Health of the Health Workforce 2015



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Health of the Health Workforce 2015

A report by


Health Workforce New Zealand
Citation: Ministry of Health. 2016. Health of the Health Workforce 2015.
Wellington: Ministry of Health.

Published in February 2016


by the Ministry of Health
PO Box 5013, Wellington 6145, New Zealand

ISBN: 978-0-947491-53-6 (print)


ISBN: 978-0-947491-54-3 (online)
HP 6317

This document is available at www.health.govt.nz




ccby This work is licensed under the Creative Commons Attribution 4.0 International licence. In essence, you are free to: share ie, copy and redistribute the material in any medium or format; adapt ie, remix, transform and build upon the material. You must give appropriate credit, provide a link to the licence and indicate if changes were made.




Foreword from
the Board Executive Chair, Health Workforce New Zealand


The Board of Health Workforce New Zealand is pleased to release this second report on the health of New Zealand’s health workforce. Health Workforce New Zealand was set up in 2009 to provide strategic leadership and oversight in a sector-wide response to New Zealand’s workforce challenges. I am pleased to say that we have had a successful year working with stakeholders on a range of strategies that strengthen our health workforce in a numbers of ways.
Health Workforce New Zealand’s workforce taskforces have made good progress in coordinating the energy and focus of the large number of stakeholders that have an interest in the development of a sustainable and effective health workforce. Our common goal is to ensure the health workforce is appropriately trained and configured to meet current and future needs so that New Zealanders can be confident of receiving the best care possible.
The Voluntary Bonding Scheme continues to encourage doctors, nurses and midwives into the specialties and areas that have traditionally been hard to staff. There has been a positive uptake of the Nurse Entry to Practice Programme by nurses in their first postgraduate year, with more nurses than ever before taking up employment opportunities in aged residential care. Another critical area that has experienced growth in uptake by new graduate nurses is mental health and addiction nursing. In addition, our universities are producing more medical graduates and more doctors are entering general practice training than ever before.
These examples are part of a number of changes to the health of our health workforce over the past six years. The Board is pleased to be associated with the health workforce at this dynamic and critical time and looks forward to continuing to work with the sector to ensure a sustainable and fit for purpose health workforce for all New Zealanders.

Professor Des Gorman BSc MBChB MD (Auckland) PhD (Sydney)
Board Executive Chair
Health Workforce New Zealand

Foreword from the
Acting Director,
Health Workforce New Zealand


This is Health Workforce New Zealand’s report on the state of New Zealand’s health and disability workforce. As with the first Health of the Health Workforce report, released in 2014, it sets out what we know about the main occupational groups – doctors, dentists, nurses, midwives, allied health science and technical workers, and non-regulated workers.
The 2014 report has had a significant impact across the health sector in raising understanding of the issues facing New Zealand’s health workforce and the various ways the sector and the Ministry of Health is addressing those issues. It has contributed to the development of strategies and programmes to improve New Zealanders’ health and wellbeing.
Health Workforce New Zealand’s focus continues to be on strengthening the health and disability workforce by improving the recruitment, retention and distribution of health professionals. It works across the sector and at a regional level to align workforce development with service demand.
Another key objective is to strengthen the health workforce intelligence and data we need to provide high-quality support and advice on current and projected gaps in the health workforce. The Health of the Health Workforce report contributes to this by providing data about a wide range of health professions within one publication.
We are grateful to the stakeholder organisations that contributed the data and advice that made this report possible. This year we have also integrated independent contributions from each stakeholder group on the state of their particular workforce. This brings an additional perspective to the report that complements and enhances our knowledge about the health of New Zealand’s health workforce.


Dr Ruth Anderson PhD
Acting Director
Health Workforce New Zealand


Contents


Foreword from
the Board Executive Chair, Health Workforce New Zealand 3


Foreword from the
Acting Director,
Health Workforce New Zealand 4


Introduction 6

Role of Health Workforce New Zealand 6

Data sources 6

General workforce facts and figures 6



Doctors 8

Ageing medical workforce 9

General practitioners 10

Managing the medical pipeline 11

New Zealand-trained doctors 12

Overseas-trained doctors 12



Dentists 13

New Zealand-trained dentists 13



Nurses 14

Hard-to-staff specialties 14

Scopes of practice 14

Nursing workforce priorities 15

Nurse Entry to Practice and Specialist Practice 16

Ageing nursing workforce 16

Māori and Pacific nurses 17

Overseas-trained nurses 17



Midwives 18

Expanded midwifery student intake 18

Midwifery First Year of Practice 19

Ageing midwifery workforce 19

Midwifery profile 20

Overseas-trained midwives 21



Allied health, science and technical professionals 22

Allied health role in addressing health targets 22

Vulnerability of the allied health workforce 23

Allied Health, Science and Technical Taskforce 24



Kaiāwhina (non-regulated) workers 25

Profile of kaiāwhina workforce 25

Development of five-year action plan 26

Future prospects for joining the workforce 27

Medical workforce 27

Nursing 27

Midwifery 28

Allied health 28

Kaiāwhina (non-regulated) 28



References 29

Appendix 1: List of responsible authorities and professions regulated 30

Appendix 2: Ratios of trainee doctors to specialists 31

Appendix 3: Number of nurses per 100,000 population 32

Appendix 4: List of allied health, science and technical professionals 33

Appendix 5: List of kaiāwhina (non-regulated) roles 34

Non-regulated professional, support and carer roles 34



Appendix 6: HWNZ current priorities 35


List of Tables

Table 1: Medical workforce statistics 10

Table 2: Nursing workforce statistics 16

Table 3: Midwifery workforce statistics 18

Table 4: Allied health workforce statistics 22




List of Figures

Figure 1: Hard-to-staff communities (shaded) for doctors on the 2015 Voluntary Bonding Scheme 8

Figure 2: Hard-to-staff communities (shaded) for GP trainees on the 2015 Voluntary Bonding Scheme 9

Figure 3: Percentage of doctors aged 55+ in 29 OECD countries, 2000 and 2013 10

Figure 4: Trends in number of GPs and non-GP specialists 11

Figure 5: Hard-to-staff communities (shaded) for nurses on the 2015 Voluntary Bonding Scheme 15

Figure 6: Distribution of levels of experience for nurses trained overseas and in New Zealand 17

Figure 7: Hard-to-staff DHBs (shaded) for DHB-employed midwives on the 2015 Voluntary Bonding Scheme 19

Figure 8: Hard-to-staff communities (shaded) for lead maternity carer midwives on the 2015 Voluntary Bonding Scheme 21

Figure 9: Percentage of home and community support service workers with a recorded qualification 26






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