A health commentator isn't expecting new appointments at Health New Zealand to change much. \xa0
The Government's appointed four Deputy Chief Executives to run different regions from next month. \xa0
Ian Powell says if they come along with a change in culture, it could make a difference. \xa0
He says there are bigger problems at Health NZ which need to be tackled.\xa0 \xa0
Powell says the leadership culture at the organisation is too top down when it comes to decision making.\xa0
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