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ANZICS Statement on Care and Decision-Making at the End of Life for the Critically Ill

Over the past few months, the ANZICS End-of-Life Care Working Group have been developing a comprehensive document that relates to Care and Decision-Making at the End of Life for the Critically Ill. Attached is the resulting consultation draft of the ANZICS Statement on Care and Decision-Making at the End of Life for the Critically Ill for your review.

To facilitate the review process we will be collecting any feedback that you may have via an electronic survey (link included below).

To access the survey please visit and use  anzics123  as the password.

If you have trouble accessing the survey please email

Consultation closed 31 August 2014

Posted in: Consultations

Consultation on the qualifications prescribed by the Nursing Council of New Zealand for the Registered Nurse Scope of Practice under the Health Practitioners Competence Assurance Act 2003

The Nursing Council of New Zealand (the Council) is consulting with interested individuals, nurses, representatives of nurses, nurse educators, and others in health and education sectors (stakeholders) on the prescribed qualifications for the registered nurse scope of practice.

The Council is considering an alternative pathway to registration as a registered nurse - a preregistration master’s degree in nursing. It has been identified that the programme would appeal to graduates from health and other disciplines seeking to become registered nurses. Under the current prescribed qualifications a preregistration master’s degree in nursing is not identified as a prescribed qualification for entry to the registered nurse scope of practice.

A preregistration master’s degree in nursing is offered in a number of countries including the United States of America, Canada, United Kingdom, Australia, and Hong Kong. The Council is considering whether it is appropriate to introduce a similar pathway in New Zealand at this time.

Click to read/download:

Consultation closed on 29 August 2014

Posted in: Consultations

Personal Restraint Guidelines

With a wide variety of sector groups and clinicians asking for advice and guidance regarding restraint, Te Pou and the Ministry of Health consider this a priority document that will support the workforce and best practice direction, in inpatient settings.

Attached is Draft 2 of this important guideline for your consideration and comment. Draft 1 has been reviewed by a reference group made up of workforce representatives and we now release the second draft for wider sector comment.

To draft this guideline, Te Pou have reviewed the literature available on restraint practice and consulted widely with District Health Boards and their staff. A stocktake of current restraint training provided by DHB’s is close to completion and has also informed the guideline.

Consultation closed in June 2014

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Posted in: Consultations

Immigration NZ - Review of NZ Essential Skills in Demand Lists

2014 Review of  New Zealand’s Essential Skills in Demand Lists

Immigration New Zealand annually reviews the occupations listed in the Essential Skills in Demand Lists.  Currently four categories of nurses are on the long term skills shortage list which means they are automatically on the Short term skills shortage list and the Canterbury skills shortage list.  Occupations may be submitted for review either to remove or be added to the lists.

Feedback Due: Please send comments to by 10 May  2014.

Posted in: Consultations

Australian and New Zealand Standards - Reprocessing of reusable medical devices in health service organisations

DR 100397 Reprocessing of reusable medical devices in health service organisations

The objective of this Standard is to ensure that Health service organisations clean, disinfect and sterilize reusable Medical Devices prior to and between patient uses correctly in order to produce RMDs that are able to be used safely without risk of transmission of infectious agents.

There are significant differences in the structure, content and terminology of this edition of the Standard and that of the previous 2003 edition

Feedback Due: Please send comments to Marilyn Head, Senior Policy Analyst: by 14 June 2014.

Posted in: Consultations

HQSC Always Review and Report

Always Review and Report consultation paper

See link:

The HQSC is seeking  the sector’s views on a possible amendment to the national reportable events policy to make it clear there is a subset of highly preventable events that should always be reported and reviewed as a serious adverse event, regardless of whether harm has occurred.

This consultation paper suggests the introduction of a subset of incidents called ‘Always Review and Report’ to be reviewed as serious adverse events so we can learn from them, and put in place processes to prevent them happening again

FEEDBACK DUE: Please send comments to Marilyn Head, Senior Policy Analyst: by 23rd May 2014.

Posted in: Consultations

PHARMAC - Access to high cost medicines for people with rare disorders

Access to high cost medicines for people with rare disorders:

Pharmac is seeking feedback on its discussion paper on improving access to high cost medicines for people with rare disorders. It proposes having a separate, contestable fund (details not yet established) and outlines risks and potential benefits of using a competitive model to purchase medicines for this currently disadvantaged group.  

Feedback Due: ASAP - 2 May 2014 Please send comments to Marilyn Head, Senior Policy Analyst: or 04 494 6372

Posted in: Consultations

Incident Debriefing

Incident debriefing is an important component of ensuring quality health care. The NZNO guidelines on incident debriefing were first published in 2005. This review of the document provides up to date information on incident debriefing for nurses and workplaces.

Please forward your feedback by 23 May 2014 to

Jill Clendon, Nursing Policy Advisor/Researcher
03 5463941 or 0800283848



Posted in: Consultations

Proposal to reduce the disciplinary component of the Annual Practising Certificate fee

The Nursing Council has reviewed the way the disciplinary levy is apportioned within the current Annual Practising Certificate (APC) fee with the primary intent to not increase the APC fee for nurses and employers.

The current disciplinary levy is $20.00 and the Council would like to consult with you on a proposal to reduce the disciplinary levy by $10.00 and thereby increase the general income by $10.00 to cover ongoing strategic and operational project work. There will be no increase in the APC fee.

Feedback Due: Please send your feedback to Jill Clendon: Phone: 03 5463941 by 2 May 2014

Posted in: Consultations

National Health Committee Consultation

The NHC has published three consultation documents on their website on:

1)  Four 'Cardiac Cluster' assessments for sector feedback.  These include:

  • renal artery denervation for patients with refractory hypertension
  • percutaneous interventions for the treatment of mitral regurgitation
  • percutaneous left atrial appendage occlusion for the prevention of stroke in patients with atrial fibrillation
  • cardiac catheter ablation for the treatment of atrial fibrillation.

The consultation document summarises the findings of these assessments, and gives the NHC’s consequent draft advice and recommendations to the Minister regarding the public funding of these interventions in New Zealand.

2)  An exploration of the model of care for Ischaemic Heart Disease (IHD) patients. This recommends five areas for further assessment work.

3)  An exploration of the model of care for Chronic Obstructive Pulmonary Disease (COPD). This recommends five areas for further assessment work.

Note: Please send your comments directly to the NHC (please forward us a copy of your submission if you do make one).


Posted in: Consultations

MOH - Proposed amendments to nurse practitioner and midwife prescribing of controlled drugs

The Ministry is seeking feedback on two proposed amendments to the way nurse practitioners and midwives prescribe controlled drugs for their patients. The aim of the proposals is to improve patient access to timely care, make best use of the skills within the nurse practitioner and midwifery workforces, and reduce patient cost. Full details are available in the document below:

Feedback Due: Please take time to consider these proposals and provide your feedback to, Jill Clendon, or 03 546 3941 by 8th April.

Posted in: Consultations

PHARMAC - Diabetes Nurse Prescriber Roll Out

Diabetes Nurse Prescriber roll out:

PHARMAC is seeking feedback on a proposal to allow all Diabetes Nurse Prescribers to have their prescriptions subsidised. Currently PHARMAC subsidises prescriptions written by only 27 named Diabetes Nurse Prescribers who participated in the pilot Diabetes Nurse demonstration sites.

In summary, this proposal would result in all Diabetes Nurse Prescribers having their prescriptions subsidised. This is the result of a nationwide rollout of the Diabetes Nurse Prescribers demonstration sites.

Details of the proposal and background information can be found on the website listed above.

Feedback Due: Please note feedback is due with PHARMAC on April 7 so please forward your feedback to Marilyn Head as soon as possible in order for us to be able to make an informed submission. Send feedback to Senior Policy Analyst, Marilyn Head, or ph 04 494 6372

Posted in: Consultations

Models of Care Policy Framework

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 including models of care.

In 2011, NZNO published 2020 and Beyond: A Vision for Nursing establishing the parameters for future work in each of the areas of the vision. As a result, in 2012 and 2013, NZNO consulted on and published its education policy framework. In the latter half of 2013, work was undertaken on the NZNO models of care policy framework. Using the vision as a starting point, a research project was undertaken exploring nurse perceptions of models of care. The research identified a clear set of principles that have been used to underpin the draft policy framework on models of care that we are now consulting on. The research report can be found on the NZNO website: under Research.

Our intention is to consult widely – we have already consulted with NZNO member groups and are now sending this document out more widely to other nursing and health professional groups and the wider public. We attach here for you the second draft of the policy framework on models of care that presents NZNO’s statements and goals on models of care and what needs to be done to achieve these goals.

We are seeking your feedback on the draft policy framework. In particular, we are interested in your feedback on the following points:


  • Are there any gaps or is there too much content?
  • Do you agree or disagree with the statements or the order in which they are presented?

Action points:

  • Do you support these?
  • Do you have any recommendations for further or amended action points?

Case studies/examples

  • Are these useful inclusions?
  • Do you have any other suggestions?

Any other comments or feedback.

Please feel free to write directly on the framework document itself using track changes (or in pen then scan and email or post if this is easier), or on this document. Please forward to your members as appropriate. All comments and feedback are warmly welcomed no matter how small or large.

Please forward your feedback on the policy by 18 April 2014 to or post to PO Box 1195, Nelson 7040.

Enquiries to:  Jill Clendon - Nursing Policy Adviser/Researcher

Ph 03 5463941

Posted in: Consultations

Quality in the workplace: A NZNO E-book

Quality is an area of great importance in health care. NZNO originally published their Quality in the Workplace handbook in 2007. Since this time, there has been a proliferation of resources made available on quality – many of these are available on line. For this reason, NZNO has chosen to utilise a new format for the new edition of Quality in the Workplace: an E-book.

The E-book format is available for download as a PDF and for optimal usage, this should be read online in order to enable the links to be active and usable.

We hope you enjoy this new format and we are interested to hear your thoughts on ease of use, layout, relevance of the links and other content, and whether the new handbook will be of use to you in your everyday work.

Please forward your feedback on the E-book by 30 April 2014 to

Enquiries to: Jill Clendon - Nursing Policy Adviser/Researcher


Phone: 03 5463941 or 0800283848

Posted in: Consultations

MOH - Tier 2 Specifications for Public Health

Following the recent completion of the new Tier One Specification for Public Health Services, the Ministry is currently reviewing the Tier Two Specifications for Public Health Services.

Service specifications are used by the Ministry in contracting to describe the services being purchased and include the purchase units and reporting requirements for providers.  Currently, public health services are defined on an issue by issue basis eg, communicable diseases, tobacco control, physical activity & nutrition, well child promotion, mental health promotion, national screening programmes etc.  The draft new specifications will take a more functions-based approach, while still ensuring specificity where required:

  1. Health Assessment and Surveillance
  2. Public Health Capacity Development
  3. Health Promotion
  4. Health Protection
  5. Preventive Interventions

The draft new Tier Two, and in some cases Tier Three, specifications and a template for making submissions are now available for review on the Nationwide Services Framework Library website:

The Ministry intends to finalise the new specifications within the next 6 months, so that they are available for use from July 2015.

We have been invited to provide feedback and there may also be sector consultation workshops which we will keep you posted on.

Feedback Due: Please forward your feedback to Senior Policy Analyst, Marilyn Head, or 04 494 6372 or 0800 283 848 by 7 May 2014

Posted in: Consultations


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