The indicators of productivity in New Zealand's health sector are reason for concern, as is the paucity of transparent and reliable information with which to evaluate the effectiveness of policies and management. In spite of continuing substantial - and possibly unsustainable - increases in funding each year, the system struggles to meet some of its obligations, for example to provide treatment to all those who qualify under the points system.

Mani Maniparathy is a public sector performance analyst specialising in the New Zealand health sector.