logo
'Discord' over Dunedin hospital cutbacks seen as an extreme risk

'Discord' over Dunedin hospital cutbacks seen as an extreme risk

RNZ News05-05-2025

The scaling back of Dunedin Hospital has been greeted with outrage and protests from the community.
Photo:
RNZ / Tess Brunton
"Discord" among doctors and the community about the Dunedin Hospital cut-backs are regarded as an "extreme" risk by health authorities.
Health New Zealand was aiming to handle the hostility by identifying "project champions to sell the message", according to the two latest project updates released to RNZ under the Official Information Act.
The updates also reveal that about $20m of extra costs arose from the project being put on hold last September, until it was reactivated earlier this year.
Locals have expressed concern
at newly-reported cuts to dementia, psycho-geriatric and intensive care beds.
But the government said it announced the changes in scope back in January.
The latest updates list 10 "extreme" risks around the inpatients block, but eight of them have been blanked out.
One risk that was not redacted had noted discord among clinicians might be sparked by a possible reduction in capacity affecting healthcare outcomes.
The solutions for this and community discord were listed as "clear messaging", identifying champions or a "single trustworthy spokesperson" and "common messaging accentuating the positive aspects of the project".
Tens of thousands of people protested in Dunedin streets in September over the government pausing the project after it said a blowout threatened to push the cost to $3 billion - although three official reports related to cost estimates were withheld by HNZ.
The government hired eight firms of contractors and consultants to rethink the project, which it eventually decided would go ahead at the site already chosen, but scaled back.
The OIA response shows those eight firms have cost taxpayers $3.5m so far.
Costs due to the delay were also mounting and had been running at $3.4m a month, or $100,000 a day. The fees - plus five months of delay - amounted to about $20m, RNZ calculated.
As well as revealing the extra costs, the OIA response showed there was still no revised building programme for the crucial inpatients' building.
"Programme options are being actively considered and prepared, however, the procurement pathway is yet to be decided and therefore is not at the stage where a revised building programme exists," Health NZ Te Whatu Ora told RNZ.
"We continue to work within the approved project budget of $1.88b."
This compares with the $2 billion for five new naval helicopters the government announced on Sunday, as part of $9b in new spending over four years on defence.
In Dunedin, there were renewed protest after reports of the new inpatients having 20 intensive care beds instead of 30 - though with the option to expand.
Large parts of the project updates, which HNZ said were the latest available, were blanked out, including details of how the options for a revised build were assessed prior to January.
HNZ was rebuked last month for its "defensive" approach to OIA requests by the Ombudsman.
Oversight and governance of the Dunedin build has been a
"mess" and a "struggle" for years
.
The January update said "a single party should be made responsible for preparing and maintaining the overall development programme ... to ensure a consistent level of detail/rigor is applied".
The eight consultants - comprising architects Warren and Mahoney, engineers Beca and Holmes, contractor CPB, and cost estimators RLB and Rawlinsons, and analysts Sapere and TSA Riley - looked at two options. One to go ahead and build on the old Cadbury site where piles had already been driven, and the other to retrofit the old hospital. The former got the approval.
The other part of the project - the new outpatients block - was rated "amber", on a scale from green-to-red.
It was on track to be finished in July 2026, said the January 2025 update, which blanked out one extreme risk and three "high" risks.
Sign up for Ngā Pitopito Kōrero,
a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Polio Vaccines Set To Arrive In PNG Next Week, Says Health Minister
Polio Vaccines Set To Arrive In PNG Next Week, Says Health Minister

Scoop

time2 hours ago

  • Scoop

Polio Vaccines Set To Arrive In PNG Next Week, Says Health Minister

Article – RNZ The World Health Organisation declared an outbreak of the disease in PNG last month. Papua New Guinea's health minister, Elias Kapavore, says polio vaccines are set to arrive in the country next week. The World Health Organisation declared an outbreak of the disease in PNG last month. The Post Courier reported that as of 6 June, 48 cases of acute flaccid paralysis – a condition characterized by rapid onset of muscle weakness or paralysis, but not a disease in itself – had been reported across 11 provinces. Of these, 20 tested negatives for poliovirus, and 28 remain under investigation. Kapavore said the primary objective is to protect children from paralysis and prevent further virus transmission. Kapavore said vaccines are scheduled to arrive between 16 and 20 June. The estimated cost for two rounds of the vaccination campaign is 88 million kina (US$21.4m). So far, 74 million kina has been secured through the PNG and Australian governments and from the Global Polio Eradication Initiative, as well as technical and logistical support from WHO and UNICEF, including the full cost of the nOPV2 vaccine supply. During the recent World Health Assembly in Geneva, Kapavore presented PNG's national statement, reaffirming its commitment to the Global Polio Eradication Initiative and advocating for cross-border coordination, especially with Indonesia. 'The genetic link to the Indonesian strain [of polio] highlights the urgency of strengthening biosecurity capacity at the Papua New Guinea-Indonesia border,' he said. 'We must scale up surveillance and immunisation at these points of entry through coordinated efforts by the Departments of Health, Agriculture, Defence, Immigrations and Border Security, to prevent future cross-border transmission of polio and other infectious diseases.' He called upon every MP to actively support vaccination and awareness efforts in their constituencies. Meanwhile, the World Health Organisation has raised concern about comebacks of vaccine-preventable disease in east Asia and the Pacific. In the first months of 2025, countries like Cambodia, Mongolia, the Philippines and Vietnam have reported a sharp rise in measles cases compared with the same period last year. UNICEF regional director for East Asia and the Pacific, June Kunugi, said measles and polio are highly infectious. 'And children are paying the price for gaps in coverage, delayed care, and misinformation. No child should suffer or die from a disease we know how to prevent.'

UN corrects statement
UN corrects statement

RNZ News

time7 hours ago

  • RNZ News

UN corrects statement

UN Spokesman Tom Fletcher. Photo: Zhang Yuwei / Xinhua / AFP On May 21, 2025, RNZ ran stories across programmes and bulletins based on a BBC interview with UN Spokesman Tom Fletcher where he said, "14,000 babies would be at risk of dying in Gaza within a 48-hour period due to starvation". This claim was corrected by the UN a short time after that interview. The statement was based on an IPC report which warned 14,100 severe cases of acute malnutrition were expected to occur between April, 2025, and March, 2026, among children aged between six months and five years. RNZ reports of the interview which ran before - or without - the UN correction have been retracted.

UN corrects statement 14,000 babies in Gaza could die in 48 hours after it was debunked
UN corrects statement 14,000 babies in Gaza could die in 48 hours after it was debunked

RNZ News

time8 hours ago

  • RNZ News

UN corrects statement 14,000 babies in Gaza could die in 48 hours after it was debunked

UN Spokesman Tom Fletcher. Photo: Zhang Yuwei / Xinhua / AFP On May 21, 2025, RNZ ran stories across programmes and bulletins based on a BBC interview with UN Spokesman Tom Fletcher where he said, "14,000 babies would be at risk of dying in Gaza within a 48-hour period due to starvation". This claim was corrected by the UN a short time after that interview. The statement was based on an IPC report which warned 14,100 severe cases of acute malnutrition were expected to occur between April, 2025, and March, 2026, among children aged between six months and five years. RNZ reports of the interview which ran before - or without - the UN correction have been retracted.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store