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Consultation

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  http://woundguideline.com

Feedback Due: Please send feedback to DianaC@nzno.org.nz 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 DianaC@nzno.org.nz 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 sueg@nzno.org.nz by 12 May 2017

 


Domestic Violence - Victim's Protection Bill 2016 (Member's Bill - Jan Logie)

FROM: Justice and Electoral Select Committee, Parliament.

RE: Domestic Violence – Victim’s Protection Bill 2016 (Member’s Bill – Jan Logie)

The Bill aims to enhance workplace protections for victims of domestic violence through a series of amendments. The Bill supports victims to stay in paid employment and addresses any discrimination.

The Bill provides for up to 10 days paid leave for people affected, flexible working arrangements and additional protections for victims.

NZNO welcomes your feedback on the Domestic Violence - Victim’s Protection Bill 2016.

FEEDBACK DUE: Please send feedback to Diana Cookson, NZNO Research and Policy Assistant at  DianaC@nzno.org.nz by 18 April 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: http://www.hdc.org.nz/the-act--code/right-7(4)-consultation

Feedback due: Please send feedback to marilynh@nzno.org.nz  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 marilynh@nzno.org.nz 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 dianac@nzno.org.nz by 24 March 2017


IQNs: Immigration and other issues

Discussion Document - IQN: immigration and other issues

This discussion document provides background and evidence to promote and inform discussion on the complex issue of nurse immigration in Aotearoa. It is largely based on NZNO staff and member feedback, research and discussion undertaken over the past decade to inform policy responses and submissions to numerous consultation and information requests from Immigration New Zealand, the Ministry of Health, and the Ministry of Business, Innovation and Employment.

It clarifies the pivotal role of IQNs in New Zealand’s health system and highlights conflicting policies which put both IQNs and the health system at risk. It is intended to be used as a resource and reference publication to initiate discussion with members and external stakeholders, including other health professional and health sector bodies, policy and research advisers and to inform the development of sound, ethical planning for a sustainable nursing workforce. 

 Feedback to  Marilyn Head marilynh@nzno.org.nz


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 Marilynh@nzno.org.nz 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 Marilynh@nzno.org.nz 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 Marilynh@nzno.org.nz 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: https://www.pharmac.govt.nz/news/consultation-2016-02-03-influenza-vaccine-pharmacy/

Feedback due: Please send feedback to marilynh@nzno.org.nz 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 marilynh@nzno.org.nz 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 Marilynh@nzno.org.nz 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 Marilynh@nzno.org.nz 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.

http://www.hqsc.govt.nz/assets/Reportable-Events/Publications/Policy-review-discussion-document-National-Reportable-Events-Policy-Nov-2016.pdf

Feedback Due: Please send feedback to MichelleR@nzno.org.nz 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 marilynh@nzno.org.nz  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:
https://www.parliament.nz/en/pb/bills-and-laws/bills-digests/document/51PLLaw24331/children-young-persons-and-their-families-oranga-tamariki and more detail and context is provided in the Departmental  disclosure statement: http://disclosure.legislation.govt.nz/assets/disclosures/bill-government-2016-224.pdf

Feedback Due: Please send feedback to MarilynH@nzno.org.nz 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).

https://www.pharmac.govt.nz/news/consultation-2016-11-23-jadelle-contraceptive-implant-pso/

Feedback Due: Please send feedback to marilynh@nzno.org.nz by ASAP (due 16 December)


Proposal to amend listings in the National Immunisation Schedule

PHARMAC  is consulting on proposed changes to the NIS affecting: 

  • Pneumococcal conjugated (PCV13) vaccine;
  • Varicella vaccine; Haemophilus influenzae type B (Hib) vaccine; 
  • transition period for Brand switches and introduction of  Pneumococcal (PCV10) vaccine (Synflorix), Measles, mumps and rubella vaccine (Priorix),  Haemophilus influenzae type B vaccine (Hiberix); and Rotavirus vaccine (Rotarix);
  • Minor clarifications to special authority criteria for Hepatitis B recombinant vaccine and Pneumococcal (PPV23) polysaccharide vaccine; and
  • Tuberculin purified protein derivative (Mantoux) test

Read or download full document (PDF 170KB)

Feedback due: Please send feedback to marilynh@nzno.org.nz  by 13 January 2017.


MOH update of CVD and diabetes risk assessment and management guideline for primary care

The Ministry are reviewing their CVD and diabetes risk assessment and management guideline for primary care and welcome your feedback on this draft.  The draft incorporates the latest New Zealand based CVD risk equations derived from the PREDICT data set, a Heart Foundation/Te Pou evidential review and key stakeholder feedback from conferences and road show meetings.

Please find the draft guideline and feedback template below.

Please note: This is an extremely short consultation period.

Feedback Due: Please send feedback to marilynh@nzno.org.nz by 7 December 2016


Draft Children and Young People Advertising Code

The ASA invites further feedback on its earlier consultation (April, 2016) on two significant changes included in the draft code for advertising to children:


1)    How to identify advertisements that target children
the draft code proposes that  advertisement will be deemed to be targeting children or young people if they comprise 25% or more of the audience. Comment is sought on whether a percentage share of the audience is the right approach to trigger the Code.  Comment is also sought on each medium’s ability to breakdown and report separately on the two specific audiences proposed in the code – Children under 14 years and young people aged 14 to under 18 years. 

2)    Definition of “occasional food and beverage products”.
The Food and Beverage Classification System (FBCS) (PDF 1.5MB) has been suggested as an interim step to establishing a fit for purpose system for New Zealand. The ASA would appreciate comments from submitters on the use of the FBCS as the interim system.

You can read the final report of the children’s codes review here:  Report of the Panel (PDF 832KB)

Please send feedback to marilynh@nzno.org.nz by 2 December 2016.


Professional Development and Recognition Programmes: consultation document and survey

The NENZ project team is consulting on their review of  the two documents underpinning the PDRP. NENZ invites your feedback on their draft document.

Read or download: National Framework and Evidential Requirements (PDF 1.5MB)

You are invited to participate in this survey: https://www.surveymonkey.com/r/Y5FKQ7J

Feedback due: Please send feedback to marilynh@nzno.org.nz by 5 December 2016.


Guidelines: Professional challenges – Assisted dying position statement

The NZNO draft assisted dying position statement has been developed in conjunction with our written and oral submission to the Health Select Committee in regard to the Marion Street Petition to investigate fully public attitudes towards the introduction of legislation which would permit medically-assisted dying in the event of a terminal illness or an irreversible condition which makes life unbearable.

While Assisted Dying (AD) is not yet legal in Aotearoa New Zealand, given international trends, it is inevitable that some law will be passed in New Zealand in the future which legalises AD. As patient advocates, NZNO has chosen to take a principled approach to AD and advocate for individuals to have the option or choice of AD. It is extremely important that nurses are involved in the formation of that law to ensure better resourcing and support is available to care for people who are dying.

This position statement focuses on addressing the complexity of AD debate, nursing ethics of AD, professional accountability, and learnings from indigenous models of care. We want to hear from you, to ensure that we have included all the key principles to guide your nursing practice when questioned by patients and their families on issues of AD.

We welcome all member comments and feedback, no matter how small or large and please distribute widely to your member groups as appropriate. Please note this document is in draft format and should not be used in practice until a final version is published.

Read or download: Guidelines - Assisted dying position statement (PDF 431KB)

Please forward your feedback on the guideline by 16 January 2017 to:
leannem@nzno.org.nz

Enquiries to:
Leanne Manson
Policy Analyst Māori
Ph 04 494 6389 or 0800 28 3848


MOH National Cervical Screening programme

The National Cervical Screening programme (NCSP) welcomes your feedback on the following DRAFT documents:

1. NCSP National Policy and Quality Standard – Section 3 (DOC, 2MB) - Cervical screening Services (this now merges Section 3 & 4)

2. Competencies for Cervical Screening Education and Training (DOC, 1MB) (this has been updated to be consistent with the recent review of the NZQA Unit Standard 29556, Conduct Cervical Screening.  

Over the last 4 months a NCSP Cervical Screening National Policy and Quality Standards (NPQS) working group has provided expert advice to the National Screening Unit (NSU) on relevant policy and standards documents related to cervical screening.  

Feedback due: Please send feedback to leannem@nzno.org.nz by 21 October 2016.


Draft report on new models of tertiary education

The Productivity Commission has published its draft report on new models of tertiary education and is seeking submissions on the report.  

The Government asked the Productivity Commission to investigate how trends in technology, internationalisation, population, tuition costs and demand for skills may drive changes in models of tertiary education. The terms of reference suggest there is “considerable inertia” in the tertiary education system, with tertiary providers reluctant to be first movers or early adopters in shifting away from traditional models.

A comprehensive engagement process has informed the inquiry’s draft findings and recommendations.

In February 2016, the Commission released an issues paper that looked how the tertiary education system might respond to these trends. In response, the Commission received 102 submissions from interested parties.

The draft report makes 68 findings, 33 recommendations and asks 11 questions
(listed at the end of the report).

Of particular interest are the proposals to:

  • Change funding of tertiary education so that students have control over their own budget (not the costs of enrolling and living but the costs of studying). Called a ‘Student Education Account’.
  • Abolishing university entrance
  • Increasing interest rates on student loans to cover the cost of the scheme
  • Allow international providers to offer courses in New Zealand
  • Unbundle research and teaching
  • Allow institutions to self-accredit
  • Make the system student-focused rather than provider focused e.g. make it easier to transfer to different courses, easier to get recognition of prior learning etc.

Feedback due: Please send feedback to jillc@nzno.org.nz or phone 03 5463941 or 0800 283 848 by 11 November 2016


Updated guidelines for cervical screening in New Zealand

FROM National Screening Unit

RE Updated guidelines for cervical screening in New Zealand

FEEDBACK DUE:

Pease send feedback to leannem@nzno.org.nz by 21 October 2016

As part of the proposed transition to primary testing for human papillomavirus (HPV), the National Cervical Screening Programme (NCSP) is updating the Clinical Guidelines for Cervical Screening in New Zealand.

The guidelines are intended to provide high-level clinical guidance for those involved in caring for women along the cervical screening pathway. Detailed information about providing cervical screening services, including targets and performance indicators, is included in the NCSP National Policy and Quality Standards (NPQS), which are being reviewed separately.

This consultation document seeks your feedback on updated Clinical Guidelines for Cervical Screening in New Zealand.

Read or Download Updated guidelines for cervical screening in New Zealand

Read or Download

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.

https://consultations.justice.govt.nz/policy/family-violence-risk-framework/user_uploads/ramf-discussion-document-20160804-final.pdf

Feedback due: Please send feedback to marilynh@nzno.org.nz by 10 September 2016


E-Cigarette Regulation Consultation

The Ministry of Health is consulting on policy options for the regulation of e-cigarettes, including possible amendments to the Smoke-free Environments Act 1990 and the Medicines Act 1981.

Electronic cigarettes (e-cigarettes) are a relatively new and evolving product. The risks and benefits of e-cigarettes are uncertain. There is some evidence that e-cigarettes could potentially play a significant role in the reduction of harm for smokers. However, there is very little evidence of the impact of e-cigarettes on the non-smoking population. Similarly, the impact of e-cigarettes on the goal of a SmokeFree Aotearoa NZ by 2025 is uncertain. All of the four transnational tobacco companies now own at least one electronic cigarette product and, given their ethical record in promoting tobacco despite evidence of harm, we suggest a cautious approach is needed to this product, which is marketed in an array of colours, flavours and styles, designed to appeal to young people.  

Currently, the sale and supply of nicotine e-cigarettes are prohibited, while smoked tobacco can be sold legally. The legal status of e-cigarettes can be confusing and the law is not routinely enforced. This consultation aims to clarify the legal position.

The consultation document can be downloaded at: http://www.health.govt.nz/publication/policy-options-regulation-electronic-cigarettes-consultation-document

You may also be interested in:

Feedback due: Please send feedback to marilynh@nzno.org.nz  by 5 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

http://www.nzno.org.nz/Portals/0/Files/Documents/Activities/Submissions/2016-05%20Essential_skills_in_demand_NZNO.pdf )

Preliminary Indicator Evidence Reports (PIERs) providing some relevant statistical and other information are available here https://www.immigration.govt.nz/about-us/policy-and-law/how-the-immigration-system-operates/skill-shortage-lists

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 marilynh@nzno.org.nz  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 marilynh@nzno.org.nz 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 marilynh@nzno.org.nz by 5th May 2016



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