Kerekere ElizabethDr ELIZABETH KEREKERE (Green): Kia ora fakaalofa lahi atu e te Māngai me te Whare. Anā te mea tuatahi e mihi aroha ki te whānau pani i tēnei wā pōuri.[Thank you and warm greetings to the Speaker and the House. Firstly I would like to extend my condolences to the bereaved family at this sad time.]I mihi to the whānau friends and workmates of someone who's been lost in really really awful circumstances—being told that something is a preventable death that if they'd been seen in time things might have been different but we can never know. Assurances that things might not have made a difference do not help. I just acknowledge the anger and the frustration and of course the grief of the whānau who are left to deal with this.Secondly I acknowledge the staff at Middlemore Hospital. No one wanted this. We know that our emergency department (ED) staff especially and our healthcare workforce is so so under pressure and they are just really really tired really exhausted. Our health system wasn't doing great before COVID—it has exacerbated everything and even though we don't have to wear masks all the time everywhere and mandates have been reduced the impact of COVID will stay with us for a very very long time.The fact that the report seems to suggest that they did their best because the patient was not declined care or asked to leave seems to me to be a very very low bar. I have been the auntie inside a waiting room trying to keep a young person and a child quiet while we're waiting to be seen. I've been a patient myself not that long ago sitting in a queue of hospital beds waiting to be seen while people are crying hurt and clearly suffering around me.The Green Party has spoken out consistently through the Pae Ora (Healthy Futures) Bill through any of the health initiatives that are coming around and we know that our health system is under massive massive stress. Pae Ora itself we supported—it's still a vision of what we would like our health system to be and we are not anywhere near that.We would like to see that hospitals are resourced to provide the minimum care that they would expect of themselves that there are enough staff to go around to meet the minimum requirements but we also understand from the review and the situation that's happening across the country that actually a lot more has to be done to meet patient demand. We know that during COVID we relied so heavily on our local communities our iwi our community Māori and Pasifika providers to connect into communities with people who weren't necessarily using the health system except in that final emergency. We support that more resourcing and more effort goes into making sure that people can be seen when something first happens that they can go to their local GP without barriers of cost transport access and that they can go to their local community providers because they're resourced to see them and that connections that have been made through marae and all those places can easily refer someone to a local place so that the first time that something major happens they're not turning up to an emergency department.This is a short call but we just want to see that no matter what your health condition is no matter the symptoms that you're presenting with when you go into any part of our health system you're treated with dignity and what is going on for you is respected and investigated in a timely manner. No one goes to ED expecting to be seen immediately but six hours is not an acceptable time—five or four is still not acceptable. We want people to be treated with the care and dignity they deserve and with the appropriate level of urgency. We cannot tell by looking at someone what is going on for them—that is why we do all the tests.Finally to those whānau to those healthcare workers we acknowledge the huge stress that everybody is under in our healthcare system. We need to see some urgent relief for you. There is no doubt that this will happen again if we don't. Kia ora.