TE PUAWAI
ners being registered ACC providers offering clinically equivalent assessment and treatment as GPs. This is an issue the College of Nurses is following with ACC directly but it would be useful if the Ministry could support our efforts as ACC do not have a history of listening.
Special authority drug ordering by NPs has been an ongoing saga over the past 7 years. We have an email track record of continuous misinformation and prevarication from Ministry officials who have yet to solve this relatively simple problem.
For over ten years we have listened to the Ministry exhorting the health sector to learn to work differently in order to address escalating demand and diminishing resources, both fiscal and human. We have certainly heard and responded energetically to these requirements. However we find ourselves continually blocked by a failure on the part of the Ministry to address any of these relatively simple structural barriers to“ new ways of working”. The years taken and the collective energy expended in repetitive challenging of these issues is an enormous waste of time and money when the need for change is so critical. Clinicians in nursing would rather direct their energies to providing high quality care than repetitively revisiting the same barriers
We look forward to our meeting on May 8 th and would like to work through these issues systematically as outlined in a proposed agenda attached.
Yours sincerely Professor Jenny Carryer, Executive Director, College of Nurses. Aotearoa( NZ) Inc Rachael Calverley Rosemary Minto
NZCPHCN, NZNO National Executive Adult Family Nurse Practitioner, Chair NZCPHCN, NZNO cc
Dr Jane O’ Malley, Chief Advisor Nursing
Proposed Agenda( Meeting May 8 th at 4pm by teleconference)
1) Nursing engagement with PHO agreement discussions 2) Nursing engagement with discussions related to FFP 3) Technical barriers in the Ministry( eg GMS payments, Special authority prescriptions, directives to ACC) 4) Ministry championing of the multi disciplinary team 5) A process for ensuring a shared undestanding of clinical integration
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