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Intraoperative radiotherapy (IORT) for breast cancer

Treating cancers with IORT has been investigated by the NHC both as an addition to standard external beam radiotherapy treatment (EBRT), and as a substitute for usual radiation therapy for early breast cancer. The National Health Committee is interested in your feedback on their  proposal to undertake further detailed analytical work on the use of IORT for early breast cancer. 


Feedback Due: Please send comments to by 7 April 2015.

Posted in: Consultations

Ministry of Social Development - Disabled Children (out of home care)

Following the Vulnerable Childrens Act, the cross agency Disabled Childrens Project Team is consulting on a review of the care and support system for disabled children who are, or are likely to be, placed in out-of-home care voluntarily by their parents under the Children, Young Persons, and Their Families Act 1989.

The document is not about abused or neglected or ACC for severely  disabled children, but is primarily aimed at giving effect to Article 4 of the United Nations Convention on the Rights of Persons with Disabilities8, which has been ratified by New Zealand.

The Ministry is interesting in hearing your views on

  • How families can be supported to care for their disabled children at home and potentially reduce the need for out-of-home placements; and

  • In those situations where families cannot care for disabled children at home, we want to look at the process by which out-of-home placements for these children are provided.

A link to the documents can be found here:

Feedback Due: 31 May 2015 Please send comments to or fill in the survey by 20 May 2015

Posted in: Consultations

Age-related macular degeneration (AMD)

AMD is the leading cause of blindness in New Zealand in those aged over 50, accounting for half of all cases. The National Health Committee is seeking feedback on the most efficient and equitable means of delivering treatment. The consultation document includes consideration of the issues around as-needed rather than regular treatment, and administration by a nurse rather than a physician.

For more information and downloads visit

Feedback due 7 April 2015

Please send your comments to by 7 April 2015.

Posted in: Consultations

Draft Framework for Health Literacy Survey

The Ministry of Health is requesting feedback on their draft Framework for Health Literacy, documents are attached below:

  • Download the Draft Framework for Health Literacy (PDF, 499KB)
  • Download the Presentation notes about the Draft Framework for Health Literacy (PDF, 194KB)

A Health System Response

Health literacy is the capacity to find and use information and health services to make effective decisions for health and wellbeing. It is fundamental to the primary health care approach to improving population health that NZNO identified as a priority for health.

The Framework for Health Literacy is designed to support action on health literacy improvement at all levels and includes:

  • the health system
  • health organisations eg: NGOs, PHOs, practitioner associations, regulatory bodies
  • health practitioners and ALL staff
  • individuals and whānau (shows impact of actions at other levels).

Download the Health Literacy survey questions below (DOCX, 184KB)

Please note the following NZNO publications below:

  • NZNO Position statement on Health Literacy 2012 (PDF, 320KB)
  • NZNO Health Literacy Policy and Practice for Nurses – A Call for Action, 2012 (PDF, 341KB)

Feedback due 5:00pm, 27 March 2015

Please email the completed survey form to by 5:00 pm on Friday 27 March 2015. All feedback will be acknowledged.

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Posted in: Consultations

Coronors Amendment Bill

The aim of this Bill is to amend the Coroners Act 2006 (the Act) to:

  • “improve the quality, consistency, and timeliness of coronial investigations and decision making;
  • “clarify the role of coroners and reduce duplication between coroners and other authorities that investigate deaths and accidents;
  • “clarify the role coroners have in making recommendations to prevent future deaths and the relationship with agencies that have policy and operational responsibility in those areas;
  • “ensure resources are used effectively.” [1] 

Main Provisions or amendments include:

Section 3 of the Act provides that ‘help to achieve its purpose, that Act, inter alia,  ‘recognise’ both:

  • the cultural and spiritual needs of family of, and of others who were in a close relationship to, a person who has died; and
  • the public good associated with a proper and timely understanding of the causes and circumstances of deaths.”

The Bill replaces this provision with the following:

“the making of recommendations or comments that, if drawn to public attention, may reduce the chances of further deaths occurring in circumstances similar to those in which the deaths occurred” (Part 1, Subpart 1, Clause 4, amending Section 3 of the Act (the “purpose clause”) by substituting subsection (1)(b)).

Other provisions include:

  • Functions of the chief coroner
  • Duty to report deaths
  • Coroner must give interested parties notice of significant matters
  • Coroner may direct a post-mortem
  • Coroner’s jurisdiction to open inquiries
  • Publication of details of self-inflicted deaths
  • Practice notes

Feedback Due: Please send comments to Leanne Manson: by 20 March 2015

Posted in: Consultations

Select Committee - Inquiry into 2014 General Election

After each election, a multi-party select committee conducts an inquiry into the legal and administrative aspects of that election. The terms of reference for the inquiry in 2015 are very broad: "To examine the law and administrative procedures for the conduct of Parliamentary elections in light of the 2014 general election". No specific questions are asked nor comment sought on any particular aspect of the law or administration of Parliamentary elections.

The electoral system is fundamental to our social democracy and it must function in the fairest and most inclusive way possible. You may wish to consider the low voter turnout (<70 percent), particularly of young people, and the implications of that trend; outcomes in terms of fair political representation for women, Māori and others;  how the election was conducted, including information and provision for enrolment on either the general or Māori  roll, information about the election, access to polling booths (particularly in hospitals, rural areas), access for people with disabilities including mental disabilities),  who voted and who didn’t vote, etc., failures, omissions etc. You may also make suggestions for improvement.

Feedback Due: Please send comments to Marilyn Head, by 24 March 2015

Posted in: Consultations

Inquiry into Parliament's Legislative Response to Future National Emergencies

The purpose of this inquiry is to establish the most appropriate legislative model for enabling and facilitating response to and recovery from national emergencies once a state of emergency has been lifted, while maintaining consistency with essential constitutional principles, the rule of law, and good legislative practice.

The terms of reference are quite extensive and include consideration of “lessons learned from the implementation of recovery legislation after the Canterbury earthquakes”, but note that the focus of the inquiry is on the use executive power and delegated legislation i.e. the duties and powers of parliament in response to emergencies. 

Public health is central to emergency response and recovery. This inquiry gives an opportunity to comment on parliament’s law-making powers in relation to the public health systems that are in place to meet future national emergencies. You may want to think about parliament’s duties and powers in relation to dealing with specific emergencies eg our ability to respond to a pandemic, or the Christchurch  earthquakes (examples are useful),  as well as more broadly in terms of ensuring  capacity, appropriate workforce planning and regulation etc.     

The terms of reference can be found online at

Feedback Due: Please send comments to Marilyn Head, by May 31st 2015

Posted in: Consultations

PHARMAC - Anti-Diabetic Agents

PHARMAC is interested in receiving information from suppliers, clinicians and diabetes healthcare professionals in respect of the following classes of anti-diabetic agents:

a. dipeptidyl peptidase4 inhibitors (DPP4-inhibitors);

b. glucagon-like peptide-1 agonists (GLP-1s);

c. sodium glucose co-transporter 2 inhibitors (SGLT-2s); and

d. combination anti-diabetic agents (e.g. DPP4-inhibitors/metformin).

The purpose of this request for information (RFI) is to seek information to inform and assist PHARMAC in determining the most appropriate funding arrangement and process, which may include progressing to a request for proposals (RFP) or other competitive process at a later date.

See whole document here

Feedback Due: Please send comments to ASAP due date is 1 March 2015

Posted in: Consultations

IT Health Board - HISO 10052 Ambulance Care Summary Draft Standard

This new standard defines an ambulance care summary document that enables patient information to be communicated interoperably at transfer of care. The ambulance care summary will be shared out of a clinical data repository to other providers' clinical workstation and provider portal systems.

Ambulance officers will be using a new touchscreen application called the Electronic Patient Report Form (ePRF) to record their clinical impressions, observations and interventions in caring for patients.

The document can be found online at

Feedback Due: Please send comments to by 24 February 2015

Posted in: Consultations

PHC Senior Nurses Toolkit – PHC Senior Nurse job descriptions

The PHC National Delegates Committee and NZNO are looking at ways to provide enhanced support to Senior Nurses in the PHC Sector. The standardisation of job descriptions and titles used across the Sector will encourage this and resources will be developed in the form of a Senior Nurses Toolkit as per agreement with the PHC National Delegates Committee and PHC Sector Group.

This consultation is only on the job descriptions that will be part of the wider resource toolkit.

Please note that the role descriptors are aligned to the DHB senior nurse titles within the DHB MECA.

Please find the draft job descriptions below.

Please send comments to by 5pm 20 March 2015

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Posted in: Consultations

MOH - Request for Feedback on Prostate Cancer

The Ministry of Health would like feedback on the draft guidance documents below.

These documents have been developed by the Prostate Cancer Working Group, and its primary care and specialist sub-groups, as part of the Ministry’s Prostate Cancer Awareness and Quality Improvement Programme (more information about the programme and the Prostate Cancer Working Group can be found on the Ministry’s website).

Feedback Due: Please send comments to by 15 February 2015

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Posted in: Consultations

Code of Ethics and A Process to Manage Challenging Professional and ethical issues

DATE DUE: Feedback to Jill Clendon Nursing Policy Adviser/Researcher by Thursday March 5th

The NZNO ‘Code of Ethics’ and ‘A Process to Manage Challenging Professional and Ethical Issues’ documents were last updated in 2010. We are seeking any general comments on whether people are happy with the current documents or if substantial change is required.

If people are generally happy with the current documents, we will revalidate these for a further two years and undertake a substantial review in 2017.

Please forward any comments you may have by Thursday, March 5th 2015 to

Enquiries to:
Jill Clendon
Nursing Policy Advisor/Researcher

Phone: 03 5463941 or 0800283848

Posted in: Consultations

MSD - Authority to sign Work Capacity Medical Certificates (WCMCs)

As part of the Ministry of Development’s Health and Disability Long Term Work Programme, it is reviewing the type of health practitioners who should sign work WCMCs which inform Work and Income’s decisions.  There are mixed views about who should have the authority to sign, but MSD proposes that authority should be restricted to regulated health practitioners with appropriate skills and qualifications and is seeking input as to whether this should be extended beyond the current range of nurse practitioners, midwives, doctors and dentists.

Feedback due: Please send comments to Senior Policy Analyst, Marilyn Head, by 16 February 2015

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Posted in: Consultations

NEAC - Cross sectoral ethics arrangements for health and disability research

NEAC is seeking feedback on the current health and disability research ethics arrangements, including the responsibility for ethical health and disability research and the standards, processes and structures that support this responsibility. The discussion document link outlines issues across six areas:

  • The complex research ethics landscape
  • Māori and health research
  • Alternative ethical review structures
  • Peer review for scientific validity
  • Audit and audit-related activity
  • Innovative practice.

Some of these issues relate to the 2012 changes to the Health and Disability Ethics Committees, but this work is not intended as a review of those changes. Feedback will, however, also inform NEAC’s 2015 review of its Ethical Guidelines for Observational Studies and Ethical Guidelines for Intervention Studies.

The discussion document and submission questions can be accessed from the NEAC’s website here:

Feedback due: Please send comments to Leanne Mason, Policy Adviser - Māori, by 20 February 2015.

Posted in: Consultations

Nursing Council of NZ - Consultation on proposal to increase fees for Internationally Qualified and Trans-Tasman Mutual Recognition Arrangement Nurse applications

The Council has recently undertaken a review of the processing costs relating to applications received from Internationally Qualified Nurses (IQNs) and those received from applicants under the Trans-Tasman Mutual Recognition Arrangement (TTMR) to ensure that the Council is accurately covering related costs.

The review was initiated to establish actual costs of services and to provide the Council with information on which to support the long term financial viability of the Council.

The Council wants to be sure that the costs for the registration of IQN and TTMR applications are assumed by the applicant and that cross subsidisation through the use of the already registered nurses APC fee does not occur and are proposing to increase fees by $165 for IQN and $45 for TTMR applications.

We look forward to receiving your comments.

Feedback Due: Please forward your comments to Jill Clendon at by 13 February 2015 NZNO will collate these and submit to Nursing Council.

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Posted in: Consultations


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