Nursing reports

CTU analysis shows funding freeze as health need grows

Media Release                                                      1 July 2017

 

CTU analysis shows funding freeze as health need grows

The thorough CTU Health Budget analysis out today shows the raw facts of health underfunding of the public health service in particular. NZNO Chief Executive Memo Musa and President Grant Brookes say the $101m shortfall in Budget 2017 for national health services funding is irresponsible. Overall the CTU  assess this year's total shortfall for this year alone to be $215m.

“Health workforce training, contracted services, maternity services and public health service funding alone is short $36m. Inadequate funding for preventative healthcare and community nursing results in more people going to the hospitals, which is not the way to keep New Zealanders well, or the best use of public funds.

“Public health is yet again on the receiving end of cuts when the evidence points to this being an area of increasing need and means our more vulnerable people missing out.

“Preventable diseases are on the rise and the public education and upskilling to keep well will be vital to stop spreading fatal diseases,” Memo Musa said.

President Grant Brookes:

“This lack of investment in the workforce may really be the tipping point that triggers many in an aging nurse workforce to hang up their boots. This is the opposite of what we need.

“New Zealand is facing new public health threats because of the increased movement of people, animals and food around the world, and this, combined with environmental effects of climate change mean the public health budget must incorporate funds for these contingencies,” he said.

The full analysis of the Vote Health budget is available at: http://www.union.org.nz/did-the-budget-provide-enough-for-health-2017/
A detailed spreadsheet showing the calculations is available at: http://www.union.org.nz/health-vote-2017-18-post-budget/
 
An analysis of the announced $224 million ‘boost’ for mental health is available at: https://www.asms.org.nz/wp-content/uploads/2017/06/Budget-2017-mental-health-funding-boost-a-cut-in-real-terms_168083.3.pdf.

 

 

 

 

 


Budget 2017 $2B short on health spend

 

 

Media Release                                                                     25 May 2017

 

No relief for nurses or DHBs in Budget 2017

$2b more needed

 

Budget 2017 does not bring relief to pressured nurses. It fails to increase operational funding to a level that would mean nurses are adequately resourced to keep up with current health care demand. The health budget is still short by $2b on what has been calculated as required to take care of New Zealander’s health needs.

 

Today’s health budget increase when the caregivers settlement is taken out is only a $500m increase in health spending and is $300m short on what is needed to keep up with the status quo and with commitments the government has already made.

 

Chief Executive Memo Musa says that while it is commendable to see the government addressing household poverty for families on the lowest incomes and the housing crisis, it is completely lacking in delivering primary health care funding and addressing the district health board needs

 

“We calculated that around $2billion was needed to get our healthcare system back on track. This budget goes nowhere near this and indicates a lack of commitment to adequately invest in the New Zealand public health service,” Memo Musa said.

 

“Research shows nurses are a cost-effective way of delivering better health care to our communities. The refreshed NZ health strategy “live well, stay well and get well” needs to be adequately invested in – both with workforce and for services closer to home in the community .

 

“Aged care particularly is facing heavier workloads and higher patient need with less funding and resources there is nothing in the budget to fund aged care to a level that New Zealanders deserve,” he said.

 

President Grant Brookes:

“Nurses are under pressure and now there is no relief in sight.  This lack of investment in the workforce may really be the tipping point that triggers many in an aging nurse workforce to hang up their boots. This is the opposite of what we need. In addition there is no fat here to up-skill and attract incoming nurses.

 

“Nurses feel a sense of distress when patients miss out on the care they deserve because there are just not enough nurses to adequately staff health services.

 

“While it is good to see mental health initiatives, again the money is thin and it is spread out over all the DHBS and insufficient to meet an increase in demand.

 

 “Council of Trade Unions calculate this budget brings a 3.5% increase in mental health spending. The client numbers are rising at about 5% a year so we actually needed a 7% increase to meet needs and costs,” Grant Brooks said.

 

Kaiwhakahaere Kerri Nuku:

 

“It is good to see housing initiatives and social investment targeted to those that need it most and better access to family planning services, but New Zealanders need to see more government investment in public health education and for primary health community nurses.

 

“Community nursing and iwi health providers are doing the ground work to keep New Zealanders out of hospital. I am disappointed the government  is not investing in healthcare sufficiently,” she said.

 

NZNO have an open letter to New Zealanders asking all politicians to make health funding their number one election issue. This has gained nearly a thousand signatories so far.

 

Media enquires contact: Karen Coltman 027 431 2617.

ENDS.

 

 

 


Budget Day must show Government understand health needs

Media Release                                                                                 21 May 2017

Budget Day must show Government understand health needs

The New Zealand Nurses Organisation (NZNO) is calling for $2.3 billion to be put back into health funding at this year’s budget on Thursday.

NZNO President Grant Brookes says the figure released today by the Council of Trade Unions shows the cumulative funding gap from 2008/2009 levels.

“This proves the systematic and serious underfunding reported by nurses, midwives and other health staff through our Shout Out for Health campaign. Chronic underfunding is now affecting the whole health system.

“Nurses have been telling us that in almost any publicly funded health service you are likely to find short staffing, health worker burnout, substandard equipment, and long wait times.

“Health underfunding looks like everything from elderly patients missing basic hygiene like showering, or delayed medication, to dangerously low staffing and near misses in critical areas like new born intensive care.

Many members are telling us they don’t have time to provide patient health education to keep people well. This puts even more patients back in the hospital,” he said.

 

NZNO Kaiwhakahaere Kerri Nuku said, “The public has a right to know what is happening in their publicly owned health services.”

“The funding ask is no longer a ‘nice to have’ but a ‘need to have’ to keep our communities and whānau well. We will not stop campaigning on this issue until we see health funding back at the level our patients deserve.

“With better health funding we can reassure our communities they will be delivered the right care, by the right staff, at the right time. In a country like New Zealand, there is no excuse for patients’ health and mental wellness being compromised waiting for care,” she said.

 

Registered nurse and NZNO lead delegate”, Erin Kennedy says:

“Nurses are feeling a deep sense of distress when patients are harmed or miss out on the services they need because of underfunding. Clinical staff and those managing the budgets are doing all they can to stretch out the dollars they have.

“With a growing and aging population, the actual cost of providing quality services has increased year on year. Even the best nurses and managers can’t turn a famine into a feast,” she said.

NZNO is running the Shout Out for Health campaign for better health funding and has released an open letter to the voters of New Zealand to ask that health funding be the number one election issue for all political parties.  The public and health workers can sign their name on to the open letter by leaving a comment at the bottom of this blogpost: https://blog.nzno.org.nz/2017/04/03/an-open-letter-to-new-zealand-voters-we-need-your-help/

CTU media release: http://www.union.org.nz/vote-health-needs-1-1-billion-increase-to-pay-for-rising-population-costs-and-commitments/

 

ENDS.

 

 

 

 

 


Three NZ nurses for Florence Nightingale Medal

 

Media Release                                             `                                 16 May 2017

Honouring three exceptional NZ Nurses


NZNO is proud to congratulate its members, Mrs Gail Ann Corbett, Ms Guru Dev Kaur Singh and Ms Barbara Fay Turnbull on their Florence Nightingale Medal awarded on Friday 12 May, International Nurses’ Day. The highly regarded international award recognises exceptional courage and devotion to victims of armed conflict or natural disaster.

The medal recognises exemplary service or a pioneering spirit in the areas of public health or nursing education. It is the highest international distinction a nurse can achieve and is awarded to nurses or nursing aides for "exceptional courage and devotion to the wounded, sick or disabled or to civilian victims of a conflict or disaster" or "exemplary services or a creative and pioneering spirit in the areas of public health or nursing education.

 

NZNO Manager, Nursing and Professional Services Jane MacGeorge says:

 

“These women are outstanding New Zealanders. Their courage and bravery make the profession proud. Their huge commitment to humanity by working on the other side of the world in areas of conflict is exceptional. NZNO is honoured to support them and congratulates them on this prestigious nursing award.”

 

  • Mrs Gail Ann Corbett
    Registered nurse. Active notably with the International Committee of Red Cross (ICRC) and the New Zealand Red Cross in conflict situations, and in the area of public health. Ms Corbett has been working for the last 8 years in Iraq, Somalia, Afghanistan and Gaza.

 

  • Ms Guru Dev Kaur Singh
    Registered nurse. Active notably with the New Zealand Red Cross, the (ICRC) and the International Federation of Red Cross and Red Crescent Societies (IRFC) in disaster and conflict situations, and in the area of public health. Building capacity and managing health emergencies in these countries.

 

  • Ms Barbara Fay Turnbull
    Registered nurse. Active notably with the ICRC and the New Zealand Red Cross in situations of conflict, and in the area of public health and nursing education.

 

The recipients were nominated by their respective National Red Cross or Red Crescent Society and selected by a commission comprised of the ICRC, IRFC and Red Crescent Societies and the International Council of Nurses.

 

Media enquiries contact: Karen Coltman 027 431 2617.


AUT Aged Care Workforce Survey 2016

 

Media release                                                                                17 May 2017

 

NZNO call for an update of Aged Care Standards

 

Two recent NZNO member surveys back up the AUT findings in their Aged Care Workforce Survey 2016 that time to care is being rationed due to underfunding. Members are reporting that this is causing them distress and increasing job stress.

 

Aged care Industrial Adviser David Wait says the AUT Survey findings should be ringing alarm bells for the Government.

 

“Nearly half of the aged care nurses surveyed indicated they will be looking for a new job in the next twelve months with stress and burnout being the most common reason. We need to keep talented and passionate nurses in aged care,” David Wait said.

 

“Over 60 percent of nurses responded saying they don’t have enough time with each person. This causes distress among nurses who know the care that needs to be provided but are ultimately powerless to action.

 

“Registered and enrolled nurses in aged care are critical for the delivery of quality care for New Zealanders. These nurses help ensure a decent life for our elderly in their twilight years. If these nurses are no longer attracted to the aged care workforce, all New Zealand families will be disappointed.

 

“Current guidelines for staffing levels in aged care are not mandatory and are twelve years old. The level of care needed by residents has increased over time, yet the standards have not changed. NZNO are calling on the Government to review these outdated Standards and take the additional step of setting a mandatory staffing levels,” David Wait said.

 

 

 

 

Media enquiries: Karen Coltman 027 431 2719.

 


12 May is Nurse's Day

           Media Release                                                   11 May 2017

Nurses Day 12 May – a voice to lead

Celebrated on 12 May, the date of Florence Nightingale’s birth, International Nurses Day (IND) is a global event held each year in recognition of nurses’ invaluable work.

Tomorrow in Wellington NZNO is releasing its inaugural book of poems by nurses, Listening with my heart’; is holding celebrations and meetings around the country and; is launching its new brand that includes Te Reo. Members are also continuing to circulate and sign the petition for better government health funding.

In addition on Friday, NZNO members are involved with the Canterbury Earthquake Memorial Wall wreath laying. Fifty three nurses from eight countries died in New Zealand on 22 February 2011. These nurses are being honoured tomorrow and poet nurses, Kim Chenery, and Natacha Maher are reading a poem each.

Nursing and Professional Services Manager Jane MacGeorge says like Florence Nightingale, New Zealand’s pioneer nurses, and in particular pioneer Māori nurses, have very much carried the belief of equitable access to health care and offered a more holistic approach to nursing than traditional models.

“As Florence Nightingale promoted equitable access to health care, and many pioneering Māori and pākehā nurses have too, today we reflect on how important access to community nurses and nurses across the health and social sector are to the wellbeing of society as a whole,” Ms MacGeorge said.

“Population wide, an investment in nursing includes healthcare education and health promotion at the primary care level. This approach to wellbeing and adequate primary healthcare funding continues to build a stronger and healthier society,” she said.

At the end of the month NZNO president Grant Brookes, kaiwhakahaere Kerri Nuku and NZNO chief executive Memo Musa are attending the International Council Of Nurses Congress in Barcelona and speaking about advanced nursing practice and globalisation, and its impact on nurses in New Zealand and internationally.

    http://www.icnbarcelona2017.com/en/

(The NZNO poetry book is available from www.nzno.org.nz from 12 May.)

Ends.

Media enquiries: Karen Coltman 027 431 2617.


Midwives celebrate their day 5 May

Media release                                                       5 May 2017

Friday 5 May – Partnerships key to good midwifery service

The standard of care that New Zealand midwives offer is world class and New Zealand midwives have plenty to celebrate on International Midwives’ Day.

But midwives are also acutely aware that many maternity units around the country are short staffed.

Chief Executive Memo Musa is a member of the Safe Staffing Healthy Workplaces Unit, Governance Group and says that although there are efforts to attract and recruit more midwives, the issues of securing safe staffing levels are still prominent and putting pressure on midwives.

 “We are hearing that midwives are increasingly managing women with higher needs than in the past and that there are many vacancies in many hospitals and this is putting a strain on their service and leads to care rationing,” Mr Musa said.

He says the Ministry’s Midwifery Strategic Steering group are focusing on systems to manage and assess safe staffing levels but that inadequate health funding is contributing to the problem.

“Only so much can be done within an underfunded health system. This profession has the highest standards and I am concerned that the ongoing underfunding eventually means the delivery of exemplary service by New Zealand midwives may have consequences,” he said.

Midwives from the Wellington region are holding a picnic at the parliamentary grounds tomorrow to not only celebrate their profession but to offer political parties the opportunity to tell them how they visualise this workforce thriving over the next few years and more. Chief Executive of the College of Midwives, Karen Guilliard is speaking.

Picnic organiser and Midwife Sarah Gilbertson says that the number of vacancies in the hospitals is making the job unattractive to midwives.

 “I love my job but we feel under-valued, underpaid and over stretched!”

 “It’s time we said enough is enough and demand that our profession receive the remuneration we deserve so we can continue to deliver high quality care to mothers, babies and families,” Ms Gilberston said.


Kerri Nuku address UN Conference

 

 

Media Release                                                                    28 April 2017

NZNO Kaiwhakahaere in New York calls for a Māori nursing workforce strategy

In New York this morning NZNO Kaiwhakahaere Kerri Nuku addressed the United Nations forum of the United Nations Declaration on the Right of Indigenous People (UNDRIP). Ms Nuku repeated her message that without a Māori nursing workforce strategy, the aim to attract and retain thousands more Māori nurses into nursing would never be realised.

 

“It is unacceptable that nothing has been done to attract more Māori into nursing in Aotearoa New Zealand since I last addressed the UNDRIP forum two years ago,” Ms Nuku said.

 

“It is clear that matching the demographics of the workforce to population, ethnic makeup improves health outcomes. Culturally appropriate health services are economically sensible and the right thing to do for our indigenous people.

 

“Māori nurses offer a whānau and holistic approach to health and wellbeing and this is proving effective for Māori, particularly in deprived areas. I don’t see a decent commitment to rolling out this approach where needed, or the funding commitment to pay Māori nurses working with Māori health employers on a par with other health providers.

“Some nurses working in DHBs and other primary health care services have pay rates up to 20 percent higher than those paid to nurses working for Maori/ iwi providers.

“Clearly, the Government is not fulfilling its obligations under Article 20, Convention 169 of International Labour Organisation agreement to do everything possible to prevent discrimination between workers, and achieve equal remuneration for work of equal value,” she said.

 

In addition, Ms Nuku says currently Māori nurses make up seven percent of the nursing workforce yet the Māori population is around fifteen percent.

 

“I am calling again for a Māori nursing workforce strategy so that the eight percent shortfall can be recruited to the New Zealand nursing workforce.

 

“We will need over ten thousand more Māori nurses by 2028 to match population need. Where is the vision and drive to achieve that? I believe the under representation of Māori in the health workforce is structural discrimination and NZNO has lodged a complaint with the Human Rights Commission about this,” Ms Nuku explained.

 

Ends.


Victorious Equal Pay Settlement for the Unions

 

Media release                                                              178April 2017

 

Media release: E tū, NZNO, PSA and CTU

 

Historic day as caregivers offered equal pay settlement

 

Unions representing care and support workers are pleased to be jointly announcing with government a proposed equal pay settlement to 55,000 workers across the aged residential, disability and home support sectors.

 

The proposed settlement is a huge win and will make a real difference in valuing the work of care and support workers and the people they support, workers in the sector say. It is a significant step in addressing gender inequality in New Zealand.

 

The offer lifts care and support workers’ pay to between $19.00 and $23.50 from 1 July, rising to between $21.50 and $27.00 in July 2021. 

 

It comes after 20 months of negotiations established by government to settle caregiver and E tū member Kristine Bartlett’s landmark equal pay case, lodged in 2012, which went all the way to the Supreme Court with the courts finding gender bias was the cause of Kristine’s low wages.

 

Kristine says “It will give us dignity and pride and make our lives worthwhile, knowing we’re being paid what we are actually worth. After years of struggling on low wages, hopefully we’re going to have a bit left over to actually enjoy life.”

Tens of thousands of care and support workers will now vote on the proposed settlement in coming weeks.

 

E tū Assistant National Secretary, John Ryall says the offer once ratified will mean a “once in a lifetime pay rise which will end poverty wages for this mainly female workforce and set them on the path to a better life. We’re delighted today’s proposed settlement recognises the justice of Kristine’s case and the wonderful work of Kristine and other professional carers.”

New Zealand Nurses Organisation Industrial Services Manager Cee Payne says that “This equal settlement delivers pay rates that truly reflect the skills and importance of the work that care and support workers undertake every day. Decent pay rates and the right to achieve qualifications will grow and retain skilled workers to care for our elderly. This will build public confidence that high quality care will be delivered to our families’ loved ones in our rest homes and hospitals.”

 

PSA National Secretary Erin Polaczuk says: “This settlement will make a real difference to our members.  Our members in home support and disability support play a vital role in empowering people to live independent lives in their own communities. This settlement recognises the value of the work they do – and the people they support.”

 

Unions say the government is to be commended for agreeing to negotiate this settlement offer, rather than waiting for years before the legal process was finally exhausted.

 

Ends.

 

For further comment:

 

E tū Assistant National Secretary John Ryall on 027 520 1380

New Zealand Nurses Organisation Industrial Services Manager Cee Payne on 027 229 5500

PSA National Secretary Erin Polaczuk on 021 793 075

 

Care and support workers are available for interview on request. They can be contacted via:

 

Karen Gregory-Hunt, E tū communications, 022 269 1170

Karen Coltman, NZNO communications, 027 431 2617

Jessica Williams, PSA communications, 027 600 5498

 

 

Frequently Asked Questions

 

What is the proposed settlement?

 

·         This proposed settlement has been negotiated by government and unions over the past 20 months.

·         The proposal features a 5-year set of pay increases linked to experience and qualifications

·         It will apply to approximately 55,000 working people in residential aged care, disability support services and home support services.

·         From 1 July 2017, existing staff would be paid between $19.00 and $23.50 an hour. Currently these workers earn an average of just over $16.00 an hour, with many on the minimum wage

·         By July 2021, there would be an entry level pay rate of $21.50 an hour with a top rate of $27.00.

·         The proposed settlement is worth just over $2 billion over five years

 

How did we get here?

 

In 2012, aged care worker and E tū[1] member Kristine Bartlett brought an Equal Pay Act case against her employer, Terranova Homes. She argued she had spent 20 years on very low pay because aged care is largely performed by women. Kristine Bartlett’s case went all the way to the Supreme Court – with Courts agreeing with her that she had been underpaid because of gender discrimination.

 

The case was referred to the Employment Court to set a fair rate for Kristine. Before this happened, the government intervened, asking E tū, the NZNO, the PSA and the CTU to instead work on a negotiated settlement with them to avoid further court action, and extend coverage of the negotiations to include all care and support workers in aged care, disability and home support. The outcome of those talks is today’s proposed settlement.

 

Today’s historic moment comes after decades of activism in support of equal pay for work of equal value from women’s organisations, community groups and unions, and follows campaigns to raise the profile of the undervalued work that care workers do, such as the Human Rights Commission's Caring Counts report the E tū and NZNO Fair Share for Aged Care campaign, the PSA and E tū Up Where We Belong campaign raising the status of disability support work, and the PSA and E tū campaign Time to Care for home support workers.

 

What happens now?

 

Hundreds of workplace meetings will get underway in the coming weeks for workers in the sector to hear the results of the negotiations and vote on whether to accept the offer.  It’s important that all care and support workers attend these meetings to have a say.  If it is endorsed, the rates of pay will come in to effect on 1 July this year.

 

How does this relate to other equal pay cases?

 

Each case is different and treated on its own circumstances.  A separate process to these negotiations for care and support workers has taken place, called the Joint Working Group on Pay Equity Principles.  The group, made up of union, business and government negotiators, came up with principles to guide equal pay negotiations.  See: http://www.ssc.govt.nz/pay-equity-working-group.

 

[1] Formerly Service and Food Workers Union

 

 

 

 


NZNO Regional Conventions underway

Media release                                                              1 April 2017

NZNO Southern Convention focus on tight DHB budgets causing stress all roundNZN O

On Monday 3 April the first of the NZNO Regional Conventions is being held. With the effects of inadequate healthcare funding now being acutely felt across the South Island.

Key convention topics are how to hold together under pressure and to bring to public and Government attention the personal cost of underfunding to nurses and all Southerners.

NZNO President Grant Brookes and Kaiwhakahaere Kerri Nuku are opening the convention and will launched an open letter to New Zealand voters asking them to put better public health funding first when they vote in the next government in 6 months.

“We are hearing that the pressure on the hospitals in all departments is high in the Southern region with Dunedin Hospital seeing no reprieve in the emergency department this summer season,” Grant Brookes said.

“It is a matter now of peeling back the layers of the health system to see how inadequate funding in primary health, Iwi and Māori providers and DHBs has a negative ripple effect at the hospitals where people are queuing up for help.

“Mental health, maternity, emergency departments, primary care and community nursing services and neonatal are all stretched down here and this is becoming a nationwide trend that can no longer be ignored,”
Mr Brookes said.

Kerri Nuku adds that many, many nurses here that are on part time agreements are doing more and more hours but that this really is not a sustainable way to look after the work force.

 "Nurses in Iwi and Māori providers are also doing more and more hours and the same work as those within hospitals but lagging behind in their pay compared to their counterpart in hospitals.


"This is due to an underfunded health system and inequitable allocation of funding to Iwi and Māori providers which must be addressed.

“Southern delegates are saying that the levels of staff illness is higher than in previous years. But the numbers of people coming through with higher need is going up. This situation is causing stress for management, nurses and their colleagues, and of course patients.

“A key theme across the conventions is on maintaining good communication and addressing bullying because when the workforce is under stress this becomes a trickier work environment,” She said.

 

 

 


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