Principles to guide NZNO support of new care models.
Subject: Medical societies (Powers and duties)
Primary health care (Models)
Pub Date: 05/01/2012
Publication: Name: Kai Tiaki: Nursing New Zealand Publisher: New Zealand Nurses' Organisation Audience: Trade Format: Magazine/Journal Subject: Health; Health care industry Copyright: COPYRIGHT 2012 New Zealand Nurses' Organisation ISSN: 1173-2032
Issue: Date: May, 2012 Source Volume: 18 Source Issue: 4
Product: Product Code: 8622000 Medical Associations NAICS Code: 81392 Professional Organizations SIC Code: 8621 Professional organizations
Organization: Organization: New Zealand Nurses Organisation
Geographic: Geographic Scope: New Zealand Geographic Code: 8NEWZ New Zealand
Accession Number: 290856230
Full Text: NZNO has developed a set of principles that will guide its support for new models of primary health care (PHC) evolving under the Government's "better, sooner, more convenient" approach to PHC.

Industrial adviser for PHC Chris Wilson said NZNO needed a clear set of principles to assess any future models, and to provide a clear yardstick by which to determine support for any proposed changes to the delivery of PHC.

The 12 principles on which support will be determined are:

* There is a regional approach to safe, quality PHC services.

* All staff, both clinical and administrative, have the opportunity to assist in the development of options and proposals.

* Nursing positions are included in clinical governance structures and nurses supported to take an active role in an appointed position.

* There should be opportunities to extend, enhance and develop nursing practice and this be articulated into the providers' strategic and annual plans.

* Extensive and timely consultation is undertaken with staff, unions, tangata whenua and communities.

* There is a sound economic and human resourcing rationale for any and all change proposals.

* An impact analysis is presented with all consultation documents.

* There is a clear strategy to redirect financial savings into clinical service delivery.

* Integration of public services does not create or increase the cost to the client or the taxpayer.

* Integration of public services does not lessen conditions of employment or compromise clinical leadership and professional support structures for staff.

* Services to clients, Maori, Pacific, high needs populations and the community will be enhanced and equitable.

* Staff and clients experience minimum disruption, and public safety is not compromised.

Best practice

The PHC Models position statement has been developed by the PHC sector group, the PHC national delegates' committee and is supported by the executive of the College of PHC Nurses. It will be available to assist staff, members and the wider community to articulate best practice in the broadest sense, Wilson said.

"We received very positive feedback through the consultation phase. Members and staff clearly see the value in having this PHC position statement available."

It sits alongside NZNO's position statement on shared services in the district health board setting.

NZNO's board of directors approved the position statement at its meeting last month. *


Preparations are underway to develop a multi-union collective agreement (MUCA) to cover NZNO and Public Service Association (PSA) members working at the Golden Bay Community Health Centre, formerly the Golden Bay Community Hospital. NZNO has 35 members, both nurses and midwives, and the PSA has 10 members, working in allied health, administration and household at the centre.

The Nelson Bays Primary Health Organisation (NBPH) is taking over from the Nelson Marlborough District Health Board as the service provider. Five different collective employment agreements will be collated and common terms and conditions identified. NZNO organiser Carta Palmer expects some core clauses will be agreed as the first draft of the MUCA. This month the two unions agreed on their bargaining representatives and the ratification process for any MUCA. Next month the union representatives will meet to consider the administrative work needed and in July negotiations with NBPH will get underway, with issues-based bargaining the preferred approach. Until any MUCA is ratified, members' current terms and conditions will continue to apply.

A memorandum of understanding (MoU) covering NZNO, PSA, the NBPH and the NMDHB, signed early last month, covers employment issues related to transfer of staff from the DHB to NBPH, scheduled to take place on May 21. Palmer said NBPH had assured the unions there would be no changes to current work practices, structures or staffing without a full consultation process. The new service manager Rhoda McDonald has said there will be more opportunities for staff to participate in processes to achieve a smooth integration of the Joan Whiting Rest Home in Collingwood into the new community centre, once the new aged-care facility has been completed.
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