{"id":191394,"date":"2025-12-19T07:39:05","date_gmt":"2025-12-19T07:39:05","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/191394\/"},"modified":"2025-12-19T07:39:05","modified_gmt":"2025-12-19T07:39:05","slug":"hospitals-asked-to-save-510-million-despite-538-million-going-unspent","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/191394\/","title":{"rendered":"Hospitals asked to save $510 million despite $538 million going unspent"},"content":{"rendered":"<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2025\/11\/4KM8F1H_healthcare_cuts_06_jpg\" width=\"1050\" height=\"656\" alt=\"Health NZ has embarked on a series of job cuts.\"\/><\/p>\n<p class=\"photo-captioned__information\">\nHealth NZ says &#8220;performance efficiencies&#8221; do not impact on the funding available for settlement.<br \/>\nPhoto: RNZ\n<\/p>\n<p>Frustrated healthworkers are questioning why hospitals and health services are being asked to <a href=\"https:\/\/www.rnz.co.nz\/news\/political\/582114\/minister-simeon-brown-sets-health-nz-efficiency-targets-of-500m\" rel=\"nofollow noopener\" target=\"_blank\">find another $510 million in &#8220;efficiency savings&#8221;<\/a> out of this year&#8217;s budget, while $538 million earmarked for salaries went unspent last year.<\/p>\n<p>The &#8220;underspend&#8221; was due in part to unfilled vacancies, <a href=\"https:\/\/www.rnz.co.nz\/news\/national\/582334\/retired-waikato-couple-frustrated-over-pushed-back-deadlines-for-owed-holiday-pay\" rel=\"nofollow noopener\" target=\"_blank\">slower than expected Holidays Act remediation<\/a>, and the fact that Health NZ has yet to settle collective contract disputes with senior doctors or nurses.<\/p>\n<p>Health NZ said &#8220;performance efficiencies&#8221; did not impact on the funding available for settlement.<\/p>\n<p>However, the Association of Salaried Medical Specialists (which has been locked in a pay dispute for over a year) said it was galling that personnel costs in the most recent financial year were $538 million less than budgeted.<\/p>\n<p>Last month, the Employment Relations Authority <a href=\"https:\/\/www.rnz.co.nz\/news\/national\/580344\/health-nz-fails-to-get-employment-relations-authority-to-force-senior-doctors-into-contract-amid-pay-dispute-deadlock\" rel=\"nofollow noopener\" target=\"_blank\">threw out Health NZ&#8217;s unprecedented request<\/a> for it to set aside the bargaining process and &#8220;fix&#8221; terms and conditions for about 6600 senior doctors and dentists.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2025\/12\/4KRU4DN_Sarah_Dalton_ASMS_2024_jpg\" width=\"576\" height=\"396\" alt=\"Association of Salaried Medical Specialists executive director Sarah Dalton, pictured in 2024.\"\/><\/p>\n<p class=\"photo-captioned__information\">\nSarah Dalton.<br \/>\nPhoto: LANCE LAWSON PHOTOGRAPHY \/ Supplied\n<\/p>\n<p>The union&#8217;s executive director Sarah Dalton said scarce health dollars were going to the wrong places.<\/p>\n<p>&#8220;Money is going to locums, to outsourcing to private. There is still a significant number of contracts going to consultancy firms and staff who come from those firms to do work that could and should be done by salaried staff.&#8221;<\/p>\n<p>Outsourced personnel costs, including to fill roster gaps, were $162m dollars over budget in 2024\/2025.<\/p>\n<p>Health NZ&#8217;s <a href=\"https:\/\/www.tewhatuora.govt.nz\/assets\/Publications\/Annual-Reports\/Annual-Report-2024-25-Health-New-Zealand-Te-Whatu-Ora.pdf\" rel=\"nofollow noopener\" target=\"_blank\">annual report<\/a> shows of the $538 million underspend in wages, $204 million came from delays to Collective Agreements and lower internal personnel costs.<\/p>\n<p>Dalton said cuts to so-called &#8220;back office&#8221; functions were making it harder for clinical staff to do their jobs.<\/p>\n<p>&#8220;We discovered recently that the restructuring in Data and Digital meant they ended up with 200 fewer staff than they actually need, and they&#8217;re still trying to catch up with that.&#8221;<\/p>\n<p>Recruitment freeze is real &#8211; Labour<\/p>\n<p>While Health NZ was already on track for a $200 million deficit this year, it has been asked to find a further $510 million from its operational budget to &#8220;re-invest&#8221; in patient care.<\/p>\n<p>Health Minister Simeon Brown said the efficiency targets &#8211; which represented between 2-just under 5 percent of the operational budgets of the four regions &#8211; would free up cash to meet the government health targets without reducing clinical staff.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2025\/12\/4K79423_Image_21_jfif\" width=\"1050\" height=\"700\" alt=\"Andrew Little at the launch of his Wellington mayoralty campaign on 17 May, 2025.\"\/><\/p>\n<p class=\"photo-captioned__information\">\nLabour&#8217;s health spokesperson Dr Ayesha Verrall.<br \/>\nPhoto: RNZ \/ Samuel Rillstone\n<\/p>\n<p>However, Labour&#8217;s health spokesperson Dr Ayesha Verrall said it was hard to see how cutting resources for already stretched services would help patients.<\/p>\n<p>&#8220;New Zealanders are struggling to get healthcare. It would be unbelievable if the government had underspent on health staffing and New Zealanders didn&#8217;t get care as a result.&#8221;<\/p>\n<p>Verrall said while the Minister and Health NZ continued to deny there was a hiring freeze, frontline workers were saying the opposite.<\/p>\n<p>&#8220;Every doctor and nurse I talk to says they can&#8217;t recruit to roles in their department, or if they do, they face massive delays, and the delays are designed to save costs.&#8221;<\/p>\n<p>The Nurses&#8217; Organisation, which represents about 60,000 nurses, midwives and healthcare assistants, is also going into the new year without a settlement.<\/p>\n<p>A briefing to the minister in April &#8211; released under the Official Information Act &#8211; shows each 1 percent increase for senior doctors would cost between $20 million and $30 million.<\/p>\n<p>However, due to the higher numbers of nurses, each additional 1 percent increase for them would cost taxpayers more than $100 million.<\/p>\n<p>Health NZ responds<\/p>\n<p>Health New Zealand said the funding available to settle these collective agreements had not changed in either the 24\/25 or 25\/26 financial years.<\/p>\n<p>&#8220;We remain committed to settling.<\/p>\n<p>&#8220;Performance efficiencies do not impact on the funding available for settlement.&#8221;<\/p>\n<p>The agency continued to &#8220;actively recruit&#8221; to reduce its reliance on outsourced personnel.<\/p>\n<p>In the most recent financial year, Health New Zealand increased its clinical workforce by approximately 750 full-time workers.<\/p>\n<p><a href=\"https:\/\/radionz.us6.list-manage.com\/subscribe?u=211a938dcf3e634ba2427dde9&amp;id=b3d362e693\" rel=\"nofollow noopener\" target=\"_blank\">Sign up for Ng\u0101 Pitopito K\u014drero<\/a>, a daily newsletter curated by our editors and delivered straight to your inbox every weekday.<\/p>\n","protected":false},"excerpt":{"rendered":"Health NZ says &#8220;performance efficiencies&#8221; do not impact on the funding available for settlement. Photo: RNZ Frustrated healthworkers&hellip;\n","protected":false},"author":2,"featured_media":137279,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[48,47,134,527,111,43,139,69,49,46,44,45],"class_list":{"0":"post-191394","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-audio","9":"tag-current-affairs","10":"tag-health","11":"tag-healthcare","12":"tag-new-zealand","13":"tag-news","14":"tag-newzealand","15":"tag-nz","16":"tag-podcasts","17":"tag-public-radio","18":"tag-radio-new-zealand","19":"tag-rnz"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/191394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=191394"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/191394\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/137279"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=191394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=191394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=191394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}