He is the architect of change, the general behind the Director General, the man who would transform health in WA. As the long-serving Health Minister, the Hon Jim McGinty is pushing perhaps the most radical set of health reforms ever seen in this state.
He is the architect of change, the general behind the Director General, the man who would transform health in WA. As the long-serving Health Minister, the Hon Jim McGinty is pushing perhaps the most radical set of health reforms ever seen in this state. Medical Forum borrowed a slice of Mr McGinty’s time for a Q & A session on his motivations, plans, and the obstacles he has had to overcome along the way.
One problem with any reform is finding the right people. Do you feel you have the right people working with you on WA health reform? What motivated you to select these particular people?
“The right people for the job are essential. They can make things happen. Neale Fong and his team have the skills and ability to break through and implement significant health reform.”
What keywords would you use to describe people working with you to make changes, and how he would describe your own feelings about the task at hand?
“Can do. The Health portfolio used to be regarded as a ‘poisoned chalice’. Today, with health reform, it has become a delightful challenge.”
Reform can be a scary process for medical staff at the coal face. How do you overcome their lack of motivation and fear of change?
“Conservatism and fear of change are challenges. I am asking people to step out of their comfort zones and to think and do things differently. The long-term rewards will be great.”
What influence do medical and community lobby groups have on your decision making?
“Some lobby groups thrive in feeding off people’s uncertainty. The real challenge is to become part of the unstoppable health reform process rather than whinging about it. If lobby groups want to be at the forefront, influencing the direction of change, they will get on board – the rest will be left in our wake.”
Do you sometimes feel your hands are tied when it comes to decision making? How do you deal with frustrations?
“The key ingredients of health reform are:
- Plan
-
Money
-
Leadership
-
Political cycle
“In WA, our stars are in alignment, with each of those ingredients in abundance. Therefore, it is not at all frustrating. It’s a matter of maintaining the momentum for change.”
Three year terms may hinder the long-term view required for genuine change. What impact will the next election will have on health reform?
“By the next election, the health reform process will be literally set in concrete. The Opposition may rail at particular aspects of the reform program but will be unable to influence its direction.”
After championing so many health reforms, how will you feel if you’re prematurely moved out of the health portfolio?
“Do you know something I don’t?”
Who are your greatest allies and opponents on a day-to-day basis?
“My greatest allies are all the doctors, nurses, health workers and patients who want to see a much better health system.”