NMDHBNelson Marlborough District Health Board (New Zealand)
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Permission has been granted by NMDHB management for figures and tables from the NMDHB 2012 pilot to be published in the New Zealand Journal of Physiotherapy by Hilary Exton, Director and Service Manager of Allied Health NMDHB and co author of this paper, who can be contacted via email if there are any queries.
Thanks to the vision of the NMDHB and local specialists over 20 years ago, Churchill Private Hospital is now firmly established as a provider of private elective surgery in Marlborough--and the benefits to our local population are significant.
In December 2011 the man subsequently applied for and was appointed to a permanent registered nurse (RN) position with NMDHB, a less senior role than the coordinator role in terms of both status and remuneration.
When NMDHB sought to enforce recovery of the $16,000, NZNO raised a dispute on behalf of the employee and the matter was referred to the authority for clarification on the parties' respective rights and obligations.
Although not included in the facts as recorded by the authority, the NMDHB subsequently re-established the coordinator role some 12 months after paying out the redundancy.
NMDHB is the only DHB to implement the programme on two sites concurrently--other District Health Boards such as Southern have implemented the module in sequence across two hospitals.
I have been actively involved in all levels of NZNO, as a workplace delegate, regional council member through to workplace convener at NMDHB until 2008.
Written by NMDHB nursing leaders Robyn Henderson, Chris Andrews and Sue Allen, the document lists a number of benefits expected to result from the model.
NMDHB director of nursing Robyn Henderson defended the proposal in a letter published in the June Kai Tiaki Nursing New Zealand ("HCAs have a legitimate place in staff mix", p4).
NZNO points out that NMDHB invested in the transition of ENs to the extended scope of practice but has excluded them in its recent model it intended to use ENs.