Cultural safety in healthcare is not ‘ideological’ – it is saving lives

Wed, 15 Jul 2026 02:43:56 +1000

Andrew Pam <xanni [at] glasswings.com.au>

Andrew Pam
<https://theconversation.com/cultural-safety-in-healthcare-is-not-ideological-it-is-saving-lives-286335>

"Introduced under urgency this month, the government’s latest proposed law
change would increase the health minister’s powers to interfere in the work of
medical registration authorities.

The Health Practitioners Competence Assurance Amendment Bill aims to “align
health workforce regulation with patient needs […] and government priorities”.

This follows Health Minister Simeon Brown’s recent decision to replace the
leadership of the Medical Council because he objected to the attention the
council gives to cultural safety in medical practice.

Earlier, the minister also changed the composition of the Nursing Council,
significantly reducing the number of nurses and Māori representatives on the
board.

While the health minister is legally able to make all appointments to these
registration authorities under current law, the convention for nurses and
doctors has been that a proportion of the council is appointed from top
candidates in an election by members.

Brown is the first to make significant changes to both councils on grounds of
government policy, and the proposed changes would increase his ability to
interfere with their work.

But despite the minister’s view that cultural safety and competence is an
“ideological agenda”, these principles are deeply embedded in New Zealand
practice and make a difference to health outcomes."

Cheers,
       *** Xanni ***
--
mailto:xanni@xanadu.net               Andrew Pam
http://xanadu.com.au/                 Chief Scientist, Xanadu
https://glasswings.com.au/            Partner, Glass Wings
https://sericyb.com.au/               Manager, Serious Cybernetics

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