Health of the Health Workforce

Appendix 2: Ratios of trainee doctors to specialists

Specialties with ratios closest to zero – and/or in which SMOs have an average age of 50+ years – are the most vulnerable to future shortages of senior staff, and therefore represent the best job prospects.
Figure A1: Ratios of trainee doctors to specialists

1 Number and average age of SMOs by vocational registration provided by MCNZ, March 2014.

2 Number of trainees in medical administration (0, with 22 SMOs) and musculoskeletal medicine (0, because there is no current training programme, with 22 SMOs) provided by representative colleges, December 2013.

3 Number of trainees in general practice, urgent care, occupational medicine, pain medicine, public health medicine and sports medicine provided by representative colleges, December 2013–May 2014. Note: The high number of urgent care trainees is intended to redress a shortfall in SMOs. The Royal New Zealand College of Urgent Care plans to scale back trainee numbers in future.

4 Number of trainees in family planning calculated by number undertaking Clinical Diploma in Sexual and Reproductive Health, May 2014.

5 Number of trainees in all other specialties provided by DHBs (Resident Medical Officer Workforce Collection Profile), December 2013.

Appendix 3: Numbers of nurses per 100,000 population

This table is based on the number of annual practising certificates issued by the Nursing Council as of 30 June 2014. These numbers indicate a head count, rather than numbers of FTEs.
Table A1: Number of nurses

DHB	Enrolled nurses	Nurse practitioners	Registered nurses
Northland	79	4	1032
Waitemata	27	2	569
Auckland	43	4	1453
Counties Manukau	27	1	571
Waikato	55	4	1021
Lakes	56	2	918
Bay of Plenty	58	4	1007
Tairawhiti	71	0	1048
Hawke’s Bay	63	6	1051
Taranaki	78	5	1029
MidCentral	75	8	1027
Whanganui	68	0	963
Capital & Coast	30	1	1159
Hutt Valley	37	3	801
Wairarapa	108	2	981
Nelson Marlborough	60	1	999
West Coast	232	3	1049
Canterbury	99	1	1106
South Canterbury	119	5	995
Southern	113	4	1001
Average across all DHB regions	64	3	1073

Appendix 4: List of allied health professions

Below is a list of most of the professions generally regarded as allied health (including science and technical) professions. Some are regulated under the HPCA Act.

Anaesthetic technicians Audiologists Biomedical engineers and electronic technicians Cardiac sonographers Chiropractors Clinical dental technicians Clinical perfusionists Clinical physiologists – dialysis (renal dialysis technicians) Clinical physiologists – respiratory Clinical physiologists and technicians – cardiac Clinical physiologists and technicians – sleep Clinical psychologists Community health workers – public health Counsellors Cytogeneticists Dental assistants Dental hygienists Dental technicians Dental therapists Dietitians Dispensing opticians Diversional therapists Drug and addiction practitioners Exercise physiologists Gastroenterology scientists and technicians Genetic associates Hospital play specialists Magnetic resonance imaging technologists Massage therapists

Medical imaging (or radiation) technologists Medical laboratory scientists Medical laboratory technicians Medical photographers Medical physicists Music therapists Neurophysiology scientists Neurophysiology technicians Nuclear medicine technologists Occupational therapists Optometrists Orthoptists Orthotists and prosthestists Osteopaths Paramedics Pharmacists Pharmacy technicians Physiotherapists Podiatrists Psychologists Psychotherapists Radiation therapists Social workers^29 Sonographers Speech and language therapists Sterile service technicians Traditional Chinese medicine practitioners Vision and hearing technicians Visiting neurodevelopmental therapists

Appendix 5: List of non-regulated/kaiāwhina roles

This list is the non-regulated professions regarded as part of the kaiāwhina workforce. The technical professions listed below are discussed in the Allied Health Workers section of this report.
Job titles are based on the Australian and New Zealand Standard Classification of Occupations 2006, also known as ANZSCO codes, used in the Census.

Non-regulated professional, support and carer roles

Aged or disabled carers Child or youth residential care assistants Community workers Counsellors Disabilities services officers Diversional therapists Drug and alcohol counsellors Family and marriage counsellors Family support workers Health diagnostic and promotion professionals Health promotion officers

Hospital orderlies Kaiāwhina hauora (Māori health assistants) Nursing support workers Personal care assistants Rehabilitation counsellors Residential care officers Social workers Therapy aides Traditional Māori health practitioners Welfare workers Youth workers

Non-regulated technical roles

Audiologists

Cardiac technicians

Dental technicians

Medical technicians

Operating theatre technicians

Orthotists or prosthetists

Phlebotomists

1^ 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.

2^ Annual practising certificates to legally work in New Zealand as of mid-2014 and mid-2009.

3^ OECD. 2013. Health at a Glance 2013: OECD indicators. OECD Publishing, p 67.

4^ Medical graduates typically in their first or second year of work in a hospital.

5^ Hospital positions for doctors in at least their third postgraduate year.

6^ Pacific Perspectives. 2013. Pacific Workforce Service Forecast, for HWNZ. Wellington: Pacific Perspectives.

7^ MCNZ registration by specialty for annual practising certificates as of mid-2014.

8^ Annual practising certificates as of late March/early April each year, with the exception of 16 May 2014.

9^ MCNZ. 2013. The New Zealand Medical Workforce in 2012. Wellington: Medical Council of New Zealand.

10^ Ministerial Task Group on Clinical Leadership. 2009. In Good Hands: Transforming Clinical Governance in New Zealand. Wellington.

11^ DCNZ. Annual Report 2013. Wellington: Dental Council of New Zealand.

12^ Primary and secondary ethnicity combined.

13^ DCNZ. Workforce Analysis 2009. Wellington: Dental Council of New Zealand.

14^ The role of enrolled nurse was reintroduced in 2010, having been phased out in the early 1990s.

15^ HWNZ forecasting and a 2013 workforce report by the NCNZ reached this conclusion.

16^ New Zealand-trained citizens and permanent residents are eligible for Nurse Entry to Practice (NETP) places.

17^ These scholarships are funded through the Ministry’s Very Low Cost Access scheme.

18^ Pacific Perspectives. 2013. Pacific Workforce Service Forecast for HWNZ. Wellington: Pacific Perspectives.

19^ 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.

20^ Kyle and Aileone. 2013. Mapping the Rural Midwifery Workforce in New Zealand. Christchurch: Midwifery and Maternity Provider Organisation.

21^ Midwifery Council of New Zealand. 2010. Midwifery Workforce Report 2009. Wellington: Midwifery Council of New Zealand.

22^ Kyle and Aileone. 2013. Mapping the Rural Midwifery Workforce in New Zealand. Christchurch: Midwifery and Maternity Provider Organisation.

23^ 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.

24^ Ministry of Health. 2009. Our Oral Health. Wellington: Ministry of Health.

25^ BERL Economics. 2014. Health and Disability Kaiāwhina Worker Workforce 2013 Profile for Careerforce. Wellington: Business and Economic Research Ltd.

26^ Note that Census respondents are able to choose more than one ethnicity.

27^ Pacific Perspectives. 2013. Pacific Workforce Service Forecast for HWNZ. Wellington: Pacific Perspectives.

28^ Nursing Council registration data as of 31 March 2014.

29^ Social workers are voluntarily regulated under the Social Workers Registration Act 2003, administered by the Ministry of Social Development.