Once again a troubling story has emerged from the public health system.
Our report today of cancer services being affected by conflict between managers and surgeons, and among senior doctors themselves, provides little comfort to patients in the system. They have every right to expect the treatment that they get in Auckland and Northland to be broadly comparable to services delivered in, say, Canterbury.
But that does not appear to be the case. It seems that the point where a patient enters the system can have a bearing on the outcome. The unsatisfactory state of affairs has been given a name — "postcode healthcare." In other words your address, which largely determines the location of treatment, can make a difference to the quality of care you receive.
Clearly a public health system such as we have in New Zealand cannot be expected to deliver perfection, or provide seamlessly equal services. But it is not unreasonable to expect the system to be managed efficiently, to deliver broadly similar levels of care, and for those working in it to put their personal agendas aside.
It is disturbing then to discover that a review of head and neck cancer treatment found that the quality of care across the upper North Island has been affected by years of "internal and inter-DHB politics. "