AS a former front-line health provider I have seen a general purging of service delivery agencies – health, schools, roads, law and order – since the 1980s. Governments of both persuasions just don’t get it. The majority of people want localised services, police, ambulance, schools and hospitals. Smaller institutions have smaller, more controllable, cost bases. They are fundamental to government service delivery. Results: better quality education for children, better emergency response times from all emergency services, better initial treatment delivery from health systems.
Having community health services operating 8am to 4pm Monday to Friday is great – but who picks up the pieces at 3am on a Saturday morning? The paramedics and police. Where do the broken people go? To the cells or emergency departments.
Doug Bell, Hamilton