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Guidelines: Professional challenges – Assisted dying position statement

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

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

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

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

Please forward your feedback on the guideline by 16 January 2017 to

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

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Posted in: Consultations

Position statement: Ethical international recruitment

NZNO is committed to the representation of members and the promotion of nursing and midwifery. NZNO provides professional leadership and advice in a range of areas.

This position statement outlines NZNO’s position on the ethical recruitment of international nurses in Aotearoa New Zealand. The statement supports the International Council of Nurses position.

We are seeking your feedback on the position statement and invite you to please forward this to Leonie Walker at by Friday 25th November, 2016.

Further enquiries to:
Leonie Walker
Principal Researcher
Ph 0800 28 38 48

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Posted in: Consultations

MOH National Cervical Screening programme

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

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

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

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

Feedback due: Please send feedback to by 21 October 2016.

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Posted in: Consultations

Draft report on new models of tertiary education

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

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

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

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

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

Of particular interest are the proposals to:

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

Feedback due: Please send feedback to or phone 03 5463941 or 0800 283 848 by 11 November 2016

Posted in: Consultations

Review of cost regulations - ACC

The Government has been reviewing the Regulations under which clients are paid a contribution to their costs associated with reviews of decisions made by ACC. As part of this revision a 14.9% increase is proposed to align the review costs with inflation and there is an opportunity to give feedback on this and other aspects of the Review Costs Regulations.

You can read the consultation document at

Feedback due: Please forward your feedback to Marilyn Head at or phone 0800 28 38 48 by 21 October 2016.

Posted in: Consultations

Enabling Good Lives approaches to supporting disabled people

Enabling Good Lives approaches to supporting disabled people  - link

The Ministries of Health, Education and Social Development are asking for feedback on the innovative approaches and practices providers and communities have developed to support disabled people to have greater choice and control over their supports and lives. This will help inform the development of advice to Government on how to apply the Enabling Good Lives approach to disability support services.

NZNO is seeking member feedback on:

  • where and how nursing services are used to support people with disabilities;
  • examples of effective systems; and identification of potential innovation, and barriers. 

Feedback due: Please email feedback to the Senior Policy Analyst or ring on 04 389 0882 by 7 October 2016.

Posted in: Consultations

Updated guidelines for cervical screening in New Zealand

FROM National Screening Unit

RE Updated guidelines for cervical screening in New Zealand


Pease send feedback to by 21 October 2016

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

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

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

Posted in: Consultations

Guidelines: Obligations in a pandemic or disaster, 2016.

Guideline: Obligations in a pandemic or disaster, 2016
DATE DUE: Feedback to Michelle Ryder-Lewis Publications team
by October 20th 2016

NZNO is a member-led organisation committed to the representation the interests of members and the promotion of nursing and midwifery. NZNO provides professional leadership and advice in a range of areas relevant to nurses and nursing practice.

We have updated our guidelines regarding obligations in a pandemic or disaster and we welcome your feedback on this new document. The new requirements under the Health and Safety at Work Act 2016 have been included along with information on disaster preparedness for individuals and organisations.

We are seeking your feedback on the guidelines and invite you to please forward this to Michelle Ryder-Lewis by Thursday October 20th at

Further enquiries to:
Jill Clendon
Nursing Policy Advisor/Researcher
Ph 03 5463941 or 0800 283848

Posted in: Consultations

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

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

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

Feedback due: Please send feedback to by 10 September 2016

Posted in: Consultations

Mirenas for Contraception - PHARMAC

Following our submission to PHARMAC, (see link - PHARMAC Sole Supply of Mirena (PDF)) on sole supply of mirenas, which excluded consideration of funding of mirenas for contraception, PHARMAC  has invited NZNO to “submit a funding application to PHARMAC with supporting evidence to show that there is an unmet health need and/or additional health benefit to be gained by widening access to LIUS for contraception. In particular, we would be interested to understand the unmet health needs of particular patient groups.”

This is an important equity issue for women, Māori, and disadvantaged groups. 

Feedback due: Please send feedback to or contact her on 04 494 6372 by 15 September 2016.

Posted in: Consultations

Review of class 4 Gambling

This discussion document seeks your views on how to manage the decline of community funding from class 4 gambling (pokies in clubs, pubs and bars) and how community funding can be sustained into the future. The DIA is also seeking ideas for a cost effective regulatory model for the sector that maximises community funding into the future, without increasing harm or driving a growth in gambling, and is taking the opportunity to seek views on the future of online gambling in New Zealand.

Read or dowload:$file/Class4-review-discussion-document2016.pdf

Feedback due: Please send feedback to  by 7 August 7 2016

Posted in: Consultations

Ministry of Transport - What is our transport future?

The Ministry of Transport is taking a whole of system, long-term view of the future of transport in Aotearoa and is seeking your ideas for the future of transport. They want to stimulate wider debate and generate ideas on the possible future of New Zealand’s transport system by sharing our visions of how we think the transport system could look in the future.

A document, videos and questions are available here:

NZNO members and member groups are strongly encouraged to participate and particularly to

  • Highlight links between transport and health –cost and mobility, access to services, air quality/respiratory conditions, impact of options to walk or cycle on obesity etc.; 
  • The connection with climate change, particularly the win –win potential of reducing carbon emissions and encouraging healthier environments and lifestyles;
  • The need for an independent Health Impact Assessment of all proposed major transport options.

Please see our earlier submission on climate change.

Feedback due: Please feedback directly to the MoT and/or to Snr Policy Analyst by 30 September 2016.

Posted in: Consultations

Ministry of Justice - Family violence risk framework

It seems that someone has been listening to NZNO and others, because the Ministry of Justice has released a discussion document calling for “A common approach to understanding Family Violence Risk Assessment and Management”. The Ministry points out that although many organisations working in family violence have their own risk assessment and management methods, there is no national policy, or process. By introducing a common approach it hoped to achieve a level of consistency and best practice to better support family violence victims.

The consultation document is available here: Family violence risk framework

The consultation period is extremely short.

Feedback due: Please send feedback including details of assessment systems you use of are familiar with, current systems failures,  gaps, or advantages, and your recommendations to  by Monday 29 August  2016

Posted in: Consultations

E-Cigarette Regulation Consultation

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

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

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

The consultation document can be downloaded at:

You may also be interested in:

Feedback due: Please send feedback to  by 5 September 2016​.

Posted in: Consultations

Draft Disability Strategy

The Draft NZ Disability Strategy  (2016-2016) is a high-level document outlining outcomes for people with disabilities covering eight areas – education; employment; health and well-being; justice; accessibility; attitudes; choice and control and leadership. Further consultation towards an Action Plan (2019-2022) will begin in 2018. Nursing workforce perspectives that may contribute to development of this plan are welcomed, as well as any other comments.  There are also a series of workshops that you may like to attend.

The strategy can be downloaded here:

Details of the workshops and other events here:

Feedback due: Please send feedback to  by 18 August  2016

Posted in: Consultations


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