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Consultation

MEDSAFE

RE

 NZNO seeks your feedback MEDSAFE’s consultation on the process for observers at Ministerial Advisory Committees ie Whether the

•Medicines Classification Committee should not change, whether observers representing applicants are no longer allowed to attend or whether the observers are widened;

•Medicines Assessment Advisory Committee should not change or whether observers representing the sponsor are no longer allowed to attend;

•Medicines Adverse Reactions Committee should not change, whether there should be no observers other than from the Ministry or whether sponsors should be allowed to attend for section 36 issues to provide a presentation and answer questions; and

•Medicine Review Committee should not change or whether applicants for a review are allowed to present their case to the Committee.

MEDSAFE  is also updating its Guidance document: How to change the legal classification for Medicines in NZ  

FEEDBACK DUE

Please send feedback to marilynh@nzno.org.nz by  December 20, 2017.


PHARMAC

Proposal to widen funded access to zoledronic acid for early breast cancer.

NZNO seeks your feedback on Pharmac’s proposal available from this link:

https://www.pharmac.govt.nz/news/consultation-2017-10-31-zoledronic-acid/

Please note there is a short turnaround time.

Please send feedback to marilynh@nzno.org.nz by Friday 10 November, 2017.


Anaesthetic Technician (AT) Scope of Practice Review Consultation

Read here: A Review of the Anaesthetic Technician Scope of Practice

The Medical Sciences Council (MSC) is undertaking a public consultation on a proposal to redefine the parameters of the Anaesthetic Technician (AT) scope of practice. The Council proposes to widen the AT scope of practice from a two year diploma course to a three year degree for Perioperative Practitioners. Note that the AT scope fits within the RN scope of practice, and that this potentially duplicates the RN role of Surgical First Assistant.  The consultation documents include:

You may also be interested in NZNO’s former responses to the Council on the regulation of ATs:

Feedback due: to marilynh@nzno.org.nz by 8 December 2017.


Guidelines for nurses on the administration of medicines, 2017

Analytics indicate that the ‘Guidelines for nurses on the administration of medicines’ is one of the most accessed publications that Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) produces utilised extensively by members and employers of nurses and caregivers. This revision has focused on aligning it with the legislation and regulation changes in 2015/16 that extend nurse prescribing. It has benefited from significant input from the Professional Nurse Advisers who work with members to address complex clinical scenarios associated with administering medicines, from Ministry of Health officials and the Nursing Council of New Zealand. It has also been an opportunity to rearrange aspects of its presentation to make it more ‘user friendly’.

Please contribute feedback that considers the Guidelines’ relevance and usefulness to nurses in practice.

Please send feedback to sueg@nzno.org.nz by 30 November 2017.

- Guidelines for Nurses on the Administration of Medicines, 2017 (PDF 1.82MB)
 


Reprocessing of reusable medical devices in health service organizations - Amendment 2

Standards New Zealand is consulting on the above document available from this link: www.standards.govt.nz

Feedback due: to marilynh@nzno.org.nz by 1 December 2017.


Social Workers Registration Bill

This Bill protects the title of social worker and extends the scope of current regulation so that anyone practising as a social worker, or doing a job with that title, must be registered and have a current practising certificate. It restricts certain jobs to social workers.

However, it does not define or protect the practice of social work. People may be employed as social workers in all but name - eg as a Family or ‘Community worker and as long as they do not undertake the restricted tasks specified in the Act, they do not have to be registered. Employers usually decide the title.

NZNO, NCW and others have called for mandatory registration of social workers. We are seeking your feedback on whether the Bill should  be extended to include a definition of social work (there are international examples), and registration for every person undertaking this type of work regardless of job title? Do you know of anyone whose job might be considered social work, but whose job title does not include the words ‘social worker’? We are also interested in personal examples/ evidence. 

View the bill at: Social Workers Registration Bill and the Regulatory Impact Statement. Note that the committee is due to report back in February, 2018. 

Please send feedback to marilynh@nzno.org.nz by 6 November 2017.


National Health Index (NHI) Number Format Change and Allied Health Data Set Draft Standard

NZNO is seeking your feedback on two brief consultation documents from the Health Information Standards Organisation (HISO) available here: http://www.health.govt.nz/our-work/ehealth/digital-health-standards-and-governance/health-information-standards/standards-open-public-comment

  1. National Health Index (NHI) Number Format Change

HISO has identified a need to extend the range of NHI numbers for future use.  A number of options have been considered. The recommended option is to change the check digit algorithm and number format from AAANNNN to AAANNAA

  • The cutover would occur once the existing number range is exhausted; the old format would be retained alongside the new format. 
  • No mapping between NHI numbers would be required.
  • At current allocation rates there would be sufficient NHI numbers to last another 130 years.

Click on the “NHI Number Format Change Public Comment Document” from the above link to download the proposal (scroll down after the public comment form).

  1. Allied Health Data Set Draft Standard.. The Standard defines the minimum data required to be captured by Allied Health staff in DHBs to record patient related clinical activity. It is currently being reviewed to assess and maintain its currency.

You may comment on the standard as a whole or any part of the document. Download the consultation document HERE.

Please forward your feedback on either or both documents by by 30 October 2017 to: marilynh@nzno.org.nz.


Advanced Nursing Practice Position Statement Revision

NZNO adopted a position statement on Advanced Nursing Practice in 2000.  This is the 4th revision of the document and includes recent work by the National Nursing Consortium on specialty practice standards, Dr Kathy Holloway on a New Zealand nurse specialist framework, and the Nursing Council of New Zealand work on competencies for nurse prescribers and nurse practitioners.  While drafting the revision we have focused on making the position statement clear, concise and current.

Read or download: Advanced Nursing Practice (PDF 347KB)

Feedback due: Please send feedback to sueg@nzno.org.nz by 24 November 2017.


NZQA Guidelines for the Recognition and Award of Credit for Learning

The New Zealand Qualifications Authority is currently consulting on its Guidelines for the recognition and award of credit for learning. The draft document and survey can be found here:

http://www.nzqa.govt.nz/about-us/news/consultation-on-guidelines-for-the-recognition-and-award-of-credit-for-learning/

Please send feedback to sueg@nzno.org.nz by  27th October 2017


Dietitians Board

The Dietitians Board is currently consulting on its Professional Standards & Competencies for Dietitians, which are aspirational and forward focussed.

The draft document can be found HERE  and a short survey can be found HERE.  Please respond directly to the survey and will help guide the future of dietetics in New Zealand.

Your input would be valuable to our consultation and to the profession.

Feedback due: Please send feedback to marilynh@nzno.org.nz by  25 October 2017.


Low Emissions

NZNO is seeking feedback on the Productivity Commission’s issues paper on how New Zealand can transition to a lower net-emissions economy. While the issues paper does not specifically look at the potential to reduce emissions in the health sector, NZNO is interested in any specific programmes that health organisations, hospitals etc are undertaking, or could undertake, to reduce domestic greenhouse gas emissions.

Access the paper here: Low-emissions economy

Feedback due: Please send feedback to marilynh@nzno.org.nz by 29 September 2017.


Proposed guidelines for family gamete donation, embryo donation, use of donated eggs with donated sperm and surrogacy

NZNO seeks members’ feedback on ACART’s revised guidelines.

NZNO seeks your feedback on ACART’s proposal to replace four separate guidelines with one set that covers the four procedures of: family gamete donation, embryo donation, the use of donated eggs with donated sperm, and clinic-assisted surrogacy. NZNO also seeks feedback on ACART’s advice to the Minister of Health about the scope of cases covered in the revised guidelines.

See link below:
https://acart.health.govt.nz/consultations/proposed-donation-guidelines-family-gamete-donation-embryo-donation-use-donated-eggs

Please send feedback to marilynh@nzno.org.nz by  6th November 2017


Proposal to consider the regulation of infant formula products specifically infant formula for special dietary use

NZNO seeks members’ feedback on the Food Standards Authority New Zealand (FSANZ) proposal to consider the regulation of infant formula products specifically, infant formula for special dietary use.

This proposal considers issues related to the regulation of infant formula products for special dietary use including: categories, definitions, composition, labelling and access to products in the Australia New Zealand Food Standards Code.

Access the proposal here: FSANZ Consultation Paper

Feedback due: to marilynh@nzno.org.nz by Thursday 21 September 2017.


Employment (Pay Equity and Equal Pay) Bill

This Bill aims to establish the policy, rules and employment processes which aim to eliminate gender-based discrimination, in terms of pay and other conditions of employment. It sets out a process for employees to file a pay equity claim and for regulators to consider:

• whether a pay equity claim has merit;

• matters that could be considered as part of a pay equity assessment;

• identifying appropriate comparators.

Read: Employment (Pay Equity and Equal Pay) Bill

Please note: If there is a change of government following the General Election, the Bill may be changed. 

In either case, however, NZNO is interested in comment and feedback from members who have, or may potentially be, affected by pay equity regulation.

Feedback due: to marilynh@nzno.org.nz by 20 October 2017.


Changes to funding of Ciproflaxin for chronic suppurative otitis media (CSOM)

NZNO seeks members’ feedback on PHARMAC’s proposal to widen access to ciproflaxin eyedrops for the treatment of chronic suppurative otitis media (CSOM).

Please note this proposal was amended on 14 August following concerns around its use in otitis externa.

Access the amended proposal here: https://www.pharmac.govt.nz/news/consultation-2017-08-11-ciprofloxacin/

Feedback due: Please send feedback to marilynh@nzno.org.nz by 25 August 2017.


‘Choose Wisely’ Campaign

The ‘Choose Wisely’ campaign has its origins in the United States and is an initiative of the American Board of Internal Medicine Foundation ‘… designed to spark conversations among patients, physicians and other health professionals about appropriate tests and procedures …’ (Mason, 2015, p. 657).  It is now a global initiative with the New Zealand campaign http://choosingwisely.org.nz/ being promoted by the Health Quality and Safety Commission and Consumer NZ and endorsed by a number of the Australasian medical specialist colleges, the Council of Medical Colleges in New Zealand, and the New Zealand College of Midwives among others.

The New Zealand Nurses Organisation/Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) needs to decide if it will also endorse the campaign and the position it would take in doing so.

Questions to consider:

1. Is there a problem in New Zealand about how tests, treatments and procedures are explained to patients including their impact on providing best quality care for the patient?  If so, is that problem greater for health services and care for some groups, particularly Maori and Pacific communities and those experiencing mental health challenges?

2. How do nurses advocate in a culturally safe way for care recipients who have either been referred for tests/procedures/treatments that seem unnecessary or who should have tests/procedures/treatments for which they have not been referred?

3. What is the potential for unintended consequences of the ‘choose wisely’ campaign?  Is one of those potential unintended consequences the possibility that care recipients will see this campaign as a rationing exercise and as a sequelae of an under-resourced healthcare system?

Barriers to access, for example those proposed by PHARMAC in 2016 to the long-acting intra-uterine system (LIUS) ‘Mirena’, resulted in subsidised mirenas primarily being used by older, peri-menopausal women to reduce the need for hysterectomy, while younger women with similar symptoms who were seeking safe, long-term reversible contraception, were excluded. (See: NZNO Submission to PHARMAC re Mirena sole supply (PDF 388KB) While benefiting one group, another is excluded for cost control reasons.  Over the productive lifetime of women impacted, the benefits of funded access to such products needs to be factored into analyses.

4. What evidence is there that nurses inappropriately order and administer unnecessary tests, procedures and treatments?  There is evidence to the contrary – that Nurse Practitioners prudently prescribe and order tests and procedures. (see Gardner, Gardner & O’Connell, 2014)

References:

Gardner, G.; Gardner, A. and O’Connell, J. (2014) Using the Donabedian framework to examine the quality and safety of nursing service innovation. Journal of Clinical Nursing 23, 145-155 doi: 10.1111/jocn.12146

Mason, D. (2015) Choosing Wisely: Changing clinicians, patients or policies? The JAMA Forum 313:7 p. 657-658

Feedback due: Please send feedback to Sue Gasquoine, Nursing Policy Adviser/Researcher sueg@nzno.org.nz by 30 September 2017.


Review of Fertility Service Standard

NZNO seeks members’ feedback on the Ministry of Health’s Fertility Service Standards.  Feedback is wanted on whether the Standard should continue unamended, be amended, or be replaced by one or more new sets of standards.

Access the current Standard here: https://www.standards.govt.nz/assets/Publication-files/NZS8181-2007.pdf

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


Amended: Changes to diabetes management products

NZNO seeks members’ feedback on PHARMAC’s proposal to change and upgrade their current brand of diagnostic test meters and test strips to a choice of four CareSens diagnostic test meters and their associated test strips, and fund widened access to a blood ketone meter (CareSens Dual). Pharmac will no longer fund the Care Sens II Meter and test strips; the Freestyle Optimum meter, blood glucose and test strips; and the Accu-Chek Performa blood glucose test strips.  Consider clinical circumstances for keeping funded access of existing meters, and when is it necessary to test for ketones.

Please note that PHARMAC now asks that you disregard the previous consultation as it relates to the proposal to award Hospital Sole Supply.

 Access the proposal here: https://www.pharmac.govt.nz/news/consultation-2017-07-25-diabetes-management-products/

Feedback due: Please send feedback to marilynh@nzno.org.nz by 18 August  2017.


National guidance on follow up and supportive care of lung cancer patients after curative intent therapy

NZNO seeks member feedback on the NLCWG draft document to provide guidance on follow up and supportive care of lung cancer patients who have completed curative-intent treatment. 

Access the draft guidance document and feedback form here:

Feedback due: Please send feedback to leannem@nzno.org.nz by 21 August  2017.

 


Measuring and improving state sector productivity

NZNO seeks members’ feedback on an issues paper from the Productivity Commission on how to better measure the efficiency of public services, at both a sector and service level and how these measures can form part of effective performance management systems. Feedback is wanted on Note and feedback on any validated measurement tools that support agencies to measure, understand, and improve productivity.  

Access the paper here: Measuring and improving state sector productivity (PDF)

Feedback due: Please send feedback to marilynh@nzno.org.nz by 1 September  2017

 


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.

https://www.pharmac.govt.nz/news/consultation-2017-07-20-access-nrt-ecp/

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

https://www.surveymonkey.com/r/VBS_2017_consultationProf1

Please send feedback to Marilynh@nzno.org.nz by Friday 14 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. https://justice.govt.nz/justice-sector-policy/key-initiatives/reducing-family-and-sexual-violence/family-violence-summit

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 Marilynh@nzno.org.nz 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. 

http://www.nursingcouncil.org.nz/Publications/Consultation-documents/Consultation-on-accreditation-and-monitoring-2017

Please send feedback to DianaC@nzno.org.nz 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:

 https://www.pharmac.govt.nz/news/consultation-2017-05-23-nis-men-c/

 

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

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_72556/family-and-wh%C4%81nau-violence-legislation-bill

Please send feedback to leannem@nzno.org.nz 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 sueg@nzno.org.nz 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 SueG@nzno.org.nz 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  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

 


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


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)


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


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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