Nursing reports

New Zealand Nurses Organisation media release, 14 September 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO)  says it wants to see every political party commit to funding the health system according to need but at least according to the consumer price index (CPI) as a baseline for every year in which they are in government.

NZNO Kaiwhakahaere Kerri Nuku said NZNO members had genuine fears that health services would be cut, meaning fewer resources for the already stretched health workforce.

“The major parties are all talking about cuts in one form or another and now the books have been opened the worry is that parties will begin to walk their policies backwards to a more fiscally conservative position.

“Of course health needs much more than just the CPI invested each year, but not investing according to the CPI as a minimum baseline is actually allowing the health system to go backwards and become even less able to provide the quality care the people of Aotearoa New Zealand are entitled to. That would be a tragedy considering how hard it is currently for that quality care to be given.

“We call on all political parties to have the courage to make that commitment publicly right now, and to stick to it should they find themselves in government.”

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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, 13 September 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) welcomes the plan to grow the health workforce announced by Health Minister Ayesha Verrall and Prime Minister Chris Hipkins today, but says even bolder action is required to fix the health crisis in Aotearoa New Zealand.

NZNO President Anne Daniels said there is much in the announced policy that resonates with what nurses have been campaigning for.

“The plan to grow the workforce for both doctors and nurses is laudable, as is the recognition that paying nurses and midwives well, and improving their working conditions, is crucial to retaining them.

“However, we need at least 4000 more nurses right now, as many are still leaving the profession or are due to retire. 700 per year starting next year is just not going to fix the problem quickly enough and nurses’ ability to provide adequate care will just continue to decline.

On the need for free training to attract more nursing students, Ms Daniels said she noted the plan includes opportunities at least for nurses to earn as they learn.

“That’s not free training but we look forward to clarification on exactly what it might mean.”

Ms Daniels said the plan to grow the Māori and Pasifika nursing workforce was also welcome and important.

“It is unjust and contrary to te Tiriti that we are unable to provide culturally appropriate care to Māori and Pasifika. This has left them disenfranchised from the health system, which costs us all more in the long run.

“More Māori nurses are essential to Māori having self-determination in health, and the skills and the cultural knowledge and experience Māori (and Pasifika) nurses bring with them is beyond value.

“But we want to see te Tiriti upheld in every area of the health system so those nurses are free to act in a culturally appropriate way across the entire context of their work.”

She said NZNO did not support increasing overseas recruitment of health professionals.

“Our focus should be on growing our own health workforce instead of poaching nurses from poorer countries where they are sorely needed. And if we remain overly dependent on internationally qualified nurses, we run the risk of having our supply cut off again should there be another global pandemic.”

However, Ms Daniels said she wanted to acknowledge the mahi of Health Minister Ayesha Verrall.

“I would like to thank the Minister for admitting there are serious problems in health and for her commitment to continue working with the sector to address those issues. NZNO is also keen for that dialogue to continue.”

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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, 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 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

JOINT MEDIA RELEASE: The Nursing Council of New Zealand/The New Zealand Nurses Organisation

Te Kaunihera Tapuhi o Aotearoa The Nursing Council of New Zealand today launched a new Enrolled Nurse Scope Statement, setting the scene for change in Aotearoa New Zealand.

The new statement has been developed in collaboration with the Enrolled Nurse Section of the New Zealand Nurses Organisation (NZNO).

NZNO Enrolled Nurse Section Chair Michelle Prattley says the statement will benefit both nurses and people who use health services in Aotearoa.

"Enrolled Nurses will be able to practice in a wide range of health care services with this less restrictive scope of practice and enrolled nurses have lobbied for these changes."

The new statement has been prepared by a design group including representatives of the Council, Te Poari o Te Rūnanga o Aotearoa, enrolled nurses themselves, and employers and educators of enrolled nurses.

"Enrolled nurses are skilled nursing professionals in their own right," said Catherine Byrne, Chief Executive of the Nursing Council. "They can work across a wide range of possible practice areas and settings, and this statement recognises that."

Key changes in the new statement include stronger recognition of Te Ao Māori, including Te Tiriti o Waitangi and the Kawa Whakaruruhau framework, and moving from listing specific tasks to a flexible description of practice that reflects an EN’s education and experience. The new statement also shifts the relationship between enrolled and registered nurses (RNs) from ‘direction and delegation’ by an RN to a focus on support and guidance.

The development of this new statement is part of a full Review of the Enrolled Nurse Scope of Practice. The next step in this Review will look at the competencies which describe the skills, knowledge, and behaviours needed to be a safe and competent enrolled nurse, and the education standards that govern Enrolled Nurse programmes. The new statement, competencies, and standards will come into full effect at the beginning of 2024.

"With the Pae Ora and vocational education reforms, the systems in which nurses practise and are educated are both experiencing their most dramatic transformation in decades." Said Byrne.

"How we describe Enrolled Nurse practice and learning needs to support this, enabling these nurses to contribute fully to the health and wellbeing of people, their whānau, and communities. Moving to a focus on partnership and collaboration with RNs and the wider health care team is important and should reduce confusion that might have in the past stopped health employers from realising the possible value of enrolled nurses."

Enrolled Nurses are one of three types or ‘scopes’ of nurses in Aotearoa New Zealand, alongside Registered Nurses and Nurse Practitioners. They complete an 18-month Diploma qualification rather than a Bachelors Degree, and are expected to work with the support of a Registered Nurse or other regulated health practitioner. At 31 March 2023 there were 2,409 enrolled nurses representing 3.5% of the nursing workforce.

The Nursing Council regulates nursing practice and education under the Health Practitioners Competence Assurance Act 2003, including managing complaints against nurses. A person must be registered with the Council and maintain an Annual Practising Certificate in order to work as a nurse in Aotearoa New Zealand.

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Enrolled Nurse Scope Statement

Enrolled Nursing in Aotearoa New Zealand reflects knowledge, concepts, and worldviews of both tangata whenua and tangata tiriti. Enrolled nurses uphold and enact Te Tiriti o Waitangi ngā mātāpono - principles, based within the Kawa Whakaruruhau framework for cultural safety, that promote equity, inclusion, and diversity.

Enrolled Nurses are accountable and responsible for their nursing practice, ensuring all health services they provide are consistent with their education and assessed competence, legislative requirements, and are supported by appropriate standards. This includes the right of Māori and other population groups to quality services that are culturally safe and culturally responsive.

The Enrolled Nurse works in partnership and collaboration with the health consumer, their whānau, communities, and the wider healthcare team to deliver equitable person/ whānau/ whakapapa-centred general nursing care, advocacy, and health promotion across the life span in all settings. An Enrolled Nurse’s practice is informed by their level of educational preparation and practice experience, and may include a leadership or coordination role within the healthcare team.

Enrolled Nurses partner with health and disability support consumers to initiate care, monitor, and enhance health status through nursing assessments, care planning, implementation, and evaluation of care. Enrolled Nurses work with access to and seek, when appropriate, guidance from a Registered Nurse or other registered health practitioner.-

- A health practitioner is a person who is registered under the Health Practitioners Competence Assurance Act 2003 - for example a midwife, medical practitioner or occupational therapist.:

ENDS

For more information contact:

Rob Zorn | Communications and Media Advisor, New Zealand Nurses Organisation

Email: rob.zorn@nzno.org.nz, Tel: +64 (0)4 494 8242, Mobile: +64 (0)27 431 2617

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.

Thousands of nurses, midwives, health care assistants and kaimahi hauora, alongside their whānau and communities, will Maranga Mai! Rise Up! to rally on Saturday in 20 locations around the country. They will be calling on political parties to have policies to address the nursing and health crisis in this election year.

The rallies, organised by the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO), will see these essential workers, their friends and their families taking action by joining together to march, hear speeches, wave banners and enjoy family-focused activities, between 11am and 1pm in most places.

This is the first time all 57,000 NZNO members are being called to rise up for united action, regardless of the area of nursing they work in (hospitals, aged care, Māori and Iwi, Primary Health Care, Plunket, Hospice etc) because, NZNO says, the issues boil down to the same things for every nurse, everywhere: unsafe staffing levels and a fundamental undervaluing of the work they do.

The purpose of the rallies is for health workers and communities to call on politicians and their parties to have policies this election year to address the nursing crisis and for health to top their list of election priorities.

"So much has been asked of nurses, and they have delivered like the courageous and professional workforce they are, right across the Health Sector," said NZNO Chief Executive Paul Goulter.

"But decades of poor planning, inadequate funding and outright neglect across successive governments have led us to a time of absolute crisis in terms of pay, staffing resources and morale across the nursing sector."

He said just about any nurse you speak to will say patients are not receiving adequate care.

"That’s worrying for our elderly and infirm but it’s also soul-destroying for nurses. Add to that poor conditions, chronic overwork and the Government’s refusal to settle outstanding pay issues, and it’s no wonder thousands have left for Australia and thousands more are making plans to leave."

Paul Goulter said the nursing crisis can be fixed, but that the Government needs to stop pussy-footing around.

"We need 4000-5000 more nurses; it’s as simple as that. So we want to see everything possible being done without delay.

"We need better pay and conditions now, so nurses are valued and stop leaving; free training and other incentives for nursing students - a third of whom drop out because we make it too hard to qualify; more Māori and Pasifika nurses; and a health system that upholds te Tiriti so people get culturally appropriate care and inequities are reduced."

NZNO will also be launching a petition at the rallies calling on political parties to commit to fixing the nursing crisis and Paul Goulter said it is intended that the petition response will be massive.

"This is a chance for the public in Aotearoa New Zealand to express their concerns for the wellbeing of our nurses and their concerns about the future of our health system.

"The crisis is worsening by the day but it can be fixed with commitment and courage; and we want the public’s help in sending that message to those wanting our votes in 2023."

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More information:

- Media advisories will also be sent to media at regions where rallies will be held.

- Spokespeople will be available at the rallies and interviews can be arranged in advance (email media@nzno.org.nz).

- Journalists are welcome to report on and participate in the rallies (and to sign the petition).

Rallies will be held in the following locations.

Kaitāia 11am-1pm - Gather at the old Warehouse Carpark, 11 Matthews Avenue, Kaitāia for the rally with speeches, petition-signing and then whānau time.

Rawene 11am-1pm - Gather at the Boat Ramp Carpark, 5 Clendon Esplanade, Rawene for the rally with speeches, petition-signing and then whānau time.

Kerikeri 11am-1pm - Gather outside the ANZ Bank, corner of Kerikeri Road and Fairway Drive, rally with speeches, gather signatures on petition, then whānau time.

Whangārei 11am-1pm - Gather at Pūtahi Park, Town Basin (next to the Canopy Bridge). Rally with speeches then whānau time with activities (BYO picnic lunch).

Dargaville 11am-1pm - Gather at Countdown/The Warehouse Carpark, Victoria Street, Dargaville, then speeches followed by fun and whānau activities.

Auckland 11am-2pm - Gather at Myers Park, from 10.30am; march from Myers Park to Auckland Domain. Rally with speeches then whānau time with kai at Auckland Domain.

Hamilton11am-1pm - Gather at Hamilton Gardens, Cobham Drive (Rose Garden side near the playground and rotunda by gate 2 entrance and carpark). BYO picnic and join together for speeches, activities, kai and music.

Tauranga11am-1pm - Gather at NZNO Car Park, Tauranga. Hikoi from NZNO Offices 141 Cameron Road, Tauranga to The Strand and back, stopping at Hairy Maclary park and Red Square. Return to NZNO for speeches, kai and refreshments. FREE Parking available at 94 Durham Street carpark building.

Whakatāne 11am-1pm - Gather at Wharaurangi, the Strand, for rally and speeches.

Gisborne 11am-2pm - Gather at Heipipi park from 10am; march from Heipipi Park to Kelvin Park at 11am; rally with speeches then whānau time.

Palmerston North 11am-1pm - Picnic in The Square. Bring your own food and join in the activities.

Masterton 11am-1pm - Meet at Town Hall Square. Bring a picnic, your family and a chair.

Wellington 11am-1pm - Gather at Civic Square, march to Parliament, then speeches followed by BYO picnic, music and face painting.

Nelson 11am-1pm - Gather at Tahunanui Beach, behind the Nightingale Memorial Library, then speeches followed by fun and whānau activities.

Blenheim 11am-1pm - Gather in Seymour Square, 37 Seymour St

Kaikōura 11am-1pm - Gather at the Esplanade opposite Dolphin Encounter.

Christchurch 11am-1pm - Gather at Bridge of Remembrance for march to Victoria Square, then speeches at Victoria Square followed by fun and whānau activities.

Ashburton 11am-1pm - Meet at the BBQ area in Ashburton Domain for the rally and a free sausage sizzle.

Dunedin 11am-1pm - Gather at First Church for march to the Octagon, then speeches followed by fun and whānau activities.

Invercargill 11am-Noon - Gather at the Gala Street Reserve.

ENDS

For more information contact:

Rob Zorn | Communications and Media Advisor, New Zealand Nurses Organisation

Email: rob.zorn@nzno.org.nz, Tel: +64 (0)4 494 8242, Mobile: +64 (0)27 431 2617

New Zealand Nurses Organisation media release, 5 April 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) says it is not surprised that a leaked staff survey shows widespread lack of confidence that Te Whatu Ora restructuring will be of any benefit. The report reveals staff are feeling under-resourced and undervalued instead.

NZNO Chief Executive Paul Goulter said it appears Te Whatu Ora has become bound up in the changes and taken its eye off the crucial frontline.

“Nurses are feeling that disrespect every day. They’ve been working their guts out for years with little recognition of their value or contribution.

“Is it any wonder that 5000 have shown interest in moving to Australia in the last six months? That’s 5000 people whose main job it is to keep you and me alive and well.

“Is Te Whatu Ora, and the Government taking that seriously? We’re just not seeing any evidence of that, and it’s soul destroying for nurses.”

Paul Goulter says nurses are typically asked to do more and more to keep their workplaces running until overwork becomes the norm. Yet when they ask for resources or report abuse they feel ignored by senior management.

“Why would you want to keep working under those circumstances? Why wouldn’t you head off to greener pastures for better pay, better recognition and less stress? That’s what many of our members who have left for Australia are saying.”

He says if Te Whatu Ora wants to be taken seriously, it must address these short-term problems.

“The last thing we need is another winter of discontent, but that is exactly what’s coming. A complete change of focus is required and Te Whatu Ora needs to make keeping the nurses it has as its first priority – and that means showing them respect and paying them adequately.

“Next we have got to put massive resources into recruiting more nursing staff into training now, and removing the financial and logistical barriers that stop many nursing students graduating.

“Then we’ve got to sort out long-standing pay problems like Pay Equity for Te Whatu Ora nurses, and Pay Parity right across the health sector. We cannot afford not to do this or there won’t be any nurses left, and we’ll have no one ready to replace those who have already moved on.”

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