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PHARMAC - Proposal to reinstate monthly dispensing on various pharmaceuticals

PHARMAC is proposing to remove 'stat' dispensing (i.e. three months all-at-once dispensing) on several pharmaceuticals used to treat common conditions eg hydrocortisone cream, prednisone oral liquid, Beta Creams, Dermol, Epilim etc. as they believe the costs outweigh savings from reduced dispensing fees. NZNO is concerned about the impact on vulnerable consumers, including children.

Feedback Due: Please send comments to Senior Policy Analyst: marilynh@nzno.org.nz by 23 January 2015

Posted in: Consultations

Law and Order Committee - Policing (Cost Recovery) Amendment Bill

This bill proposes amendments to the Policing Act 2008 to enable cost recovery for certain Police services where there is a degree of private benefit to the users of the service.

The bill will enable the police to charge for the police vetting services which will be part of the child safety check regulations being implemented as part of the Vulnerable Children’s Act. 3 yearly police vetting will be required for people working with children including nurses, midwives, health care worker who work with children. NZNO, along with other health sector groups,  has expressed concern about the effectiveness and cost of resourcing such checks for regulated health practitioners, who are subject to more rigorous safety checks under the health Practitioners Competence Assurance Act 2003.

http://www.parliament.nz/en-nz/pb/legislation/bills/digests/50PLLaw21441/policing-cost-recovery-amendment-bill-2014-bills-digest 

Feedback Due: Please send comments to marilynh@nzno.org.nz  by  27 January 2015 

Posted in: Consultations

Health Committee - Health (Protection) Amendment Bill

Health (Protection) Amendment Bill

This bill proposes amendments to the Health Act 1956 to improve the tracing of people who may have an infectious disease, or may have been exposed to one; increase the range of infectious diseases that are notifiable, and provide incremental options for the management of individuals with significant infectious diseases. The bill also proposes introducing a ban on the provision of commercial artificial UV tanning services to people under 18 years of age and seeks to make a number of administrative changes to streamline legislation including the inclusion of tuberculosis as a notifiable infectious disease under the Act and the consequent repeal of the Tuberculosis Act 1948.

http://www.parliament.nz/en-nz/pb/legislation/bills/digests/50PLLaw21581/health-protection-amendment-bill-2014-bills-digest-no

Feedback Due: Please send comments to marilynh@nzno.org.nz  by  30 January 2015

Posted in: Consultations

Ministry of Business, Innovation and Employment - Proposal to increase the rates paid in the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 to help suppor

The consultation will run from 17 December 2014 to 27 January 2015. The consultation document, and information on how to make a submission, is available at  http://www.dol.govt.nz/consultation/acc-payments-for-treatment/ .

The proposal is to provide an additional contribution under the regulations to encourage GPs to provide free visits to children under 13 years. The new under 13s contribution will replace the current contribution provided for GP visits by children under six.

The proposed additional contribution is an extra $22 excl. GST ($25.30 incl. GST) on top of the standard adult rate. The contribution change will be applied to consultation rates for:  

  • GP only visits
  • Combined GP/nurse visits.

For every GP only visit by a child under 13 ACC would be contributing $52.85 excl. GST ($60.78 incl. GST) and for every GP/nurse visit by a child under 13 ACC would be contributing $55.73 excl. GST ($64.09 incl. GST).

ACC pays for every visit by a child under 13 years. ACC will make the same contribution towards GP costs regardless of the number of visits by the child.

We look forward to receiving your submissions by 5.00 pm on Tuesday 27 January 2015.

Feedback Due: Please send comments to marilynh@nzno.org.nz  by  22 January 2015.

Posted in: Consultations

Consultation on the Nurse Practitioner Scope of Practice and Qualifications

The Nursing Council is undertaking a review of the nurse practitioner scope of practice and prescribed qualifications.  The consultation is focused on the future requirements for the nurse practitioner scope of practice and qualifications.  It discusses the positioning of nurse practitioner in relation to projected health need and service delivery changes and the potential implications of the introduction of further registered nurse prescribing.

The Council is proposing changes to the nurse practitioner scope of practice to ensure it:

  • remains safe, flexible and appropriate to meet health needs;
  • adequately describes the health services the nurse practitioner provides; and
  • sufficiently differentiates the nurse practitioner from advanced registered nurse roles.

The Council also wishes to consult on the educational preparation for nurse practitioners to explore:

  • any changes it should make as a result of the proposed changes to the scope of practice including specifying programme outcomes,
  • the impact of the proposed introduction of the postgraduate diploma in registered nurse prescribing for patients with long-term and common conditions, and
  • whether it should specify clinical learning time within the education programme and if so, how much?

Feedback Due: 13 February 2015 Please forward your comments to Jill Clendon at jillc@nzno.org.nz. NZNO will collate these comments and submit to the Nursing Council. 

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Posted in: Consultations

Children's Action Plan Directorate and MSD - Approved information sharing agreement

In a further consultation paper on implementing the Vulnerable Childrens Act, Children Actions Plan Directorate is now seeking views on the issues around the sharing of information. Proposals are expected to go to Cabinet early in the new year.

Consultation questions are on on page 15.

The paper notes that 'health information is a special case' - you may like to consider what health information about vulnerable children could or should be shared, potential risks/difficulties, and what additional responsibilities this may place on nurses. You may also want to consider what information from other agencies would be useful to be shared on health record - vulnerable children often have multiple health issues.

Feedback due: ASAP Please send comments to marilynh@nzno.org.nz

Consultation closed 12 December 2014

Posted in: Consultations

Infant Nutrition Council - Advertising of Infant Formula

The body representing most of the infant formula industry has asked the Commerce Commission to approve its voluntary code which restricts the advertising of infant formula. Although it is illegal to be anti-competitive, the Infant Nutrition Council, which represents the vast majority of manufacturers, marketers and importers of infant formula, says in its application that it believes it has an obligation not to advertise infant formula as the Ministry of Health recommends that breast milk is best for babies. 

Feedback due: Please send comments to marilynh@nszno.org.nz by 31 January 2015

Posted in: Consultations

Productivity Commission - More Effective Social Services

The Commission has been asked to look at ways to improve how government agenciescommission and purchase social services. This will include how agencies identify the needs of people who use the services, how they choose organisations to provide the services, and how the contracts between agencies and organisations work.

The  Issues Paper http://www.productivity.govt.nz/inquiry-content/2032?stage=2  outlines the Commission's approach which primarily focuses on alternative modes of service delivery from sole government provision of service including partnerships with for- profit providers, social investment, private public partnerships etc. It asks a number of wide ranging questions to help frame this early stage of the inquiry. This is an important opportunity for members to state the principles on which social services, including health, should be delivered, to provide feedback on how services are operating in your area, and to offer suggestions for service delivery to improve  health outcomes.

Feedback Due: Please send feedback on any aspect of the issues paper  to Marilyn Head, Senior Policy Advisor: marilynh@nzno.org.nz 

Consultation closed 5 December 2014

Posted in: Consultations

Workplace Exposure Standards and Biological Exposure Indices Guidance document

The Workplace Exposure Standards (WES) are intended to be used as guidelines for people qualified in occupational health practice in workplace.

This is a technical document focused on airborne monitoring for assessing health risk. Covers  hazardous substances and mitigating health and safety risks even for those  HS  not covered by WES. Also covers workloads and extended shifts.

Consultation closed on 21 November 2014

Posted in: Consultations

Productivity Commission - More Effective Social Services

The Commission has been asked to look at ways to improve how government agencies commission and purchase social services. This will include how agencies identify the needs of people who use the services, how they choose organisations to provide the services, and how the contracts between agencies and organisations work. 

The  Issues Paper http://www.productivity.govt.nz/inquiry-content/2032?stage=2  outlines the Commission's approach which primarily focuses on alternative modes of service delivery from sole government provision of service including partnerships with for- profit providers, social investment, private public partnerships etc. It asks a number of wide ranging questions to help frame this early stage of the inquiry. This is an important opportunity for members to state the principles on which social services, including health, should be delivered, to provide feedback on how services are operating in your area, and to offer suggestions for service delivery to improve  health outcomes. 

Consultation closed 10 November 2014

Posted in: Consultations

Australia and NZ College of Anaesthetists - Revised draft on their Position Statement (PS08) on the Assistant to the Anaesthetist.

ANZCA is inviting feedback on the above and has provided the following documents for review:

Consultation closed 10 November 2014

Posted in: Consultations

MOH Vulnerable Childrens Act - Implementing the Child Action Plan

As part of the Child Action Plan implementing the above legislation, the Ministry of Health is seeking a quick response to guide the  development of:

1. Regulations for Worker Safety checks

2. Child Protection Policy Guidelines

1. Worker Safety Checks: Agencies will be required to conduct standardised worker safety checks. These will be introduced over several years. Five components have been proposed for the safety check to ensure that .any worker checked doesn’t pose an undue risk to children:

  • An identity check
  • Reference/good character checking
  • Police vetting
  • Interviewing
  • An assessment of risk the worker may pose to a child

Please comment on whether the proposed safety check is practical and proportional, whether it can be completed in a timely manner and whether additional safeguards could be included. In addition your feedback on the details about what action needs to be taken to meet each element of the new standard safety check is sought.

The consultation documents can be found attached below: 

  • About Safety Checking (PDF 380 KB)
  • Safety Checking Infographic (PDF 750KB)
  • Worker Safety Check Consultation Questions (PDF 750KB)

2. Child Protection Policy Guidelines The Act requires children's service agencies to have child protection policies in place "as soon as practicable". To assist them, the Ministry has developed a draft document  Safer Organisations, Safer children - cross agency Guidelines on Developing Children Protection Policies. General  feedback and feedback in relation to specific consultation questions would be appreciated.

The consultation documents can be found attached below: 

  • Draft Safer Organisations, Safer Children (PDF 660KB)
  • CPP Consultation Questions (PDF 35KB)
  • CPP - How the Act will work (PDF 225KB)

Consultation closed on 5 November 2014 for Worker Safety and 15 November 2014 for the Policy Guidelines

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Posted in: Consultations

NZS 8200 Rainbow-inclusive workplaces: A standard for gender and sexual diversity in employment

Standards New Zealand

NZS 8200 Rainbow-inclusive workplaces: A standard for gender and sexual diversity in employment

This draft Standard provides a means for organisations to measure their commitment to gender and sexual diversity in the workplace.

Please note the clause number if you want to recommend any specific changes. 

Consultation closed on 21 November 2014

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Posted in: Consultations

Health Claims - Formulated Supplementary Sports Foods & Electrolyte Drinks

Health Claims – Formulated Supplementary Sports Foods & Electrolyte Drinks

FSANZ is proposing a draft variation to the Code to permit formulated supplementary sports foods (FSSFs), Electrolyte drinks (EDs) and electrolyte drink bases to carry (self-substantiated) health claims as per standard 1.27 which permits health claims consistent with their purpose in this case, that they are useful before during or after sustained strenuous exercise.

The draft variation also proposes transferring the regulation of EDs from Standard 2.6.2 to Standard 2.9.4 which recognises the purpose of EDs as foods especially formulated for strenuous physical activity rather than as lifestyle products.   This means EDs will be required, through labelling and advertising to have information "to assist consumer understanding of the intended special purpose of the food" etc.

Nurses' experience and observations of the uptake of health drinks by various population groups  and health impact of these supplementary foods and drinks would be appreciated.  

Consultation closed on 29 September 2014

Posted in: Consultations

NZNO Position Statement on Care Rationing, 2014

Care rationing has recently been appearing in workplaces. The purpose of this position statement is to make clear NZNO’s standpoint on the importance of achieving safe staffing levels and healthy working places in order to ensure delivery of safe and effective nursing care and prevent care rationing.

We are interested in your feedback on the position statement and invite you to forward your comments by Friday 26 September 2014 to jillc@nzno.org.nz.

Enquiries to:

Jll Clendon, Nursing Policy Adviser/Researcher

Email: jillc@nzno.org.nz

Phone: 03 5463941 or 0800283848

Consultation closed on 26 September 2014

 

Posted in: Consultations

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