Consultation

NZNO Consultation: Electoral (Entrenchment of Maori Seats) Amendment Bill

NZNO seeks your feedback on the above Bill which aims to give Māori electorates seats the same protection as General electorate seats. Currently, the general seats, under the Electoral Act can be abolished only by an entrenched majority of 75 percent or more, but the Māori seats can be removed by a simple majority of 50 percent. The Bill seeks to address this discrepancy.

 

This is an important constitutional issue, and we ask members to consider carefully what the removal of these seats would mean to Māori, their health and wellbeing, to te Tiriti o Waitangi partnership and the culture and values that have shaped and define Aotearoa New Zealand. Although we are a long way from health equity - (see MoH health status indicators), parliamentary representation has given Māori a ‘voice at the table’ that they might otherwise not have had and Māori MPs have played a critical role in health services for Māori.

The Bill can be found here:

http://www.legislation.govt.nz/bill/member/2018/0056/latest/DLM4333802.html

Please send feedback to leanne.manson@nzno.org.nz by 7th December 2018


Towards New Data and Statistics Legislation: Public Discussion Document

Member feedback is sought on a proposed update to the Statistics Act 1975. The new legislation aims to find the right balance between delivering increased value to New Zealanders through data availability and research, while ensuring data such as health information is shared and used in a way that keeps people safe and is acceptable to society.

This consultation seeks input on:

  • what data to collect and how to collect it
  • when data should be made open or only available to approved users
  • the confidentiality settings for data
  • whether data should be integrated with other data
  • who can access data.

The discussion document can be found at:

https://s3-eu-west-1.amazonaws.com/landingi-editor-uploads/7E8Cj329/New_Data_and_Stats_Leg_Doc_WEB_2.pdf

 

Individuals may also make submissions directly at the following link:
https://poll.stats1975.nz/?utm_campaign=still-da-bomb&utm_source=landing-page-top-menu&utm_medium=fb

Please send feedback to jinny.willis@nzno.org.nz by 7th November 2018

 


Child and Youth Wellbeing Strategy

Member feedback is sought developing a child and youth wellbeing strategy, a requirement of the Child Poverty Reduction legislation.

An overview, including relevant Cabinet papers, can be found here (https://dpmc.govt.nz/our-programmes/child-and-youth-wellbeing-strategy/policy-development ).

NZNO’s submission on the CPR bill can be found here (https://www.nzno.org.nz/Portals/0/Files/Documents/Activities/Submissions/2018-04%20Child%20Poverty%20Reduction%20Bill%20Final.pdf ) and you may find submissions on The UN Periodic Review of Children’s Rights in New Zealand and on Strengthening  Oversight of Orange Tamariki useful. You may want to consider how nursing contributes to child and youth wellbeing (examples are useful) and what enhances or impedes that contribution.

 

Please note that there is also an opportunity to feed directly into the accompanying survey https://www.surveymonkey.com/r/tellthepm

Please send feedback to marilyn.head@nzno.org.nz by 21st November 2018


Equal Pay Amendment Bill

NZNO seeks your feedback on the proposed amendment to the Equal Pay Act which aims to improve the process for pursuing equal pay claims in Aotearoa New Zealand.  It aims to address sex-based discrimination in remuneration and employment terms and conditions across female-dominated industries, such as nursing.

The Bill will allow workers to make a pay equity claim within New Zealand’s existing bargaining framework.

Additionally, the Bill will:

  • remove previously proposed hurdles that made it very difficult for women to take equal pay cases (making court action a last resort) and 
  • allow for a collaborative process whereby employers, workers and unions will negotiate in good faith, with access to mediation and resolution services if they are unable to agree. 

Please find the bill attached below:

https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_80319/equal-pay-amendment-bill

Please send feedback to marilyn.head@nzno.org.nz by 21 November 2018.


Position Statement: Bullying

A position statement on bullying that clearly states the unacceptability of bullying behavior in the work context of nurses has been requested.  This would be in addition to the other resources that NZNO provides on recognizing, addressing and preventing bullying in workplaces. 

 

The draft attached has had input from NZNO staff members and was drafted using research about nurses and colleagues in other health professions who are at elevated risk of experiencing bullying at work.

Please send feedback to sue.gasquoine@nzno.org.nz by 5th November 2018

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National Guidance on Follow up and a Supportive Care of lung cancer patients after curative intent therapy

Your feedback is sought on the second draft (Consultation V2) of the ‘National Guidance on Follow up and a Supportive Care of lung cancer patients after curative intent therapy’ – Provisional  developed by the National Lung Cancer Working Group (NLCWG) and sub work group. 

The guidance document is available below.

Please send feedback either directly or using the feedback form below to marilyn.head@nzno.org.nz by 14 October 2018

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Rewrite of family justice reforms

The 2014 changes were meant to help people resolve parenting disputes without having to go to court, but have in fact led to the opposite as there’s been a huge increase in the number of urgent ‘without notice’ applications which have to be put before a Family Court judge. This may have affected you personally or in your role as nurses.

Feedback will inform the Independent Panel’s understanding of how the system is working for children, parents, guardians, family and whānau.

 

Please find the draft guidance attached here, in English and Te Reo Māori:

 https://consultations.justice.govt.nz/policy/rewriting-family-justice-reforms/user_uploads/have-your-say-on-the-family-justice-system-english.pdf

https://consultations.justice.govt.nz/policy/rewriting-family-justice-reforms/user_uploads/whakaputahia-o-whakaaro-maori.pdf

Please send feedback to leanne.manson@nzno.org.nz by 2 November 2018.


Reform of the State Sector Act 1988

Members are invited to contribute their views and knowledge as nurses on the reform of the State Sector Act, a process that aims to ensure New Zealand has a public service that reflects the people it serves.

NZNO welcomes your feedback on how the legislative changes may enable delivery of better services and outcomes, for example, how the public service meets its Treaty obligations and supports Māori, workforce development in the public sector etc.

Please find a brief overview of the proposed changes to the act attached below:

https://www.havemysay.govt.nz/state-sector-act-1988-review-short-form/creating-a-modern-public-service-for-a-modern-new-zealand/

 

Please send feedback to leanne.manson@nzno.org.nz by 8 October 2018.


Embedding Wellbeing in the Public Finance Act 1989

Members are invited to contribute their views and knowledge as nurses on a proposed amendment to the Public Finance Act to include “wellbeing” in its broadest sense at the heart of policies and fiscal decisions.

NZNO welcomes your feedback on the following specific questions from Treasury:

  • Whether you agree with the proposal to require the Government to set out how its wellbeing objectives, along with its fiscal objectives, will guide its Budget decisions? Why or why not?
  • What do you think are the main impacts of implementing this proposal?
  • What else does the Government need to consider when making the proposed changes, eg, to retain sufficient flexibility for future Governments to adapt their approach to wellbeing in response to changing circumstances or new information?
  • Whether you agree with the proposal to require the Treasury to report on wellbeing indicators, alongside macroeconomic and fiscal indicators? Why or why not? 
  • Which of the options do you think best meets the objective to create consistent, meaningful and enduring reporting on wellbeing indicators? Why? 
  • What do you think are the main impacts of implementing this proposal?

Please find the consultation request attached below: https://treasury.govt.nz/publications/consultation/embedding-wellbeing-public-finance-act-1989

Please send feedback to leanne.manson@nzno.org.nz by 5 October 2018.


Trade for All – Health Information

Digital technologies which enable health information to be stored, assessed and transmitted between countries is central to global trade. NZNO seeks your feedback on the digital exchange of health information eg for assessment, treatment, storage, research etc that is currently taking place and what processes are in place to assure the quality of advice and to protect that information. (Ie what  exchanges are happening now, and any potential exchanges).

This will inform NZNO’s response to the government’s Trade for All Agenda, a chance to consider trade policy in general. NZNO has advocated for trade policy and agreements that protect public health, human and indigenous rights, and enhance equity within and between countries. https://www.mfat.govt.nz/en/trade/nz-trade-policy/trade-for-all-agenda/ 

 

Please send feedback to marilyn.head@nzno.org.nz by 7 October 2018.


NZ Health Research Strategy 2017 -2027

Member feedback is sought  on:

  • the overall framework for health research
  •  suggestions for specific health research priorities; and

Each of the five draft strategic investment areas.

outlined in the  Health research council’s consultation document . http://www.hrc.govt.nz/sites/default/files/Consultation%20Document%20-%20September%202018.pdf

You can participate through an online survey open till 12 October https://www.surveymonkey.com/r/NZHRSAction1

and/or provide direct feedback to Marilyn.Head@nzno.org.nz  by 7 October 2018   

Please note key priorities for NZNO research have recently included nursing workforce, Māori health, assisted dying, medicinal cannabis, and vaping. Also see recent research publications: https://www.nzno.org.nz/resources/research

 

Please send feedback to marilyn.head@nzno.org.nz by 7 October 2018.


Strategy to Prevent and Minimise Gambling Harm for 2019/20 to 2021/22. *

https://www.health.govt.nz/system/files/documents/publications/strategy-prevent-minimise-gambling-harm-consultation-aug18.docx

The govt is reviewing the above strategy in response to the increasing number of people affected by gambling harm, no improvement in harm reduction over the past seven years and persistent health inequities for the most affected at-risk population groups. It is proposing an outcomes framework, promoting safer gambling environments and host responsibilities, targeted research on harm reduction and prevention,  introducing residential care and peer support and piloting new service models within the current budget. It asks, but makes not proposals about “incentivising”  operators to move machines as needs assessment shows that approximately 50 percent of all electronic gaming machines or ‘pokies’ are in the most socioeconomically deprived areas of the country. 

Please send feedback to marilyn.head@nzno.org.nz by September 18, 2018.


Draft Family Violence Information Sharing Guidance

NZNO seeks your feedback on draft guidance on managing and sharing information in the family violence sector. Feedback will inform the rules and guidelines when the Family Whanau Violence Legislation passes and comes into force.

Please find the draft guidance attached here:

https://consultations.justice.govt.nz/policy/information-sharing-guidance-fv-sector/user_uploads/draft-guidance-fv-information-sharing.pdf

Please send feedback to marilyn.head@nzno.org.nz by 29 August 2018.


Draft National Ethical Standards for Health and Disability Research: Consultation document

NZNO seeks member feedback on the Draft National Ethical Standards for Health and Disability Research: Consultation document

In particular feedback is sought on:

  • whether the Standards are fit for purpose: are the contents of the Standards helpful, clear, relevant and workable?
  • whether the Standards covers all relevant ethical issues: are there matters missing which are on topics where ethical guidance should be provided? Are there any conflicts with other standards, laws or current pieces of work that should be considered?
  • general feedback: should any paragraphs be amended? Are there terms that are confusing or could be better defined?

To take part in the consultation, please complete the online consultation at https://consult.health.govt.nz/neac/national-ethics-standards  (Citizen Space) by 20 September 2018.

 

Alternatively, please provide feedback to support the NZNO submission.

Please send feedback to jinny.willis@nzno.org.nz by 13 September 2018.


Indicators Aotearoa New Zealand – Ngā Tūtohu Aotearoa

NZNO seeks your feedback on the development of wellbeing indicators to track NZ’s progress. The indicators aim to:

  • go beyond economic measures such as GDP, to include wellbeing and sustainable development;
  • build on international best practice;
  • include cultural and Te Ao Māori perspectives;
  • enable government, councils, businesses, communities and individuals to make choices around wellbeing and sustainability and
  • align with the Treasury’s Living Standards framework.

 

Please see link below:

https://www.stats.govt.nz/consultations/indicators-aotearoa-new-zealand-nga-tutohu-aotearoa-consultation

Please send feedback to leanne.manson@nzno.org.nz by Monday 21st September  2018.


Social Media Guidelines review

These guidelines were originally developed in 2012 as a collaboration between NZNO, NSU/TRT and the Nurse Educators in the Tertiary Sector (NETS) group.  This review and update has achieved the same collaboration with wide consultation with NSU/TRT and NETS.  The primary changes include:

  • The guidelines being made more generic to cover the greater number of social media platforms in use rather than being Facebook specific
  • The new legislation now in place – the Harmful Digital Communications Act (2015)
  • The development and inclusion of a glossary

 

Consultation with NSU/TRT and NETS has generated enthusiasm for making the guidelines available in a variety of formats including a video.  Feedback on this aspect of publication is also sought.

Please send feedback to sue.gasquoine@nzno.org.nz by 31st August 2018.

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Māori Health Workforce Survey- Te Iti Me Te Rahi Everyone Counts

Te Rūnanga, NZNO encourages all our members to  support this survey. The survey aims to provide a much-needed baseline of the Māori health workforce and their needs.

Results from the survey will be reported back to stakeholders, including health boards, Ngā Pou Mana, participating registration bodies, and non-government organisations.

Te Iti Me Te Rahi: Everyone Counts builds on Te Rau Matatini Profiling the Maori Health Workforce 2017 and will contribute toward:

  • developing and advancing a Māori health workforce;
  • developing career pathways;
  • promoting innovation, and aligning health education and training with Māori, health and social needs; and
  • implementing an agenda conducive to attaining Māori aspirations and health goals.

Te Iti Me Te Rahi Survey CLICK HERE

The survey will remain open until September and further information can be found at http://teraumatatini.com/news/m%C4%81ori-health-workforce-te-iti-me-te-rahi-everyone-counts


MEDSAFE

Part 11. Clinical trials – regulatory approval and good clinical practice requirements

NZNO seeks member feedback on the Update to the Guideline on the Regulation of Therapeutic Products – Part 11: Clinical trials.

The revision reflects changes in technology, and addresses which have arisen since the guidelines were last updated early 2015. It clarifies the requirement for Clinical Trial Site Notification.

Please find a link to the update below:

https://consult.health.govt.nz/medsafe/guideline-regulation-therapeutic-products-part-11/consultation/

 

Send feedback to jinny.willis@nzno.org.nz by 31 July 2018 


Food Regulation Standing Committee (FRSC)

Labelling sugars on packaged food and drinks

Members are invited to feedback on this consultation, which although public, is very much focused on evidence to inform a Regulatory Impact Statement, so peer reviewed research, as well as direct observation and experience is  very useful. 

 

Send feedback to marilyn.head@nzno.org.nz by Monday 7th September 2018.


Immunisation Start Date

Members are invited to feedback on this consultation proposing a later starting date for the immunisation programme of April 1st.

 

Send feedback to marilyn.head@nzno.org.nz by Monday 6 August 2018.

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Ministry of Health - HISO

Proposed changes to the National Health Index (NHI) system and HISO 10046, the Consumer Health Identity Standard .

This is a major review of the NHI system proposing changes in the flowing areas (each provided as an individual document).

 

  • NHI Numbering extension
  • Biological Sex recorded at Birth
  • Gender Identity
  • Sexual Orientation
  • Ethnicity
  • Country Code
  • Language Code
  • Iwi Classification
  • Disability status
  • Residency status
  • Opt Out status indicator
  • Delegation rights - general
  • Delegation rights – Advance Care Planning
  • Cook Islands, Niue and Tokelau cross reference
  • Height and Weight
  • MedicAlert cross reference.
     

The documents can be found online here:    
https://www.health.govt.nz/our-work/ehealth/digital-health-sector-architecture-standards-and-governance/health-information-standards/standards-open-public-comment

The current version of the NHI Standard (HISO 10046:2017 - the Consumer Health Identity Standard) can be found here:
https://www.health.govt.nz/publication/hiso-10046-consumer-health-identity-standard

 

Send feedback to marilyn.head@nzno.org.nz by 18th August 2018.


Developing a strategy for an ageing population

NZNO seeks your feedback on the issues concerning the aging nursing workforce and the aging population.

40% of registered nurses are now aged fifty or over. At 2038 there will be 1.3 million New Zealanders over 65.

Key issues include:

Housing & Home ownership (the next generation of seniors will be less likely to own their own home – 69% in 2013).

Technology (Most Kiwis are online, but half of people over 85 don’t use the internet at all).

Increasing diversity (Māori population aged 65+ will increase 250% to 126,000 people).

Transport (Demand for safe and accessible transport options will increase).

Please find the discussion document and other resources at: http://www.superseniors.msd.govt.nz/about-superseniors/ageing-population/index.html

Send feedback to marilyn.head@nzno.org.nz by 17 August 2018.


Ministry of Business Innovation and Employment

Members are invited to feedback on the

Consultation on immigration settings for international students (http://www.mbie.govt.nz/info-services/immigration/consultations/immigration-settings-for-international-students/consultation-on-immigration-settings-for-international-students.pdf) re:

Which proposes to:

· remove employer assisted post-study work visas at all levels;

· retain a one year post-study open work visa for non-degree Level 7 or below qualifications;

· provide a three year post-study open work visa for degree Level 7 or above qualifications;

· require students completing non-degree Level 7 or below qualifications to undertake at least two years of study to be entitled to post-study work rights; and

·require international students studying Level 8 or 9 qualifications to be studying an area specified on the Long Term Skill Shortage list in order for their partner to be eligible for an open work visa, and in turn the partner’s dependent children to be eligible for fee-free compulsory schooling.

Your feedback is sought on the implication of these proposals for:

  • international nursing graduates;
  • attracting/deterring international students  to study here; and
  • whether the pathways for international students post graduation are fit-for-purpose and help to contribute to the skills New Zealand needs

Send feedback to marilyn.head@nzno.org.nz by 22nd July 2018.


Posthumous Reproduction – Two part consultation

link https://consult.health.govt.nz/acart/posthumous-reproduction/

Current guidelines on assisted reproduction do not address the :

 

  • use of stored eggs, after the death of a woman
  • use of stored embryos after the death of one or both of the gamete donors
  • retrieval of sperm from a deceased man
  • retrieval and use of eggs from a deceased woman
  • retrieval and use of reproductive tissue from a deceased man or woman
  • retrieval and use of sperm or eggs from a person who has become permanently incapacitated and whose death is imminent

 

Members are invited to participate in the Minister of Health’s Advisory Committee on Artificial Reproductive Technologies (ACART) survey and to provide feedback to NZNO.

Links to both the survey and a background document can be found here: 
https://consult.health.govt.nz/acart/posthumous-reproduction/

Send feedback to marilyn.head@nzno.org.nz by 24 August 2018


Draft SNOMED reference set for general paediatrics and child developmental services

Draft SNOMED reference set for general paediatrics and child developmental services

Feedback is sought on the draft SNOMED (Systematized Nomenclature of Medicine Clinical Terms) reference set for general paediatrics and child developmental services which identifies the most common clinical terms for reason for referral, signs/symptoms, procedures (performed in outpatient settings), along with working and confirmed diagnosis. Please find the link attached here:

https://www.health.govt.nz/publication/snomed-ct-subset-development-national-patient-flow-general-paediatrics-and-child-developmental

Send feedback to marilyn.head@nzno.org.nz by 28th July 2018


Health and Safety at Work (Volunteer Associations) Amendment Bill

Members are invited to this bill which amends the Health and Safety at Work Act 2015 to allow volunteer associations that employ a person or persons for not greater than 100 hours per week to be excluded from the definition of a person conducting a business or undertaking (PCBU). Ie effectively excluding volunteer associations from having to comply with health and safety regulations,  and removing provisions volunteers from the regulatory protections the Act offers. 

Find the link to the Bill, and the parliamentary debate (see video)  on its introduction, here (https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_76427/health-and-safety-at-work-volunteer-associations-amendment

Send feedback to marilyn.head@nzno.org.nz by 25 June 2018.


Living Standards Dashboard – Indicators of Living Standards and Intergenerational Wellbeing

NZNO welcomes your feedback on the proposed Living Standards “dashboard”. This dashboard aims at assisting the Treasury to measure the living standards of New Zealanders and manage resources that contribute to their wellbeing, currently and in the future. We welcome your views on

  • gaps in the indicators of living standards and intergenerational wellbeing, for example Māori perspectives and
  • concepts the dashboard includes that you think are useful.

Please find the dashboard in the report attached below:

https://treasury.govt.nz/publications/commissioned-report/treasury-living-standards-dashboard-monitoring-intergenerational-wellbeing

Send feedback to marilyn.head@nzno.org.nz by 24 July 2018.


Health and Disability Review

NZNO seeks your feedback on the government’s major review of the health system.

The draft terms of reference for the Health and Disability Review indicate that it will cover:

  • How accessibility can be improved
  • How the system balances services with population density
  • Future-proofing the system - how the system will cope with climate change, technological advancement and antibiotic resistance
  • Whether the system could be fairer, more equitable and effective
  • How global healthcare is evolving
  • How funding could be altered to improve flexibility and reduce inequities
  • Infrastructure needs
  • Increasing the priority of primary care and prevention

 

Areas outside the draft ToR are:

  • The ACC scheme
  • PHARMAC
  • Private health insurance
  • Disability system

 

We encourage you to respond to the Review both individually and via Colleges and Sections, Sector groups and Regions etc.  

 

Send feedback to marilyn.head@nzno.org.nz by 12 July 2018, or ASAP if you wish to comment on the ToR.


Accident Compensation Corporation Bill

NZNO seeks your feedback on the above Bill which aims to amend the Accident Compensation Act 2001 (the Act). Please note provisions of the Bill including that:

  • workers injured while overseas are still covered as are their families;
  • super annuitants will no longer have to choose between weekly  ACC compensation and superannuation; and
  • the ACC appeals authority will be disestablished and appeals will be heard in the district court.

We strongly recommend you read the Bill’s Digest:

https://www.parliament.nz/en/pb/bills-and-laws/bills-digests/document/52PLLaw25471/accident-compensation-amendment-bill-bills-digest-2547 which summaries amendments to the Act.

The Bill can be found here:

https://www.parliament.nz/resource/en-NZ/52PLLaw25471/c3360c66f667d4e2b854c395d109a2b9bf1bc6e2

 

Send feedback to marilyn.head@nzno.org.nz by 22 June 2018.


Climate Change and Transition to Carbon Neutral/Low Emissions economy

Members are invited to contribute to two consultations on:

  1. Proposed Technical updates to the Climate Change Response Act:   http://www.mfe.govt.nz/publications/climate-change/proposed-technical-updates-climate-change-response-act-2002-regulations

 

  1. The Productivity Commission's draft report on transitioning to a low-emissions economy.https://www.productivity.govt.nz/sites/default/files/Productivity%20Commission_Low-emissions%20economy_Draft%20report.pdf

Information/comment programmes, measurement, risks and actions to reduce emissions in the health sector would be welcome.

Send feedback to marilyn.head@nzno.org.nz by 5 June 2018.


Do nurses use these standards publications?

NZNO seeks your feedback on the following health information standards, which HISO sees as no longer fit for purpose, although we understand that nurses still use them. Are the indicated alternatives acceptable, and as useful, and are nurses aware of them?

1.SNZ PAS 8170: 2005 Primary Healthcare Practice Management Systems Relevant alternative standards include those related to interoperability, SNOMED and medications

https://shop.standards.govt.nz/catalog/8170%3A2005%28SNZPAS%29/view?utm_campaign=kmutd&utm_medium=email&utm_source=kmutd

2.SNZHB 8169:2002-Health Network Code of Practice This is effectively replaced by various other HISO standards, eg: HISO 10046 Consumer Health Identity Standard, HISO 10064:2017 Health Information Governance Guidelines, HISO 10029:2015 Health Information Security Framework

https://shop.standards.govt.nz/catalog/8169%3A2002%28SNZ+HB%29/view?utm_campaign=kmutd&utm_medium=email&utm_source=kmutd

  1. NZS 8153:2002 - Health records. This is effectively replaced by various other HISO standards, eg: HISO 10037 Connected Health (three sub standards) , HISO 10049 Videoconferencing Standard, HISO 10029:2015 Health Information Security Framework.

https://shop.standards.govt.nz/catalog/8153%3A2002%28NZS%29/view

Full information about the health information standards , including Contained and Withdrawn standards is available here:  https://www.health.govt.nz/our-work/ehealth/digital-health-sector-architecture-standards-and-governance/health-information-standards

Send feedback to marilyn.head@nzno.org.nz by 6 June 2018.


Legislation for the New Zealand Police Vetting Service

Police Vetting is a requirement for nurse registration process for nurses and three yearly vetting is a requirement for all those who work with children. The Police Vetting Service provides criminal history checks and other relevant information to employers and Approved Agencies. The Government is considering establishing a statutory framework for the Police Vetting Service, as there currently is none. NZNO is seeking your feedback on their consultation document which discusses what this may look like, and whether legislation would be an advantage.

 

Please find the consultation document attached below:

http://www.police.govt.nz/sites/default/files/advice/businesses-and-organisations/nz_police_vetting_public_consultation_document.pdf

Send feedback to Sue.Gasquoine@nzno.org.nz by 6 July 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.


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

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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.


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



 


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.


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)
 


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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