Reti ShaneDr SHANE RETI (National—Whangarei): Thank you Madam Chair. It's a pleasure to rise and speak to this theme and to work with other members of the Health Committee through the annual review process and Budget 2017-18 with our responsibility to hold the Government and Minister to account for public funding.We saw half of the district health boards (DHBs) in person. The remainder we received in writing. At this point I just want to congratulate Bay of Plenty DHB who did an excellent job in returning the annual review questions indexing and cross-indexing their questions. That's spectacular. Auckland thanks for turning up. But otherwise it was an excellent job. I want to congratulate them for that. It made it really easy to find the holes in this Government's policies. So I want to thank them very much for that.We had the Northland DHB appear in front of us. Their CEO Dr Nick Chamberlain talked to—when prompted—amongst other things the meningitis outbreak in Northland. More will be said of that in the coming days. But I want to commend the Northland DHB for what they've done with the meningitis outbreak in Northland. They followed the instructions from the ministry and the Minister as best they possibly could. Well done; congratulations. I'm firmly of the view that the ministry and the Minister could have done more. I do not understand why when the outbreak was triggered with an attack rate of 12.3 per 100000—one of the key World Health Organization (WHO) criteria for an outbreak—for under-10-year-olds we in fact stopped vaccinating at age four. We raised these questions with Nick Chamberlain and he couldn't explain it either other than as the Minister has said It's what the expert groups told us." That's not even close to a good enough explanation and again we'll hear more from that over the coming days.I just wanted to comment very briefly on rheumatic fever. My colleague over here who raised it yes also I want to congratulate. I think that is very much a good programme to be investing money into. It is not clear to me why Whangaroa Harbour and some of the other parts of Northland are excluded from that. It wasn't many years ago when Whangaroa had the second-worst incidence of rheumatic fever outside of Soweto. We put a lot of money into that and had some improvements with the acute sore throat rheumatic fever clinics. So it's not clear to me why this new money is all going to South Auckland when we haven't done so well up north either. But that's a different story.I think of all the questions we posed to the DHBs the one I want to focus on here very briefly is the National Oracle Solution much of which changed over the 2017-18 period. I asked every DHB both in writing and in person about their progress with the National Oracle Solution. That multi-platform customer relationship management IT piece of software is also to do important things for logistics and procurement. It's customer relationship management logistics and procurement multi-million dollar benefits of scale of course in procurement and logistics. If you recall what happened there was it was struggling so the Minister organised an independent review with Deloitte who were actually key people key stakeholders in the National Oracle Solution. We raised questions and said there needed to be an inquiry. There was a huge conflict of interest and eventually the Minister sent it to Audit New Zealand. Audit New Zealand came back saying "Absolutely huge conflicts of interest poorly managed do better."We raised questions around National Oracle Solution with every DHB. There were four DHBs who were in the wave one: Waikato Canterbury Bay of Plenty and West Coast. In about July the Minister paused the other DHBs apart from those four in wave one. He said "The rest of you stop. I don't understand this. Don't figure out what's happening. But you four have sort of moved far enough along. Keep going and see what happens." When you do that you create a balance-sheet impairment because suddenly your software is no longer suiting the purpose it originally was there to suit. And so the question I was interested in and asked every DHB was "How much impairment against the National Oracle Solution have you put to your balance sheet?" It varied; in Bay of Plenty for example a smaller DHB it was still a large sum of money—$255000 they were recording as impairment. They're part of the wave one so they're still operational. But Auckland where it was paused completely for them their impairment their write-off due to the Minister's decision to pause was $2.774 million dollars just from one policy setting just from saying "You're now paused you four can continue." They've had to write off that sum of money. And of course what's happened here now is everyone's been told to pause; even the wave one have been told to slow down. So we're going to be very interested as to what sort of contingent liability what impairment is going to need to be recorded in the upcoming balance sheets. Furthermore as I understand it the software licence is due and the hardware doesn't support it any more."