It argues any projected cost savings don't factor in the potential impact on clinical staff, clinical standards and patient safety and wellbeing.
"These proposed changes may seem like a simple money saver, but we haven't seen any analysis that weighs the expected cost savings against the risks to patient outcomes," says Dr Ros Pochin, Chair of the RACS Aotearoa New Zealand National Committee.
She says the current state of the IT systems hospital clinicians rely on are "not what you would hope for from a modern healthcare system".
"We need systems that talk to each other across hospitals and regions; reliable technology and uninterrupted remote access, especially for the smaller rural and regional centres; and a support team with the capacity to help when there are issues or outages. I can't see how the proposals allow for these much-needed upgrades. In fact, they'll likely make matters worse. The loser is always the patient and the clinicians trying to do their best for them."
The Digital Services Consultation Document proposes significant changes to Te Whatu Ora's digital infrastructure, including the termination or deferral of 136 digital projects and a near 50% reductions in digital services staff. The changes aim to address financial deficits but raise concerns regarding their potential impact on clinical standards, patient safety, and the overall effectiveness of the healthcare system.
"These drastic changes, focused almost exclusively on cost-saving measures, have been made without consulting those who are most affected - the frontline medical professionals who deliver care," says Dr Pochin.
"This is a strategic shift being pushed through without the necessary evidence or clinical scrutiny. While it may offer short-term savings, the long-term performance and human cost could be profound."
RACS, which is committed to equitable, quality healthcare, is voicing its strong objections to these changes, which threaten to destabilise an already fragile health workforce and undermine the safety and efficacy of patient care. It is calling for an immediate suspension of the current decision-making process and urges Te Whatu Ora to engage in a thorough, evidence-based consultation with clinical professionals.
As Aotearoa New Zealand navigates its future healthcare needs, RACS remains committed to advocating for the changes that will best serve the health and wellbeing of all communities, and is ready to work alongside Te Whatu Ora and other stakeholders to shape a better, safer, and more equitable system for the country.
