1999 produced a change in government to a Labour-led coalition, as well as another change to the health system. 2000 saw the removal of all quasi-market elements, by establishing 21 District Health Boards (DHBs) which are responsible for the purchasing, providing and planning of services in consultation with their local community. The HFA was abolished, and the Ministry of Health asserted as lead policy advisor, planner and funder. However, these reforms were not planned and carried out well, resulting in disillusionment of many officials working within the sector, who were unconvinced of the effectiveness of the new system (Ashton 2009, 2002; Gauld 2009, 2003; Devlin, Maynard, and Mays 2001).