Reti ShaneDr SHANE RETI (National—Whangarei): Thank you Mr Chair. It's a pleasure to speak to the Estimates and I particularly want to speak to the Estimates figures around health information technology: the $5.2 million in the national health information systems and the $49.3 million in health sector information systems. I want to start by premising this on the major projects list which are failing particularly those that are failing in health those that are high risk and are likely to fail: the National Bowel Screening Programme roll-out bowel cancer screening IT the national infrastructure platform and the national electronic health record. And it's the last that I particularly want to kick off with to start—the national electronic health record.Where is this? Where is this in the Estimates when the Minister this time last year 13 June 2018 at a conference said The ministry's new digital health strategy should be published in coming months. A new identity management and integration service is being defined which will act as building blocks towards the creation of a national electronic health record." Not a word—not a word for a year about the national electronic health record. Maybe there's a reason for that; maybe it's because the Minister has done the indicative business case at an eye-watering figure—absolutely eye watering? You would never guess or could never guess how much the Minister and his ministry have spent just for the indicative business case of the electronic health record. Remember that's not the detailed business case but the indicative business case—$3.4 million just for the indicative business case of the electronic health record which is now a project that is defined as at high risk. We also know from inside industry players that they're very concerned that Accenture and MartinJenkins seem to have taken all that money all that work and we're just not seeing any evidence of it being delivered. So I wanted to plant the electronic health record at the Minister's feet as "Where is this? Where does it sit in the Estimates? Why is it a high-risk project?"I then want to move to the National Oracle Solution which the Minister spoke to in oral questions today and which the Prime Minister spoke to last week. Just to remind everyone of the National Oracle Solution: in 2017—so the project had been under way for about five to seven years—the incoming Government under David Clark's hands December 2017 there or thereabouts decided they'd look at the National Oracle Solution and surprise surprise ordered a review. They ordered a review from Deloitte—but hang on didn't Deloitte design the National Oracle Solution? Oh yes they did. Hadn't Deloitte through Asparona their subsidiary company actually done a lot of contractual work on the National Oracle Solution? Yes they had. How could this be an independent review when the people who were setting the exams were also the people sitting the exams? They were marking their own exam work.So we pointed this out to the Minister including the fact that Deloitte said they didn't want made public their conflict of interest—thank you to the Official Information Act—and reluctantly the Minister sent it to Audit New Zealand. Audit New Zealand came back with a damning report of his handling of the National Oracle Solution and particularly the commissioning of Deloitte to do that. I won't read that because I want to move on to what that report showed. Then what happened was the Minister parked the National Oracle Solution around about April last year. He realised he'd got it wrong. He let the four Wave 1 DHBs continue—Waikato Canterbury Bay of Plenty and West Coast—and he parked it. And he did nothing until about 10 days ago.Now over this whole year those parked DHBs have written off impairments in the sums of millions of dollars and furthermore the systems that were failing were the systems at Auckland Northland Counties Manukau Waitematā Taranaki and Southern DHB. Their versions of Oracle expired and their software and hardware was no longer compatible with the Oracle platform—over this year while the Minister was parking the National Oracle Solution. What do you think that's done for security running software versions on platforms that are no longer supported? Is it a surprise that we're seeing cyber-security issues with this Government when you have a Minister who doesn't think forward? What happens if you park a health information technology project and the software licences run out and no longer meet the hardware requirements?That's a further damnation of what the Minister is doing with health information technology. And then we hear today "Don't worry; it's moved to the FPIM." The Minister needs to tell the whole story. There are 10 DHBs that the Health Finance Procurement and Information Management System (FPIM) which is the new name for the National Oracle Solution—there are 10 DHBs that now have no procurement basis. It has been wiped by the Minister. He did not say that in oral questions today nor did the Prime Minister last week. Let's hear this whole story."