the expertise to provide the service while Dunedin has a waiting list for scans and it is a three hour return journey from Oamaru to the city. 

If people require a scan funding shouldn’t be dependent on where they get it.


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