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‘Otago is being overlooked'

‘Otago is being overlooked'

A new medical school will be established at the University of Waikato. File photo
The government's backing of a third medical school at Waikato is yet more evidence it cares little about Dunedin, opponents say.
Health Minister Simeon Brown said yesterday Cabinet had approved $82.85 million in government funding towards the project, with the university chipping in more than $150m.
The numbers differ from National's policy heading into the 2023 election.
Then, it pledged $280m for a third medical school at Waikato University, with the university to raise a further $100m.
The school would also open in 2028, a year later than National had promised, but still with an initial roll of 120 students.
The University of Otago and University of Auckland — which run the country's two existing medical schools — had submitted to the government they could train more medical students for significantly less than the cost of establishing a new medical school.
Megan Pōtiki. PHOTO: ODT FILES
Otago Polytechnic executive director Dr Megan Potiki said she was surprised by the decision, "which even Treasury had described as unaffordable".
"Otago Polytechnic has concerns about the potential impact on clinical placements for our nursing ākonga [students], and on the long-term security of our industry-leading nursing programme."
Dr Potiki's comments come after the government's decision to place Otago Polytechnic in a federation model rather than being fully stand-alone.
"It appears Otago is being overlooked by this government with their recent decisions, and Otago's proud tertiary track record is being undermined."
Otago University, which had been strongly opposed to the idea, yesterday had a mixed response. .
Megan Gibbons. PHOTO: SUPPLIED
Pro-vice-chancellor for health sciences Prof Megan Gibbons said the university was disappointed the government did not follow the alternative and more cost-effective option of further increasing the intakes into the country's existing medical schools.
"However, any investment that supports growing and sustaining the health workforce is a step towards strengthening care for our communities — particularly in rural and under-served regions."
Otago was committed to working alongside others in the sector to ensure the best outcomes for the health of all New Zealanders, she said.
Auckland University dean of medical health services Prof Warwick Bagg would not comment on that university's previous opposition to the plans.
Instead, Prof Bagg looked towards the positive.
"Today is a historic day for medical education in New Zealand. The government has made its decision, and the good news is the extra 120 students."
Others were not so sanguine.
Bryce Edwards. PHOTO: ODT FILES
Director of The Integrity Institute Dr Bryce Edwards issued a scathing assessment of the decision that said it had been political rather than one made in the best interests of the health system or the education system.
"It's a stark contrast to have the new Dunedin hospital really restrained in its build and essentially funds cut back, producing a less than optimal new hospital at the same time that $83m is going to be spent elsewhere in the health system that, frankly, very few experts believe is a good spend of money.
"The people of Dunedin and Otago should feel aggrieved."
Taieri MP Ingrid Leary, of Labour, said nothing about the decision had been transparent.
"There's nothing rational about it either.
"Given the cuts to the new Dunedin hospital, the vindictive and appallingly communicated decision last week by Penny Simmonds regarding Otago Polytechnic, and now this decision that effectively kneecaps our medical school, it is clear that Christopher Luxon and his three-headed government don't care one iota about the deep South."
In August last year, Treasury shared the concerns of the existing medical schools saying the plan was unaffordable and that there were other ways to achieve the government's goal of increasing the number of rural GPs.
Green MP Francisco Hernandez said the government had committed to yet another irresponsible, white elephant project.
"The quarter of a billion dollars on just capital costs for a third medical school would have been more responsibly spent on boosting the number of doctors that Aotearoa needs from tried-and-true training facilities at Otago and Auckland."
University of Waikato vice-chancellor Prof Neil Quigley said it was "a landmark moment for New Zealand".
"We will be offering a programme that selects and trains doctors in a fundamentally different way and will complement New Zealand's two existing medical schools."
matthew.littlewood@odt.co.nz
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Business case flawed: Brooking
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Business case flawed: Brooking

The release of a "flawed" business case means more information is needed before Labour decides whether it would dump the planned Waikato Medical School, a Dunedin MP says. Last Monday, Health Minister Simeon Brown announced Cabinet had approved $82.85 million in government funding to build the country's third medical school at the University of Waikato — the institution was expected to contribute more than $150m to the project. Dunedin MP Rachel Brooking, of Labour, said she was "very sceptical" about figures used by the government to make its decision. The project's detailed business case was made public on Friday evening, part of a document dump which revealed the cost of producing GPs at the graduate-entry Waikato medical school would be $50 million a year cheaper than at the existing medical schools at Otago and Auckland universities. "The business case has really been written with an outcome in mind and not traversed all of the options, and that's just bad decision-making," Ms Brooking said. "It's bad way to make use of taxpayers' money, and it seems that in general, this all will cost more." She said the "flawed" business case would have consequences for the Otago Medical School: "those are difficult to predict exactly". However, Labour had "no plans at the moment" to dump the medical school, Ms Brooking said. "The issue is that we don't think the business case is credible. "So we'll keep asking questions about that and try and make any assessments on good information when we're in a position to do so." Taieri MP Ingrid Leary said "the so-called business case is really just a public relations document, given the outlandish assumptions and comparators". In a statement last Monday, Mr Brown said the project was an innovative model "that supports our focus on strengthening primary care, making it easier for people to see their doctor — helping Kiwis stay well and out of hospital". Waikato University would begin construction on new teaching facilities later this year. A full cost-benefit analysis was presented to Cabinet before any proposal was finalised, as part of the National-Act New Zealand coalition agreement, he said. Green MP Francisco Hernandez said the government's cost-benefit analysis used to "ram through" the Waikato Medical School made assumptions revealing the "lack of objectivity". Mr Hernandez said the document "falsely assumed" Otago and Auckland universities could not have negotiated a four-year rural graduate programme similar to Waikato University's proposal. "This assumption enables the government to claim that Waikato University will train medical students 'cheaper' because Waikato is assumed to have a four-year programme," he said. The government had also assumed Waikato University was more likely to produce GPs "even though Otago and Auckland could have also done a rural graduate programme". "Fundamentally, these flawed assumptions stem from the government's failure to run a transparent tender process from the start," Mr Hernandez said. "Rather than putting out an open tender to every university in New Zealand, they gave Waikato University a sweetheart deal." He called for the government to "be up front and honest about the actual costs" of the project and release the full agreement with Waikato University with all relevant advice. "The government's failure to rule out further handouts or to release the actual agreement raises questions on whether there were further sweetheart deals negotiated behind closed doors in the agreement that might end up with the taxpayer bailing out Waikato University."

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