Consultation

ACC Cost of Treatment Regulations Consultation

NZNO is seeking your feedback on a review of how ACC purchases health services through the CoTR (Cost of Treatment Regulations)

This review aims to adjust prices for inflationary factors, recognise distinct allied health groups to reflect differences in future reviews, and remove provisions that reduced ACC’s contribution to dental treatment.

Proposed changes

  • A general increase of 2.05% for regulated treatment payments, and an increase of 1.72% for payments to Radiologists and providers of Hyperbaric Oxygen.
  • Create individual profession groups from the group currently known as ‘Specified Treatment Providers’ and specify payment rates for each (physiotherapists, chiropractors, occupational therapists etc.). These rates will remain identical for the current period, but future pricing recommendations could specify different payment rates for each profession, if appropriate.
  • Remove provisions that reduce ACC’s contribution for dental treatment on teeth that have had previous non-injury related work.

Please find the consultation document attached here:

https://www.mbie.govt.nz/dmsdocument/7319-consultation-on-acc-regulated-payments-for-treatment

Please send to Sue.Gasquoine@nzno.org.nz by 6 December 2019.

Posted in: Consultations

Mental Health and Wellbeing Commission Bill

NZNO is interested to hear about what you think about the establishment of a Mental Health and Wellbeing Commission. The aim of the Commission is to contribute to better mental health and wellbeing outcome for people in New Zealand. It will also contribute to improving equity for Māori, Pacific peoples, disabled people, rainbow communities, and other groups that experience poorer mental health and wellbeing outcomes.

Please find the Bill attached here:

http://legislation.govt.nz/bill/government/2019/0188/latest/LMS281163.html

Please send to leanne.manson@nzno.org.nz by 5 December 2019.

 

Posted in: Consultations

Proposed draft revision to Guidelines to the Mental Health (Compulsory Assessment and Treatment) Act 1992

The inquiry into Mental Health and Addictions He Ara Oranga identified the Mental Health Act (Compulsory Assessment and Treatment) Act 1992 as needing urgent revision.

The attached draft of a revision of the Guidelines to the Mental Health Act attempts to address the following issues identified in stakeholder consultation during September:

  • Section 7A family/whanau consultation
  • Cultural responsiveness
  • Clarification of statutory roles
  • Significant figures including Duly Authorised Officers and ‘principal caregiver’

In addition supported decision making, the NZ Bill of Rights, te Tiriti o Waitangi principles and respect for gender identity are covered.

Feedback is now sought on the revised guidelines, with publication planned for March 2020.

Please use the following questions to framework your responses:

  1. Are there practical issues with the proposed changes?  What suggestions do you have to resolve these?
  2. Is cultural responsiveness sufficiently addressed
  3. Are te Tiriti o Waitangi principles appropriately applied
  4. Is gender identity appropriately described?

Do provisions in the Act sufficiently take account of mental health and addiction experiences?

Please see link for document.

Please send feedback to sue.gasquoine@nzno.org.nz by December 13, 2019.

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Posted in: Consultations

Understanding digital literacy for health and disability providers in NZ

We are seeking feedback to inform the Ministry of Health on nurses’ understanding of how the health and disability sector has incorporated digital tools and platforms. We would love to hear from you about what people already know and what they feel they lack. 

Please provide feedback using the survey attached (should take 15 mins) understanding-digital-literacy and send to diana.cookson@nzno.org.nz by 13 December 2019.

Posted in: Consultations

Proposed new approach to disposal authorisation for health information

NZNO welcomes your feedback on a new approach to disposal authorisation being tested by Archives New Zealand using health sector information.

What changes are being proposed? 

  • a more holistic functional approach to disposal authority development
  • draft disposal recommendations for classes of health sector information and records and
  • the opportunity to indicate interest in obtaining legal disposal coverage

The proposals are outlined in the attached consultation documents:

External Stakeholder Consultation (PDF, 267 KB)

FDA1 – Personal Health Information (PDF, 353 KB)

FDA2 – Health Administration (PDF, 483 KB)

FDA3 – Population Health and Wellbeing (PDF, 417 KB)

Please provide feedback using the form attached here and send to diana.cookson@nzno.org.nz by 16 December 2019.

Posted in: Consultations

Maternal Fetal Medicine (MFM) / Rongoa mo ngā whaea me ngā pepi

Action Plan/Mahere Mahi

NZNO welcomes your feedback on the MFM Action Plan, the goal of which is that women and babies in Aotearoa New Zealand achieve the best possible outcomes, through high quality MFM assessment and treatment, provided by expert practitioners. 

The Action Plan includes a service model that:

  • describes where and how MFM services should be provided;
  • priority areas for improvement and
  • improvement outcomes and actions. 

Please see the link to the Action Plan: MFM Action Plan Consultation - Draft.pdf

Please complete the attached survey questions Maternal Fetal Medicine (MFM) Action Plan survey.html and send to diana.cookson@nzno.org.nz by 6 December 2019.

Posted in: Consultations

Proposed changes to paracetamol warning and advisory statements

Medsafe is seeking comments on proposed changes to current warning and advisory statements for paracetamol. At the December 2018 Medicines Adverse Reactions Committee (MARC) meeting, the Committee discussed a serious case report of acute liver failure in a young patient due to a suspected overdose of paracetamol. The Committee noted that they had discussed similar case reports in the past, indicating an ongoing issue (December 2018 Medicines Adverse Reactions Committee Meeting Minutes). 

We are seeking your views on the proposed paracetamol conditions, warning statements and dosing table in their consultation document.

Please complete the attached survey questions document and send to jill.wilkinson@nzno.org.nz by 24th January 2020 

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Posted in: Consultations

Proposal to widen access to rituximab and change the funded brand for all funded indications excluding rheumatoid arthritis

 

PHARMAC is seeking your feedback on a proposal to make changes to the funded brand of rituximab, a biologic medicine used to treat a range of cancer, blood and autoimmune conditions, from 1 March 2020.

If the proposal is approved, the following changes would occur:  

  • from 1 March 2020, a biosimilar rituximab (Riximyo, supplied by Novartis) would be listed and would be the only funded brand of rituximab for all funded indications excluding rheumatoid arthritis from 1 September 2020 until 30 June 2023.
  • the current funded brand of rituximab (Mabthera, supplied by Roche) would remain fully funded for patients with rheumatoid arthritis only.
  • from 1 March 2020, funded access to rituximab (Riximyo brand only) would be widened to include the following new uses:
  • maintenance for CD20+ low grade or follicular B-cell non-Hodgkin’s lymphoma
  • graft versus host disease
  • antisynthetase syndrome with lung disease
  • some severe neurological conditions
  • amending existing criteria for transplant indications to allow use for any organ.

 

See link

Please send feedback to jill.wilkinson@nzno.org.nz by 11th November 2019


 

Posted in: Consultations

Proposal to award sole supply for fluticasone and fluticasone with salmeterol metered dose inhalers (MDIs)

Please follow this link to the  PHARMAC Consultation regarding a proposal to award sole supply for fluticasone and fluticasone with salmeterol metered dose inhalers.

These changes would mean that only the Flixotide and Seretide brands would be funded from 1 September 2020, following a six-month transition period.

Please send feedback to jill.wilkinson@nzno.org.nz by 1 November 2019.

Posted in: Consultations

Healthy Food and Drink Guidance

Healthy Active Learning is a new Wellbeing Budget initiative that will promote and improve healthy eating and physical activity in schools, kura,

NZNO seeks your feedback on MoH’s policy for food and drink available in education settings- Healthy Food and Drink Guidance -  that impacts the types and portion sizes of foods available. The Guidance aims to update health eating advice for schools, kura, ngā kōhangareo and early learning services across Aotearoa.  

Please fill in the survey attached here:

https://consult.health.govt.nz/nutrition-and-physical-activity/healthy-food-and-drink-guidance-survey/consultation/intro/

Please send feedback to diana.cookson@nzno.org.nz by 29 October 2019.

Posted in: Consultations

Pregnancy Warning Labels

NZNO seeks your feedback on a mandatory labelling standard for pregnancy warning labels on packaged alcoholic beverages:  Proposal P1050 - Pregnancy warning labels on alcoholic beverages 

It was agreed in October 2018 by a forum lead by the Australian Government Department of Health and New Zealand Ministry for Primary Industries that a mandatory labelling standard for pregnancy warning labels on packaged alcoholic beverages should be developed and should include a pictogram and relevant warning statement.

FSANZ  has already undertaken New Zealand public health stakeholder consultation and is now undertaking wider consultation on the draft food regulatory measure  – see attached document:  http://www.foodstandards.gov.au/code/proposals/Documents/CFS%20-%20Pregnancy%20Labelling.pdf

Please send feedback to diana.cookson@nzno.org.nz by 23 October 2019.

Posted in: Consultations

Review of folic acid fortification of food

NZNO is seeking your feedback on the above review which identifies options for strengthening fortification of bread or fortifying wheat flour to further reduce neural tube defects such as spina bifida, as outlined below:

OPTION 1: Maintaining the status quo

OPTION 2: Asking industry to enhance voluntary fortification

OPTION 3: Changing to mandatory fortification 

(3A) Mandatory fortification of non-organic bread

(3B) Mandatory fortification of non-organic bread-making wheat flour

(3C) Mandatory fortification of all non-organic wheat flour

Folic acid is an essential B vitamin important for the healthy development of babies early in pregnancy. There is overwhelming evidence that consuming sufficient folic acid before conception and during early pregnancy can prevent many cases of neural tube defects such as spina bifida.

Crucially, MPI argues that Aotearoa New Zealands’s rate of neural tube defects is higher than it could be and Māori women have higher rates of affected live births than other groups. The financial, social, and emotional impact from such birth defects can be significant for many whānau and wider communities.

Please see the link to the consultation paper

Please send feedback to diana.cookson@nzno.org.nz by 2 November 2019.

Posted in: Consultations

Planning for successful cities: A discussion document on a proposed National Policy Statement on Urban Development (NPS-UD)

NZNO seeks your feedback specifically on Section 5 of the document which focuses on what is meant by quality urban environments. A successful city may include a built environment that makes a significant difference to the health outcomes of people and communities. We are interested in whether you have any ideas about the potential of urban design to improve the health of New Zealanders, for example through ensuring physical activity opportunities (safe, active transport), healthy food access and opportunities for social and community interactions. We are also interested to know if you have had any experience of useful policy tools to support healthy urban development, e.g. Health Impact Assessments. 

Please see link

Please send feedback to policyanalysts@nzno.org.nz by 3 October 2019.

Posted in: Consultations

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