Nursing reports

New Zealand Nurses Organisation media release, 8 September 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) wants more detail from campaigning political parties about how they will urgently fund 4000 more nurses, especially those who are Māori and Pasifika.

NZNO Kaiwhakahaere Kerri Nuku said at least 4000 nurses were needed tomorrow, but that any recruitment initiatives must be focused on having more Māori and Pasifika nurses, midwives and health care assistants in place.

“We have a health system based on western models from which many Māori and Pasifika people feel culturally alienated. This means they are much more likely to seek health care late, or not at all.

“That’s a tragedy, but denying Māori and Pasifika culturally appropriate care also puts a greater strain on the health system’s resources through longer than necessary treatment and longer hospital stays. Those are resources that could be used to fund more beds or pay wages for more nurses.”

The most recent Nursing Council statistics indicate that Māori (17.4 percent of the population) make up just 7 percent of the nursing workforce. Pasifika (8 percent of the population) make up just 4 percent.

Ms Nuku says increasing these numbers significantly will result in care across the health system that is culturally appropriate and that will lead to increased (and earlier) Māori and Pasifika engagement with services. And this will significantly reduce the economic health burden.

“We need also to remember that upholding te Tiriti o Waitangi firmly across the health system is part of the obligation for Māori to have self-determination over their own health and wellbeing and to achieve equitable health outcomes. Pasifika are also entitled to culturally appropriate care.

“We cannot achieve these things without more Māori and Pasifika nurses.”

She said to grow nursing numbers we will also need to address the nursing student problem.

“By the third year of study 25 percent of nursing students drop out overall – mostly due to financial hardship. That figure is 33 percent for Māori and 37 percent for Pasifika.  

“One way of attracting nursing students would be funded free training for them, and to have their work placements paid. Dropout figures would fall and the number of new nurses would rise more quickly over time.

“We do this for much-needed trade apprentices, so why not for nurses? Surely that’s a policy gap any political party with a modicum of courage could grab!”

Ms Nuku says she wonders how many political parties really grasp how bad things will get in the next few years if these problems aren’t addressed.

“I would love to hear more from political parties about just how they will find the courage to fund more nurses more quickly, particularly Māori and Pasifika.

“These are real problems and I want to know just what each party intends to do about them.”

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Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617 | media@nzno.org.nz

New Zealand Nurses Organisation media release, 5 September 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) supports the senior doctors and dentists on strike today for wage increases that reflect real rises in the cost of living.

NZNO President Anne Daniels said asking senior doctors and dentists to take a pay cut by not offering increases that match the CPI is both unfair and short-sighted.

“We are at a time when health professionals are leaving their jobs at unprecedented rates.

“The work is endless, the pressures are high and the prospect of burnout is very real. Refusing fair pay lifts is just going to exacerbate the problem, causing more doctors to leave or retire early.

“It’s hard enough right now to get an appointment with a doctor and this has already resulted in massive pressures on emergency departments, which affects us all. Te Whatu Ora’s penny-pinching on wages will just end up costing the health system more in terms of pressure on other workers and remaining resources.”

Ms Daniels said that, like nurses, senior doctors and dentists care about their patients and they are going on strike for the good of their profession’s future. Wages that properly recognise the qualifications and contributions of senior doctors in the public system – by at least matching the inflation rate – will help reduce the number leaving for overseas or private sector positions.

“NZNO calls on Te Whatu Ora to show more foresight. Asking senior doctors and dentists to take a pay cut will just further reduce the availability of health services to everyone in Aotearoa New Zealand.

“Our whānau, our loved ones and our communities need their doctors and dentists. Give them at least the cost of living so more will stay.”

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Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617 | media@nzno.org.nz

New Zealand Nurses Organisation media release, 7 August 2023

In a ballot closing at noon today, members of the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) voted to accept the latest collective agreement proposed settlement from Te Whatu Ora.

As a result a 24-hour strike by NZNO’s roughly 35,000 Te Whatu Ora members planned to start 7am on Wednesday 9 August will not go ahead.

NZNO Chief Executive Paul Goulter said there was a high level of member participation in the ballot, but that the result, while still clear, was reasonably close.

“While a majority of members accepted the offer, the closeness of the vote shows there remains a serious level of concern and discontent amongst members.

“Many members see the offer as not helping address the shortage of nurses that is severely impacting on the quality of care they can provide for their unwell patients. It is pretty light on important issues such as health and safety at work and minimum staff to patient ratios.

“It doesn’t provide a wage rise that meets the cost of living either.”

Paul Goulter said it was clear that members strongly believe a lot still needed to change.

“Bargaining for the next collective agreement will start early next year and we will continue making health and safety, safe staffing, nurse-to-patient ratios and cost of living increases our focus. These issues remain vitally important to our members, and we will come out fighting on them.”

He said the ratification ballot on the proposed collective agreement settlement should not be confused with the Pay Equity settlement which was accepted by members last week.

“Pay Equity is a one-time adjustment to wage levels meant to address historic sex-based discrimination against people who work in a female-dominated profession. Collective agreements are re-negotiated every few years and are focused on ongoing pay and working conditions.”

Paul Goulter said the public can show their support for nurses by signing NZNO’s ‘We need nurses’ petition and participating in NZNO’s #thenurseweneed campaign activities as they occur.

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Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.

New Zealand Nurses Organisation media release, 23 July 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) says its 35,000 or so members employed by Te Whatu Ora will start voting tomorrow (Monday 24 July) on whether or not to accept the latest proposed Pay Equity settlement.

The proposed settlement arose from mediation between Te Whatu Ora, NZNO and the PSA who have been in litigation over the claim in the Employment Relations Authority (ERA) and Employment Court since early 2022.

NZNO Chief Executive Paul Goulter said the Pay Equity claim, first lodged in 2017 under the Equal Pay Act, is meant to address long-standing sex-based discrimination and bring nursing wages in line with the wages of male-dominated professions that do similar work.

“It’s a significant and historic vote and if members accept it the amended pay rates would be effective from 7 March 2022 and would begin to be paid within six weeks of the proposed settlement being approved. If members don’t agree to the proposed settlement, we will resume judicial proceedings, and the outcome will be for the ERA and Employment Court to decide.”

However, Paul Goulter said Pay Equity was entirely separate from collective agreement negotiations, and the two should not be conflated.

“These are wages nurses, midwives, health care assistants and kaimahi hauora are already entitled to because of the longstanding sex-based discrimination they have faced.

“We’re concerned that Pay Equity is often mentioned when the latest collective agreement offer from Te Whatu Ora is being described as if they were part of the same deal, which they are not.

“Collective agreement negotiations are about cost of living, labour market matters and, of course, all the other terms and conditions. They are not about gender discrimination which is addressed under the Equal Pay Act.”

NZNO’s Te Whatu Ora members will also vote 1-7 August over whether to accept the latest collective agreement offer from Te Whatu Ora, which, Paul Goulter says, is an improvement on the last offer, though it does fall short in terms of members’ claims around safer staffing practices, nurse to patient ratios and health and safety.

A 24-hour strike planned to commence at 7am on 9 August, which was organised before the latest offer, will be called off if members vote to accept the offer.

“Members demanded this strike because of their frustration over the lack of progress and slow responses from Te Whatu Ora in negotiations, which have been going on since the current agreement expired back in October.

“It’s now entirely up to members to decide whether the flat rate salary increase of $4000 ($5000 for senior nurses) and a further 3 percent next year will be sufficient for them to settle and put a halt to strike action, and they are looking at this entirely separately from Pay Equity.”

The offered collective agreement pay rises will be based on the new Pay Equity rates, if members vote to accept the proposed Pay Equity settlement agreement.

The Pay Equity poll closes on 31 July.

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.

New Zealand Nurses Organisation media release, 19 July 2023

Members of the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO), who are employed by Te Whatu Ora, have voted overwhelmingly in support of a 24-hour strike on 9-10 August.

NZNO Chief Executive Paul Goulter says the strike ballot, which closed at noon today, had very high member participation and the result was absolutely decisive.

“Members demanded this ballot because they are extremely frustrated at the lack of progress and slow responses from Te Whatu Ora in negotiations, which have been going on since the current agreement expired back in October.

“Despite the extremely difficult and unsafe working environment they face every day in our public hospitals and worksites, which has been well-covered in the media, they do not feel they are being heard or taken seriously.

“To date, claims in negotiations around safer staffing practices, nurse to patient ratios and health and safety have pretty much fallen on deaf ears, and these members have simply had enough.”

Paul Goulter said nurses, midwives, health care assistants and kaimahi hauora are always extremely reluctant to strike because of the impact it has on patients.

“But there comes a point when they decide they have to strike for the very wellbeing of those patients, whose health and everyday care is jeopardised by unsafe staffing levels that Te Whatu Ora refuses to address.”

He said that, as with any strike action in the public arena, NZNO members will work with Te Whatu Ora and do their best to provide life preserving services at all hospitals and worksites for the duration of the strike.

The strike ballot was organised before the latest offer was received from Te Whatu Ora yesterday, Paul Goulter said.

He said the union will proceed with the strike unless members vote to ratify the recently received offer. A ratification vote on the offer will open on 1 August and close on 7 August.

A strike notice will be issued to Te Whatu Ora on Monday 24 July. The strike will start at 7am on 9 August 2023 and end at 7am on 10 August 2023 at every site where Te Whatu Ora provides health care services or hospital care services.

Meanwhile, NZNO Te Whatu Ora members are also set to vote on a Pay Equity offer from the Government and Te Whatu Ora, which, Paul Goulter says, is meant to address long-standing gender discrimination.

“Pay Equity is an entirely separate process from collective agreement negotiations because it addresses an historic undervaluation of a female-dominated profession that simply has to be corrected.”

The Pay Equity ratification ballot will open on 24 July and close on 31 July.

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Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617 | media@nzno.org.nz

New Zealand Nurses Organisation media release, 5 July 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) welcomes the Health workforce plan, released yesterday by the Ministry of Health’s Workforce Taskforce.

NZNO Manager of Nursing and Professional Services Mairi Lucas says there has never been a specific strategy addressing the health workforce and that is part of the problem.

“Had such a plan been produced 20 years ago, when this current crisis was first predicted, we wouldn’t be in this mess.”

Ms Lucas said it was great to see both Health Minister Hon Ayesha Verrall and the plan itself, acknowledge there has been a failure in long-term workforce planning resulting in our current staffing shortage.

“Significant mahi has been done by NZNO delegates, members and officials to highlight the dire situation nurses have struggled with for too long, so the plan – which includes many of the focus areas of NZNO’s Maranga Mai! strategy – is certainly welcome.

“Growing pathways for Māori and Pasifika into health are the first and second of six defined action areas in the Taskforce’s plan, and we agree that we cannot fix staffing shortages or reduce the health burden without more Māori and Pasifika nurses providing culturally appropriate care.

“It’s also good to see that settling outstanding pay issues, collaborative pay negotiations and helping staff stay safe at work are key tenets in the fifth action area: Supporting and retaining our valued workforce.”

She said the important thing now is to ensure that the new pay gap between Te Whatu Ora and other areas of nursing, such as: Community; Primary Health Care; Māori and Iwi; and Aged Care does not exacerbate the problem of these nurses leaving their current roles for ones where they are better able to provide for their whānau.

“The plan estimates New Zealand is currently short 4800 nurses across the whole health system (not including midwives) and predicts that number will have risen to 8000 by 2032. We’d like to see the evidence and core data behind those numbers.

“NZNO currently has a bargaining claim with Te Whatu Ora for staffing ratios that would guarantee enough nursing staff to meet patient numbers at all times. For health and safety reasons we need to be confident that the plan takes those future ratios into account.

“We have a massive problem, and we need all hands on deck and a workable strategy to get ourselves back on course. If we don’t the nurses, midwives, health care assistants and kaimahi hauora of the future will be working in even more horrendous conditions.

“The people of Aotearoa deserve a health system that can provide safe, quality care to ensure the wellbeing of us all.  To still be facing an understaffed, inaccessible and frankly dangerous health system in 2032 is the last thing anybody wants to see.”

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Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617 | media@nzno.org.nz

New Zealand Nurses Organisation media release, 20 June 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) says it supports ethnicity being part of the logarithmically derived Equity Adjustor Score currently applied to decisions over surgical wait times in Auckland.

NZNO Kaiwhakahaere Kerri Nuku says the approach should be adopted nationally as a way of upholding te Tiriti o Waitangi across the health system and addressing historic institutional racism in health, which has disadvantaged Māori and Pasifika people in particular for decades.

“Of course clinical urgency has to be the first priority, nobody should have life-saving or critically important health care delayed on the basis of race. But we do think ethnicity and where someone lives should be part of the overall score that determines how you are prioritised for your surgery.

“We need to remember that Māori and Pasifika people are already years behind when it comes to interacting with the health system, especially those who live remotely or who are the most disenfranchised from a traditionally colonial health system.

“That means they are sicker with more acute health needs requiring more health resources in their treatment.”

Ms Nuku says inequitable health outcomes for Māori and Pasifika peoples are already a significant contributor to the intense workloads currently faced by understaffed nurses, health care assistants, midwives and kaimahi hauora across the health system.

“Upholding te Tiriti in health is the number one item on NZNO’s Maranga Mai! health campaign agenda because we know that what is good for Māori is good for everyone in Aotearoa New Zealand.

“Inequality is a massive drain on resources because it shuts people out of the health system and then costs are multiplied when they finally present for treatment in an advanced state of unwellness that could have been avoided.

“Tax payers foot the bill for that. It’s a waste of resources. It’s a waste of people’s lives and it is fundamentally unjust.”

She said it is incumbent on the Government and Ministry of Health to find ways to combat the unfairness Māori and Pasifika face in accessing health care.

“This is one small thing we could do that could lift the statistics, improve health outcomes for Māori and help us get closer to the equitable health system we all want.

“It’s one small thing we could do to help address the pressure on our health workers over time because reducing the health needs for Māori, the poor and the remote will lead to better health over all and reduced demands on the time of the people who care for them.”

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Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617 | media@nzno.org.nz

New Zealand Nurses Organisation media release, 26 May 2023

Nurses who are members of the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO), and who work for Te Whatu Ora, will be stopping work for two hours to attend one of 57 meetings being held across the country from 29 May to 2 June.

The meetings are so these nurses, midwives, health care assistants and kaimahi hauora can review the latest offer from Te Whatu Ora and discuss their next steps in the bargaining process.

In bargaining NZNO members have asked for (claimed) a pay rise that matches the rate of inflation (currently 6.7 percent) but Te Whatu Ora’s offer of $4000 this year across all rates and a further 3 percent next year falls well short of this figure.

However, Te Whatu Ora has not at all addressed members’ claims around the significant issue of safe staffing and their wellbeing at work – such as implementing a ratio-based staffing safety net and supporting health and safety representatives at work.

NZNO Chief Executive Paul Goulter said the meetings are expected to be very well-attended by members expressing strong views.

“Members would much rather be at work focussing on their patients but we’re holding these meetings to decide what to do next because Te Whatu Ora’s offer will not help them deliver the levels of care their patients deserve.

“We are at a time when Aotearoa desperately needs nurses and other health workers. Pay and conditions that recognise their value would make nursing more attractive and help keep the nurses we have.  

“Right now nurses do not feel safe coming into work and, ultimately, patients will pay the price for hospitals that are continuously understaffed and under-resourced.”

Paid stop work meetings are a right for Te Whatu Ora nurses according to their collective agreement and the Employment Relations Act. Members are entitled to stop work for up to two hours on full pay (if they would ordinarily be working).

Many of the meetings will be held off site, with buses transporting members to the venues. Members leaving workplaces will be carrying banners and demonstrating on their way to the meetings and back again.

Paul Goulter says the meetings will not be about voting on the offer or on industrial action.

“The bargaining team does not think the offer meets member expectations and the meetings are part of our democratic process for receiving member feedback.”

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Background facts

• Around 57 meetings have been arranged at various locations around the country from 29 May to 2 June. A full chart of meetings times and venues is attached. Journalists will not be able to attend the meetings but may wish to interview and photograph/film members arriving at or leaving meetings.
• Knowledgeable local NZNO delegates are available to speak with journalists and tell their stories on request.
• The purpose of the stop work meetings is for NZNO members who work for Te Whatu Ora to review the latest offer from Te Whatu Ora and to discuss next steps in the bargaining process.
• Collective bargaining is a democratic process where, at every stage, members collectively determine the next steps.  These meetings are part of that process.
• Members asked for (claimed) a pay offer that matched inflation (currently 6.7 percent).
• The Te Whatu Ora offer is for a $4,000 pay rise this year, followed by either three percent next year, or $2,000, whichever is higher. This falls considerably short of the claim.
• Members have also made claims around significant safe staffing issues and this matter is not addressed at all in the offer from Te Whatu Ora.
• The current collective agreement between NZNO and Te Whatu Ora expired in October 2022 and we have been in bargaining since before that time.
• These meetings are in paid time for members who would ordinarily be working at that time (two hours; one for the meeting and up to one for travel).
• The meetings are not industrial action or a strike. NZNO members are entitled to these meetings under Section 26 of the Employment Relations Act, and clause 21 of their collective agreement.
• The meetings are not for ratification of the offer.
• Members travelling to and from meetings away from their worksite will be demonstrating and waving banners and flags.
• Very high attendance is expected at the meetings.

Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617 | media@nzno.org.nz

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa  (NZNO) welcomes today’s announcement by Health Minister Ayesha Verrall that general practice, community and other nurses outside of Te Whatu Ora will be included in new funding to reduce pay disparities from July.

NZNO Kaiwhakahaere Kerri Nuku says this is a good step in the right direction and that Hon Dr Verrall gets right to the heart of the matter when she says nurses with the same skillsets and experience should receive comparable pay regardless of where they practise.

“Currently pay rates for nurses and kaiāwhina working for Te Whatu Ora significantly outstrip the wages of other nurses in settings like Primary Health Care and this causes a real problem.

“Retention of staff has been a major challenge for general practices and community providers because, like anybody else, nurses will go where the money is when they are struggling financially. This causes huge inequities in the community and then emergency departments because access to care is reduced.”

Ms Nuku says the evidence for the pay gaps has been there for some time, much of it provided by NZNO, but this move towards Pay Parity is still welcome.

“Obviously we still have a long way to go in terms of closing the pay gaps that remain and our concern now is that the funding is targeted according to need.

“For example many Māori providers missed out on funding for Māori and iwi in the last tranche of funding because they are technically general practices, and this may help address that oversight – especially in terms of the important cultural overlay Māori nurses bring, which is often overlooked or taken for granted.”

Ms Nuku said it would be good for NZNO, as the main advocate for all nurses, and the Ministry to share data to help identify where that money should be targeted and to help ensure it all truly goes to the workers.

“This is a good move, but we are still only talking about a target of being whin 95 percent of Te Whatu Ora wages. This is unlikely to get us even to that figure.

“We say the target should be 100 percent Pay Parity so every nurse everywhere is equally valued, and so nurses can work where they feel they are most needed and contribute best, not where they are best paid.”

New Zealand Nurses Organisation media release, 23 May 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) says the absolutely vital right of workers to strike over health and safety matters has been upheld with the Employment Court dismissing a Te Whatu Ora application to stop a one-hour health and safety strike planned by nurses working is Ward 5 at Gisborne Hospital.

However, just as important, says NZNO Chief Executive Paul Goulter, is the moral victory.

“These are exhausted nurses who have given everything they have for their patients for an extended period of time, and they have finally reached breaking point.

“Nurses right across the health system are not currently safe at work and to have denied them the right to strike over health and safety concerns would have been an intolerable injustice.

“These Gisborne nurses have been raising concerns for more than nine months, and, as the judge pointed out during the hearing, Te Whatu Ora had not managed to change anything at all to help them. This is simply not good enough from one of the country’s largest employers.”

NZNO Ward 5 delegate at Gisborne Hospital Christine Warrander said it was bewildering that Te Whatu Ora chose to expend thousands in resources and taxpayer’s money on fighting a one-hour strike, instead of putting those resources towards fixing the significant health and safety problem they have.

“Despite overwhelming evidence of physical and emotional trauma from the affidavits we gave in evidence, Te Whatu Ora still tried to argue that our workplace is safe.

“It simply isn’t safe, and it is our patients’ wellbeing that is most at risk. Things have got to change before something goes seriously goes wrong that ends a nurse’s career and has lifelong consequences for people.”

The one-hour health and safety strike will go ahead from 1.30-2.30pm tomorrow (24 May 2023). Ward 5 staff will leave the hospital, to demonstrated support by their health worker colleagues (including nurses and other health workers from other wards) to join a rally directly across the road from the Gisborne Hospital.

There will be speakers at the rally, which will also be attended by community supporters, other NZNO members and other unions.

Media and the public are welcome to attend.

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Media enquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617 | media@nzno.org.nz