sexual health medicine.
In general, the specialties with poorer job prospects are those that currently have higher ratios of postgraduate trainee doctors to senior staff.
However, this does not hold true for specialties that have a shortage of senior staff, such as general practice and urgent care, for which job prospects for trainees are excellent.
See Appendix 2 for a graph showing ratios of trainees to senior doctors for all specialties, including GPs.
Prospects are particularly good for advanced practice in areas including:
long-term condition management
In recent years not all nursing graduates have found employment immediately, but workforce planning indicates New Zealand will need to train more nurses by 2017, when retirement among the ageing workforce will become a critical factor.
Opportunities are available, particularly in rural areas.
Demand for carers and support workers will continue to rise as the population ages and the trend for care to move out of hospitals and closer to people’s homes continues. For a list of nonregulated health occupations, see Appendix 5.
Appendix 2: Ratios of trainee doctors to specialists
In general, specialties with ratios closest to zero and/or in which senior medical officers have an average age of 50+ years are the most vulnerable to future shortages of senior staff, and therefore represent the best job prospects.
The number and average age of SMOs by vocational registration were provided by MCNZ, as of 30 June 2015.
The number of trainees for musculoskeletal medicine (no current trainees, 20 SMOs) was provided by the New Zealand Association of Musculoskeletal Medicine, July 2015.
The number of trainees in general practice, medical administration, occupational medicine, public health medicine, sports medicine and urgent care was provided by their representative medical colleges, February–July 2015.
The number of trainees in family planning was calculated by using the number undertaking the Clinical Diploma in Sexual and Reproductive Health, July 2015.
The number of trainees in cardiothoracic surgery, general surgery, neurosurgery, orthopaedic surgery, otolaryngology, paediatric surgery, plastic surgery, urology and vascular surgery was provided by the Royal Australasian College of Surgeons, September 2015.
The number of trainees in all other specialties was provided by DHBs (RMO workforce profile data collection), March 2015.
Appendix 3: Number of nurses per 100,000 population
This table is based on the number of annual practising certificates issued by the Nursing Council of New Zealand as of 31 March 2015, and the 2015 population from Statistics New Zealand’s population projection, which is based on the 2013 Census, 2014 update. These numbers indicate a head count of nurses rather than the numbers of FTEs.
Home and community based support workers for disabled, older or injured people
Kaiāwhina hauora (Māori health assistants)
Nursing support workers
Peer support workers
Personal care assistants
Public health workers
Residential care officers
Sterile service technicians
Support workers in residential facilities
Traditional Māori health practitioners
Vision and hearing technicians
Whānau Ora workers
Appendix 6: HWNZ current priorities
We work with key occupational groups and stakeholders to aim for the best possible outcomes by encouraging a strategic national approach to addressing the challenges facing the workforce. We look for ways to develop joined-up mutually owned solutions for the challenges our sector faces in the following key work areas.
Advanced trainee fellowship
Anaesthesia workforce strategy
Audiologists and audiometrists
Clinical rehabilitation education
Disability support services
Health Practitioners (Replacement of Statutory References to Medical Practitioners) Bill
Health workforce data modelling
HPCA Amendment Bill
HPI improvement project
Implementation of Allied Health Educational Framework
2 These figures are DHB clinical staffing numbers and are available at www.health.govt.nz. The employed FTE methodology is based on contracted hours, in which one FTE is a person working 40 hours a week or more, not headcount. However if a person works less than 40 hours per week the proportion of hours worked will be counted (eg, 30 hours is 0.75 FTE).
3 Annual practising certificates to legally work in New Zealand as of mid-2015 and mid-2009.
4 MCNZ workforce surveys, 2009 and 2013.
5 MCNZ workforce surveys, 2009 and 2013.
6 Medical graduates typically in their first or second year of work in a hospital.
7 Hospital positions for doctors in at least their third postgraduate year.
8 MCNZ workforce survey 2014, and Statistics New Zealand population projection based on the 2013 Census.
9 MCNZ registration by specialty for annual practising certificates mid-2009 to mid-2015. Note: this information relates to the number of doctors.
10 MCNZ registration for annual practising certificates, mid-2009 to mid-2015.
11 Dental Council of New Zealand annual report (provisional data).
12 Dental Council of New Zealand annual report (provisional data).
13 Statistics New Zealand population projection based on 2013 Census; 2014 update.
14 Dental Council of New Zealand workforce analysis 2010: reporting period dentists October 2010 to September 2011.
15 NCNZ end of year statistics as at 31 March 2015.
16 NCNZ annual reports 2009, 2011.
17 NCNZ end of year statistics as at 31 March 2015.
18 Statistics New Zealand population projection based on 2013 Census; 2014 update.
19 NCNZ end of year statistics as at 31 March 2015.
20 Nursing advanced choice of employment data, 2013 and 2014.
21 These scholarships are funded through the Ministry’s Very Low Cost Access scheme.
22 Statistics New Zealand population projection based on 2013 Census; 2014 update: females aged between 15 and 44.
23 Statistics New Zealand birth registration births, deaths, and selected rates, revised December 2014.
24 Lead maternity carers provide maternity care and support throughout pregnancy, labour and the first weeks of a baby’s life. Most are midwives, but GPs with obstetrics training may also carry out this role.
25 Midwifery Council of New Zealand, 2014 midwifery workforce survey.
26 Midwifery Council of New Zealand, 2014 midwifery workforce survey.
27 Midwifery Council of New Zealand, 2014 midwifery workforce survey.
28 See Appendix 4 for a list of professions included under the allied health umbrella. This is not intended to be an exhaustive list; there is a lack of agreement about which professions should be included.
29 See www.workforceinaction.org.nz
30 Social workers are voluntarily regulated under the Social Workers Registration Act 2003, administered by the Ministry of Social Development.