improved patient care and health outcomes .
Conclusion :
School Based Health services in NZ are currently fragmented , and variable . In 2009 , a report to the MOH on the state of school health services found a number of issues in existence that are still pertinent today ( Buckely et al , 2009 ). As funded health services for all schools are region based , and nonhealth funded services are adhoc , service delivery has occurred without national oversight of governance , and the development of SBHS within the primary / elementary school sector particularly has received minimal attention in New Zealand ( Williams and Dickinson , 2017 ). The current funding of secondary school nursing ( decile-dependent ) is under impending threat as the decile system is set to be abolished and replaced with an improved model by the Ministry of Education . The government ’ s recent announcement of a national health service reform provides a timely opportunity to rectify this and replace the current adhoc , patchwork of services with an improved , cohesive and purpose-designed Universal School Nursing service .
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