CCDHB Election Candidate Survey Questions 2019

David's Response to the Public Health Association Questionnaire

David recognises the importance of preventive public health initiatives in improving the health of our population which also reduces demands our health system. This includes ensuring vaccinations, reducing smoking and encouraging healthy lifestyles through education and role models. You can see David;s response to the detailed questionnaire from the Public Health Association below.

Q1 Please cut and paste your candidate statement (that will appear in the voter’s handbook) here.

David Shand Candidate Statement My principal place of residence is within the Capital and Coast District Health Board area. I am committed to improving equity and access to health services for all sections of our community. Fixing the grievous position of our services requires not just money but improved governance and accountability of DHBs and supporting committed and motivated DHB staff. My financial management and governance experience will assist the DHB in negotiations with government and setting realistic plans and monitoring their implementation. I graduated in accounting and economics from Victoria University. My international work includes seven years as Financial Management Advisor at the World Bank. Since my return to NZ in 2006 I have been Chair of the Tertiary Education Commission, a director of Meridian Energy and a board member of the Auckland City Mission. I chaired the Commission of Inquiry into local government rates and was a member of the Royal Commission on Auckland Governance. In my youth I was a member of the Wellington City Council.

Q2 To what extent do you agree or disagree with the following statement?Individuals need to take more personal responsibility when it comes to diet, exercise and smoking.

Strongly agree
Please add any
comments:
But health education and information may be necessary for
this to occur

Q3 To what extent do you agree or disagree with the following statement?Climate change is a significant health issues that requires DHB action.

Strongly agree,

Please add any comments:

The potential health risks from bad air and water pollution need to be built into DHB planning

Q4 To what extent do you agree or disagree with the following statement?Sugary drinks should not be sold on DHB premises

Strongly agree

Q5 To what extent do you agree or disagree with the following statement?I support community water fluoridation.

Strongly agree

Q6 To what extent do you agree or disagree with the following statement?When the budget is tight, maintaining hospital-based services should be the highest priority for the DHB.

Neither agree nor disagree

Please add any comments:

Preventive public health measures and accessible and timely health interventions (whether in hospitals or elsewhere) go together. There is a limit to which the urgent can drive out the important long term issue of preventive public health.

Q7 To what extent do you agree or disagree with the following statement?There’s not much that the DHB can do to address things like unhealthy housing, poverty, poor diets and inactivity.

Strongly disagree

Please add any comments:

DHBs can and do a lot in this upstream, preventive, public health area. "Health" is a multi-faceted issue and bad health has many causes. including those set out above.

Q8 What do you see as the DHB’s responsibilities under the Treaty of Waitangi, and what expectations will you as a member of the Board seek to put on your CEO?

The DHB has statutory obligations towards Maori as set out in Its Maori Health Plan. The Treaty principles of partnership, participation and protection must be recognized. This goes well beyond mere consultation. Maori are worn out by and sick of "consultation" without having a voice.

Q9 To what extent do you agree or disagree with the following statement?Institutional racism and unconscious bias within DHB services must be addressed in order to reduce health inequities

Strongly agree

Please add any comments:

But this is hard to do, reflecting the state of our society.

Q10 To what extent do you agree or disagree with the following statement?Public spending should not be targeted at particular groups based on ethnicity

Neither agree nor disagree

Please add any comments:

Targeting should be based on need regardless of ethnicity, sex or age - but recognizing that particular ethnic groups may be over-represented in some targeted interventions such as smoking and diabetes.

Q11 To what extent do you agree or disagree with the following statement?The DHB must consistently involve Māori stakeholders as Treaty Partners in advisory and reference groups.

Strongly agree

Please add any comments:
See response to Question 8.

Q12 What are three things you think the DHB should increase their focus on, or investment in?

- Ensuring the new Children's hospital is effectively established
- Ensuring effective implementation of the new Mental Health Strategy
- Ensuring effective implementation of the new Cancer strategy

Q13 How do you think the DHB should maintain and improve the wellbeing and morale of its staff?

Let them know they are valued and treat all levels with respect. Morale will also be improved if staff consider there is a good DHB governance with a good Board. Greater empowerment by front-line staff with removal of unnecessary hierarchies in decision making will also assist.

Q14 What health sector experience do you have?

- as a health consumer through my GP and two hospital interventions in the past 12 years
- a Board Member of Auckland City Mission for 4 years seeing the grave problems of mental health and addiction of Mission clients and attempting to address these problems

Q15 What governance experience do you have and how knowledgeable are you about the legislation that governs the health sector?

I have extensive governance experience having been Chair of the Tertiary Education Commission, a director of Meridian Energy and a board member of the Auckland City Mission. I have read and have a good general understanding of the health sector legislation.

Q16 What would you say to voters who ask “Why should I care who is on the DHB board? What difference will it make to my life?”

Most people value their health. DHBs make a difference to your health- whether through preventive public health measures or timely, accessible and professional diagnosis and treatment, when you need it

Q17 With wellbeing being added back into Local Government Act, how can the DHB and Council work together to improve health, wellbeing and equity? What do you see as the Board’s role in making that happen?

Firstly Councils need to fully accept their well-being role, going beyond "roads, rates and rubbish". Most but not all do - nor do their voters. From a DHB perspective, apart from working with Councils on their social strategies it involves firstly knowing the health status and social conditions of the population then providing information and accessible and high quality services