Dai Henwood: Officer of the New Zealand Order of Merit
Dai Henwood has to be one of New Zealand's best-loved comedians. Being honoured today with Officer of the New Zealand Order of Merit, he's carrying on a family tradition joining BOTH of his parents, who have also had honours bestowed.
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RNZ News
24 minutes ago
- RNZ News
Advocacy group calls for free dental care as families prioritise food and rent
An advocacy group is calling for free, universal dental care. Photo: 123RF Dozens of people at a public meeting in Wellington have told of the desperate efforts they or others have taken trying to get dental treatment for rotting teeth. Advocacy group 'Dental for All' is taking its urgent message for free, universal dental care around the country - kicking off its roadshow this week. The group points to recent reports which found that 40 percent of New Zealanders cannot afford dental care and that the current dental system is costing the country billions of dollars annually in lost productivity and social impacts. Roadshow speaker and Auckland Action Against Poverty (AAAP) coordinator Agnes Magele spoke of the numerous hoops she'd had to jump through in the past to try and get the government dental grant - describing the process as dehumanising and humiliating. Magele said she still needed treatment and was currently in pain, but could not afford to get her teeth fixed. "I have half a broken tooth on one side, and other side I have the same ... I had to yank one of my teeth out by myself. "At the moment I have a gum infection, but I haven't been to do anything about it and I'm working through it. I have to." She said it was tough, but she could not afford to take a day off and had to prioritise her kids and her bills over her teeth. "It's hard, it's really hard. I have to put my oral health last, and everything else first." Magele said her job involved campaigning on behalf of others, but losing teeth meant she had lost some of her confidence. She said free dental care would be liberating and would help restore that. Those at Tuesday night's meeting in Wellington told RNZ about how they found themselves avoiding the dentist after turning 18 because the cost was too high. One person said he put off visiting the dentist for a decade. "It costs a heck of a lot of money ... so it wasn't a priority. But in that time, stuff stacks up." Another person, a doctor, said she had seen many severe "downstream effects" of untreated dental health, such as brain and heart infections. "It's very debilitating at the least and deadly at the most, for something so preventable." A teacher said despite access to free dental treatment, she still saw the shame around teeth for some of the kids she taught - and also for whanau. "You see it in families, in parents that don't want to come to parent-teacher interviews because they're whakamā or ashamed about what their smile might look like or how they communicate." Oral health therapist and speaker on Tuesday's panel, Lateisha Chant, specialised in dental care for tamariki/children, but said nearly every day in her clinic a parent would ask her for help. "They'll say, 'I haven't been to the dentist in so long, I just can't afford it, I know that I've got holes, I've had this tooth that's been really sore.'" She said often these whanau members would put up with painful decay, putting food and rent ahead of treatment. "That's the reality for so many people that I come across and also within my own family growing up." Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.
RNZ News
an hour ago
- RNZ News
Parents left out-of-pocket as orthodontic clinic closes
The boy's teeth when he was 10, before straightening treatment began at True Alignment Orthodontics and before all his baby teeth came out. Photo: RNZ / Supplied A former Cambridge dentist took thousands of dollars in payments for teeth straightening treatment days before he shut down his former practice from Panama. Dr Vernon Kruger claims True Alignment Orthodontics was not his practice in November 2023 when it closed unexpectedly, leaving dozens of parents out-of-pocket after they pre-paid in full for their children's treatment. Complaints are being investigated by the Dental Council of New Zealand while Kruger, who is not a trained orthodontist, continues to run an orthodontic consulting business in Panama. * Do you know more? Send us an email: news@ One Hamilton mum, who with her former husband paid $11,000 upfront for their then 10-year-old son to have the straightening aligners, felt they were abandoned in the middle of treatment. Melissa Ferguson said her son, now 13, was about half way through his treatment and "taking a break" while they waited for the last of his baby teeth to fall out, when the clinic suddenly closed. "It would have been nice to get, at least a refund." Ferguson was recommended True Alignment in Alpha St by a friend after a community dentist suggested her son needed orthodontic treatment. "Looking at the website, they claimed to be 'no extractions', very gentle care and I thought 'Oh that sounds like a great way to go'." After a free consultation including X-rays, Ferguson was told her son did not have enough space in his jaw for all of his adult teeth and that his jaw needed to be "grown out". "It all sounded very legit and like a good plan." Growth orthodontics including orthotropics, is a controversial orthodontic approach focused on facial growth and considered unscientific by many orthodontists. "The thing was you pay for all of the treatment up front and with him being so young I realised we were probably going to be looking at many years of orthodontic care and I thought at least it's all covered under one lump sum," Ferguson said. The money covered the aligners, treatment, consultations and X-rays, though they had to do "self-scans" - where Ferguson photographed her son's teeth and provided them to the clinic through an app. Ferguson said despite advertising "no extractions", the clinic removed one of her son's teeth soon after treatment began. Just when her son was taking a break from treatment, Ferguson received an email from Kruger explaining the clinic could no longer operate. Melissa Ferguson's son's teeth about 18 months into treatment with True Alignment Orthodontics. Photo: RNZ / Supplied In the email, seen by RNZ, Kruger said he had been told he could not advise her "as it is regarded as treating a patient without a license! Its absurd and it sickens me [sic]". He urged Ferguson to create a group and "hound the idiots that have caused this problem". "Make them be answerable to their vindictive and unfair predatory behavior against me that really is hurting you [sic]. "My evidence is strong that we have been unfairly treated leaving you in the wake of the destruction without any care now." He said he did not have a solution, but was holding meetings. "We are looking at all angles but have to be very careful how we do it." Kruger said action needed to be taken "against those that caused this". "The names and contact details of the offenders are on my website. Ask them what now?" Ferguson said she felt some of the messaging was "aggressive". She tried to access her son's patient files and couldn't. Ferguson took her son to another dentist for a second opinion and was told he didn't need treatment and likely never did. In a separate email dated 24 January 2024 from the new practice owners, seen by RNZ, they said they could not afford to honour the treatment. "The huge number of patients needing to finish their Invisalign care has overwhelmed our schedule," they wrote. "Our initial intention to help patients free of charge has been challenged. "We did not receive money from Dr Kruger or True Alignment nor did we give money to buy his business. "We started a new business in its place to try and help the situation and to hopefully create a strong general and cosmetic dental practice." "We have been told there is no money to refund to patients or to help us cover the costs of finishing treatments." They said money paid by patients to Kruger covered business costs. "The business was dissolved and there was no money left." At the time of the closure, Kruger blamed two orthodontists who complained to the Dental Council about concerns they had with his treatment of some patients. Kruger was already in Panama where he said he had been operating remotely for several years. Under New Zealand rules, dentists don't have to be specially trained to carry out orthodontics, but they must directly supervise any dental assistants undertaking the treatment. RNZ understands the clinic was shut by Kruger after he did not renew his annual practising certificate. In an online discussion of the situation by affected parents, provided to RNZ, two parents said they pre-paid in full the week of the closure and their respective children were due to have their first appointment on the day the clinic shut. One had paid $10,300. Another had a payment plan and had paid $8500 but her child had not received any treatment while payment was underway. The former True Alignment Orthodontics clinic in Cambridge. Photo: Googlemaps One mother said her daughter began treatment at six, and another said their child's unfinished treatment left them with teeth that didn't line up and an incorrect bite. Another said their child had a twisted bottom jaw and incorrect bite while another said they'd paid $11,000 upfront and had 18 months of treatment and while "taking a break" the clinic shut. The parents complained of being unable to access files, get information out of the clinic, contact Kruger, and of being out-of-pocket. At least one said they reported the case to police and another said they were advised by the Dental Council to complain to the Privacy Commissioner to recover patient files and lodge a claim with the Disputes Tribunal to recover their money. RNZ spoke to Kruger in Panama, where his website advertises that he runs several businesses including consulting for dental and orthodontic practices, and another in tourism in Boquete. He said he was consulting to dentists in the United States and Australia by providing clear aligners and getting "lots of referrals". Kruger blamed the closure of the clinic on a Waikato orthodontist he alleged was "very aggressive against a dentist doing orthodontics because he felt they had to be a specialist which is nonsense". "I've seen orthodontists do terrible work." Asked what happened to the practice's 450 patients, Kruger answered: "Good question, I dunno. I wasn't allowed to talk to them. If I did I was going to get a $10,000 fine." He said at the time he encouraged patients on his website to start a "class action suit" against the Dental Council. "They've made this decision with no evidence, no proof whatsoever, and with me providing evidence that I've done no harm... that I'm not actually treating patients in New Zealand. "I'm working as a consultant to a company in Panama that was at that time providing clear aligners directly to the patient in New Zealand and they were being looked after by dentists who are registered in New Zealand." He claimed he wasn't treating the patients, only providing aligners to a dentist at True Alignment, and said he didn't own the practice. According to the Companies Office, Kruger was the sole director and shareholder of TSM, the company based in the same building as the practice at 82 Alpha St, when the last annual return was filed in June 2023. He is still listed as the current director and shareholder, however, he said TSM was a management company that managed staff at True Alignment. When asked about the money paid by Ferguson for her son's unfinished treatment, Kruger hung up. Kruger has operated dental practices in Cambridge under different names since 1993 including The Smile Center, Gentle Dental, Gentle Orthodontics and Growth Orthodontics. Gentle Orthodontics and Gentle Dental were put in liquidation in 2010 owing $481,000. Dental Council chief executive Marie MacKay said Kruger was registered with the council but did not hold a current practising certificate and could not legally practice in New Zealand. "Dr Kruger has previously publicly acknowledged that complaints against him were under investigation, however in accordance with privacy legislation, we are not able to disclose the details of any complaints or investigation." She said the Dental Council did not hold any authority over a practitioner's ability to register, practice, or provide clinical advice in any other jurisdiction than New Zealand.
RNZ News
an hour ago
- RNZ News
Canterbury's Mental Health Services inquiry findings 'really concerning', psychiatrist says
From left - Nemani Tunidau, Eparama Tunidau and Laisa Waka Tunidau. Laisa was murdered as she walked home from work by Hillmorton mental health patient Zakariye Mohamed Hussein in 2022. Photo: Supplied A forensic psychiatrist with nearly 30 years experience says unless an inquiry into Canterbury's Mental Health Services prompts real change there will be "more adverse incidents". The inquiry, by Director of Mental Health Dr John Crawshaw, found "significant" problems in the service's governance, care model and resourcing. Dr Crawshaw began his inquiry under section 99 of the Mental Health Act in June 2022, after Hillmorton forensic mental health patient Zakariye Mohamed Hussein murdered Laisa Waka Tunidau as she walked home from work. Hussein was on community leave at the time of the killing. The findings, released on Tuesday, included "critical staff shortages", staffing vacancies affecting admissions and discharge processes, a "siloed culture and care model", concerns about the service's governance and delayed resourcing decisions at the regional governance level. The final report, released three years after it began, has 18 recommendations aimed at addressing the key issues. Dr Erik Monasterio, a forensic psychiatrist with nearly 30 years experience, worked at the then-Canterbury District Health Board (CDHB) for 25 years. He was the Clinical Director and Director of Area Mental Health Services for the Canterbury Forensic Service between 2015 and 2021. Speaking to RNZ, Dr Monasterio said his first impression of the report was how the recommendations were going to be "implemented and opreationalised" in a way that would lead to "improvement in functioning and a reassurance around patient safety and reasonable standards being met". Dr Monasterio said the inquiry's findings were "really concerning". Issues around governance identified in the report were "at the core" of difficulties that had arisen, he said. He said he wrote a letter in late 2016 which was co-signed by other clinical directors of the DHB's mental health services addressing "likely implications" of the change in leadership and governance structure that had been identified in the report. "I forewarned that this change in leadership structure was going to undermine the viability of the services and likely lead to adverse outcomes. "So it's very, very frustrating that those concerns were largely ignored. And some of the issues that have arisen, a significant component of the issues that have arisen, are as a consequence of that change in leadership and governance structure." Dr Erik Monasterio. Photo: Pool / NZME - Mike Scott Asked how unsafe Canterbury's Mental Health Services were in 2022, Dr Monasterio said a lot of very experienced staff had left. "The knowledge at every level of the institution was significantly watered down. "The processes had become watered down. So in the absence of good processes and good leadership, you just don't know what you don't know. But you know you're sitting in a situation which is potentially very risky." Dr Monasterio said he left his role over concerns he had about the "viability of the service". "To the extent that I felt I couldn't remain in the leadership position because I felt that there were acute risks, both to staff and patients and the community, and I could not enact a positive change from within the institution and as a Forensic Service at the highest level of seniority that I could achieve." He said Dr Crawshaw's report "paints a grim picture". "The issues that are identified therein, unless people can convincingly show that they have an initiative and a plan to change that, then I think it'll just continue to get worse," he said. "Unless you get this right there's going to be more adverse incidents. I don't think there's any doubt about that." Consultant forensic psychiatrist Associate Professor James Foulds, who worked at Hillmorton for seven years until 2023, told RNZ he felt the report was a "fair summary" of the problems in the mental health system. "I feel sad for the people who have been affected by the poor state of mental health services in Christchurch - not just the families of the two people who were murdered but also the many people with serious mental illness who haven't been able to get an acceptable level of care, and the health staff who have suffered from working in this environment." He said there needed to be "accountability" from senior mental health service management in Canterbury. "Some of the senior managers who were present at the time have already moved on, but there needs to be a change in the culture of the organisation and that starts at the top." Dr Monasterio agreed. "Unless you change that culture, nothing's going to change." Dr Crawshaw said the "most significant and prevailing issue" concerned staffing in the clinical areas, especially the adult inpatient, community and forensic services. "In the inpatient areas, there were daily issues in ensuring minimum safe staffing levels." The divisional leadership team had "significant concerns" about the number of staff vacancies and the "relatively junior nature" of the clinical staff in some areas. There were "critical shortages" of staff in many areas of the service, particularly inpatient units. "Clinicians frequently used the phrase 'on numbers', referring to being deployed to an inpatient unit to bring up the numbers of staff on a roster to a perceived safe capacity. "The inspection team heard concerns that people were working overtime and double shifts, to meet the 'on numbers' expectation. While the magnitude of the issue was unclear, it was raised repeatedly by staff in interviews. Some staff stated that they no longer wished to do overtime and double shifts due to the level of personal stress and strain it caused them." Director of Mental Health Dr John Crawshaw. Photo: Nathan Mckinnon / RNZ In relation to nursing staff, Canterbury, like other services across the country, had a challenge with a "missing middle" - nurses who were "competent and experienced but still have a long career in front of them". When the inspection was carried out there was a group of staff nearing retirement. They appeared "fatigued and were possibly experiencing burnout". Some of the new graduates had been placed in "unsafe situations". "For example, a newly graduated registered nurse spoke of arriving for a shift at the forensic mental health inpatient unit and being told that they would be the shift leader, a task they felt wholly unprepared for." Some nursing staff were "afraid to come to work" with an "unacceptably high rate" of assaults on nursing staff by patients. "Staff reports of experiencing the clinical environment as unsafe were particularly prevalent in forensic services. There, staff described how a number of senior staff had recently left, particularly from the acute medium secure unit. "This had left both a gap in staff numbers and a gap in expertise. Some staff appeared to be distressed by and angry at the situation; particularly those working in the acute medium secure forensic ward." Health New Zealand (HNZ) national director of mental health and addictions Phil Grady acknowledged the "significant failings" identified in the report. HNZ was "committed" to implementing the recommendations to "prevent the tragic events of 2022 and 2024 from happening again". "We recognise the loss and grief these families have and continue to experience and express our sincere condolences to them. We are deeply sorry for the failings in our systems. "We have reached out to these families to apologise and discuss Dr Crawshaw's report, and will remain in contact, if that is their choice, to update them on progress to implement actions from the report." HNZ accepted all of Dr Crawshaw's findings and had an action plan in place to implement the recommendations, which focused on the underlying issues related to governance, the care model, and resourcing. "We are focused on continuing to provide senior leadership oversight of planning for the service, building a framework, and ensuring there is sufficient staff with the right level of training and experience to safely and effectively deliver services." Grady said there had been "demonstrable progress" on key recommendations including establishing a clinical governance framework and increasing clinical staffing by 11 percent since 2022. Clinical decision making on patient leave was "consistent with policies" and there were weekly audits of compliance in place. "There are clear pathways both within the service and nationally within Health New Zealand to escalate and manage risk." Mental Health Minister Matt Doocey said in a statement Waka Tunidau's death was a "tragedy no family in New Zealand should ever have to experience". "The release of this report today is an important moment. It shines a light on the long-standing failings in Canterbury's mental health services, failings I've been assured, there is a robust plan in place to address. "I have been upfront that we must do better to improve the mental health system and improve outcomes, this has been my top priority from day one." He said the government inherited a "long-standing fragmented and underperforming mental health system". "And this report underscores the scale of the challenges we have been left with and continue to face." Doocey said public and patient safety "must always come first". "I have made it clear to Health New Zealand that the issues identified in this report must be addressed urgently, and that progress must be visible and ongoing. "We are taking action. I have prioritised committing additional funding for forensic services, strengthening regional accountability, and growing the mental health workforce. Because every New Zealander should be able to get the support they need, when and where they need it, and those around them should have faith that they will be properly looked after while in care." Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.
