67,000 New Zealanders overdue for hospital treatment and specialist appointment. Minster Of Health reported “This will take some time for marked improvements to happen” This is an extremely serious situation that effects peoples health and wellbeing, that will shorten peoples lives if not diagnosed, treated quickly enough.

Andrew Little to the rescue (NOT). May 2022 he announced ‘a high powered taskforce, a national plan of action to clear hospital backlogs. Today’s Sunday Herald reports “hospital backlogs (waiting lists) have deteriorated. Since March 2022 to November 2022  4,131 people have been added to hospital waiting lists (backlogs)  The 2020 Budget $283 million over next three years was to be used to decrease the hospital waiting list. NZ Herald reported 25/3/2022 ‘Cancer Patients wait 3 months for URGENT treatment. Stuff NZ reported 1/2/2022 ‘Dying patients say they are waiting too long for diagnosis, treatments.

Stuff NZ report 13/1/2022 ‘Extraordinarily distressing cancer patients forced to wait months. Cancer patients missing out on precious survival time, suffering from treatable pain, experiencing mental anguish whilst waiting for recommended radiation, oncology treatment. Cancer patients and their families were speaking out about the devastating impact of waiting too long for standard treatments including chemo and radiation therapy. Some waiting 4 months. A Medical Oncologist with Auckland District Health Board reported his concerns – referring to the national monitoring of waiting times for cancer treatment, he said “these are not prioritized by the government”

.  A  government had introduced a new health system in 2021 which does not include cancer services. Oncologists report that consistent clear reporting on the performance of cancer care is urgently needed, transparency needs to be ensured. Lucy Elwood Cancer Society NZ. Chief Executive said “We are concerned there is no longer ‘at the top of the table measuring targets, specifically looking at how cancer services are performing. Given that cancer is the top cause of death in New Zealand”. Te Aho o Te Kahu, Cancer Control Agency said “they are developing systems to collect share cancer services performance data, but that wont be finished until 2025. In the meantime the hospital backlog (waiting list) continues to increase.

Dr Shaun Costello -Oncologist-College of Radiologists (RANZCR) reported “In some cases a persons cancer has grown so much whilst waiting for treatment that they had to have surgery instead of radiation. He said the “number of Kiwi’s with cancer is expected to double in the next 20years, however the health workforce is projected to shrink. Many Health professionals are leaving New Zealand for better pay and conditions elsewhere. Canterbury Health Board states “shortage of staffing has been known over last 4 yrs. It will take years to clear the backlog, waiting list. “excess deaths are likely”.

As for Oncology services the long waiting times means the prognosis, including chance of survival worsens if treatment is delayed. The longer a person waits, the worse the prognosis, the longer the pain. Obviously this new government health plan involves  Peeni Henare and Andrew Little as key players consequently bear a large part of the responsibility for causing serious health consequences and consequently shortening of peoples life spans. Robbing them of precious time with family, loved ones, friends etc., The govt as a whole must be held accountably, responsible.

Beehive website 21^st April 2021– Speeches were given by Andrew Little and Peeni Henare. Announcing the plan Andrew Little’s speech included:- A truly national public health service. Which will take health to the people, in their own homes. To those that need it, no matter where they live. Treating people when they get sick, then they wont need to go to hospital. An emphasis on primary and community healthcare. So the Govt can start giving Te Tino Rangatiratanga and fulfil the governments obligations under the Te Tiriti o Waitangi. The Dept of the Prime Minister and Cabinet and the Health & Disability Transition Unit had been working together for months on the new health service plan. (A plan for the future). A transformation to help ALL New Zealanders to live longer, healthier lives.

2.Fast Forward to day – a complete failure, a huge increase in the suffering, pain, anxiety on peoples lives . The hospital waiting time(backlog ) almost 67,000 people. But Andrew Little says the new health service is “So the govt can start giving Te Tino Rangatiratanga, fulfilling its obligations to the Treaty of Waitangi.” Saying this is smarter, works more effectively, intelligently, cohesively”

Little referred to the Five System Shifts to ensure a health system that serves ALL New Zealanders (Tell that to the 67,000 people on the hospital waiting list, tell that to the thousands of cancer patients whom you have robbed them of a longer life expectancy and enhancement of life, tell that to their loved ones, families). Little said “This new health transformation will help NZrs live longer, in good health, have the best quality of life. The government will always prioritise this. The new health system will be smarter, work more effectively, intelligently, cohesively.  The ‘Health System Shifts (transformation) will ensure it will serve ALL NZrs. Reinforce Te Tiriti principles, govts obligations to the Treaty. There will be a comprehensive range of support within community settings. All NZrs will have access to high quality emergency, specialist care when they need it.. Digital services will provide more care for people in their own homes. Health workers will be trained for the ‘Future Health System’. A dynamic fundamental shift in ethos and culture for MOH services. To operate as one system. A common leadership. Simplifying, consolidating functions. A unifying purpose to achieve pae-ora ‘A Good Health for ALL’

The new health service system no longer directly fund and commission the health service, instead it will be leaner, sharper, more agile, focused on its core role. Will replace 20 DHBs, will become the first truly national public health service.. Working on the basis of four regional divisions of Health NZ, district offices throughout NZ, will ensure they are truly in touch with the needs of NZrs. Each four regional divisions of Health NZ being responsible, overseeing, managing a network of hospitals, commissioning primary and community healthcare services in their region. A nationwide approach.

Andrew Little added “the system must work in a ‘partnership’ with Maori. The Govt (Crown) has specific obligations to Maori under the Te Tiriti o Waitangi. The Govt now have the opportunity the truly live up to the vision of the Treaty of Waitangi” (NO PARTNERSHIP documented in Treaty Of Waitangi). He added “by monitoring the state of Maori health, hence helps health policies. The Maori Health Authority having the power to commission health services for Maori and to partner with Health NZ in all aspects of the health service system.

Andrew Little said “the establishment of the Maori Health Authority is a real step towards Tino rangatiratanga in health. (Two tier Society). Peeni Henari then concluded with his speech in the House. As he spoke about the improved new health services to protect the health of the population, where Health NZ will work closing with Maori Health Authority. Saying “the government have specific obligations to Maori, the system must listen to the voices of Pacific people including ‘rainbow’ and ‘diverse people. The govt is designing services that work for them There will be a new consumer forum a voice for health service providers.

The health of Pacific people will come under Health NZ not the Maori Health Authority. One of the criticisms is “the new health system does NOT adequately address concerns, needs of the disabled community”. However Henare spoke of digital options and bringing health services closer to home (tele-health-Tele-medicine)

Shifting the focus away from hospitals, virtual diagnosis testing at home, digital monitoring. Iwi/Maori Partnership Boards and locality networks. To tackle the complex needs of an aging population at the time of global health shortages. Henare referred to the ‘Govt planning of the health workforce for the future’. The creation of a new culture, a new  NZ Health Charter, the maintaining of services including the COVID19 vaccination programme. This will be a priority during the transition.  He said “We MUST move forward, DELIBERATELY and with DETERMINATION, and it starts today – the start transition date was 21^st April 2021.

3.Henare said “ The new health plan is expected to come into effect July 2022”. The partnership of Health NZ and the Maori Health Authority, which would include a smooth handover to new entities once the law was established. Henare concluding “the New Health Plan, a lifetime change to put in place a new health system, to improve the health of this and future generations’ To make a once-in-a-lifetime change to put in place a new system and to improve the health of this and future generations. A change for tomorrow that will not compromise the care we give today”. Henare  said “He reassure NZrs that the care they rely on will still be available. From your GPs, Local pharmacists, midwives hospital, specialist will still provide the care they did before . He referred to “a greater investment in health, smart, fairer national health system. This transformation is necessary. This time must be different (A New Normal- A small window of opportunity-(New Zealands Great Reset)

Transformation and Investment, achieving pae – ora reshaping NZ health system to be ‘One Truly Fit For Future Generations” As Peeni Henare said “A Transformational Government, big infrastructure build, massive policy commitments leading up to a Single Grand Reveal.. The Maori Health Authority and Health NZ embedding a partnership and this must happen at a local level. Iwi/Maori Partnership Boards. And still they persist although many, many  people of NZ are significantly suffering and needlessly dying.

And today 29^th January 2023 .HOSPITAL BACKLOGS CLIMB TO ALMOST 67,000.

67,000 Thousand people in NZ overdue for treatment or specialist appointments. And Ministry Of Health state “this will take some time for marked improvements to take place”.

YET  THE GOVERNMENT SO CALLED  HEALTH NZ-MAORI AUTHORITY TREATY PARTNERSHIP Failure. THE PLUNDERING AND SUFFERENCE FAR TOO MANY NEW ZEALANDERS ARE SUFFERING.

Cancer patients wait up to 12 weeks for urgent treatment – NZ Herald

https://www.stuff.co.nz/national/health/127641449/dying-cancer-patients-say-they-are-waiting-too-long-for-diagnosis-treatments

See here for full documents about the reforms https://dpmc.govt.nz/our-business-units/transition-unit/response-health-and-disability-system-review/information

https://www.beehive.govt.nz/speech/building-new-zealand-health-service-works-all-new-zealanders

FIRSTLY-TO MAKE MY CASE I WILL EXPLAIN WHAT AN ‘OFF LABEL MEDICINE ‘is, later you will find out why I am explaining this ‘An Off Label Medicine is an unapproved drug can be used under certain regulations, legislations.

Under Sect 23 of the Medicine Act 1981 this provides the Minister of Health to grant provisional consent when considered desirable for the medicines to be sold, supplied or used on a restricted basis (LIMITED BASIS) for the treatment of a LIMITED number of patients (People)

June 12^th 2015 The National Library Of Medicine published an article ‘Off-Label drug use as a consent and health regulation issue in New Zealand. ‘Off Label’ described as not yet approved or the status of drugs that have been approved

The NZ Medicines Act 1981 specifically allows for off-label drug use, however this authority is limited-Code of Health & Disability Services Consumers Rights Regulations and Common Law state:- It is required that ‘off-label’ drug use is of an acceptable standard, the patient should be fully informed, the patient must give informed consent.

‘Off Label drug use is an extremely important issue, the current law provides medical practitioner very wide discretionary power without providing classification for what is required of the practitioner in exercising this discretion ’off label’.

SO WHAT HAS THE NZ GOVTS THEREPEUTIC PRODUCTS BILL  GOT TO DO WITH THE REPLACING OF THE MEDICINES ACT WITH ‘OFF LABEL’ MEDICINE?

The Government had unsuccessfully introduced policy proposals for the Therapeutic Content proposals  back in 2011 and 2016. In 2019 the Therapeutic Product proposal was back on the governments table. “Iwi/Maori natural medicines would be exempted from the Therapeutic Product proposal”

A Med-Safe Report in May 2022 refers to the Medicine Act being replaced with the Therapeutic Products Bill to allow for ‘Off Label’ Medicines Chris Hipkins the COVID19 Response Minister and Andrew Little Minister Of Health where the Director General has the ability to make decisions regarding the administration of the COVID19 jabs, the dose and the frequency as the pandemic developed whilst being outside of the established Medsafe Regulations- medicine process.

A legal base for the provision of the medicines process of any further doses of COVID19 Vaccines (Jabs) including Pfizer’s 4^th doses. The 4^th dose had not yet been approved by Med-Safe. The government had recommended that Maori and Pacifika peoples over the age of 50 who are immune-compromised can receive the 4^th Pfizer dose before winter 2022.  NO public consultation was undertaken as to the governments proposal, however the 4^th dose was consistently promoted by mainstream media.

Ministry of Health reported that Pfizer have not yet applied for approval of 4^th dose in NZ, that local jurisdictions have to find their own approval strategies.

2.The Ministry of Health reported as to Maori, Pacific peoples health- cannot be overstated as to the impact of COVID19 that there is a time pressure to maximize immunity when winter illnesses are at their peak. (Specific targeting of Maori and Pacific Island peoples for COVID19 jabs -guineapigs) saying “It would be ideal to enable the broader doses of4th Pfizer doses. Opportunities to administer flu and COVID 19 jabs at the same time.

 To provide their populations with 4^th doses, but they had to find their own legal route.. However Standing Orders cannot be made for an unconsented medicine (A new medicine), this undermines the purpose and consents process under the 1981 Medicines Act

NOTE: Under the Medicines Act 1981 ‘Off Label’ – number of people receiving doses of ‘unapproved Med-Safe medicines are limited. Pfizer COVID19 dose 4 was unapproved and therefore limited as to how many New Zealanders could receive it.

The government ‘WITH URGENCY’ introduced new arrangements, they  were implemented to amend the Medicine Act introduced 7^th June 2022, passed in mid June- recommended by Andrew Little that the Ministry Of Health would be responsible for the implementation of the 4^th dose of Pfizer, utilizing all existing delivery settings, processes & technology that has been used previously for the COVID19 rollout.

Ministry Of Health to monitors new data collection. Andrew Little Minister Of Health will administer the application of the Medicines Act 1981 to ensure ‘off-label’ medicines eg COVID19 Pfizer 4^th Dose practices.( Ria-moh-amat-may.22.pdf)

In a Court hearing-Judge Rebecca Ellis stated when referring of ‘off label’ medicine, “a limited number of people  specified for in Section 23 Medicines Act 1981. This could NOT be stretched to the whole population over 16years old” Andrew Littles response to Judge Ellis was “I will fix the snag” (Intro to the Therapeutic Product Bill)

RNZ reported 18/5/2021 ‘Technical Anomaly Spurs Urgent Law Change for COVID 19 Vaccine. Government URGENTLY’ seek a change of law to ensure COVID19 Vax rollout is LEGAL following the High Court decision of Judge Rebecca Ellis. Judge Ellis ruled it was ‘reasonably argued, that the governments approval of Pfizer vaccine rollout went beyond the Medicines Act 1981 allowed” . This gave  Andrew Little the right to approve medicines for a limited number of patients. However the COVID 19 Vaccine rollout would cover all New Zealanders over the age of 16years. THUS NOT LIMITED AS IN MEDICINE ACT 1981

Chris Hipkins response to Judge Ellis was “this raises no safety issues, it just highlighted a technical anomaly as to the law. NOTE THE GOVERNMENT WAS TECHNICALLY BREAKING THE LAW. AND THEY NEEDED TO COVER THEIR ARSES.

Andrew Little again responded to Judge Ellis “The government will pass legislation under URGENCY to rectify the problems ( THERAPEUTICS PRODUCTS BILL- This will most definitely be passed to save Governments arses)

Six products are potentially affected by Judge Ellis court decision these include Pfizer Vaccines, 2 Flu Vaccines and 2 types of contraceptives and an electrolyte solution

3.On the 30November 2022 the Therapeutic Product Bill was officially introduced by Andrew Little to the House (Parliament). He describes this in his speech in the Beehive “To modernize the way medicines, medical devices (includes COVID Test Kits) and Natural Health products are regulated. Strict rigorous regulations on natural health products eg. Vit C, Vit D etc., etc., you can buy at the supermarket.

The Therapeutic Product Bill if passed replaces the Medicines Act 1981 and the Dietary Supplement Regulation 1985 with one comprehensive  regulatory regime. Andrew Little stated “FIT FOR THE FUTURE’. Enables NZ to take advantages of advances in medicine -gene therapies, AI and machine learning software also vaccines for pandemics. The Therapeutic Product Bill legislation will work alongside, contribute to ‘Pae Ora Health Futures Act’

David Seymour said “Medsafe tended to approve drugs that were approved elsewhere in the world saying “Well, has Medsafe ever declines to approve a drug that the rest of the world is safe”. David Seymour was supporting replacing the Medicine Act 1981 with the Therapeutic Product legislation. He also stated  “the Court were right to uphold the law, however he backs the law change to replace the Medicine Act with the Therapeutic Product Legislation.

As to Judge Rebecca Ellis court outcome David Seymour said “the Court were right to uphold the law, however he backs the law change to replace the Medicine Act with the Therapeutic Product Legislation. National Party COVID19 Minister Chris Bishop said to reporters that National Party support the law change.  .

RNZ Reported 18/5/2021. Technical Anomaly spurs Urgent Law Change. Government urgently seek a change in law to ensure COVID19 Vaccine rollout is LEGAL following a High Court decision. Judge Rebecca Ellis ruled “it was reasonably argued that the government approval of Pfizer Vaccine rollout went beyond the Medicine Act 1981.

NOTE: The Medicine Act 1981 only gave the government the right to approve a limited number of patients, whereas the COVID19 Vaccine Rollout covered everyone in NZ over 16years of age. There are be legal enforcement includes, huge fines, court hearings etc., for those who do not comply to the Therapeutics Legislation (announced Beehive)

SO BASICALLY—THE THERAPEUTICS PRODUCT BILL IS TO SEVERELY RESTRICT  NEW ZEALANDERS ABILITY TO PURCHASE NATURAL HEALTH REMEDIES. FOR THE GOVERNMENT TO COVER ITS ARSE FOR CRIMINALLY BREAKING THE MEDICINES ACT 1981 BY REPLACING THE MEDICINES ACT WITH THE THEREUPEUTIC PRODUCT BILL TO PROMOTE JABS FOR PANDEMICS, MORE HUMAN TRIAL GUINEAPIGS. THE ADVANCEMENT USE OF AI AND GENETIC CELL ADVANCEMENT TRIALS AND DRUGS.

https://pubmed.ncbi.nlm.nih.gov/25096169/

https://i.stuff.co.nz/national/politics/300310925/government-to-introduce-a-new-law-for-vaccine-after-legal-challenge

https://www.medsafe.govt.nz/COVID-19/status-of-applications-asp-ria-moh/amat-may22.pdf

The implementation of a co-governance structure between Crown (Govt) and Iwi prioritises the Water Working Group for the  Hamilton to Auckland Corridor Plan and Waikato District Blueprint Incorporated.

The Local Government Accord 2010 was made between the Minister of Local Govt and Waikato-Tainui Te Kauhanganui Incorporated as the trustee of the Waikato Raupatu River Trust (Waikato-Tainui)

The background of the Local Govt Accord came under the Waikato Raupata Claims Settlement Act 1995 which settled certain claims made to the Waitangi Tribunal by Robert Te Kotahi Mahuta of the Tainui Maori Trust Board and Ngaa Maree Toopu

By deed of settlement dated August 22nd 2008 Waikato-Tainui and the Crown (Govt) reached agreement on the terms of settlement to enter a new age of co-management over the Waikato River . However they agreed to a revised deed of settlement 17th December 2009

The Kiingitanga Accord was signed between Government and Waikato-Tainui 22nd August 2008 remains in force. The government have agreed to various accords to facilitate, advance so management a public private partnership with Waikato-Tainui. The commercial arm of Waikato-Tainui is Tainui Holdings.

The Kiingitanga Accord clause 9.4 deed of settlement and clause 3.1 further the enhancement of the relationship between Waikato-Tainui and the Govt.

3.2 and 3.3  Gives authority and rights of control over the Waikato River to Iwi

Local, Central Govt affirming partnerships with tangata whenua on agreed matters to achieve an integrated settlement pattern that enables, aligns infrastructure and funding, collaborates on growth management and cross boundary issues, effective new growth management tools and opportunities.

Providing thought leadership on key issues relevant to growth management affirming partnerships with between tangata whenua, central and local council, an integrated settlement plan to collaborate new growth management tools, collaborating on other initiatives including -promote sustainable resource use includes water, minerals, soil and energy

Collaborating on Growth Management, Waters, Transport, Land integration issues as to Spatial planning, inter-regional connections, Boundaryless planning, Implementation HA2. Te Ture Whaimana one place to enagage partners with Central, Local Govt

A vision that responds to the government Zero Emissions, a climate emergency, climate urgency, supporting a lower carbon economy through a more compact intensive urban form. The Tangata Whenua Vision for the Future Proof Strategy

Interesting information granted under OIA https://environment.govt.nz/assets/what-government-is-doing/fast-track/Ohinewai/18.14-compiled_comments_received_redacted.pdf

https://waikatoregion.govt.nz/assets/PageFiles/15805/jMAs/2276497%20Tainui.pdf  Relationship agreement under the RMA. Waikato Raupata River Trust (Waikato-Tainui) and Waikato Regional Council (Co Management Agreement for Waikato River Related Lands)

https://waikatotainui.com/wp-content/uploads/2020/12/2010-06-18-Local-Government-Accord.pdf  Minister of Local Government and Waikato Tainui. Local Government Accord 18th June 2010

,

The implementation governance, management, technical structure, also the prioritising of the Water Working Group-The Hamilton to Auckland Corridor Plan and Waikato District Blueprint Incorporated.

Interesting information granted under OIA https://environment.govt.nz/assets/what-government-is-doing/fast-track/Ohinewai/18.14-compiled_comments_received_redacted.pdf

https://waikatoregion.govt.nz/assets/PageFiles/15805/jMAs/2276497%20Tainui.pdf  Relationship agreement under the RMA. Waikato Raupata River Trust (Waikato-Tainui) and Waikato Regional Council (Co Management Agreement for Waikato River Related Lands)

https://waikatotainui.com/wp-content/uploads/2020/12/2010-06-18-Local-Government-Accord.pdf  Minister of Local Government and Waikato Tainui. Local Government Accord 18th June 2010

The Local Government Accord 2010 was made between the Minister of Local Govt and Waikato-Tainui Te Kauhanganui Incorporated as the trustee of the Waikato Raupatu River Trust (Waikato-Tainui)

The background of the Local Govt Accord came under the Waikato Raupata Claims Settlement Act 1995 which settled certain claims made to the Waitangi Tribunal by Robert Te Kotahi Mahuta of the Tainui Maori Trust Board and Ngaa Maree Toopu

By deed of settlement dated August 22nd 2008 Waikato-Tainui and the Crown (Govt) reached agreement on the terms of settlement to enter a new age of co-management over the Waikato River . However they agreed to a revised deed of settlement 17th December 2009

The Kiingitanga Accord was signed between govt and Waikato-Tainui 22nd August 2008 remains in force. The government have agreed to various accords to facilitate, advance so management a public private partnership with Waikato-Tainui. The commercial arm of Waikato-Tainui is Tainui Holdings.

The Kiingitanga Accord clause 9.4 deed of settlement and clause 3.1 further the enhancement of the relationship between Waikato-Tainui and the Govt.

3.2 and 3.3  Gives authority and rights of control over the Waikato River to Iwi

Sir Robert Mahuta passed away in 2001

Local, Central Govt affirming partnerships with tangata whenua on agreed matters to achieve an integrated settlement pattern that enables, aligns infrastructure and funding, collaborates on growth management and cross boundary issues, effective new growth management tools and opportunities.

Providing thought leadership on key issues relevant to growth management affirming partnerships with between tangata whenua, central and local council, an integrated settlement plan to collaborate new growth management tools, collaborating on other initiatives including -promote sustainable resource use includes water, minerals, soil and energy

Collaborating on Growth Management, Waters, Transport, Land integration issues as to Spatial planning, inter-regional connections, Boundaryless planning, Implementation HA2. Te Ture Whaimana one place to enagage partners with Central, Local Govt

A vision that responds to the government Zero Emissions, a climate emergency, climate urgency, supporting a lower carbon economy through a more compact intensive urban form. The Taangata Whenua Vision for the Future Proof Strategy,

The Freshwater Iwi Leaders Group was formed in 2007 to advance the interests of all iwi in relation to fresh water through direct engagement with the Crown. The group comprises the leaders of Ngai Tahu, Whanganui, Waikato-Tainui, Te Arawa and Tuwharetoa and reports regularly to all iwi