New Zealand’s health sector faces another major shake-up with the resignation of Director-General of Health Dr Diana Sarfati. Her departure, announced today, marks the third high-profile resignation within the health leadership in just over a week, raising concerns about the stability of the sector.
Sudden Exit Amid Sector Turmoil
Dr Sarfati will officially step down on February 21, citing the need for fresh leadership during a critical period of health system reforms. In a statement issued by the Ministry of Health, she acknowledged the challenges of restructuring the system but expressed confidence in those continuing the work.
“It is now time to allow someone new to take up the mantle of one of the most challenging and rewarding roles within the health sector,” she said.
Her resignation follows that of Health New Zealand chief executive Fepulea’i Margie Apa on February 7 and Director of Public Health Dr Nicholas Jones on February 10. The wave of exits comes shortly after a government shake-up that saw Simeon Brown replace Shane Reti as Health Minister last month.
Government Defends Leadership Changes
Health Minister Simeon Brown has denied any connection between the resignations, stating that each leader made their own decision to step down. He thanked Dr Sarfati for her contributions, highlighting her expertise in public health and cancer research.
“An experienced and respected leader, Diana has led the Ministry of Health during a challenging time as the last government’s reforms were being implemented,” Brown said. “I acknowledge Diana’s decision to step down from the role and thank her for her commitment to ensuring the health system delivers for New Zealanders.”
However, the abrupt departures have led to mounting criticism, with opposition figures questioning whether the government is orchestrating a “purge” of senior health officials.
Opposition Slams Government Over ‘Bloodbath’ in Health Leadership
Acting Labour health spokesperson Peeni Henare described the string of resignations as a “bloodbath,” accusing the government of destabilising the sector at a critical time.
“Dr Sarfati is a world-leading cancer research expert, improving survival rates and closing inequities in treatment. If the Government doesn’t reach its cancer targets without Dr Sarfati they have no one to blame but themselves,” Henare said.
The Public Service Association (PSA) also weighed in, warning that the government’s cost-cutting measures and restructuring efforts were putting immense pressure on the health workforce.
“Hard-working public servants delivering healthcare, like Dr Sarfati, are being asked to work miracles to somehow keep a groaning system working for New Zealanders,” PSA acting national secretary Fleur Fitzsimons said.
Dr Sarfati’s Legacy and Future of Health Leadership
Before stepping into the Director-General role in 2022, Dr Sarfati was the founding head of Te Aho o Te Kahu – The Cancer Control Agency – where she was recognised for her contributions to cancer research and public health policy. Her leadership at the Ministry of Health has been marked by evidence-based decision-making during a period of significant health sector reform.
With her resignation, uncertainty looms over the continuity of health system changes. Analysts warn that the rapid turnover in leadership could delay critical reforms and impact frontline healthcare services.
As Dr Sarfati prepares to exit, she has not yet disclosed her next move but stated she would take time to consider future opportunities. Meanwhile, the government faces increasing pressure to reassure the public and health professionals that stability will return to the sector.