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ASMS - working for better health care in New Zealand

The Association of Salaried Medical Specialists (ASMS) is the professional association and union uniting doctors and dentists in New Zealand. READ MORE

Employment advice and support for salaried medical specialists and one stop shop for those seeking senior doctor jobs in New Zealand hospitals and health sector.

Latest News & Reports

18 May 2012

Auckland District Health Board says it is clamping down on all unnecessary spending in a bid to rein in a new deficit quickly. New Zealand's biggest-spending DHB is determined to break-even this financial year by saving $6 million dollars before the end of June without having any negative impact on quality of care or patient safety. This item includes comment from ADHB Chair Lester Levy, CMO Margaret Wilshire and Dr Judy Bent, Clinical Director of the Greenlane Surgical Unit and member of the ASMS Executive. The item can be listened to here

17 May 2012

This week’s Union Report, a regular series on Triangle TV hosted by Martyn Bradbury, focusses on the Talley's AFFCO meatworks dispute. The dispute affects 1200 employees and is NZs largest current industrial dispute. The interview is with CTU President Helen Kelly and Meat Workers Union Secretary Laurie Nankivell and discusses the key issues behind the dispute, current working conditions for AFFCO employees, Talley's behaviour since becoming 100% owners of AFFCO and the implications of this dispute for industrial relations in New Zealand. (The interview can be seen here)

17 May 2012

The six-month countdown to MPS’s international conference on quality and safety in healthcare has begun.  As the countdown to the Olympics ignites sporting fever across England’s capital city, the Medical Protection Society (MPS) has started the six-month countdown to its international conference –Quality and Safety in Healthcare: Making a Difference.  The two-day conference will bring international experts from around the world to London to share their knowledge, experience and expertise on quality and safety in healthcare.

16 May 2012

Sione Tu’itahi has been appointed as the new Executive Director of the Health Promotion Forum of New Zealand Runanga Whakapiki Ake I Te Hauora o Aotearoa. An educator, author and public health professional, Sione has been the Deputy Executive Director of the Forum for the past four years. “We are delighted to have Sione with his wealth of professional experience and leadership in the education and public health sectors over the last 18 years,” says Donna Leatherby, Chairperson of the Forum.

15 May 2012

Burnout rates which affect more than a quarter of young surgeons are being addressed at Counties Manukau District Health Board with a programme to make doctors remain vigilant about their quality of life.  A study in the New Zealand Medical Journal last year noted 27 per cent of young surgeons here and in Australia reported burnout. Risk factors included being female, working in small hospitals and putting in more than 60 hours a week.

15 May 2012

Increasing prescription prices to subsidise other health services punishes the wrong people, says Labour’s Health spokesperson Maryan Street.  “The Government’s announcement today to increase prescription subsidies from $3 to $5 shifts the burden of balancing the Government’s health budget to our most vulnerable.  What Tony Ryall is doing is asking low and middle income New Zealanders, who already struggle to meet their basic needs, to cough up more cash at the counter to subsidise treatment for others."

15 May 2012

Medical student leaders are arguing doctors have a duty to initiate changes to the policies and living conditions behind poor health.  Student doctors should be ambitious for changes to the social determinants of health, New Zealand Medical Students Association representatives say in a video ahead of a vote on health equity to be held at their conference this week.  "As future health professionals and doctors, we will be the ones dealing with the consequences of health disparities, so why shouldn't we be the ones to initiate the changes?" asks Ari Pfeiffenberger, external vice-president.

15 May 2012

Health Minister Tony Ryall today announced the Government will increase the $3 prescription charge to $5 per item up to a maximum of 20 items from 1 January 2013. The savings will be reinvested in the health sector. “The National-led Government is committed to protecting and growing public health services,” Mr Ryall said at a pre-Budget announcement with Prime Minister John Key.  “Despite tight financial times and what will be a zero Budget on 24 May, health will receive a big funding boost, which will come from savings within health and across the Government’s accounts.

15 May 2012

The Budget next week will provide $101 million of extra funding over the next four years for more elective operations and scans, and improved cancer services, Health Minister Tony Ryall says. In a pre-Budget announcement with Prime Minister John Key, Mr Ryall said the extra Budget funding would invest in four new initiatives. “This is part of our commitment to deliver more and better frontline health services where they are most needed, while ensuring we responsibly manage the Government’s finances,” Mr Ryall says.

14 May 2012

This is the 2nd issue for 2012 of our electronic publication, Executive Direct, to report to members on National Executive news. It is forwarded to members after each Executive meeting. It reports on the last Executive meeting on 3 May (there was a successful branch officers’ national workshop the preceding day). The next Executive meeting is scheduled for 19 July.

Perspective

30 March 2012

Ian Powell, Executive Director

30 March 2012

Dr Jeff Brown, President

30 March 2012

Angela Belich, Assistant ED

30 March 2012

Ian Powell, Executive Director

In Depth

Learning from Britain's mistakes

The Government recently instructed the Canterbury DHB to consider a public- private partnership (PFI) funding model when planning for the rebuild of Christchurch Hospital. The CDHB and the Government must learn from the British experience. After 20 years PFIs as a way of funding hospitals are "now dead in their current form", according to the Financial Times. 

The Medical Council Online Survey

The Medical Council of New Zealand (MCNZ) undertook a survey via email between 1 April 2010 and 30 June 2011 to find out why doctors chose to leave New Zealand and what might encourage them to return. The Medical Council has put a generally positive gloss on the findings.  The ASMS engaged free lance health researcher Lyndon Keene to examine the MCNZ’s analysis.

The ASMS Salary Survey 2011

This is the Association’s 18th survey of full time equivalent (FTE) salaries for senior medical staff at district health boards and their predecessors. Employers were asked for the number of staff on the base salary steps of the scale in the collective agreement covering senior medical officers as at 1 July 2011.

The private finance initiative: the gift that goes on taking

A British Medical Journal editorial (December 2010) on the experience with the Private Finance Initiative in the UK's NHS. A timely reminder of the pitfalls of this approach in light of the pre-Christamd announcemt by Health Minister Tony Ryall of plans for just such a Public-Private partnership for Christchurch DHB.

The Business Case (download PDF)

Jointly developed by the DHBs and ASMS, this document provides a blueprint for the future direction of a clinically and financially sustainable health system. The Business Case outlines the problem, canvasses two future options, describes the path to a sustainable future, the shape and timing of the investment needed and provides a menu of actions from which DHBs and their senior medical and dental officers can commit to make the required savings alongside a Government commitment to invest in the senior medical and dental workforce as a priority.
Read more . . .Understanding the crisis that can't be avoided: The Business Case as a blueprint for the future

Prioritisation of Medical Disciplines for funding by Health Workforce New Zealand

September 2011

This is the article referred to in Asssitant Executive Director Angeal Belich's December Specialist article about HWNZ's prioritsation of funding for RMO training.

Formative Evaluation of the Physician Assistant Trial

August 2011

This is the full report prepared for Health Workforce New Zealand assessing the establishment of the Physician Assistant Trial at Counties Manukau DHB.

Core Documents

Medical Council Memorandum of Understanding with DHBs

This memorandum of understanding is far more detailed and comprehensive than the statement of collaboration they've had in the past.

Minister of Health's Letter(s) of Expectations

This year the Minister of Health has issued at least two letters of expectations to the District Health Boards.

Joint ASMS-DHB Quality and Patient Safety Improvement Plan

November 2011

This plan was a key outcome of the 2010-2011 MECA negotiations process

ASMS Annual Report 2011 

The Annual Report covers the full range of ASMS' activities over the past year.

Time for Quality

August 2008

The Time for Quality agreement was developed between the ASMS and the 21 DHBs with the support of the Minister of Health.

In Good Hands
Report from Ministerial Task Group on Clinical Leadership, 2009

The In Good Hands report recommends introducing comprehensive clinical leadership in DHBs (Minister of Health's Media release).

Joint Agreement between ASMS and GPNZ (formerly IPAC)

ASMS and GPNZ's statement of agreed necessities for the Health System.

Clinical Governance Development Index in DHBs

Results of the member survey as per Robin Gauld's presentation to ASMS' Conference 2010

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