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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 2016-05%20Essential_skills_in_demand_NZNO.pdf.

Preliminary Indicator Evidence Reports (PIERs) providing some relevant statistical and other information are available here

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 NZNO Nursing and Midwifery Multi Employer Collective Agreement.

Feedback due: Please send feedback to  by 17 August  2016  

Posted in: Consultations

Proposals in relation to Nurse Prescribers

Proposal to amend the pharmaceutical schedule rules to support prescribing rights for Registered Nurse Prescribers and Nurse Practitioners.

The proposal can be found here: Pharmac Consultation - Nurse Presribers 

In particular we are interested in whether the proposed change to the section on specialist prescribing will address the issues faced by Nurse Practitioners.

Feedback due: Please send feedback to  by 2 August 2016.

Posted in: Consultations

Position statement and guidelines: NZNO and its international relationships and affiliations

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.

NZNO maintains a number of international relationships and affiliations with relevant nursing and health groups including the International Council of Nurses, the Australian Nurses and Midwifery Federation and the South Pacific Nurses Forum. Similarly, NZNO Colleges and Sections and individual staff members maintain other important and strategic relationships. This document outlines NZNO’s position on international relationships and affiliations and provides guidance for members and staff on establishing and maintaining these.

We are seeking your feedback on the position statement and guidelines and invite you to please forward this to Jill Clendon by Tuesday August 23rd at

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

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Posted in: Consultations

Proposal for sole subsidised supply of progestogen-only long-acting intra-uterine system (LIUS) (Mirena)

PHARMAC consultation on a proposal for sole subsidised supply of progestogen-only long-acting intra-uterine system (LIUS) (Mirena).

Note that the proposal does not change the restrictive access conditions to Mirena, and excludes contraception.

Consultation webpage:

Note NZNO’s previous submission on sole subsidised supply of a contraceptive implant (Jadelle implant) whichPlease send feedback to  by 10 July  Please send feedback to  by 10 July   raises relevant access and equity issues.

Read: Proposal for sole subsidised supply of a contraceptive implant 

Feedback due: Please send feedback to  by 10 July 2016

Posted in: Consultations

New Position statement: Nursing and sexual and gender diversity

New Position statement: Nursing and sexual and gender diversity

The purpose of this position statement is to update the previous statement (dated 1997) in the light of legal and social changes in the field of gender diversity.

Feedback to Leonie Walker - Principal Researcher -
by Friday 5th August 2016.

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Posted in: Consultations

Children, Young Persons, and their families (Advocacy, Workforce, and Age settings) Amendment Bill

The aim of the Children, Young Persons, and Their Families Act 1989 (the Act) Bill is to begin  to amend the “reforming the system of services for responding to the needs of vulnerable children and young persons, and their families”  [click here] 

This is the first stage of major state care reforms, overhaul, with a new child-centred operating model with a single point of accountability would be in place by the end of March 2017, focusing on prevention, intensive intervention, care support services, transition support and preventing youth offending and reoffending.

The main features of the Bill are:

extending the age of state care and protection to a young person’s 18th birthday;

  • ensuring the views of children and young people are taken into account as part of decision making at an individual level and in the development of services and policy;
  • supporting the establishment of an independent youth advocacy service; and 
  • enabling the broader range of professionals with specialist skills to widen the expertise within the new model to perform some functions under the Act while social workers remained the main professionals responsible for carrying out these functions.

Please read: Children, Young Persons, and Their Families (Advocacy, Workforce, and Age Settings) Amendment Bill

Feedback due: Please send feedback to  by 22 July 2016.

Posted in: Consultations

Dieticians Board - Scope of Practice

The New Zealand Dietitians Board has gazetted one Scope of Practice of Dietitian. In accordance with section 14 of the Health Practitioners Competence Assurance Act 2003 (“HPCA Act”), the Board is consulting with practitioners and stakeholders on the proposal to amend the scope of practice for dietitians. The updated current scope of practice which has not been changed since the HPCA Act came into force over 10 years ago.

The Board’s intention is to refine the scope of practice to provide greater clarity as to the range of dietetic practice and to include the prescribing endorsement. Following further discussion, the Board has developed two draft scopes of practice upon which it is seeking further comment.

Feedback due: Please send feedback to  by 27 July 2016

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Posted in: Consultations

Social Services Legislation Rewrite bill

This bill repeals the Social Security Act 1964. As well as rewriting social security legislation to “enhance clarity, coherency, and consistency” it also introduces policy changes. These affect the principles underlying the social security system and the rules around financial support for people in need, for example because of unemployment disability, child & family.  

Additional principles are focused on long term beneficiaries and employment. Specifics include merging orphans and the unsupported child benefits; allowing single people to be paid a single rate of sole parent support; renaming the emergency benefit ‘the exceptional circumstances benefit’ and introducing the discretion to apply, for example, work obligations, and removing a benefit which applies only to people who are totally blind (S40J).

NZNO members’ feedback / comment on the health needs of people receiving social security assistance is sought, particularly with regard to work capacity. We note that the Bill frames social security in terms of charity rather than human rights,  ie ‘who is entitled to what’ - rather than ensuring that the basic needs of all citizens are met. The period given for the Committee to consider this substantial Bill, including hearing submissions, has been reduced, under protest from MPs, from the standard six months to four months. We apologise for the short timeframe for feedback.

The bill and accompanying explanatory note (ills Digest) and impact statements can be found here - New Zealand Parliament - Social Secuirty Legislation Rewrite Bill

Feedback due: Please send feedback to by 20 June 2016.

Posted in: Consultations

Strategy to increasing the number of organ donations

The Ministry of Health (the Ministry) is developing a strategy to increase the number of organ donations (and ultimately transplantations) from deceased people in New Zealand.   The proposed strategy is based on the findings of an initial review of national donation and transplantation rates (see Review of Deceased Organ Donation and Transplantation, which can be found on the same Ministry webpage as this consultation document).

The initial review focused on options to increase rates of deceased person organ donation. An increase in donation rates will require transplant services to have the capacity to accommodate the increase. The Ministry is working with district health boards (DHBs) to ensure that capacity can continue to meet demand.

Read or download: consultation document (docx, 222 KB)

To find out more information about the initial phase of the review, read the full report Review of deceased organ donation and transplantation rates – initial report to the Minister of Health (docx, 376 KB).

Feedback due: Please send feedback to by 15 July 2016

Posted in: Consultations

Guideline - Privacy, Confidentiality and Consent in the Use of Exemplars of Practice, Case Studies and Journaling, 2016.


The purpose of this document is to provide guidance to nurses, midwives, students and others who may use exemplars, case studies or journaling as part of their practice.


The use of exemplars of practice, case studies and journaling of practice experience has become common place within nursing and midwifery over the last 20 years. These three strategies for aiding reflection on practice and demonstrating competence are useful in analysis of strengths and weaknesses and identifying growth or change potential; they are professional development and quality improvement strategies.

Posted in: Consultations

Draft Reference Set for Gynaecology

HISO is seeking feedback on the draft SNOMED reference set (reference set) which has been developed for gynaecology to support enhanced reporting within the National Patient Flow collection.  
The reference set identifies the most common clinical terms for reason for referral, signs/symptoms, procedures (performed in outpatient settings), along with working and confirmed diagnosis. The reference set, along with information on National Patient Flow can be found online at :

Read here: Health Information Standards 

HISO is seeking general comments on the reference set and also comments on the clinical  terms.

Feedback due: Please send feedback to  by 19 June 2016

Posted in: Consultations

Standardised Tobacco Products and Packaging Draft Regulations

The Government is seeking feedback on the draft regulations for the Tobacco Products and Packaging Bill that will be finalised into law after the primary legislation has passed.

The draft regulations are set out in four parts:

  • Part 1 sets out general requirements that will apply to all tobacco products (subpart 1) and all tobacco packages (subpart 2) respectively. 
  • Part 2 contains provisions that apply only to cigarettes, cigarette packs and cigarette cartons. 
  • Part 3 relates to loose tobacco packaging. 
  • Part 4 covers packaging for cigars.

The regulations will set out the detailed requirements for tobacco product design, appearance, packaging and labelling, improved graphic warnings, and standardised pack quantities.

The main features are:

  • standardising the size and appearance of tobacco products and packages to make them less appealing, and to make the graphic warnings on the packs larger and more effective
  • allowing a brand name and certain other manufacturer information to be printed on the pack, but with tight controls (eg, over the typeface, font size, colour and position)
  • prohibiting the use of tobacco company branding imagery and all other marketing devices on tobacco product packaging and on tobacco products themselves.

Read or download: Standardised Tobacco Products and Packaging Draft Regulations Consultation Document

Feedback due: Please send feedback to by 13 July 2016

Posted in: Consultations

National Immunisation Schedule

Consultation: Position statement - Medical Marijuana, 2016


The purpose of this position statement is to summarise current research on medical marijuana (cannabis). It seeks to inform members in the light of considerable public debate and several high profile cases in New Zealand of individuals seeking to use medical marijuana. At present medical marijuana is a restricted drug only used in exceptional circumstances, and with very high regulatory threshold for use, but there has been a significant shift in global opinion and regulation which is likely to impact New Zealand Nurses therefore must have knowledge of, and understand the medical use of marijuana just as they do with any medication or treatment. It also outlines current evidence about the benefits and risks of cannabis to inform nurses seeking to offer health education to those unable to access medical marijuana who self-medicate.

This position statement does not seek to examine the wider debate about the decriminalisation of cannabis for recreational use.

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Posted in: Consultations

Cryopreserved (frozen) ovarian tissue

ACART is seeking feedback on proposed advice to the Minister of Health that the use of cryopreserved ovarian tissue to restore ovarian function become an established procedure. Currently women in New Zealand can cryopreserve and store ovarian tissue, but are unable to use it in New Zealand.  ACART has reviewed recent evidence and considered the risks, benefits and ethical issues associated with the use of cryopreserved ovarian tissue to restore ovarian function.  ACART is proposing that the use of cryopreserved ovarian tissue to restore ovarian function should become an established procedure.

ACART is seeking feedback by 27th June.

The consultation document is available online here: ACART Consultation Cyropreserved ovarian tissue

Feedback due: Please send feedback to  by  27 June 2016.

Posted in: Consultations


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