6. Health Services—Dunedin Hospital Rebuild and Mental Health ServicesHon Dr JONATHAN COLEMAN (National—Northcote) to the Minister of HealthHealth Services—Dunedin Hospital Rebuild and Mental Health Services6. Hon Dr JONATHAN COLEMAN (National—Northcote) to the Minister of Health: What measurable outcomes if any will his policies deliver?Hon Dr DAVID CLARK (Minister of Health): Better health for New Zealanders.Hon Dr Jonathan Coleman: How will the Government afford the cost of the $1.4 billion rebuild of Dunedin Hospital given that the extra $8 billion for health is in his words pretty much spent"?Hon Dr DAVID CLARK: From the existing capital allowance.Hon Dr Jonathan Coleman: Can he confirm that he intends to seek $1.4 billion of capital for the Dunedin Hospital rebuild in Budget 2018; and if not where and when will the cost be booked?Hon Dr DAVID CLARK: Budget processes are under way now as that member will well know. He was in Government for nine years—surely he understands how this process works.Hon Dr Jonathan Coleman: If the $8 billion for health is "pretty much spent" why doesn't he use a public-private partnership (PPP) to fund Dunedin Hospital so that an extra $1.4 billion could be freed up for more specialist appointments for more operations and for the many unfunded promises that he continues to make?Hon Dr DAVID CLARK: The overseas experience is that those who've entered into public-private partnerships have ended up paying many times over for the experience and that the healthcare delivery has been poor. I'm absolutely delighted that we were able to scrap the public-private partnership model for Dunedin Hospital because it made no sense. The Mayor of London describes their hospitals over there as "a noose around the necks of the citizens".Hon Dr Jonathan Coleman: With Pete Hodgson running the Dunedin Hospital rebuild and a PPP being ruled out does he understand why The Lancet the world's oldest medical journal says in its November editorial that "with Jacinda Ardern Marxist ideas have re-entered the political debate in health."?Mr SPEAKER: Order! The member clearly has no responsibility for either The Lancet or the comment.Hon Dr Jonathan Coleman: I seek leave to table an article from The Lancet an editorial—4 November 2017. Mr SPEAKER: Can I ask whether The Lancet is a widely available journal?Hon Dr Jonathan Coleman: You probably wouldn't get it at your local dairy Mr Speaker.Mr SPEAKER: I thank the member. Any further supplementaries?Angie Warren-Clark: Supplementary?Mr SPEAKER: Question No. 7—oh sorry. Angie Warren-Clark.Angie Warren-Clark: What action is the Minister taking to improve outcomes in mental health in New Zealand?Hon Dr DAVID CLARK: Mental health is a key priority for this Government as signalled in our 100-day plan. Work is under way to establish a ministerial inquiry into mental health and addictions. I've asked that this inquiry be broad and cover a variety of topics. There are three further steps we'll be taking in the near term to address current shortfalls in mental health provision. We're progressing work to extend school-based health services—a nurse in every secondary school. We're also planning on piloting mental health coordinators in GP practices. Finally we are making primary care more affordable and accessible for New Zealanders.Mr SPEAKER: Once again Question No. 7."