System Fix host Barbara Fountain joins New Zealand Doctor Rata Aotearoa colleague senior journalist Martin Johnston for what started out as a rundown of events in health reform since health minister Simeon Brown took the reins in January, but which turned into a challenge to stay ahead of new announcements. After months of limited action in the sector, the start of 2025 has turned into a series of sprints. The initial recording was in June; two updates have been added....
Jul 15, 2025•35 min•Season 2025Ep. 34
Welcome to 2025. System Fix host Barbara Fountain joins regular panellists Gabrielle Baker and Tim Tenbensel as the health sector year starts with the surprise, or maybe not surprise, arrival of a new health minister - Simeon Brown. The team talk about what the change means for the reforms of the New Zealand health sector currently awash with job and spending cuts. We also canvas the future of funding and how a new minister might work to meet everything expected of him by the boss, prime ministe...
Jan 24, 2025•29 min•Season 2025Ep. 33
System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks to colleague and journalist Fiona Cassie about her feature story "Boiled frogs, tight nooses: The making of a PHO contract" to learn more about the mysterious general practice contract "negotiation" process run under the PHO Services Amendment Agreement Protocol, or PSAAP to its friends
Oct 02, 2024•28 min•Season 2024Ep. 32
After a sojourn, the System Fix panel is back with an update of the last five months in health reform - that is the time BEFORE health minister Shane Reti turned Te Whatu Ora and the reforms on their head by ditching the board and installing a commissioner. The Government Policy Statement on Health, a reality check on health targets, the puzzling road ahead for iwi Māori partnership boards and the move towards social investment are just some of the topics we touch on in Episode 27. Join host Bar...
Aug 05, 2024•38 min•Season 2024Ep. 31
How well do you remember those early days of the COVID-19 pandemic when New Zealand watched in apprehension as overseas the virus spread uncontrolled in Italy, health workers died on the job, and morgues ran out of room for the bodies of the dead. Specialist GP and writer Lucy O’Hagan remembers. In Waiting for COVID , Dr O’Hagan takes a personal journey back through her writings and observations of “COVID times”, reflecting on what the virus and the country’s reaction meant for primary care and ...
May 02, 2024•1 hr 37 min•Season 2024Ep. 30
Hand–arm vibration syndrome develops in stages and prevention is critical; when function deteriorates, it is necessary to consider it lost, unless a lot of hard work is put into rehabilitation, professor in occupational and environmental medicine David McBride explains. He reminds listeners of the usual occupational health algorithm: identify the hazard, assess the exposure, control the hazard, monitor the hazard and the individual, and give information and training
Apr 23, 2024•11 min•Season 2024Ep. 30
Exposure to high levels of whole-body vibration, such as that caused by driving forklifts and other forms of material handling equipment, can and does cause intervertebral disc degeneration. Professor in occupational and environmental medicine David McBride explains
Apr 23, 2024•11 min•Season 2024Ep. 30
It's a cracker episode with panellists and health policy experts Gabrielle Baker and Tim Tenbensel joining me, Barbara Fountain, to catch up on the latest in health reforms. The panel convened in the middle of a week that started with the Parliamentary debate on the disestablishment of Te Aka Whai Ora. You’ll hear about: The impact of the closure of Te Aka Whai Ora on Māori patients and providers and the wider reforms; The resulting brake on the rollout of localities, the increased role for iwi ...
Mar 05, 2024•38 min•Season 2024Ep. 29
The year 2023 is quickly becoming a distant memory as the great Kiwi summer does an excellent job of wiping the neural slate clean. System Fix host Barbara Fountain takes the opportunity of an unexpected convalescence, to refresh her memory by looking back at her editorials in 2023. The heart of New Zealand Doctor Rata Aoteraroa is in primary care and you will hear that theme loud and strong in this episode of System Fix. It's not a comprehensive look at the year - more of a fly by. So settle in...
Feb 15, 2024•46 min•Season 2024Ep. 28
Recent changes to the Arms Act 1983 and the launch of Te Tari Pūreke are intended to support the safe and responsible use of firearms in Aotearoa, making our communities safer. This article by Kendra Hill and Cathy Stephenson answers some common questions about the implications of these changes for health practitioners
Oct 24, 2023•12 min•Season 2023Ep. 27
New Zealand Doctor Rata Aotearoa journalist Fiona Cassie talks to Joe Bourne, the first GP to hold the role of chief medical officer at the Ministry of Health
Aug 04, 2023•16 min•Season 2023Ep. 26
New Zealand Doctor Rata Aotearoa journalist Alan Perrott's profiles Tāmaki Health chief executive Lloyd McCann in the first of our Long Read series
Jul 27, 2023•13 min•Season 2023Ep. 25
Abbe Anderson is Te Whatu Ora national director commissioning. The buck stops with her for any items relating to funding and planning in primary care and community health. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain recently caught up with Abbe via Zoom. They chatted about her passion to see a reform built on knowing what people want of their health system, progress with sector restructuring, why that capitation offer won't go past 5 per cent, the growth of local...
Jun 21, 2023•46 min•Season 2023Ep. 24
Five weeks after he was sacked as chair of the board of Te Whatu Ora, Rob Campbell reflected on what was going so wrong with the health reforms and what might be done to make it right. He was speaking to a meeting of the Fabian Society in Wellington. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain says that speech and Mr Campbell’s subsequent comments deserve more air time and replays it as part of this podcast episode. Mr Campbell provides the ultimate insider’s vie...
Apr 26, 2023•38 min•Season 2023Ep. 23
System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain is joined by regular panelists independent health policy consultant Gabrielle Baker (Ngāpuhi, Ngāti Kuri) and Auckland University health policy professor Tim Tenbensel for the first episode of 2023. You name it, we cover it - a new health minister, the end of the transition unit, progress with planned care, commissioning, iwi Māori partnership boards, localities, PHOs, capitation, pay parity, primary care funding, disab...
Feb 27, 2023•35 min•Season 2023Ep. 22
Iwi Māori partnership boards are a crucial element of the new health sector landscape. The boards are the Treaty partners in a system which has as a key priority achieving equity in health outcomes for Māori. System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain is joined by regular panelist Gabrielle Baker and guest Simon Royal to take a look at the challenges facing these new boards
Sep 29, 2022•41 min•Season 2022Ep. 21
System Fix host and New Zealand Doctor Rata Aotearoa editor Barbara Fountain provides a quick rundown of events around the 1 July launch of New Zealand's new central health entities - Te Whatu Ora - Health New Zealand and Te Aka Whai Ora - Māori Health Authority, and then makes way for senior journalist Martin Johnston's interview with Te Whatu Ora board chair Rob Campbell, who admits he was quite shocked when he realised quite how dysfunctional the health system was
Jul 12, 2022•32 min•Season 2022Ep. 20
As the 1 July deadline looms, System Fix host Barbara Fountain is joined by regular panelists independent health policy consultant Gabrielle Baker and Auckland University health policy researcher Tim Tenbensel, for a whistlestop tour of the latest developments in the roll out of the health reforms
Jun 20, 2022•33 min•Season 2022Ep. 19
System Fix host Barbara Fountain is joined by New Zealand Doctor Rata Aotearoa senior journalist Martin Johnston in conversation with Martin Hefford of the interim Health New Zealand, on the afternoon of 21 April, the day health minister Andrew Little announced the first nine prototype localities
Apr 27, 2022•39 min•Season 2022Ep. 18
It's been a while between podcasts, what with the summer break and now COVID making its mark in New Zealand. System Fix host Barbara Fountain joins regular panelists Gabrielle Baker and Tim Tenbensel to catch up with progress on the roll out of the health sector reforms, or as we like to call it, the Big Little Revolution
Mar 14, 2022•34 min•Season 2022Ep. 17
New Zealand Doctor Rata Aotearoa editor Barbara Fountain and senior journalist Martin Johnston recap progress with the country's health reforms in 2021
Dec 16, 2021•22 min•Season 2021Ep. 16
The health reforms legislation - Pae Ora (Healthy Futures) Bill - was tabled by health minister Andrew Little on 20 October and soon after passed its first reading. Regular System Fix panellists Gabrielle Baker and Tim Tenbensel join host Barbara Fountain with a mission in mind - their own reading of the bill, so you don't have to (though we know you probably will - it's the bane of being a health reform junkie)
Nov 04, 2021•55 min•Season 2021Ep. 15
New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks to Stephen McKernan, director of the Health and Disability Review Transition Unit, and his deputy, Martin Hefford, about function trumping form, a crucial health plan, central agencies vs local services, communities and localities, private providers, workforce, leadership and, ultimately, selling the plan for health sector reform and convincing people to stay the course
Oct 04, 2021•43 min•Season 2021Ep. 14
New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks to David Meates, former chief executive of Canterbury DHB and now roving health reform consultant, about how change happens in health systems…and more
Sep 09, 2021•46 min•Season 2021Ep. 13
New Zealand Doctor Rata Aotearoa reporter Martin Johnston interview health minister Andrew Little.
Aug 09, 2021•21 min•Season 2021Ep. 1
It’s just over 400 days since the report of the Health and Disability System Review Panel, aka the Simpson Report, was released. New Zealand Doctor Rata Aotearoa editor Barbara Fountain and regular System Fix panelists Gabrielle Baker and Tim Tenbensel catch up on the latest developments in the roll out of reforms to the New Zealand health system
Jul 28, 2021•26 min•Ep. 12
New Zealand Doctor Rata Aotearoa editor Barbara Fountain talks with rural health champion Kim Gosman about health reform and what it might mean for rural and Māori health
Jul 07, 2021•22 min•Ep. 11
New Zealand Doctor Rata Aotearoa editor Barbara Fountain caught up with folk in the rural health sector at the National Rural Health Conference to find out what they're thinking about the health reforms, in particular rural localities. Health and Disability System Transition Unit deputy director Martin Hefford provides some insights on the proposed changes
Jun 23, 2021•41 min•Ep. 10
Regular panelists, independent health researcher Gabrielle Baker and University of Auckland health policy researcher Tim Tenbensel, join New Zealand Doctor Rata Aotearoa editor Barbara Fountain to take on the challenge of interpreting what this year’s Budget might mean for health and more specifically the health reforms, and catch up on progress with the reforms rollout
Jun 04, 2021•28 min•Ep. 9
Health minister Andrew Little revealed his plans for the health system on 21 April with a restructuring which went well beyond that recommended in the Health and Disability System Review. Barbara Fountain and regular panelists Gabrielle Baker and Tim Tenbensel digest the news
Apr 23, 2021•27 min•Ep. 8
