Health of the Health Workforce


Appendix 2: Ratios of trainee doctors to specialists



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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 workers29

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.


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