United Community Action Network (UCAN)
The Devastating Effects of Health Care Cuts
“Two tragic events in Wellington’s southern suburbs of Newtown and Kilbirnie calls attention to the devastating
consequences of inadequate health funding, including the ongoing health funding cuts, for mental health consumers”, says
spokesperson, Debbie Leyland, from the Wellington based health advocacy group, United Community Action Network (UCAN).
“The recent death in the Kilbirnie supported accommodation facility, Mahora House, highlights the dangers caused by
continual cuts to health-based funding from Capital and Coast District Health Board (CCDHB) to community based health
services” Leyland states.
Mahora House was established in 1985 to support people who were being 'deinstitutionalised' from long-term mental health
facilities and moving into community-based settings. In 2013 CCDHB 2013 withdrew funding from Mahora House. In March
2016 a resident at Mahora house was fatally assaulted by another resident.
This event follows a similarly tragic event in 2009 at Te Menenga Pai, otherwise known as Mansfield House. The murder of
one resident and conviction and imprisonment of another was a traumatic experience for residents, staff, friends and
whanau. The Coroner’s investigation found that Mansfield House was chronically short staffed and frequently had an
occupancy rate beyond capacity. The report was critical of the role of the CCDHB in its support of a facility with such
high need. The Coroner stated that if the controlling health authority, in this case CCDHB, "devolves its
responsibilities" to another service then it must continue to ensure ongoing audits ensure that care is delivered
“Will an investigation into the recent tragedy at Mahora House present similar findings from the events of 2009? Did the
DHB heed the warnings from the Coroner’s report?”, asks Leyland. “The CCDHB has a mandated role to improve, promote, and
protect the health of people and communities and to reduce health disparities”
In 2010 the Minister of Health instructed the CCDHB to commence a policy of clawing back savings of $60 million in a
three year period. The CCDHB CEO Ken Whelan resigned stating then that he could not “cut costs any further without
undermining patient care”. Many of these ‘savings’ came from restructuring funding streams to community based services,
ultimately forcing many to merge, reduce the services offered, or to close. Some of the service losses in the Wellington
southern suburbs have been advocacy and Midwifery services and drop-in and activity centres.
UCAN calls on the CCDHB to halt all plans to reduce funding to any community-mental health focused services and for an
investigation to assess the impacts of the loss of services that have supported the health and well-being of some of the
most marginalised and vulnerable within our communities. Are these on-going cuts making inequalities worse? UCAN feels
the answer is yes.
“Tragedies hit harder in small communities” says Leyland, “It’s no longer health, it’s Hell”.