In this area:


Access to Nicotine Replacement Therapy and Emergency Contraceptive Pill and changes affecting those with prescribing rights and the right to provide subsidised products

NZNO seeks members’ feedback on PHARMAC’s proposal to  enable pharmacists subsidised access to the above medications, and changes to Section A of the Pharmaceutical Schedule to give effect to this which will define two ways of accessing the subsidised products.

Feedback due: Please send feedback to by 11 August 2017.

Voluntary Bonding Scheme Review

The Ministry of Health is seeking feedback on the VBS, (which was capped at 229 for nurses in 2017) to inform recommendations for the 2018 intake regarding hard-to-staff areas, specialties and communities Ie How well is the VBS working? Is it targeted at right specialities and areas? Does it provide the right incentives to the right groups? Please send your comments, suggestions, and experience of the VBS to NZNO’s Snr Policy Analyst to by Friday 14 July 2017.

Note: You may also wish to feedback directly to MoH via the following lengthy survey, but please cc feedback to NZNO.

Please send feedback to by Friday 14 July 2017.

Health and Disability Service Standards Review 2017 – short survey

The Ministry of Health is undertaking its three yearly review of the Health and Disability Service Standards.  Feedback is sought via a short survey; members are welcome to submit directly and/or to NZNO.

Note: In 2013 NZNO recommended that all standards be amended to include:

  • accountable measures for ensuring safe staffing in all health services i.e. that there are appropriate systems to ensure sufficient staff with the right skill mix (education, training, experience) and resources (e.g. assessment tools, care capacity demand management) to meet patient numbers and acuity;
  • that the amendments should apply to the standards for safe and appropriate environment; and continuum of care; and
  • that the amendments should apply to all services.

A recommendation for a mandatory standard for safe Aged-Care and Dementia-Care services is part of NZNO’s manifesto.

View the service standards

View the 2017 survey

Please send feedback to by 28 July 2017.


Request for IDEAs in breaking patterns of family violence

The government is calling for IDEAs as to how to break patterns of family violence.
A Family Violence Summit will be held on June 7 at Te Wharewaka in Wellington (Programme and keynote speakers) addressing four issues:

  • Helping children and their whānau to live without family violence.
  • Kaupapa Māori whānau-centred approaches
  • Taking opportunities to intervene earlier
  • Supporting seniors, people with disabilities and migrant communities 

There will be an opportunity to view the summit speakers via a link on the website.

You can contribute your ideas using the online submission form and you can also send feedback to NZNO for its submission. Nurses have a key role in identifying, and providing interventions to reduce family violence. What support, services, training,  etc. are needed to enhance and utilise their skills to improve outcomes?   Examples of what works and what doesn’t work are very useful.

Please send feedback to by Monday June 12, 2017.

Review by Nursing Council on Post Graduate Education: Accrediting and Monitoring

The Nursing Council is reviewing how it accredits and monitors postgraduate nursing education programmes. The Council is consulting on:

  • a quality assurance profile for each education provider/programme
  • a finite period of accreditation, accreditation with conditions or refusal/revocation of accreditation, and
  • the publishing of accreditation reports on the Council website.

The consultation documents, including submission questions can be accessed here.

Please send feedback to by Friday June 23 2017.

Proposal from PHARMAC on meningococcal C conjugate vaccine

PHARMAC is seeking feedback on one final proposal for the supply and funding of meningococcal C conjugate vaccine. In summary, the proposal would result in:

  • Neisvac-C remaining as the only listed meningococcal C conjugate vaccine on the National Immunisation Schedule.
  • the delisting of Neisvac-C in the 10 injection pack presentation.
  • a correction of the chemical name for Neisvac-C in the Pharmaceutical Schedule.

The consultation can be found here:


Please send feedback to by Monday 5 June 2017.

Amendment to Consultation Regarding Azithromycin Proposal

PHARMAC invites your feedback on anti-infective medicines. Please note the proposal has been recently updated to include changes regarding the use of azithromycin. We welcome your comment or please respond directly to PHARMAC. Please find details of the consultation attached below:

Amendment to Consultaton Regarding Azithromycin Proposal



Extra Corporeal Membrane Oxygenation (ECMO)

The MOH invites your feedback on the draft service model for ECMO. Please find copies of the draft service model and consultation feedback form below.

Service document - Extra Corporeal Membrane Oxygenation (ECMO)

Consultation Feedback Form

Please send feedback to by Friday 9 June 2017.

Family and Whānau Violence Legislation Bill

This bill overhauls the Domestic  Violence Act to strengthen the legal framework for family violence laws and break the cycle of family violence. The key provisions of the Bill include:

·more accurately recording family violence offending in the criminal justice system,

·enabling the introduction of codes of practice, and new information sharing provisions across all those dealing with family violence

The Bill and bills digest can be found here:

Please send feedback to by 19 May 2017


Proposed Changes to the Essential Skills Visa

The Government is making a number of changes to our permanent and temporary immigration settings aimed at managing the number and improving the quality of migrants coming to New Zealand. It is proposing a number of changes to temporary migration settings to manage the number and settlement expectations of new migrants coming to New Zealand on Essential Skills work visas. Proposed changes include:

  • The introduction of remuneration bands to determine the skill level of an Essential Skills visa holders
  • A maximum duration of three years for lower-skilled and lower-paid Essential Skills visa holders, after which a minimum stand down period will apply before they are eligible for another lower-skilled temporary work visa.
  • Aligning the ability of Essential Skills visa holders to bring their children and partners to New Zealand with the new skill levels.
  • Exploring which occupations have a seasonal nature and ensuring that the length of the visa aligns with peak labour demand.

A transition period is proposed so that current ES visa holders will not be adversely affected. The consultation document can be fund here

ACC Regulations: Additional occupational groups to registered health professionals

MBIE  is currently consulting on proposed regulations under section 322 of the Accident Compensation Act 2001 to:

  • add the following eight occupational groups to the definition of registered health professional:  anaesthetic technology; dental hygiene; dental therapy; dietetics; optical dispensing; osteopathy; psychology; psychotherapy; and
  • add pharmacists as an occupational group as providers

We welcome member feedback on the discussion document outlining the proposed regulations can be found here.

Please send feedback to by 5 May 2017.


MOH - Transforming Respite: Disability Support Services Draft Respite Strategy 2017-2022

The Ministry of Health is seeking feedback on a draft respite strategy that proposes aligning respite with the Disability Support Services strategic direction to enable greater choice, control and flexibility to people with disabilities and their families. Please find the draft strategy attached below:

Feedback Due: Please send feedback to by 26 April 2017

Pan Pacific Leg Ulcer Guideline Development Group - Updated Pan Pacific Leg Ulcer Guidelines

The Pan Pacific Venous Leg Ulcer Guideline Development Group invites your feedback on the draft document “Pan Pacific Clinical Practice Guideline for Prevention and Management of Venous Leg Ulcers 2nd Edition.

The document has been developed collaboratively by a large team of healthcare professionals and is a revision of the first edition, which was published by Wounds Australia and the New Zealand Wound Care Society in 2011 and approved by the National Health and Medical Research Council and the New Zealand Guidelines Group.

Comment can be made via

Feedback Due: Please send feedback to by Monday 10 April 2017

Asthma and Respiratory Foundation New Zealand - New Zealand Child and Adolescent Asthma Guidelines 

The Asthma and Respiratory Foundation New Zealand welcomes your feedback on these draft guidelines.  The guidelines aim to provide simple, practical and up-to-date, evidence-based recommendations for the diagnosis, assessment and management of child and adolescent asthma in clinical practice.

The final version will be published and developed into practical tools for health professionals. 

Please find attached the draft attached here: New Zealand Child and Adolescent Asthma Guidelines  

Feedback Due: Please send feedback to by Monday 10 April 2017.

MOH - Proposed new investment approach to post-entry training of New Zealand’s future health workforce

The Ministry of Health is seeking your feedback on a proposed new investment approach to Post-entry training of New Zealand’s future health workforce. The proposal represents a significant change to the way in which decisions about post entry training funding are made, basically moving it to a fully contestable model.

Please find the proposed investment approach outlined in the consultation document below:

Feedback due: Please send feedback to by 12 May 2017


HDC Health and Disability research involving adult participants who are unable to provide informed consent.

The effect of Right 7(4) of the current Code of Health and Disability Service Consumers’ Rights (the Code) is that research with participants who cannot give informed consent cannot proceed unless the research is in the best interests of the participants.

Frequently the outcome from the research is uncertain so it is difficult to know whether the participants will be better off participating in the research, than not participating. However such research might provide important information of benefit to others.

NZNO welcomes your feedback to help the HDC determine whether there is a need to change this legislation. Are New Zealand’s current laws regarding non-consensual research appropriate? If not, how should they be amended?

The consultation document  and submission form are available here:

Feedback due: Please send feedback to  by 21 April 2017

United Community Action Network (UCAN) Charter for Health

NZNO is seeking your feedback on the UCAN charter - a position statement from a partner organisation we endorse which will form the basis of lobbying parties leading up to and during the 2017 general elections.

Please find the charter attached below:

Feedback Due: Please send feedback to ASAP

Alzheimers NZ Dementia Services and Standards

Alzheimers NZ is seeking feedback from members of the NZNO on the proposed Alzheimers NZ Dementia Services and Standards. Alzheimers NZ is particularly interested in feedback from nurses on how they might strengthen some of the service components such as those related to rehabilitation and other therapeutic interventions. 

See documents below for details:

Feedback Due: Please send feedback to by 24 March 2017

MOH - The Mental Health Act and Human Rights

The Mental Health Act and Human Rights - discussion document

NZNO is seeking members’ feedback on this discussion document.

This document explores the alignment between the Mental Health Act and our human rights obligations under the New Zealand Bill of Rights Act 1990 (NZBORA) and the Convention on the Rights of People with Disabilities (CRPD).

The document sets out some of the key issues and concerns the Ministry is aware of, but  would like to hear from you about your experiences, perspectives and challenges as nurses  who  care for service users under the Mental Health Act.

The discussion document  is available here:

Your comments may be guided by, but do not have to be restricted to use the questions in the submission feedback form . The pdf for this is available from NZNO here:

Feedback due: Please send feedback to by 17 February 2017


PSNZ and NZMA - Integrated Health Care Framework

Integrated Health Care Framework – Consultation Draft

The Pharmaceutical Society of New Zealand (PSNZ) and the New Zealand Medical Association (NZMA) have developed a person-centred framework for pharmacists and doctors to deliver an integrated model of health care.  The PSNZ and NZMA invite your feedback on this draft consultation document, links below:

Feedback due: Please send feedback to by 17 February 2017

BPACNZ Antimicrobial Stewardship

Antimicrobial stewardship:

BPACNZ is consulting on its draft guidelines for systems and processes for effective antimicrobial medicine use. The draft guideline and related documents, including the scope, response template and rationale for changes are available here:

Feedback due: Please send feedback to by 20 February 2017

PHARMAC Proposal to fund provision of influenza vaccine

PHARMAC is consulting on a proposal to fund a free flu vaccine to people 65 years and over and pregnant women in community pharmacies from 1 April 2017. This would mean that these people would be able to choose to get their funded vaccine from their general practice or pharmacy. Pharmacies would be able to claim an administration fee and funded vaccine for those eligible. You may also like to comment on whether access to funded flu vaccine should be available through other providers/services.

See attached document for details:

Feedback due: Please send feedback to by 17 February 2017

PRIME (Primary Response in Medical Emergencies) Service Review Steering Group Draft Report to NASO (National Ambulance Sector Office)

The National Ambulance Sector Office (NASO) (on behalf of ACC and the Ministry of Health) is undertaking a formal review of PRIME.

In 2016 the PRIME Service Review Steering Group developed a range of recommendations on specific issues regarding PRIME services that are now documented in a Draft Review Report.

NZNO welcomes your feedback on the Steering Group Draft Report to the NASO which is below:

Following this consultation the Review Report will be approved by the steering group for submission to the Ministry of Health and ACC for consideration in the first half of 2017.

Feedback due: Please send feedback to by Friday 24 February 2017

MOH - Model of Care for Vascular Services

The Ministry of Health is seeking your feedback is on the proposed Model of Care for Vascular Services.  

The Model of Care aims to guide the types and locations of vascular services, to ensure patients access the right level of care in a seamless and timely manner. 

NZNO seeks your feedback as a stakeholder in the provision of vascular services in New Zealand.  This will help shape the final model of care, ensuring it is appropriate and achievable. 

Links to the model of care draft and consultation document are attached below:

Feedback due: Please send feedback to by 10 February 2017

International Council of Nurses (ICN) - Review of Position Statements

The ICN is reviewing several of its position statements and requests your feedback on the draft position statements below:

Feedback should be given using the questionnaire below:

Feedback due: Please send feedback to by 27 January 2017

Health Quality and Safety Commission - National Reportable Event Policy

The HQSC is consulting on its National Reportable Event Policy. The link to the discussion document is embedded below, with Survey Monkey links to each question.

Feedback Due: Please send feedback to by 25 January 2017

ACC Request for Information (RFI) solutions to reduce the incidence of wound infections and claims for treatment injury

ACC wants to reduce claims for treatment injury stemming from wound infections. They are interested in “Innovative, low-cost, scalable, practical / feasible, self-sustaining, effective ideas to reduce the severity and incidence of infections occurring in primary care, hospital care, day stay, or community settings”. Member feedback on causes and solutions to treatment injury eg staffing, discharge, etc. is sought. See documents below:

Feedback Due: Please send feedback to  by 25 January 2017

MSD - Children, Young Persons and their Families (Oranga Tamariki) Legislation Bill

Children, Young Persons, and their Families (Oranga Tamariki) Legislation Bill

The second tranche of  the vulnerable children/ CYFs reform legislation – Children, Young Persons, and Their Families (Oranga Tamariki) has been introduced.

This omnibus Bill covers a wide range of legislative reforms to to establish the statutory framework for the new operating model for the Ministry for Vulnerable Children, Oranga Tamariki. It includes changed provisions for children with disabilities; information sharing; youth justice; statutory responsibilities for child workers, etc.

NZNO is seeking members’ feedback on this new legislation. In particular, we ask you to consider your own working environment and how this new legislation might operate in your current practice situation.

An overview of the Bill is available here: and more detail and context is provided in the Departmental  disclosure statement:

Feedback Due: Please send feedback to by 31 January 2017.

PHARMAC - Jadelle Contraceptive Implant

PHARMAC is proposing to change how levonorgestrel contraceptive implants (Jadelle) can be accessed, so that they would become funded on a Practitioner’s Supply Order (PSO).

Feedback Due: Please send feedback to by ASAP (due 16 December)

Ministry of Justice - A common approach to understanding family violence risk assessment and management

A common approach to understanding family violence risk assessment and management.

Please note: The Ministry of Justice has extended the very short timeframe for this discussion.

Feedback due: Please send feedback to by 10 September 2016

Essential skills shortage review - Immigration New Zealand

Immigration New Zealand accepted NZNO’s nomination of Registered Nurse (in the specialities - Aged Care,  Critical Care and Emergency, Medical, Mental Health and Perioperative)  to be reviewed for the Essential Skills Shortages Review. See our submission here )

Preliminary Indicator Evidence Reports (PIERs) providing some relevant statistical and other information are available here

However, there are many aspects affecting workforce supply and demand that are not reflected in the PIERS reports, and which should be considered as part of the review. Eg resourcing, recruitment and retention policies, pay and conditions, safety, quality etc.  NZNO has advocated for the review of nursing occupations on the essential skills in demand  lists, particularly in areas where shortages and safety issues are the result of inadequate resourcing, lack of safe staffing and employment conditions that fall below the standard collective agreement for nursing and midwifery - the DHB MECA 2015-2016

DHB NZNO Nursing and Midwifery Multi Employer Collective Agreement

Feedback due: Please send feedback to  by 17 August  2016  

Consultation on the review of the code for advertising to children and the children's code for advertising food

The ASA is reviewing its Codes for advertising to children under 14 years.  The brief  consultation document  sets out the current Codes and Principles guiding advertising to children and for advertising food to children and asks for information, examples and feedback on a range of questions including ‘health star rating’ systems, sponsorship,  enforcement. This is an important opportunity for nurses to provide input into industry regulation on a key issue affecting public health. You may wish to refer to the Ministry of Health’s  Child Obesity Plan and Informas research.    

Feedback due: Please send feedback to before 8 April 2016

FSANZ Review of Infant Formula Standards

FSANZ is proposing to revise and clarify standards relating to infant formula products comprising category definitions, composition, labelling and representation of products.

The consultation paper covers:

  • Definitions and composition
  • Safety and Food Technology
  • Provision of Information.  

There are several questions for each section; answer only those that apply. 

Feedback Due: Please send feedback to by 5th May 2016

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