Nursing reports

New Zealand Nurses Organisation media release, 24 November 2023

The collective agreement ratified in August by members of the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) who work for Te Whatu Ora will expire in less than a year and the union says these members have unfinished business with their employer.

NZNO Chief Executive Paul Goulter said NZNO Te Whatu Ora members are committed to continuing pressure for the nursing workforce to be valued, specifically around such issues as nurse-to-patient ratios, safe staffing levels, health and safety at work and meaningful pay and pay rises.

“Our Te Whatu Ora members will be attending around 40 paid union meetings (originally known as ‘stop works’) from 27 November to 1 December. The purpose of the meetings is to put the new Government and Te Whatu Ora on notice that they must increase funding to the health sector and fix the nursing shortage.”

The new Government is planning to release a mini-Budget in December that will shape public spending for the next three years, and Paul Goulter says Health needs to top the list of Government spending priorities in that mini-Budget.

“NZNO needs to be part of that conversation to help ensure everything is being done to secure 4000+ extra nurses and health care workers. Ultimately our patients will pay the price for hospitals that are continuously understaffed and under-resourced.”

Paul Goulter says the meetings will also mark the start of the campaign around the 2024 collective agreement and members will discuss how they will continue the fight for safe staffing in 2024.

“Te Whatu and the new Government must meet our demands in order to ensure the wellbeing of our staff, patients and health system.

“Te Whatu Ora has an obligation to provide a safe and properly staffed workplace and we intend to hold them to that obligation.”

He said that according to the Employment Relations Act, arrangements will be made with Te Whatu Ora to have enough staff on hand to keep health workplaces functioning during meeting times.

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Note to journalists:

• A copy of the meetings schedule is attached to this release.
• Journalists will not be able to attend meetings but may wish to interview NZNO members before or after meetings that have been arranged off-site. Members will be carrying placards and, in some cases, arriving at meetings by bus.
• Local member spokespeople are available for many of the regions where meetings are being held.

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

The Public Service Association Te Pūkenga Here Tikanga Mahi (PSA), E tū, and the New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) are calling on Te Whatu Ora to stop interfering in the Care and Support Workers’ Pay Equity claim that has left 65,000 underpaid health workers waiting.

“For more than a year we have undergone a rigorous Pay Equity process. We have systematically proven and measured the undervaluation of care and support workers based on their gender,” says PSA Assistant Secretary Melissa Woolley.

The three unions filed the claim on 1 July 2022 with 15 employers that are representative of the wider care and support sector, employing around 30 percent of the workforce.

“We are disappointed that as we near the end of the process, Te Whatu Ora has interfered and overstepped its role by trying to initiate a review of work on the claim that has already been completed and received the necessary signoff,” says E tū Assistant National Secretary Rachel Mackintosh.

Pay Equity claims follow a prescribed process overseen by the Public Service Commission. Each milestone during the process is awarded appropriate signoff before advancing to the next stage and Rachel says the proposed review seeks to re-open elements of the work that have already been signed off.

“We are on the edge of a decision that would make sure care and support workers are paid fairly for what they do and that would strengthen our community-based health services. This unwarranted and damaging proposed review has significantly delayed reaching a settlement,” says caregiver and NZNO delegate Trish McKillop.

Unions have issued a legal challenge to the review.

An open letter has been launched today calling on funders to provide sufficient resources to settle the claim as soon as possible and stop the interference. The letter is supported by community organisations including Grey Power, the National Council of Women, and the Council of Trade Unions.

The situation is now urgent as the Care and Support Workers Pay Equity Settlement Act is due to expire on 31 December with no assurance of how its protections will be maintained.

“We are committed to working with the next government to ensure care and support workers receive a Pay Equity offer by the end of the year,” Melissa Woolley says.

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Further information:

• The Care and Support Workers’ Pay Equity claim covers home support workers, aged care workers, disability support workers, and mental health and addictions workers.
• Aotearoa celebrated proudly in 2017 when unions won an historic pay increase for care and support workers following landmark legal wins championed by aged care worker Kristine Bartlett. But since then, their wages have regressed back to minimum wage while the cost of living has skyrocketed.
• The open letter is here.

New Zealand Nurses Organisation media release, 5 October 2023

Nurses, midwives, health care assistants and kaimahi hauora will come to Manurewa from all over to Auckland to picket in support of safe staffing on Thursday 5 October.

The New Zealand Nurses Organisation Tōpūtanga Tapuhi Kaitiaki o Aotearoa (NZNO) members will congregate holding signs at 131 Hill Rd, Manurewa at 1.30pm and will also approach members of the public to talk about the importance of the health workforce this election.

Auckland NZNO delegate Ben Basevi said the point of the picket was to call on the public to vote for Health at the ballot box on 14 October.

“We are calling on the public to support those political parties that will commit to resolving the staffing crisis in health care, in particular the urgent need for 4000 more nurses.

“People, including our politicians, may not yet fully realise the impact the nursing shortage has on our health system and how this will affect their care, and the care of their loved ones and whānau when they need it.

“The incoming Government, no matter what its composition, must take urgent action to reduce the nursing shortage. That means making the profession attractive to new students, and addressing frontline needs to ensure we keep the nurses we already have.”

He said parties needed to develop policies around issues such as more Māori and Pasifika nurses so people get culturally appropriate care and need the health system less; funded free training for nursing students so they don’t start work with a massive debt; decent wages and Pay Parity across the health system so every nurse everywhere is equally valued; and legally mandated staff-to-patient ratios to help ensure the safety of nurses and the people they care for.

NZNO’s scorecard of political parties’ health policies* will be distributed from a stall at the picket and will also be handed to members of the public in one-on-one conversations.

“We’ll be encouraging people to enrol and vote with health foremost in their minds because we simply cannot carry on as we are,” Ben Basevi said.

“People need to enrol and vote for the good of their whānau and communities.”

The picket is expected to conclude at around 3.30pm.

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* NZNO’s political scorecard is available at: https://maranga-mai.nzno.org.nz/scorecard.

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

New Zealand Nurses Organisation media release, 5 September 2023

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

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

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

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

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

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

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

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

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

New Zealand Nurses Organisation media release, 7 August 2023

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

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

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

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

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

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

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

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

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

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

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

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

New Zealand Nurses Organisation media release, 23 July 2023

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

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

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

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

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

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

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

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

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

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

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

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

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

The Pay Equity poll closes on 31 July.

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

New Zealand Nurses Organisation media release, 19 July 2023

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

New Zealand Nurses Organisation media release, 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, 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

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