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, 31 July 2023

In an historic ballot, which closed at noon today, nurses, health care assistants and kaimahi hauora covered by the Nursing Pay Equity claim voted overwhelmingly to accept a proposed settlement.

Those voting included members of the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO); the Public Service Association (PSA) and other part and present employees of Te Whatu Ora who do not belong to a union.

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. The three parties have agreed that this litigation will now cease.

NZNO Chief Executive Paul Goulter said the robust outcome is a significant milestone in the history of nursing in Aotearoa New Zealand.

“This is a long overdue step towards addressing the significant gender-based inequality nurses, midwives, health care assistants and kaimahi hauora face in their work every day. But it is also just a beginning, and we look forward to working with Te Whatu Ora to address other forms of gender-based discriminations nurses face.”

However, he said NZNO will not rest until these new rates addressing gender inequality were extended to every nurse, everywhere in Aotearoa New Zealand.

“The need for Pay Parity across all nursing sectors is well-established and not in dispute. That all nurses are paid the same according to their qualifications and experience is a matter of wage justice.

“It will mean nurses can work where they believe they can best contribute, rather than where they can earn enough to pay the bills. It will also help end the discriminatory wages and conditions faced by Māori and iwi, Pasifika, rural and other disadvantaged health service providers.”  

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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, 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, 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

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, 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.

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.

New Zealand Nurses Organisation media release, 31 January 2023

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) welcomes Hon Dr Ayesha Verrall to the Minister of Health role.

NZNO Chief Executive Paul Goulter said the organisation and its members are looking forward to working with Ms Verrall in addressing years of neglect by successive governments that have resulted in acute staffing shortages and poor working conditions that affect patient safety and threaten the future of the nursing profession in Aotearoa New Zealand.

“We know Ms Verrall is aware of the urgent need to lift the number of trained and qualified nurses and to ensure pay and conditions are equal across the health system.

“Our hope is that, with the Government’s recently stated commitment to health, we can begin to meet nurses’ values and expectations so the right numbers of nurses are attracted into training and onto placements, and that those already in the profession will want to stay.

“In particular we look forward to working with Ms Verrall to increase number of Māori and Pasifika nurses and to building a Tiriti-based health system that is culturally appropriate so all communities receive the care they need.”

However, Paul Goulter said the ongoing pay equity dispute and lack of pay parity, where every nurse everywhere has the same pay and conditions according to their qualifications and experience, are among the biggest challenges the new Minister of Health will face this election year.

“The lack of pay parity results in acute shortages of nurses in various sectors, as they move into the higher paid parts of health or leave the sector entirely.

“This means some sectors, such as Primary Health Care, Māori and iwi, Aged Care etc, cannot find or keep staff which leads to shortages that reduce health services in communities leading to poorer patient outcomes.”

He said he’s sure Ms Verrall knows the enormity of the task ahead and how important it will be for Government to work together with unions and health organisations to bring about meaningful change.

Paul Goulter also acknowledged departing Health Minister Andrew Little.

“I would like to thank Mr Little for the work he did in the health arena and I wish him well with his new portfolios.”

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

New Zealand Nurses Organisation media release, 28 November 2022

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) has welcomed this morning’s Government announcement that $200m per year will be spent addressing the wage gap between community-based frontline workers and their counterparts who work for Te Whatu Ora. 

But it says the decision to leave out GP practices is regrettable.

NZNO Chief Executive Paul Goulter said the Government needs to be acknowledged for the initiative, which is particularly good news for workers with Māori and Pasifika health service providers whose wage gap has been crushingly unjust for so long. 

“Earning up to 25 percent less just because of where you work is completely unacceptable in Aotearoa New Zealand, so we're really pleased the Government has committed to ongoing funding for this.

“We also think the boost will have a really positive impact for the Aged Care Residential sector, which has been hit really hard by staff leaving for better paid jobs in the public sector.”

However, Paul Goulter said more work still needed to be done because nurses working for general practices have been excluded.

“The Government says it’s not convinced a pay parity gap exists for those nurses. We don't agree with that at all, and both our members and employers say they are losing staff at rate of knots to jobs with Te Whatu Ora where the pay is much better.

“And in a lot of cases general practice employers are topping up wages just to keep their staff, and that money has come out of funding for other services which could have benefitted patients and the community. 

“That’s not a sustainable situation long-term and the Government really needs to re-examine this decision. Otherwise Primary Health Care, and the communities that rely on it, will continue to suffer. It’s just not right that this sector will not participate.”

Paul Goulter also welcomed the Government’s assertion that the money must be used to fix existing pay differences.

“We’re really keen to see what mechanism will exist to ensure transparency and that the funding goes into the pockets of nurses and other health workers, rather than being absorbed into something else.”

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