King AnnetteHon ANNETTE KING (Labour—Rongotai): A voice from the past. Can I just say that I have missed my weekly joust with the Minister of Health and I fear that without them he is getting rather slack so I thought that it was time that I came back to tell him what I thought of the health system. I have decided there is so much you could talk about including the missing $1.7 billion out of the health budget by not meeting all the cost pressures wage pressures and population growth. There are many things I could talk about but I want to concentrate Minister on the Ministry of Health.Part of our annual review—and I fear that the Minister and this Parliament are being let down by the current Ministry of Health and the advice that it is providing and I believe that this year it was one of the weakest performances that I have seen at a select committee in many years from the Ministry of Health. I want to concentrate on four issues Minister. I am sure you have read the report from the Health Committee—and I would like to commend Simon O'Connor the member who has just sat down for his excellent chairing of our committee—but these were the four issues that I wanted to raise.The Ministry of Health's Ministry on the Move project—the Minister was misled by his own chief executive in terms of what money was going to be required and I think that that was a very big oversight by a director-general in charge of one of the biggest ministries. The Minister was not kept informed that the ministry did not have the money that it said it had for its Ministry on the Move project and there is much more I believe to come out in terms of the cost of the Wellington premises. It was very hard to get information about the lease how long it will be etc. We then found out at the committee that it is costing the ministry $250000 more a year than the original estimate on the lease of this building and now it is going to try to get some extra money in by having other agencies come in including a health hub and maybe even a McDonald's—who knows? It needs to have extra money to pay for it. It was poorly organised and poorly managed and I think the Minister has every right to be very disappointed.The second area I want to talk about is in terms of the bowel-screening programme. The bowel-screening programme and the roll-out of it was first announced in 2007 and then we waited and we had a pilot and we waited and we waited. Credit goes to this Minister. He is rolling out the bowel-screening programme. But Minister one thing you ought to be very worried about was the answer we received from the ministry about whether there would be funding for district health boards (DHBs) to do the follow-up services once they have screened the patients. What we heard from the DHBs was that they are expected to cover the increase for treatment out of their baselines.If we are running a proper screening programme I do not believe a Government can just say to cash-strapped DHBs You find it to do the treatment." because we will have people on the never-never for treatment if there is not enough money to do it. Minister that has to be addressed. For a successful roll-out there needs to be not only the screening and the identification of people who need treatment but funding to help in the treatment itself.The third issue I wanted to raise is in mental health and mental health has emerged as the issue for 2017. I believe that it will be the issue for this election because there is huge concern around New Zealand at what is happening in mental health. I believe Minister that your ministry has got its head stuck in the sand. It is not listening to what is being said out there in the community about the huge need for mental health services.Services for emergency mental health—people are turning up at emergency departments having been brought into those departments by the New Zealand Police and they are unable to provide the services because their acute wards are already full. There desperately needs to be a review of mental health services. What is happening? Do not be afraid Minister to say "I want to get to the bottom of what's happening in mental health." It is far too important to listen to the soothing words we got from the ministry.The final thing I wanted to raise Minister is funding for primary health care. There is no doubt a campaign this year by primary health providers to fill the hole that has emerged they believe in the funding they should receive to provide primary health care."