NZ Herald
  • Home
  • Latest news
  • Herald NOW
  • Video
  • New Zealand
  • Sport
  • World
  • Business
  • Entertainment
  • Podcasts
  • Quizzes
  • Opinion
  • Lifestyle
  • Travel
  • Viva
  • Weather

Subscriptions

  • Herald Premium
  • Viva Premium
  • The Listener
  • BusinessDesk

Sections

  • Latest news
  • New Zealand
    • All New Zealand
    • Crime
    • Politics
    • Education
    • Open Justice
    • Scam Update
  • Herald NOW
  • On The Up
  • World
    • All World
    • Australia
    • Asia
    • UK
    • United States
    • Middle East
    • Europe
    • Pacific
  • Business
    • All Business
    • MarketsSharesCurrencyCommoditiesStock TakesCrypto
    • Markets with Madison
    • Media Insider
    • Business analysis
    • Personal financeKiwiSaverInterest ratesTaxInvestment
    • EconomyInflationGDPOfficial cash rateEmployment
    • Small business
    • Business reportsMood of the BoardroomProject AucklandSustainable business and financeCapital markets reportAgribusiness reportInfrastructure reportDynamic business
    • Deloitte Top 200 Awards
    • CompaniesAged CareAgribusinessAirlinesBanking and financeConstructionEnergyFreight and logisticsHealthcareManufacturingMedia and MarketingRetailTelecommunicationsTourism
  • Opinion
    • All Opinion
    • Analysis
    • Editorials
    • Business analysis
    • Premium opinion
    • Letters to the editor
  • Politics
  • Sport
    • All Sport
    • OlympicsParalympics
    • RugbySuper RugbyNPCAll BlacksBlack FernsRugby sevensSchool rugby
    • CricketBlack CapsWhite Ferns
    • Racing
    • NetballSilver Ferns
    • LeagueWarriorsNRL
    • FootballWellington PhoenixAuckland FCAll WhitesFootball FernsEnglish Premier League
    • GolfNZ Open
    • MotorsportFormula 1
    • Boxing
    • UFC
    • BasketballNBABreakersTall BlacksTall Ferns
    • Tennis
    • Cycling
    • Athletics
    • SailingAmerica's CupSailGP
    • Rowing
  • Lifestyle
    • All Lifestyle
    • Viva - Food, fashion & beauty
    • Society Insider
    • Royals
    • Sex & relationships
    • Food & drinkRecipesRecipe collectionsRestaurant reviewsRestaurant bookings
    • Health & wellbeing
    • Fashion & beauty
    • Pets & animals
    • The Selection - Shop the trendsShop fashionShop beautyShop entertainmentShop giftsShop home & living
    • Milford's Investing Place
  • Entertainment
    • All Entertainment
    • TV
    • MoviesMovie reviews
    • MusicMusic reviews
    • BooksBook reviews
    • Culture
    • ReviewsBook reviewsMovie reviewsMusic reviewsRestaurant reviews
  • Travel
    • All Travel
    • News
    • New ZealandNorthlandAucklandWellingtonCanterburyOtago / QueenstownNelson-TasmanBest NZ beaches
    • International travelAustraliaPacific IslandsEuropeUKUSAAfricaAsia
    • Rail holidays
    • Cruise holidays
    • Ski holidays
    • Luxury travel
    • Adventure travel
  • Kāhu Māori news
  • Environment
    • All Environment
    • Our Green Future
  • Talanoa Pacific news
  • Property
    • All Property
    • Property Insider
    • Interest rates tracker
    • Residential property listings
    • Commercial property listings
  • Health
  • Technology
    • All Technology
    • AI
    • Social media
  • Rural
    • All Rural
    • Dairy farming
    • Sheep & beef farming
    • Horticulture
    • Animal health
    • Rural business
    • Rural life
    • Rural technology
    • Opinion
    • Audio & podcasts
  • Weather forecasts
    • All Weather forecasts
    • Kaitaia
    • Whangārei
    • Dargaville
    • Auckland
    • Thames
    • Tauranga
    • Hamilton
    • Whakatāne
    • Rotorua
    • Tokoroa
    • Te Kuiti
    • Taumaranui
    • Taupō
    • Gisborne
    • New Plymouth
    • Napier
    • Hastings
    • Dannevirke
    • Whanganui
    • Palmerston North
    • Levin
    • Paraparaumu
    • Masterton
    • Wellington
    • Motueka
    • Nelson
    • Blenheim
    • Westport
    • Reefton
    • Kaikōura
    • Greymouth
    • Hokitika
    • Christchurch
    • Ashburton
    • Timaru
    • Wānaka
    • Oamaru
    • Queenstown
    • Dunedin
    • Gore
    • Invercargill
  • Meet the journalists
  • Promotions & competitions
  • OneRoof property listings
  • Driven car news

Puzzles & Quizzes

  • Puzzles
    • All Puzzles
    • Sudoku
    • Code Cracker
    • Crosswords
    • Cryptic crossword
    • Wordsearch
  • Quizzes
    • All Quizzes
    • Morning quiz
    • Afternoon quiz
    • Sports quiz

Regions

  • Northland
    • All Northland
    • Far North
    • Kaitaia
    • Kerikeri
    • Kaikohe
    • Bay of Islands
    • Whangarei
    • Dargaville
    • Kaipara
    • Mangawhai
  • Auckland
  • Waikato
    • All Waikato
    • Hamilton
    • Coromandel & Hauraki
    • Matamata & Piako
    • Cambridge
    • Te Awamutu
    • Tokoroa & South Waikato
    • Taupō & Tūrangi
  • Bay of Plenty
    • All Bay of Plenty
    • Katikati
    • Tauranga
    • Mount Maunganui
    • Pāpāmoa
    • Te Puke
    • Whakatāne
  • Rotorua
  • Hawke's Bay
    • All Hawke's Bay
    • Napier
    • Hastings
    • Havelock North
    • Central Hawke's Bay
    • Wairoa
  • Taranaki
    • All Taranaki
    • Stratford
    • New Plymouth
    • Hāwera
  • Manawatū - Whanganui
    • All Manawatū - Whanganui
    • Whanganui
    • Palmerston North
    • Manawatū
    • Tararua
    • Horowhenua
  • Wellington
    • All Wellington
    • Kapiti
    • Wairarapa
    • Upper Hutt
    • Lower Hutt
  • Nelson & Tasman
    • All Nelson & Tasman
    • Motueka
    • Nelson
    • Tasman
  • Marlborough
  • West Coast
  • Canterbury
    • All Canterbury
    • Kaikōura
    • Christchurch
    • Ashburton
    • Timaru
  • Otago
    • All Otago
    • Oamaru
    • Dunedin
    • Balclutha
    • Alexandra
    • Queenstown
    • Wanaka
  • Southland
    • All Southland
    • Invercargill
    • Gore
    • Stewart Island
  • Gisborne

Media

  • Video
    • All Video
    • NZ news video
    • Herald NOW
    • Business news video
    • Politics news video
    • Sport video
    • World news video
    • Lifestyle video
    • Entertainment video
    • Travel video
    • Markets with Madison
    • Kea Kids news
  • Podcasts
    • All Podcasts
    • The Front Page
    • On the Tiles
    • Ask me Anything
    • The Little Things
  • Cartoons
  • Photo galleries
  • Today's Paper - E-editions
  • Photo sales
  • Classifieds

NZME Network

  • Advertise with NZME
  • OneRoof
  • Driven Car Guide
  • BusinessDesk
  • Newstalk ZB
  • Sunlive
  • ZM
  • The Hits
  • Coast
  • Radio Hauraki
  • The Alternative Commentary Collective
  • Gold
  • Flava
  • iHeart Radio
  • Hokonui
  • Radio Wanaka
  • iHeartCountry New Zealand
  • Restaurant Hub
  • NZME Events

SubscribeSign In
Advertisement
Advertise with NZME.
Home / New Zealand

Editorial: Another troubling problem in the health system

NZ Herald
4 May, 2018 05:00 PM3 mins to read

Subscribe to listen

Access to Herald Premium articles require a Premium subscription. Subscribe now to listen.
Already a subscriber?  Sign in here

Listening to articles is free for open-access content—explore other articles or learn more about text-to-speech.
‌
Save

    Share this article

The Waikato District Health Board has been distracted for months because its board failed to do its job and rein in chief executive Nigel Murray. Photo / Christine Cornege

The Waikato District Health Board has been distracted for months because its board failed to do its job and rein in chief executive Nigel Murray. Photo / Christine Cornege

Editorial

Once again a troubling story has emerged from the public health system.

Our report today of cancer services being affected by conflict between managers and surgeons, and among senior doctors themselves, provides little comfort to patients in the system. They have every right to expect the treatment that they get in Auckland and Northland to be broadly comparable to services delivered in, say, Canterbury.

But that does not appear to be the case. It seems that the point where a patient enters the system can have a bearing on the outcome. The unsatisfactory state of affairs has been given a name — "postcode healthcare." In other words your address, which largely determines the location of treatment, can make a difference to the quality of care you receive.

Clearly a public health system such as we have in New Zealand cannot be expected to deliver perfection, or provide seamlessly equal services. But it is not unreasonable to expect the system to be managed efficiently, to deliver broadly similar levels of care, and for those working in it to put their personal agendas aside.

It is disturbing then to discover that a review of head and neck cancer treatment found that the quality of care across the upper North Island has been affected by years of "internal and inter-DHB politics. "

Advertisement
Advertise with NZME.
Advertisement
Advertise with NZME.

While these disputes were waged, some patients suffered to the extent that their illness progressed. Upsetting stories of battling cancer and a health system impervious for access to essential treatment were relayed by patients surveyed for the review.

Cancers affecting these New Zealanders can have distressing results. Patients can lose the ability to talk, eat, swallow, laugh, smile and kiss. It is not just a handful of patients affected. Every year some 500 New Zealanders learn they have head or neck cancer, and often must prepare for invasive and discomforting surgery.

As our report found, more than one patient who had their tongue and voicebox removed in surgery were later told they didn't meet the criteria for speech therapy. That is despite such support being critical to their ability to talk and avoid being tube-fed for the rest of their life.

Other cancer survivors are being forced to pay $5000 a year for devices to help them breathe, and which would be entirely funded if they lived in a neighbouring DHB. These are not the signs of a functioning, responsive system.

New Zealand's public health system is big, costly to run and in some places stretched to the limit. When shortcomings surface the impacts can be significant.

Discover more

New Zealand

GP visits change under money-saving model

05 May 04:00 AM
New Zealand|politics

'Postcode healthcare': The hospital war putting patients at risk

04 May 05:00 PM
New Zealand

Housing NZers biggest concern: survey

04 May 05:00 PM
New Zealand|politics

Midwives deliver message to Health Minister

03 May 01:28 AM

The Waikato District Health Board has been distracted for months because its board failed to do its job and rein in a powerful chief executive. The Counties Manukau District Health Board is grappling with leaks, rot and mould at new Middlemore hospital buildings. Now we discover cancer care problems having a direct impact on equity of health outcomes.

A feature of the recent series of failings in the health system has been the initial impulse of the institutions to try and prevent disclosure. The futility of this approach should be obvious as the public information agencies which promote disclosure tend to prefer openess and transparency.

Advertisement
Advertise with NZME.

The lesson is that reports which health boards would prefer to bury have a habit of surfacing.

New Zealanders know their health service is not impeccable, but they expect it to serve the people who pay for it. The challenge for health boards - and those who work for them - is to show they are meeting these expectations.

Save

    Share this article

Latest from New Zealand

New Zealand

From the theatre to a line mechanic: Hastings woman aims to inspire women into electrical trade

02 Jul 04:05 AM
AucklandUpdated

Dead baby found in Auckland wheelie bin, woman in custody

02 Jul 03:57 AM
New Zealand

Motueka prepares for floods

There’s more to Hawai‘i than beaches and buffets – here’s how to see it differently

sponsored
Advertisement
Advertise with NZME.

Latest from New Zealand

From the theatre to a line mechanic: Hastings woman aims to inspire women into electrical trade

From the theatre to a line mechanic: Hastings woman aims to inspire women into electrical trade

02 Jul 04:05 AM

'They just treat me like "one of the guys" but still realise I have different strengths.'

Dead baby found in Auckland wheelie bin, woman in custody

Dead baby found in Auckland wheelie bin, woman in custody

02 Jul 03:57 AM
Motueka prepares for floods

Motueka prepares for floods

'Potential to cause fatal accidents': Close to 1km of copper cabling stolen

'Potential to cause fatal accidents': Close to 1km of copper cabling stolen

02 Jul 03:43 AM
From early mornings to easy living
sponsored

From early mornings to easy living

NZ Herald
  • About NZ Herald
  • Meet the journalists
  • Newsletters
  • Classifieds
  • Help & support
  • Contact us
  • House rules
  • Privacy Policy
  • Terms of use
  • Competition terms & conditions
  • Our use of AI
Subscriber Services
  • NZ Herald e-editions
  • Daily puzzles & quizzes
  • Manage your digital subscription
  • Manage your print subscription
  • Subscribe to the NZ Herald newspaper
  • Subscribe to Herald Premium
  • Gift a subscription
  • Subscriber FAQs
  • Subscription terms & conditions
  • Promotions and subscriber benefits
NZME Network
  • The New Zealand Herald
  • The Northland Age
  • The Northern Advocate
  • Waikato Herald
  • Bay of Plenty Times
  • Rotorua Daily Post
  • Hawke's Bay Today
  • Whanganui Chronicle
  • Viva
  • NZ Listener
  • Newstalk ZB
  • BusinessDesk
  • OneRoof
  • Driven Car Guide
  • iHeart Radio
  • Restaurant Hub
NZME
  • About NZME
  • NZME careers
  • Advertise with NZME
  • Digital self-service advertising
  • Book your classified ad
  • Photo sales
  • NZME Events
  • © Copyright 2025 NZME Publishing Limited
TOP