Reti ShaneDr SHANE RETI (National): Thank you Mr Chair. I rise to speak to Part 3 starting at clause 60 and I particularly want to focus my contribution around Pharmac. This has relevance for the Pharmac report that came out today which tells us several things—the what" if you like is the problem with Pharmac. First of all one poor performance across the whole organisation is what the report tells us. Secondly the cost savings are not what we've been told by Pharmac. Thirdly it's highly likely that Pharmac has contributed to inequalities in the health system. That's the identification of the problems. The "why" part to that—well that's probably multi-factorial we know from the interim report where Pharmac was described as having a fortress mentality. It's not prepared to share information and in fact it wasn't even prepared to share with the review panel. It's a problem which again is highlighted in today's Pharmac report. Secondly it's pointed out today that they don't well incorporate the consumer voice so much so that their clinical advisory committees which includes the Pharmacology and Therapeutics Advisory Committee are being reconfigured and instead of being internal assignments are actually going to be ministerially appointed.I think myself personally one of the problems with Pharmac is they've been allowed to be isolated and too far from ministry and ministerial oversight. The example I have with this—and I know I'll need to get over it some time. But the 20000 meningitis vaccines that were hidden that Pharmac hid from the director-general and I believe the Minister as well in the 2018-19 Northland meningitis outbreak—that's a good example of Pharmac being way too isolated its own little fiefdom which I think has contributed to the report today.As we look to some of the solutions that are proposed particularly in the Government response a large number of them say that this will be taken up by what we're talking about here: the Pae Ora (Healthy Futures) Bill. Well that's kind of rich considering going into select committee Pharmac was excluded from the Pae Ora (Healthy Futures) Bill and now it's the solution to a substantial number of problems that are raised in the report? That's really rich.I think what we then need the Minister to assure us around is several things. First of all I want to express concerns for delays in upgrading the national medicines strategy which expired in 2020 and indeed we're in support of our colleague with ACT and their Supplementary Order Paper around this today. The report describes it as a priority and states in as many words that its omission will be a significant failure for the health reforms going forward. So those words should be taken into account by the Minister as he reads that report.But I think fundamentally what I really would like some reassurance around is whether the bill as it is here tonight adequately takes into account all the concerns that have been raised in this report bearing in mind the Minister had it around about 28 February. Substantial parts of this bill would have been progressed by then. How do we know that the report today retrospectively is adequately taken into account by this bill? That's the sort of assurance I'm looking for from the Minister. Thank you."