Wall LouisaLOUISA WALL (Labour—Manurewa): Tēnā koe Madam Chair. It is a pleasure as the chair of the Health Committee to speak at this committee stage debate. But probably not so much debate; it's really clarification on this Organ Donors and Related Matters Bill about the consensus reached within the committee to enhance the bill. And so I want to acknowledge colleague Michael Woodhouse for his earlier comments about how we engage in a collegial process and this is another indication from my perspective of how we do that. I firstly want to acknowledge the New Zealand Blood Service. The New Zealand Blood Service was formed in 1998 and their responsibility is to develop an integrated national blood transfusion process. And the reason I highlight that is in our deliberations and as now encapsulated in Part 2 it's very clear what the New Zealand Blood Service does. It's very prescriptive. Their job is to gather the blood and then disseminate the blood to people who need it. So the rationale for us essentially adding organ" to the current title—that is the New Zealand Blood and Organ Service—was to actually just clarify that we have enhanced the remit from collecting and distributing blood to people who need it to now collecting organs and distributing those to people who need them and it's a very simple explanation for the committee's recommendation to the House. I say that within the context of an area of need where essentially 550 New Zealanders are on a waiting list. Those people are waiting for hearts lungs livers kidneys and pancreases. And I'm sure there are eyes and other parts of the body that other New Zealanders need but essentially in terms of the organs that we're talking about those are the essential ones. And so we have a current process of finding donors and they are people who essentially are dying and those people who are dying are in intensive care units on ventilators. It's a pretty traumatic and horrific experience for families and so we've had to rely on our clinicians and our medical personnel talking to families in that circumstance. And that's about 1 percent of the deaths in New Zealand to find the organs for the 550 New Zealanders who've needed them. What this bill is doing is it is now saying that live donors provide another vehicle another option for us to be able to provide these organs to New Zealanders who are on that wait-list. I want to particularly acknowledge now Dr Liz Craig's very good summary of Part 1 of the bill because essentially that is and was the main focus of this piece of legislation. It was to ensure that people who were giving organs to their loved ones to their friends to their family or even philanthropically were compensated for their lost wages. And so the whole regime was about being very clear about who was eligible and then based on their eligibility what we were going to compensate them for and compensation just by definition is a recognition of the loss of wages in that people in doing that philanthropic act were now going to be reimbursed for all intents and purposes by the Crown. And I want to highlight that because I think the development and evolution of this particular type of giving and the twinning process that will now be funded now enables people who do not match the person that they want to give their organ to—it enables now a trans-Tasman coalition which is called a twinning operation where if I need an organ I find a donor—it may be a member of my family. We don't match but then we find others in the system who will then be able to provide the person that I want to give to with their organ and I will give to somebody else. People in New Zealand who do that—and now based on this piece of legislation we're specifically recognising the Australian and New Zealand Paired Kidney Exchange Program—will qualify under this piece of legislation for that compensation that I just highlighted before. It's the least we can do I believe as a country to recognise the philanthropy associated with donating organs and it adds value to the current process that we're engaged in."