The Crushing Weight of Deception: How the Ministry of Health's "Customer Service" is Failing Patients and Frontline Staff

 

The term "customer service" often evokes images of polite interactions, efficient problem-solving, and a genuine desire to assist. However, my recent experience with the health system in Auckland, New Zealand, has exposed a far more insidious reality: a systemic failure of empathy, a blatant disregard for patient well-being, and a deeply concerning practice of institutionalized dishonesty that leaves both patients and frontline staff in an untenable position.

My ordeal began with a glimmer of hope, a letter received 17 weeks ago informing me that my first consultation with a consulting surgeon, ahead of a much-needed operation, would occur within eight weeks. For someone living with daily pain, this news was a beacon, a promise of relief on the horizon. It allowed me to mentally prepare, to adjust my expectations, and to believe that progress was being made towards addressing my health needs. This hope, however, was built on a foundation of deceit.

The shattering truth arrived during a recent phone call, a follow-up prompted by the now long-passed "eight-week" deadline. The stark confirmation was that the actual wait time would be a year at best, a devastating blow that sent waves of frustration and despair crashing over me. The additional months of enduring pain, of putting my life on hold, felt like an unbearable burden, amplified by the initial, false promise.

But the true depth of this institutional failing became chillingly clear during my conversation with the individual on the other end of the line. A seemingly routine inquiry about the discrepancy in timelines unearthed a disturbing practice. With a palpable weariness in her voice, the staff member at the District Health Board (DHB) confessed that the Ministry of Health has been deliberately instructing them to mislead patients in their correspondence since the COVID lockdowns. They are compelled to disseminate letters containing inaccurate timelines, essentially perpetuating a lie that offers fleeting hope before ultimately delivering a crushing disappointment.

The implications of this policy are far-reaching and deeply damaging. For patients like myself, already navigating the anxiety and uncertainty of health issues, this calculated dishonesty erodes trust in the very institutions meant to care for us. The initial hope ignited by the misleading letter is not just extinguished; it is replaced by a profound sense of betrayal and anger. Living with chronic pain is a constant battle, and the anticipation of treatment becomes a vital psychological anchor. To have that anchor yanked away by a deliberate falsehood is not merely inconvenient; it actively harms our mental and emotional well-being. It forces us to readjust our lives based on a false premise, delaying crucial personal and professional decisions, and prolonging the physical and emotional suffering.

Beyond the direct impact on patients, this culture of dishonesty casts a dark shadow over the dedicated frontline staff within the DHBs. These are the individuals who bear the brunt of the Ministry's deceptive practices. They are the ones who have to answer the phone calls from anguished, frustrated, and often angry patients who have been led to believe that help was imminent. They are forced to deliver the bad news, to explain the inexplicable delays, and to witness firsthand the emotional fallout of a system that prioritizes a misleading facade over honest communication.

The ethical burden placed upon these frontline workers is immense. They are compelled to participate in a system that actively deceives the very people they are meant to serve. This dissonance between their professional obligation to care and the institutional mandate to mislead must take a significant toll on their morale and job satisfaction. It breeds cynicism, erodes trust in their leadership, and ultimately puts them in a position where they are seen as the bearers of bad news, even though they are merely cogs in a dysfunctional machine.

The Ministry of Health's rationale for this policy, shrouded in the aftermath of the COVID lockdowns, remains opaque and unconvincing. While the pandemic undoubtedly placed immense strain on the healthcare system, resorting to systematic deception is not a sustainable or ethical solution. Transparency, even when delivering difficult news, fosters understanding and allows patients to make informed decisions about their care. Lies, on the other hand, breed resentment, distrust, and ultimately exacerbate the anxiety and frustration of those already in vulnerable circumstances.

The flow-on effects of this dishonesty are significant. Beyond the individual suffering, it damages the overall reputation of the healthcare system and erodes public confidence. When patients feel they cannot trust the information they receive from health authorities, it can lead to a breakdown in communication and a reluctance to engage with the system. This ultimately undermines the very purpose of a public health service, which is to provide reliable and trustworthy care to the population.

It is time for accountability. The Ministry of Health must acknowledge the detrimental impact of this policy of misleading patients. They owe it to the patients who have been given false hope and to the frontline staff who have been placed in an impossible position. A fundamental shift towards transparency and honest communication is urgently needed. While addressing the systemic issues within the healthcare system that lead to these long waiting times is crucial, it must be coupled with a commitment to treating patients with the respect and honesty they deserve.

As someone directly impacted by this egregious failure of "customer service," I implore those in positions of power, including Simeon Brown, to take note of this unacceptable situation. I am willing to discuss this further, to share my experience in the hope that it can contribute to meaningful change. However, words are no longer enough. The Ministry of Health must move beyond platitudes and demonstrate a genuine commitment to honesty, transparency, and the well-being of both patients and the dedicated frontline staff who are struggling under the weight of institutional deception. The people of Auckland, and the wider New Zealand community deserve better.

Business Culture as a Performance Driver

 A thriving business culture isn't a happy accident; it’s a powerful engine for performance and organisational success. For any business in New Zealand, the workplace environment is not just a place to work; it is the very force that drives productivity, innovation, and profitability. The genuine culture of a company, the shared values, beliefs, and behaviours, is the invisible hand that can either propel a business forward or hold it back.

As a business consultant, I've seen countless examples where a disconnect between a company’s intended culture and its lived reality has led to significant pain points. A classic case is when owners and management believe they have a collaborative, team-oriented culture, while the staff feel micromanaged and undervalued. This strategic mismatch creates friction, erodes trust, and hampers productivity. At Josty, our philosophy is that a business's culture should be a natural extension of its people and goals, unique to its specific context. We don't believe in a one-size-fits-all approach because every team and every business is different.

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The DNA of a High-Performing Culture

A business's culture is its operating system. When this system is healthy, it can drive extraordinary results. We've seen two distinct yet successful cultural archetypes: the family/team culture and the corporate/revenue culture. Each, when nurtured correctly, can be a powerful performance driver.

The family/team culture thrives on a sense of belonging and mutual support. In this environment, people are more than just employees; they are colleagues who genuinely care for each other's success. This fosters a deep-seated loyalty where people willingly do the "bit extra" because they are working for a common purpose. This sense of collaboration and collective responsibility can lead to remarkable productivity. Employee engagement is naturally high because individuals feel valued, respected, and heard. The result is a highly motivated workforce where talent retention becomes a natural by-product.

Conversely, the corporate/revenue-based culture is often characterised by a focus on individual achievement and tangible rewards. In this setting, people are driven by clearly defined goals, performance metrics, and the pursuit of career progression and higher earnings. This can be a highly effective model, particularly in fast-paced, competitive industries. It fuels a culture of ambition, but leadership must balance individual aspirations with the need for communication and teamwork, ensuring the pursuit of revenue doesn't come at the expense of employee well-being or ethical conduct.

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Leadership as the Catalyst for Change

The most common and most damaging pain point we encounter is a fundamental disconnect between the cultural aspirations of management and the lived reality of the staff. This is where Josty's strategic thinking and leadership development expertise come into play. We believe that leadership is the primary driver of culture. Leaders set the tone, model the behaviour, and define the values.

Therefore, any cultural transformation must begin at the top. This is not about forcing a new set of rules; it’s about guiding leaders to understand and strategically influence their own behaviour. We work with business owners and leadership teams to honestly assess their existing culture and define the desired state that aligns with their business goals. Through our leadership development programmes, we coach leaders to embody the new culture, helping them with change management by ensuring consistency from the top. A cultural shift can fundamentally change the whole business from morale to staff engagement, from profit to customers.

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The Enduring Impact of a High-Performing Culture

A business’s culture is its most valuable, and often most underutilised, asset. It is the intangible force that dictates everything from employee engagement to overall organisational success. The journey to a high-performing culture is not a quick fix; it is a continuous, guided process that requires genuine strategic thinking and a commitment to change management.

At Josty, our role is to act as your trusted business consultant, helping you navigate this journey. We’ve seen firsthand how addressing the disconnect between leadership and staff views on culture can revitalise a business, boosting morale, improving profits, and creating a workplace environment where everyone is aligned and motivated. It’s the most crucial investment you can make in your business's future, ensuring sustained business growth and a legacy of organisational success.

How Team Mental Health Drives Business Performance

Team mental health is no longer a soft issue; it's a critical component of business success, directly impacting productivity, retention, morale, and the customer experience. Businesses that proactively invest in consistent, inclusive employee well-being initiatives can prevent burnout, boost staff engagement, and minimise costly errors that damage reputation and profitability.

The Business Case for Mental Health

When employees feel supported, they are more motivated, engaged, and resilient. This leads to higher performance, better decision-making, and improved service delivery. Conversely, neglecting mental health issues can quietly drag down productivity and collaboration. Poor morale often leads to high turnover, increased errors, and slower decision-making, while a supportive culture fosters loyalty and improved performance.

Burnout, in particular, is a significant financial drain, causing absenteeism, presenteeism, and disengagement. While some businesses may push for greater productivity during tough economic times, this often creates a false economy. The short-term gains are outweighed by the long-term costs of reduced resilience and high employee turnover. Prevention through a consistent mental health policy is far more cost-effective than dealing with the aftermath of staff burnout.

Furthermore, client relationships can suffer when a team is under mental strain. Missed deadlines, poor communication, and broken promises are often a symptom of overwhelmed staff. Customer-facing roles are especially vulnerable; when employees are running on empty, their patience and attention to detail drop, leading to service errors and reputational damage. This is a predictable result of systemic neglect, not a personal failing.

Common Challenges and Proactive Solutions

Many businesses struggle to support mental health effectively. Inconsistent leadership direction such as shifting priorities can cause anxiety and confusion. Non-inclusive support systems, where aid is offered selectively, can breed resentment. The lack of regular check-ins means early signs of distress are often missed.

Building a culture that supports mental health requires a strategic approach:

• Consistent and Equitable Wellness Practices: Ensure that support systems and policies are inclusive and apply equally to everyone, regardless of tenure or role.

• Encourage Flexible Work: Offer options like remote days and flexible hours. Flexibility is a performance enabler, reducing daily stressors and accommodating personal responsibilities.

• Create Routine Check-ins: Implement regular one-on-one and group catch-ups to uncover issues and build trust before stress escalates.

• Instill Psychological Safety: Foster a culture where employees feel safe to speak up, admit mistakes, and ask for help without fear of retribution.

Ultimately, mental health is a business imperative, not just an HR checklist. Organisations that adopt consistent, inclusive mental health approaches build stronger cultures and brands. They retain talent, deliver better results, and more reliably meet client expectations. Your investment in your team's well-being is an investment in your company's long-term resilience and success.

Head over to the Josty Blog to read the full article: Team Mental Health Drives Business Performance

How do you finish the week with your team?

 

For many workplaces, the Friday after-work drinks are a distant memory. With hybrid teams, remote setups, and shifting priorities, those informal wind-downs have faded but that doesn’t mean we should lose the opportunity to end the week well.

When I was a Sales Manager, I made sure we finished the week together online, every Friday afternoon.

It was our weekly roundup.

Everyone had to share:

• The worst or funniest thing that happened that week

• Their personal highlight

• And what they were planning for the weekend

The purpose?

✅ To stop the team carrying frustrations into the weekend

✅ To celebrate wins, big and small

✅ And most importantly, to shift our mindset from work to life

It didn’t take long, but it made a huge difference.

• It built trust.
• It lightened the mood.
• And it reminded us that behind every role, there’s a person with a life outside of work.

We laughed. We vented. We connected. And we left the call lighter more human.

We often underestimate the power of small rituals in business. A 15-minute catch-up might not seem like much on paper but in practice, it helps your team disconnect from work with purpose, rather than dragging the week’s stress into the weekend.

These weekly roundups often revealed things I wouldn’t have known otherwise. A team member who had a tough week with a client. Someone dealing with something challenging at home. Or a surprising win that hadn’t made it into the CRM yet. By creating space for both honesty and humour, we became more than just colleagues we became a team that had each other’s backs.

And here's the thing: you don’t need a title like Sales Manager to introduce something like this. Anyone can take the lead. Anyone can decide to create connection. Whether you're running a business or contributing to one, fostering a rhythm of reflection and recognition helps everyone feel more grounded and more motivated.

In today’s work environment, where messaging never sleeps and emails roll in on Sundays, it’s easy to feel like there’s no real off switch. But if we don’t create clear transitions between work and personal time, burnout creeps in and culture starts to fray.

Ending the week with intention is a small investment with a big return.

It doesn’t have to be drinks, or even a formal Zoom. It could be a group chat voice note, a quick check-in thread, or a shared GIF of the week. It’s about building habits that remind us we’re more than our KPIs and deadlines.

So, how do you wrap up the week with your team?
What little traditions help your people feel seen, heard, and ready to recharge?

👇 I’d love to hear your ideas. Let’s learn from each other. Leave a comment below or head over to our contact us page for other ways to connect. 

Are Your Daily and Weekly Routines Designed for Success or Just Survival?

One of the most overlooked drivers of sustainable success in business, in career, and in life is your routine.

Not just how you manage time…
But how you manage energy, clarity, and focus.

Here’s the question everyone should ask themselves
Have you intentionally structured your day and week to support your goals, your wellbeing, and your growth or are you reacting to what life throws at you?

If your schedule is running you, it might be time to pause and reassess.

Consider this:

🔹 Do your mornings set the tone or steal your momentum?
The first hour of your day often dictates your mindset. Are you starting with intention or immediately jumping into noise?

🔹 Are your priorities reflected in your calendar or just your intentions?
It’s easy to say we value health, growth, or strategy… but are they actually blocked into your week?

🔹 Are you protecting your peak energy times for deep work and strategic thinking?
Not all hours are equal. Working smarter means aligning tasks with your natural rhythms.

🔹 Do you have white space for reflection and self-improvement or is every moment accounted for?
Growth doesn’t happen in the gaps between back-to-back meetings. It needs deliberate space.

🔹 Is your routine supporting your wellbeing or slowly burning you out?
High performance is not about pushing harder. It’s about creating systems that allow you to thrive, sustainably.

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Your daily and weekly rhythm is either your greatest advantage… or your silent bottleneck.

Success and fulfilment are both the result of structure, structure built with clarity, not just busyness.

So, here’s your challenge:
This week, audit your routine. Ask yourself: Is this aligned with the life and outcomes I want to create?

If not, it might be time to redesign it.

Let me know what’s one small change you’re making to reclaim your time, energy, or direction?

Head over to our main blog for more insights.