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Consultation

Consultation

Local Government (Community Well-being) Amendment Bill

NZNO seeks your feedback on this Bill which aims to reinstate the promotion of social, economic, environmental and cultural well-being of communities to the statutory role of local government, and restore  territorial authorities’ ability to collect development contributions for community facilities, such as libraries, sports grounds and swimming pools resulting from developments. Please consider how these changes to local government could make a difference to health outcomes and to local planning for eg, population growth, an ageing society, rising rates of obesity, social inequalities and climate change.Please find the bill link below:

http://www.legislation.govt.nz/bill/government/2018/0048/latest/d56e2.html

Send feedback to marilynh@nzno.org.nz by 18 May 2018.


Sale and Supply of Alcohol (Renewal of Licences) Amendment Bill

This bill enables local alcohol policy (LAPS) to be fully considered in any decision on the renewal of an existing licence. It gives the community more say over the density and location of alcohol outlets and allows conditions, for example, trading hours, particular licences and one-way door restrictions, to be imposed, but it will have limited effect because it doesn’t apply to new licenses and most LAPs are very weak. NZNO seeks your feedback on the impact of alcohol on health, health services and communities, examples of where LAPs have been effective, or where there have been barriers to advice of local communities and health practitioners, and recommendations for alcohol regulation. NZNO is a member of alcohol action and supports its recommendations.

Further information can be found from the Alcohol Healthwatch website  http://www.ahw.org.nz/

 

Please find the bill attached below:

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_76343/sale-and-supply-of-alcohol-renewal-of-licences-amendment

Send feedback to marilynh@nzno.org.nz by 21 April 2018


Privacy Bill

NZNO seeks your feedback on this bill which reforms the Privacy Act 1993. The intent of the Bill is to promote people's confidence that their personal information is secure and will be treated properly, given changes to the way this is used with the rise of the Internet and the digital economy. The Bill implements recommendations made in the Law Commission's 2011 review of the Act including reforms that give the Privacy Commissioner a stronger role and help address privacy risks earlier. The key changes are:

  • mandatory reporting of privacy breaches to the Privacy Commissioner and to affected individuals;
  • the Commissioner will be able to issue compliance notices;
  • strengthening cross-border data flow protections;
  • new criminal offences: it will be an offence to mislead an agency in a way that affects someone else’s information and to knowingly destroy documents containing personal information where a request has been made for it;
  • Commissioner making binding decisions on access to information requests; and
  • strengthening the Privacy Commissioner’s information gathering power:

 

Please find the Bill attached here:

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_77618/privacy-bill

 

Send feedback to marilynh@nzno.org.nz by 17 May 2018.


Coroners Access to Body of Dead Person (Amendment) Bill

NZNO seeks your feedback on this Bill which amends the Coroners Act 2006 (the Act) to “require” coroners when determining whether a person should be allowed to remain with the tūpāpaku to also consider tikanga Māori and the expectations of other cultures. This Bill strengthens the issues raised during the Māori Affairs Select Committee inquiry into whānau access to and management of Tūpāpaku, which Te Rūnanga have submitted on.

Currently, the Act allows coroners to have the discretion to take cultural considerations into account, but they are not mandatorily required to.  

We welcome your feedback on the proposed amendment which enshrines the importance of recognising and supporting all cultural beliefs in Aotearoa New Zealand, to the extent possible.

Send feedback to leannem@nzno.org.nz by 18 May 2018.


Abortion Law Reform

The Law Commission is reviewing the current abortion law to see how it could be made consistent with treating abortion as a health issue. NZNO is seeking feedback from members and nurses working in women’s health services on the current process and delivery of abortion services, and the impact on women’s health.

For an explanation of the current law and the process for receiving abortion services please see: http://abortionlaw.lawcom.govt.nz/

Please send feedback to marilynh@nzno.org.nz by 11 May 2018


Evaluation of the Nurse Practitioner Education Programme

The NZNO seeks your feedback on an independent Evaluation of a Nurse Practitioner Programme, as attached here:  https://www.health.govt.nz/publication/evaluation-nurse-practitioner-education-programme

In particular, we are seeking feedback on an aspects of the training, the nurse practitioner role and career development.

For more information please see the link below: https://www.health.govt.nz/our-work/nursing/nurses-new-zealand/nurse-practitioners-new-zealand#feedback

 

Send feedback to marilynh@nzno.org.nz by 20 April 2017.


Employment Relations (Triangular Employment) Amendment Bill

NZNO seeks your feedback on this Bill which includes changes to employment law which may impact on your working situation. Triangular employment is where an employer, for example a DHB, contracts the services of their employee to a secondary employer, for example a nursing agency.

 

There are two parts to the Bill.

  1. The first part ensures collective coverage, if you have more than one employer. This is provided you are a member of a union and that union has a Collective Agreement with your secondary employer. Should you be bound by a Collective Agreement with your primary employer you would not be covered by the secondary employer’s collective.

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  1.  The second part focuses on your rights to allege personal grievances if you have more than one employer.

Nurses employed by one “primary employer” but working for another “secondary employer” as well, will still have a right to allege a personal grievance. So if you have an employment issue with your secondary employer, while you are outsourced to that employer, this Bill will enable both your primary and secondary employer to be jointly named as respondents to a personal grievance.

 

Please find the bill attached below:

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_76281/employment-relations-triangular-employment-amendment

 

Send feedback to marilynh@nzno.org.nz by 4 May 2018.


Psychoactive Substances (Increasing Penalty for Supply and Distribution) Amendment Bill

NZNO seeks your feedback on this bill which would increase the penalty for selling or supplying psychoactive substances that are not approved products.

 

The intent of the bill is to increase the penalty associated with the supply of non-approved products in line with the penalties for the supply of Class C drugs under the Misuse of Drugs Act 1975.

 

The bill can be found here:

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_76278/psychoactive-substances-increasing-penalty-for-supply

 

Send feedback to marilynh@nzno.org.nz by 27 April 2018.


Mental Health and Addictions Inquiry

  • NZNO seeks your feedback on/input into the Mental Health and Addictions Inquiry. The purpose of the inquiry is to identify ways to improve New Zealand’s current approach to mental health and addiction problems, and what needs to change in both the mental health sector and broader community.
  • The inquiry aims to identify a clear direction to address particular concerns that exist including:
  • inequity of access
  • poor community confidence in the mental health system and
  • the need for better outcomes, particularly for Māori and other groups with disproportionally poorer outcomes.  

This is a useful source/starting  point :

https://www.dia.govt.nz/Mental-Health-Inquiry---Questions-and-Answers

and includes the  terms of reference

https://gazette.govt.nz/notice/id/2018-go318

 

As yet there is no deadline but NZNO interested in hearing from members.  Please send feedback to marilynh@nzno.org.nz


Health (National Cervical Screening Programme) Amendment Bill

NZNO seeks your feedback on proposed legislation for the National Cervical Screening Programme (NCSP) relating to disclosure of information from the NCSP register.

The key change is to more clearly identify health providers able to have access to information from the Register. Currently, smear takers in primary care need to wait for clinical information to be faxed to them.  In particular, these amendments will allow smear takers to have direct (look-up) access to the Register, and for this access to be incorporated into the future re-design of the Register.

The people provided with direct access to the Register would remain subject to the Privacy Act 1993, the Health Information Privacy Code 1994, health professional regulatory constraints and relevant employment and contract law. 

Please note we have some concerns about the role of the Kaitiaki group and welcome any feedback you may have about access to Māori women's data.

Please find the bill attached below:

http://www.legislation.govt.nz/bill/government/2018/0026/latest/LMS13671.html

Send feedback to leannem@nzno.org.nz 26 April 2018.


Draft Medication Guidelines: Home and Community Support Services

NZNO seeks your feedback on the Draft Medication Guidelines for Home and Community Support Services prepared by the Ministry of Health (on behalf of the Home and Community Support Services Working Group).
 

The aim is to provide medication guidelines specific to the Home and Community Support Services sector that will ensure best possible outcomes for clients and staff.

 

The draft guidelines are available at the link  below:

http://www.hcha.org.nz/page-15/medication-guidelines-for-home-support-under-consultation

Send feedback to sueg@nzno.org.nz by 20 April 2018.


Future of Tax: Submissions Background Paper

NZNO seeks your input on ways to improve the current tax system to inform future developments in tax and ensure tax works for the  wellbeing of New Zealanders.  It is an opportunity to have input on how tax could work for public health concerns such as income inequality, living standards and healthy behaviours (for example through removing GST from essential items or the use of alcohol, tobacco and sugar tax). It also a chance to have input on any other ways in which you are affected by the current tax system.

Please see the background paper attached below: https://taxworkinggroup.govt.nz/resources/future-tax-submissions-background-paper

Please note NZNO and NZMA  are co-hosting Alcohol HealthWatch’s public forums on three submission opportunities for alcohol related policy:

  • Sale and Supply of Alcohol (Renewal of Licences) Amendment Bill – improving local community control to reduce the number of alcohol outlets in our communities
  • Tax Working Group Review increasing the tax of alcohol is aligned with a social justice
  • Mental Health and Addictions Inquiry -strong alcohol policies can improve mental health

 We recommend these forums in Wellington, Thursday 5th April  Auckland 9th April, and Christchurch, 11th April to your attention. To register email Suzanne: ahw@ahw.org.nz

Send feedback to marilynh@nzno.org.nz by 20 April 2018


Guidelines for nurses on the administration of medicines, 2018

FEEDBACK DUE:
Please send feedback to sueg@nzno.org.nz by April 9th 2018


Following the first round of consultation late in 2017, and feedback from Dr Jill Wilkinson these guidelines (see the table of changes below) warrant another brief consultation. Please consider these changes as you read the document.

Summary table of changes:
Length of document:
At 50+ pages long the document was becoming unwieldly and repetitive.

Removal of material that was not directly associated with nurses administering medicines (including reference to Nurse Practitioners and designated prescribers for whom a specific guideline will be developed).

Reference to midwives responsibilities in administering medicines has also been removed as this is clearly described by the Midwifery Council of New Zealand.

Detail of standing orders and transcribing have also been removed but links created to the existing NZNO publications that address these practices.

New additions:
Nurse-initiated medicines (6.8)
Automated medication dispensing devices now in common use (6.13)
Oxygen and other medical gases (7.3)

Updates:
Glossary (8)
References (9)
list of relevant legislation and regulation (9.1)

Guidelines for Nurses on the Administration of Medicines, 2018.


Micro-credentials in New Zealand’s education and training system

NZNO seeks your feedback on NZQA’s proposal to recognise micro-credentials, alongside other qualifications, from July. Micro-credentials are usually smaller than a qualification and recognise a defined set of skills and knowledge by an industry or community.

Read or download: Micro-credential Consultation document 

Send feedback to sueg@nzno.org.nz by 6 April 2018

Delivering the Pharmacy Action Plan

NZNO seeks member feedback on this Plan and new funding model intended to give “communities equity of access to different types of pharmacist services, in different ways and places, which are tailored to individual need. This means that some services in future could be provided outside of the pharmacy. District Health Boards will focus on improving health outcomes for Māori and Pasifika, and four other groups, which are also set out in the Pharmacy Action Plan:

consumers with chronic conditions.

frail and elderly.

mental health consumers.

giving every child a healthy start.”

 

NZNO is interested in your feedback on the Plan and in particular your views on how this will affect the:

  • integration of pharmacists in community health care and
  • delivery of, and equal access, to  primary health care and nurse-led services.

A good overview of the plan is provided here:

https://tas.health.nz/assets/Publications/Pharmacy-Documents/Integrated-pharmacists-in-the-community/FINAL-Integrated-Pharmacist-Vision-Booklet.pdf

Feedback to marilynh@nzno.org.nz by 3 April 2018


Education Amendment Bill

NZNO seeks member feedback on this bill regarding its impact on nursing education including:

  1. a requirement that the councils of tertiary institutions and councils of polytechnics have at least one elected permanent member of staff and at least one elected student  and
  2. its support of the introduction of free tertiary education through creating a  new offence of making a false representation in an application for free tertiary education.

This bill amends the Education Act 1989 and the Education (Update) Amendment Act 2017.

Please find a link below to the bill:

http://www.legislation.govt.nz/bill/government/2018/0015/latest/LMS8532.html

Feedback to sueg@nzno.org.nz by 6 April 2018.


Child Poverty Reduction Bill

NZNO welcomes your feedback on this Bill.  Its intent is to help achieve a significant and sustained reduction in child poverty and to enhance the overall wellbeing of children.

The purpose of this bill is to:

  • encourage a focus on child poverty reduction,
  • facilitate political accountability against published targets,
  • require transparent reporting on child poverty levels, and
  • create a greater commitment by Government to address child well-being.

The bill and bills digest can be found here:

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_76267/child-poverty-reduction-bill

 

Feedback to leannem@nzno.org.nz by 28 March 2018.


Health Practitioners Competence Assurance Amendment Bill 2018

NZNO seeks member feedback on the above bill which  aims to provide:

  • better visibility of decisions about practitioner practice
  • greater recognition of the importance of interdisciplinary collaboration and co-operation
  • better workforce information.

We strongly recommend that you read the Bill’s Digest

https://www.parliament.nz/en/pb/bills-and-laws/bills-digests/document/52PLLaw25401/health-practitioners-competence-assurance-amendment-bill which summarises amendments to the HPCA Act affecting : 

  • Competence and fitness to practice (Part 3)
  • Complaints and discipline (Part 4)
  • Structure of authorities (Part 6)
  • Naming Policy (Part 7)

The Bill can be found here: https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_76354/health-practitioners-competence-assurance-amendment-bill

 

Feedback due to policyanalysts@nzno.org.nz by 29 March 2018.


Employment Relations Amendment Bill

This Bill aims to restore key minimum standards and protections for employees, and to implement a suite of changes to promote and strengthen collective bargaining and union rights in the workplace.

NZNO welcomes your feedback on this bill. Please find a link to a description of the bill attached below:

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_76257/employment-relations-amendment-bill

Feedback due to marilynh@nzno.org.nz by Tuesday 20 March 2018.


Reclassification of influenza vaccine – RN supply

Following an objection raised by the Royal New Zealand of College of General Practitioners (RNZCGP), the Medicines Classification Committee is reconsidering its recommendation to amend the current classification for influenza vaccine to include registered nurses. (See Item 5.1.1 MCC Agenda http://www.medsafe.govt.nz/profs/class/Agendas/Agen60/agen60.htm)

NZNO seeks member feedback on the proposed amendment of the influenza vaccine classification statement to include RNs.

Feedback to marilynh@nzno.org.nz by Monday 19th March 2018.


Proposed changes to the Pharmaceutical Schedule Rules

NZNO is seeking feedback on proposed changes to the Pharmaceutical Schedule Rules, making them easier to find, use and apply, including: 

  • tidying and consolidating the existing hospital and community schedules, and 
  • developing practical resources to assist interpretation of key rules.

PHARMAC does not intend to change the meaning of any rules or review any restrictions.

Details of the proposed new rules can be found here: https://www.pharmac.govt.nz/

Feedback due to policyanalysts@nzno.org.nz by 19 March 2018. 


Misuse of Drugs (Medicinal Cannabis) Amendment Bill

This Bill seeks to amend the Misuse of Drugs Act 1975 to:

  • introduce an exception and a statutory defence for  terminally ill people to possess and use illicit cannabis and to possess a cannabis utensil;
  • provide a regulation-making power to enable the setting of standards that products manufactured, imported and supplied under licence must meet; and
  • amend Schedule 2 of the Act so that cannabidiol (CBD) and CBD products are no longer classed as controlled drugs.(See WHO statement http://www.who.int/features/qa/cannabidiol/en/)

 

Note that the Bill is intended as an interim, compassionate measure until affordable quality products are available under a proposed medicinal cannabis scheme.

Member feedback is sought on both the narrowly focused bill, and what should be considered in developing the wider medicinal cannabis scheme. NZNO’s position statement on cannabis

Please find links below to the bill

 

http://www.legislation.govt.nz/bill/government/2017/0012/latest/d56e2.html?search=qs_act%40bill%40regulation%40deemedreg_medicinal+cannabis_resel_25_h&p=1&sr=1

and to NZNO’s Position Statement on Medical Marijuana (cannabis)

https://www.nzno.org.nz/Portals/0/publications/Position%20Statement%20-%20Medicinal%20Marijuana,%20N2016.pdf

 

FEEDBACK DUE

Please send feedback to marilynh@nzno.org.nz by March 21, 2018.


Births, deaths, marriages, and relationships registration bill

This Bill gives effect to 2016 recommendations and responds to three discrete issues raised in the Law Commission’s review of burial and cremation law. The Bill covers reporting and privacy requirements for births, adoptions, name changes, sexual assignment and reassignment, marriages, civil unions, and deaths, including digital and online access. It seeks a balance between efficient public services and third party access.  NZNO is seeking member feedback on any issues with nurses’ access to BDM registrations, eg tracing children, gender reassignment etc. and the impact on health.

Read the bill here: Births, Deaths, Marriages, and Relationships Registration Bill

Feedback due: to marilynh@nzno.org.nz by Friday 23 February 2018.


Examination policy and guidelines for registration of overseas anaesthetic technicians

NZNO seeks your feedback on the Medical Sciences Council’s proposed development of an online examination as a pathway to registration for overseas-trained practitioners. You may also wish to participate in the online survey.

Read or download:

Feedback due to marilynh@nzno.org.nz by 23 February 23 2018.


Climate change, Nurses & Health

NZNO seeks feedback on the ICN’s revised position statement on Climate Change, Nurses and Health, particularly in relation to its relevance, recommended additions (eg: new research) or modifications. 

Read or download: Position Statement - Nurses, Climate Change and Health (PDF, 309KB)

Feedback due to marilynh@nzno.org.nz by 2 February 2018.


End of Life Choice Bill

NZNO seeks your feedback on  the End of Life Choice Bill.   The purpose of the Bill is to give people with a terminal illness or a grievous and irremediable medical condition the option of requesting assisted dying. The motivation for this Bill is compassion. It allows people who so choose, and are eligible under this Bill, to end their lives in peace and dignity, surrounded by loved ones.

The bill:

  • defines who is eligible for assisted dying
  • details the provisions to ensure that this a free choice
  • outlines the steps to ensure a person is mentally capable of understanding the nature and consequences of assisted dying.  

FEEDBACK DUE

7 February 2018 to leannem@nzno.org.nz

Read or Download

How to change the legal classification of a medicine in New Zealand - Guidance document

This guidance document is aimed at pharmaceutical companies, health professional organisations, Medsafe, the Ministry of Health or individuals who are considering applying to change the legal classification of a medicine in New Zealand. The purpose of this guidance document is to provide general advice on the process for changing the legal classification of a medicine in New Zealand to help ensure the process is easy to understand and transparent.

The document can be found here: www.medsafe.govt.nz

This is the second consultation currently underway with Medsafe - the first is on observers at Ministerial Advisory Committees. Both are due by 15 January.

Feedback due to sueg@nzno.org.nz by 12 January 2018.


NZNO Strategy for Nursing - Advancing the health of the nation (Hei oranga motuhake mo ngā whānau, hapū, iwi)

What is the NZNO strategy for nursing about?

NZNO does not currently have a comprehensive nursing strategy but one is needed. This new strategy will provide a vehicle for the following:

  • A framework that signals our direction and to promote nursing
  • Provides unity of purpose
  • A clear document for decision-makers and other stakeholders
  • Public expression of nursing endeavour and intention.

We invite you to be a part of shaping this important document. NZNO members can respond to the confidential draft which is currently undergoing consultation.

Send feedback to nursingstrategy@nzno.org.nz by 19 January 2018.

This important strategy has been written to inform, inspire and influence – we welcome your involvement as it will become a flagship document going forward.


Nationwide review of the operation of mental health rosters

Legal Aid Services (LAS) have embarked upon a review of the way that mental health legal aid cases are assigned to providers nationwide. Your comment is invited on the changes proposed to the way mental health cases are assigned and how the rosters are managed, as outlined in the below consultation paper:

Feedback due to marilynh@nzno.org.nz by 19 January 2018.


Guidelines for nurses on the administration of medicines

Guidelines for nurses on the administration of medicines

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.

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



 


National Health Workforce Strategy

In response to strong demand, HWNZ is developing a national strategy, which is intended to be “a comprehensive ‘living’ document, co-designed with all parts of the sector, incorporating priorities and actions that will be updated and reviewed annually."

Your feedback on health workforce concerns (eg skills and policy gaps, funding & other barriers, changing roles, sustainability, recruitment and retention, safety, cultural diversity, population changes etc.) and ideas for developing our workforce to 2030 and beyond is sought.

NZNO encourages members and member groups to take this opportunity to contribute to this long overdue strategy, both directly to HWNZ info@healthworkforce.govt.nz and to NZNO marilynh@nzno.org.nz to inform our input and engagement in stakeholder workshops likely to start in February 2018.

Please note there is no consultation document; the strategy has yet to be developed.


MEDSAFE

NZNO seeks your feedback on 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.

Read here: Ministerial Advisory Committees (opens in new window)

MEDSAFE  is also updating its guidance document: How to change the legal classification for Medicines in NZ  (opens in new window)

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


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


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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