Nursing reports

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, 18 July 2023

Members of the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO), who are employed by Te Whatu Ora, have received a new collective agreement offer from their employer. The offer was received in the latest round of negotiations on 17 July.

NZNO Chief Executive Paul Goulter says the offer is an improvement over the last one, but there are still significant gaps between the offer and what members have claimed around issues of pay, safe staffing and health and safety.

“Our processes are democratic, and it will be up to the 35,000 or so of our members who work for Te Whatu Ora to decide collectively whether it is good enough.”

The offer comes a day before a ballot for 24 hour strike action on 9-10 August by Te Whatu Ora members is due to close (at midday on 19 July). Paul Goulter said that if members vote in favour of the strike, it will go ahead unless members vote to ratify the recently received offer. A ratification vote on the offer will take place during the first week of August.

“Members had become fed up at the lack of bargaining progress. The current agreement expired in October and Te Whatu Ora didn’t even produce a first offer on anything until March. Since then progress has remained excruciatingly slow, and that is why members demanded a strike ballot.”

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 actually an entirely separate process from collective agreement negotiations.”

The Pay Equity ratification ballot will open on 24 July and close on 31 July. The collective agreement ratification ballot will open on 1 August and close on 7 August.

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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

New Zealand Nurses Organisation media release, 21 May 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) says Te Whatu Ora has applied for an interim injunction to stop a one-hour health and safety strike by its desperate Ward 5 (Acute Medical) nurses at Gisborne Hospital.

The 24 staff planned to strike from 1.30pm-2.30pm on Wednesday 24 May and on 12 May had already negotiated an agreement, signed off by Te Whatu Ora, over provision of life preserving services, including a protocol for management of emergencies.

NZNO says it will oppose the interim injunction and the hearing will take place on Monday 22 May at 10am in Wellington.

NZNO delegate at Ward 5 Christine Warrander said this was a small-scale strike, by a small number of exhausted staff for a short period of time – and that it was motivated by genuine fears for their own and patient wellbeing.

“We took this action as a last-ditch effort to be heard after repeated pleas for help had fallen on deaf ears.”

A provisional improvement notice (PIN) was issued back in December 2022 for Ward 5 in response to health and safety concerns including acute staff shortages, untenable workloads, staff stress, increased sick leave, burn out and resignations.

But the situation has only become worse since the PIN was issued, Ms Warrander said.

“Our asks are simple, such as reducing beds from 25 down to 20 to make workloads more manageable, but instead of acknowledging they have a serious problem and addressing it, we feel like we’re being strong-armed and silenced.

“Staff morale is at an all time low and my colleagues and I are genuinely anxious about coming into work every day.”

NZNO Chief Executive Paul Goulter said this “at best heavy-handed” response in the middle of a crisis, where the wellbeing of both patients and nurses is seriously at risk, does not reflect well on Te Whatu Ora as an employer.

“Our members right across the motu are experiencing the same dismissive response to their concerns and calls for help, and they’re just asked to do more and more until that becomes the norm. This just cannot carry on because people’s wellbeing is at risk, and our members have the right to strike in a situation like this.”

He said there had been an outpouring of support from nurses around the country for the courage and determination of the Ward 5 staff.

“Nurses across the health system feel like their situation is very similar and they’re angry and disappointed that Te Whatu Ora has tried to prevent a very legitimate and justified strike.

“These nurses just want to get this dangerous situation in their ward fixed because they care about their patients. This response from Te Whatu Ora will only ensure things continue to worsen.”

He said NZNO would always be happy to sit down with Te Whatu Ora to discuss this situation further.

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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, 4 May 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) says the 2023 Winter Plan to erase pressure on the health system includes some helpful initiatives but does not strike at the heart of the problem.

NZNO Kaiwhakahaere Kerri Nuku says pushing services out into the community to alleviate hospital overcrowding is good in theory but that this can only work if we have the people and resources available to do that.

“Sadly we know that the greatest problem we have right now is a lack of personnel and my fear is that this will only exacerbate the problem we have where the quality of health services you receive depends on your postcode.”

Ms Nuku said the focus on receiving care at the right time and at the right place is laudable, but unfortunately hospital will be the “right place” for many people this winter and the Government plan fails to address existing staffing issues that are seriously undermining the standard of care in our hospitals.

“How are we going to ensure we have enough nurses, midwives, health care assistants and kaimahi to meet the growing demand on our hospitals that comes each winter?

“There is nothing about a safety plan and payments implemented for all additional shifts and hours worked in recognition of the extra burden winter places on our members.

“In fact this is something we have asked for in our bargaining and Te Whatu Ora has turned us down.”

Ms Nuku said that while the winter plan includes some good initiatives, it fails to address the heart of the matter which is the nursing shortage and recognition of the value of the nursing workforce.

“This winter will be especially challenging and we need to get beyond making adjustments that shift the burden and keep focusing on real and lasting solutions: valuing nurses and doing everything we can to recruit more.”

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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, 22 April 2023

The New Zealand Nurses Organisation is today launching the findings of its March pay disparity survey researching wages paid to members working in general practice (medical centre) settings.

In the survey, 1135 general practice nurses responded to questions about their qualifications, experience, positions and base hourly rates. These rates were then compared to rates currently paid to nurses employed by Te Whatu Ora.

Despite claims by former Health Minister Andrew Little that there was no evidence of a pay disparity between general practice and Te Whatu Ora nurses, the survey shows one third of registered nurses in general practice were currently paid minimum rates between 22 and 27 percent ($5.77 and $9.68 per hour) less than their Te Whatu Ora colleagues.

On average, general practice nurses were paid 14-20.8 percent (between $5.14 and $7.88) less per hour than their Te Whatu Ora counterparts.

The survey found that only 31 out of the 952 registered and enrolled nurses who responded were paid higher rates than their Te Whatu Ora counterparts (just over three percent).

Enrolled nurses were paid up to $6.75 (26 percent) per hour less than their Te Whatu Ora counterparts, and registered nurses were paid up to $9.68 (27 percent) less per hour.

The average wages of nurse prescribers and nurse manager respondents were also below the rates currently paid to an equivalent Te Whatu Ora nurse.

The survey was conducted by NZNO professional researchers and Primary Health Care nurse Denise Moore says the findings show there is a demonstrable pay disparity between general practice and Te Whatu Ora nurses.

“That we have twice been excluded from the Government’s funding to address pay disparities is manifestly unjust. It devalues general practice nurses who were essential to the fight against Covid and whose role it is to help keep people out of our overcrowded hospitals.

“Nurses are leaving general practice in unprecedented numbers because they cannot make ends meet financially, and Government telling them they don’t need a pay rise has been the last straw for many.”

Ms Moore said nurses leaving is having a significant impact on the availability of health services in the community and putting increased pressure on our hospitals as many now see the hospital emergency department as their only option for care.

“If the Government wants to focus patients towards Primary Health Care to rebalance the health system away from hospitals, it makes no sense to leave practice nurses out of any funding set aside for pay increases.

“This is something the Government must address without delay. We are losing nurses at a rapid rate and poor wages mean we cannot compete when trying to replace them. This all comes at a great cost to the health and wellbeing of people in Aotearoa New Zealand.”

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