Ideological change by this Labour Government will not result in better outcomes. Centralisation will result in a loss of local voice. Bureaucracy will not deliver better outcomes. In 2023, a National-led Government will inherit a wasteland of failed reforms. Having worked in the system for many years, the conversations that I hear from past colleagues are that there is no clarity in terms of what and how this reform will be implemented. There is significant fatigue, and many of my past colleagues are looking at options to move offshore, not because they don't care about the health system and want to do everything within their power to improve it, but they are tired. This reform will simply make that situation worse. 