No Images? Click here
September 2017
Hello everyone and welcome to the latest edition of our newsletter. With spring here, let's hope the increased acuity and demand of winter are lessening somewhat.
Highlights in this newsletter include news and updates on key nursing topics, nursing’s preparation for progressing the New Zealand Health Strategy and planning for the future, sector visits and news, the World Health Assembly and the ICN conference, as well as some Ministry initiatives we think you'll be interested in.
We welcome feedback or questions about anything in the newsletter. To contact us, email Savita Parbhu.
In this issue:
News from the office
- A nursing narrative
- Nursing and the New Zealand Health Strategy – imagining future health services
- A visit to the Ministry of Health from the Safe Staffing and Healthy Workplaces team
- Celebrating International Nurses Day and International Day of the Midwife
- International Nurses Day in Canterbury: Nurse Entry to Specialty Practice (mental health) turns 20
- Proposed changes to the Medicines Act and prescribing
- Changes to health practitioner status work – mental health focus
- Nurse practitioner education programme evaluation
- Mental health initiatives announced
- Better Public Services – why they are important for nurses
- Healthy Ageing Strategy – implementing the strategy
International Events
- Commonwealth Ministers Meeting and the World Health Assembly
- The World Health Assembly (WHA): a personal account
- International Council of Nurses Conference (ICN) Barcelona
- The Triple Impact
Out and about in the sector
- E-health in aged care
- Visit to Pegasus Health PHO and community services, Christchurch
- Aniva Master of Professional Practice (Leadership) programme
- Denise Kivell steps down as Chair of Nurse Executives of New Zealand (NENZ)
- Te Hau Awhiowhio O Otangarei - nurse led practice in Whangarei
Ministry of Health news and updates
- The Mobility Action Programme
- Healthy Families NZ initiative
- New Zealand skin cancer primary prevention and early detection strategy
News from the office
The Office of the Chief Nursing Officer (OCNO) has seen some changes in the past quarter. We are delighted to announce the promotion of Jane Bodkin to Chief Advisor. Jane has been in the office for three years and joins Jill Clendon as the office’s second Chief Advisor. She will continue her specific mental health and addictions portfolio as well as the myriad of other things she oversees: NP and EN workforce, HPSR enablement and so on. Carolyn Jones has accepted a position with another Ministry team. We have loved working with Carolyn and wish her well. The OCNO will be advertising for another senior advisor shortly.
On a sadder note, we said farewell to Andrea Tamahaga recently. Andrea worked for the Ministry for nine years, the last two as Jane’s Senior Administrative Assistant. She has taken a senior executive assistant role with the NZ Transport Agency. We wish Andrea all the very best for her new position. Her warmth, personality and humour will be missed greatly by the team.
Farewell to Andrea after nine years at the Ministry of Health.
Left to Right: Jane O’Malley, Jane Bodkin, Jill Clendon, Andrea Tamahaga, Carolyn Jones
A nursing narrative
Late last year, the Office of the Chief Nursing Officer began drafting a nursing leadership narrative to support the New Zealand Health Strategy (NZHS). It might have been considered premature because of the strategy day held in April 2017 (see below), but it was developed in response to a request from a primary health care nurse leader who spotted a gap in our communications around change.
The narrative was designed to:
- support a shared understanding of nursing’s contribution to implementing the strategy
- capture our current work and the future work we will need to do
- provide nursing leaders with a narrative to draw on and share
- enable an individual and a collective response to health system change.
A wide range of nursing leaders gave feedback on the narrative, which has been on the web site since April. It will remain a living document as we continue working with nurse leaders, consumers and others to support the changes we need to make to deliver the NZHS. We welcome your feedback.
Nursing and the New Zealand Health Strategy – imagining future health services
Nursing and other sector leaders have joined forces to think about what the future would look like to achieve the New Zealand Health Strategy and nursing’s role in shaping and participating in that.
The National Nursing Organisation group, in partnership with the Nursing Advisory Group to Health Workforce New Zealand, hosted a highly successful strategic day in April. Guest speakers included Geoff Shirtcliffe, a lawyer who has done considerable thinking about the impact of future predictions on professional practice, Keri Nuku, NZNO Kaiwhakahaere, and Dr John Garrett, a paediatrician in Canterbury and West Coast DHBs.
Themes emerged from the discussion and a report was produced. Some of the highlights are below.
What the world will look like in 2030 if we were successful in realising the New Zealand Health Strategy?
Digital information has democratised health knowledge, giving power, control and choice to consumers and providers alike. Self-management technology is common-place. Technology has enabled people and their whanau to receive tailored, personalised services to make many of their health decisions autonomously with well-researched benchmarks to monitor safety and quality. Health care professionals provide advice and interventions as required.
The system now has flexible models of access so there is no wrong door/portal when people identify a need for care. Access to support is easy and effective and systems allow sufficient information to enable people and their whānau to make informed decisions about the supports they want, and who, where and how to access services. Information is in an acceptable format (age, culture and ethnicity).
Primary health care and public health have a strong status with a growth in resources and staffing. The 2018 focus on pre-conception, the early years and support for families has proven effective. Providers of services are accountable for outcomes, and are suitably resourced and supported.
Whānau Ora is successful and is widely utilised. The early investment in ‘family as THE unit for health care’ has supported strengthening family links, improved health knowledge and behaviour, and individual and community resilience.
The long aspired ‘generic health worker’ has finally been recognised for what it was all along; nursing. Importantly, the three scopes of practice - two of which are degree and post-graduate degree prepared, and the ability to supervise and direct an enormous unregulated health workforce, make the nursing workforce the most flexible of all the workforces, and the key to leading and managing change.
Nurses’ education and experience make them ideal for the roles of health concierge, case manager, triage facilitator and coach. In spite of a dramatic increase in technology driven services, personal interactions remain highly valued by consumers. Nurses continue to relate to people in their lived context and use this as the basis for determining their practice.
What do we need to get there?
The UK All-Party Parliamentary Group on Global Health (APPG) report, Triple Impact: how developing nursing will improve health, promote gender equality and support economic growth, provides the platform for a well-constructed, responsible conversation with policy makers and providers to improve the use of nurses to deliver to their potential, and improve health outcomes.
The role of nursing leadership in working with networks of others to bring about change permeated all themes. The APPG report notes that voice and visibility of capable nurse leaders is required to ensure nursing’s key contribution to financial and clinical sustainability in a predicted high-cost, high- future is heard.
Nurse leaders (guided by an agreed and well-rehearsed strategy and supported by sound communications and evidence) will need to purposefully develop connections with the systems movers, consumers and other strategic groups to provide input into policy and implementation thinking.z
The report was sent out in early August for feedback and refinement. The National Nursing Organisations and the HWNZ Nursing Workforce advisory group, will develop an initial draft plan of next steps.
A visit to the Ministry of Health from the Safe Staffing and Healthy Workplaces team
The office hosted a visit on 6 July by Lisa Skeet, Safe Staffing and Healthy Workplaces director, and Collette Breton, programme consultant for Care Capacity Demand Management (CCDM) Informatics. They gave a presentation to Ministry staff and discussed how CCDM supports DHB productivity, patient safety and care quality, and workforce health. Lisa and Colette also met the Ministry’s Executive Leadership Team.
The CCDM Intellectual Property of all key stakeholders (DHBs, NZNO and PSA) has been invested within the Ministry of Health as of this year. This was because of strong international interest and a desire to secure the brand as a New Zealand partnership product, which will be referenced back to this country when used.
CCDM is currently being implemented in 14 DHBs.
More information about the programme can be found on the SSHW website:
Celebrating International Nurses Day and International Day of the Midwife celebration
On 12 May, we invited our Ministry colleagues to morning tea for a joint celebration of nurses and midwives. Jill Clendon and Bronwen Pelvin (Principal Advisor Maternity) spoke about the importance of nursing and midwifery advice in policy development for achieving change. Jill and Bronwen linked their discussion to the Sustainable Development Goals and the New Zealand Health Strategy.
Office of the Chief Nursing Officer celebrating International Nurses Day in May with other staff in the Ministry of Health.
Left to Right: Kathy Glasgow, Clare Posseniski, Hilda Fa’aselele, Jane Chambers, Jane O’Malley, Jane Bodkin, Jill Clendon, Lily Hildebrand, Sue Nelly, Sheila Love, Jill Ewers, Kathy Webber , Mary-Louise Hannah, Carolyn Jones, Bronwen Pelvin, Pat Tuohy, Paul Watson.
International Nurses Day in Canterbury: Nurse Entry to Specialty Practice (mental health) turns 20
Changes and challenges in providing mental health services and nursing education in the 1980s and 1990s signalled the need to invest in mental health nursing workforce development.
In 1995, the first full Nurse Entry to Specialty Practice programme was run jointly by Capital Coast Health Limited and Whitireia Community Polytechnic in Wellington.
In 1997, the first programme was offered in Canterbury.
To date, 326 nurses have successfully completed the programme in Canterbury and the West Coast. Intakes have risen from 10 in 1997 to a peak of 42 in 2014.
This year, there are 34 nurses undertaking the programme. Current demands may see this rise to more than 40 next year.
Celebrating 20 years of the NESP programme.
Left to Right: Angela Gruar (Te Pou), Stu Bigwood (ADON mental health CDHB), Grace Corlet (NESP participant) and Jane O’Malley
Proposed changes to the Medicines Act and prescribing
The Government is working on a new and comprehensive regulatory regime to regulate therapeutic products in New Zealand, which will replace the Medicines Act 1981 and its Regulations.
Controls for prescribing currently sit within the Medicines Act and Regulations.
Prescribing is an activity that is part of some health practitioner’s scope of practice, but the proposed changes will shift controls on prescribing authority to the Health Practitioners Competency Assurance Act and to the jurisdiction of the responsible
authorities. The Ministry is working closely with the responsible authorities (including Nursing Council) on developing this work. Jane Bodkin and Jill Clendon are involved.
Further information is available on the Ministry’s website:
Changes to health practitioner status work – mental health focus
Jane Bodkin has written an article that discusses the changes to health practitioner status work, with a focus on what it means for mental health and addictions nurses:
Nurse practitioner education programme evaluation
Malatest International has been awarded the contract to evaluate The University of Auckland and Massey University nurse practitioner education programme. The evaluation is now under way. Jane Bodkin and Jill Clendon, alongside HWNZ, will follow its progress.
Mental health initiatives announced
On 14 August, new mental health initiatives to assist in mental health and wellbeing were announced.
These initiatives include helping New Zealanders with existing mental health issues, as well as focusing on improving services and earlier intervention.
They cover distance and electronic therapy, support in schools and step-up/step-down support for people experiencing acute and emergency mental health needs.
Jill Clendon was involved in developing the proposal for an electronic HEEADSSS assessment tool, which is part of the support in schools package.
Better Public Services – why they are important for nurses
In May, a refresh of the Better Public Services (BPS) targets was announced. There are 10 BPS targets overall with two targets being led by the Ministry of Health:
- Healthy Mums and Babies: By 2021, 90% of pregnant women are registered with a Lead Maternity Carer in the first trimester, with an interim target of 80% by 2019, with equitable rates for all population groups
- Keeping Kids Healthy: By 2021, a 25% reduction in the rate of hospitalisations for preventable conditions in children aged 0 - 12 years, with an interim target of 15% by 2019. The potentially avoidable hospitalisations are dental conditions, respiratory conditions (including bronchiolitis, pneumonia, bronchiectasis, asthma and wheeze), skin conditions (including skin infections, dermatitis and eczema), and head injuries.
To achieve these, input and support is needed from across the health and social sectors, as well as from other government agencies.
Further information on both targets can be found on the Ministry of Health's website:
Nurses can play an active role in achieving both BPS targets through their prevention and early intervention activities. These activities result in long term health improvements for children and adults.
The office would like to hear about any successful approaches you are involved in that are reaching children and their whānau.
Jill Clendon is actively involved in this work in the Ministry and can be contacted via email.
Healthy Ageing Strategy – implementing the strategy
Kathy Glasgow has been working with colleagues across the Ministry on implementing the 2016 Healthy Ageing Strategy.
The Ministry has produced videos featuring people talking about what the Strategy means for them and their involvement in making it happen.
The videos include a summary of focus areas and changes expected in the first two years of implementing the Strategy, and a Strategic Framework, showing the life course approach and connections with the New Zealand Health Strategy:
International events
Commonwealth Ministers Meeting and the World Health Assembly
Jane O’Malley attended the Commonwealth Ministers Meeting and the World Health Assembly (WHA) in May as part of the Ministry’s delegation, alongside colleagues Dr Stewart Jessamine, Jill Lane and Dr Natasha Murray.
This year, Minister Coleman attended the Commonwealth Meeting and the first two days of the WHA, and addressed the assembly on behalf of New Zealand. It is always wonderful to have our moment on the world stage and great to hear our Minister speak of the alignment between the New Zealand Health Strategy and the Sustainable Development Goals.
Topics covered at the meetings included the challenges of financing a sustainable health system, workforce planning and deployment to provide universal health coverage, access to quality medicines and climate change - to name but a few. The parallels and differences between the poorest and smallest, and the wealthier and larger are all played out on the world health stage, and have their lessons and points of reference for New Zealand.
The World Health Assembly (WHA): a personal account
When I explain the World Health Assembly to people, I liken it to the AGM of any large organisation. The scale and focus are different, but essentially the World Health Organization (WHO) has an Executive Board, which sharpens the strategic direction of the WHO’s work, and frames the agenda for the AGM (the World Health Assembly ).
New Zealand is currently a member of the Executive Board, represented by Dr Stewart Jessamine. The World Health Assembly is held yearly in the majestic Palaise de la Nations in Geneva, and brings together member countries to discuss and agree policy, strategy and plans and to receive updates on past agreed actions and budget commitments. The WHO staff are critical to what happens between meetings, taking recommendations and turning them in to actions with, and on behalf of, the world.
The Assembly continued for eight action-packed days with a Sunday off in the middle. Each day started for the NZ contingent with a breakfast planning the day ahead. An 8.30 briefing from the Regional Director from WPRO (the Western Pacific Regional Office) alongside other countries in that region noted topics likely to be of regional interest on the day’s calendar.
From 9.30am to 5.30pm, the days were spent in committees hearing reports and debating and agreeing policy directions and strategy for the coming years. Side events on clinical and strategic health topics (hosted by countries), bilateral meetings and just catch ups around areas of interest occurred in the lunch breaks and after the afternoon sessions. The formal part of the day ended around 7 pm with plenty to discuss over dinner.
It was a great privilege to be part of the World Health Assembly delegation for the second year in a row. On the Saturday evening, I headed for Barcelona for the ICN, leaving Jill, Stewart and Nat to cover the closing days.
A wonderful side-effect of spending so much time with these lovely people was the deepening of friendships and refreshing our collective focus on New Zealand in the world.
Delegates at the ICN conference- Barcelona 2017
International Council of Nurses Conference (ICN) Barcelona
On the back of the Commonwealth Minister’s Meeting and World Health Assembly, Jane O'Malley attended the International Council of Nurses Congress in Barcelona. The 2017 conference was the largest since it began, with 8000 participants from across the world.
The Chief Executive of ICN, former NZ Chief Advisor Nursing, Dr Frances Hughes, opened the conference noting the vital role of the nursing workforce in achieving Universal Health Coverage and the Sustainable Development Goals.
Key note speakers at the conference included Lord Nigel Crisp speaking about the Nursing Now campaign and the Triple Impact (see link below), Mary Wakefield, former advisor on health care to President Obama, Professor Linda Aitken on the impact of Nurse to Patient ratios, and Dr Ian Norton on building medical assistance teams for emergency and disaster units across the globe.
The Triple Impact
A key moment for Jane was meeting Lord Nigel Crisp and Baroness Mary Watkins, first at the Commonwealth Ministers Meeting and later at the ICN lunch.
Lord Crisp chaired the UK All-Party Parliamentary Group on Global Health (APPG) report: Triple Impact: how developing nursing will improve health, promote gender equality and support economic growth. The report calls for raising the profile of nursing globally and enabling nurses to work to their full potential if countries are to achieve universal health coverage. It argues that increasing the number of nurses, and developing nursing, will also have the wider triple impact of improving health, promoting gender equality and supporting economic growth.
The significance of the Triple Impact campaign for New Zealand is the observation that globally, nursing is underutilised particularly as a vehicle to support countries to deliver universal health services and in doing so, improve population health and therefore the economic growth of a country.
Out and about in the sector
E-health in aged care
Kathy Glasgow and HealthCERT manager Emma Prestidge were introduced to Ryman Healthcare’s latest digital initiative during a recent visit to Christchurch’s Diana Isaac Retirement Village.
myRyman Care is a tablet-based application that sits on top of Ryman’s existing VCare database. This means that all care notes can be updated on tablets in residents’ rooms, cutting out paperwork and increasing the amount of time staff spend with residents.
Notes are updated in real time, so care staff can see at a glance what needs to be done.
Ryman Healthcare Operations Manager, registered nurse Barbara Reynen-Rose, reported that switching to an electronic system was ‘a big thing’ for staff.
Barbara explained that everyone involved in the pilot has loved it because the team has done a great job developing an application that is easy to understand, user-friendly and intuitive. She noted they had worked hard at creating something that everyone, including residents, can use.
The application will be in all Ryman Healthcare villages within 15 months.
Find out more about myRyman by watching a video.
Sandra Hendriks and Gwen Mooar using myRyman Care
Visit to Pegasus Health PHO and community services, Christchurch
In late May Jane O'Malley attended an evening with Pegasus Health PHO nurse leaders and some of the Pegasus executive and board.
The evening was hosted by practice nurse Nicky Scott, Chair of the Pegasus Nurse Membership group.
During the evening and at a lunch the following day with nurses and doctors, lively conversations were held about service improvements, challenges and ambitions.
As part of the visit, Pegasus Health Director of Nursing, Michael McIhone, took Jane on a whirlwind tour of some health services in the Canterbury region. It started with a tour of Christchurch men’s prison with Chris Dupont, Acting Regional Clinical Director where Jane met corrections nurses, officers, a GP and specialist mental health nurses.
Next was a visit with Chief Executive Karen Guilliland and her team at the New Zealand Collage of Midwives and finally afternoon tea at Health Care of New Zealand where Jane and Michael met Chief Executive Susan Bowness, Director of Nursing Christine Maxwell and some 30 nurses and caregivers.
Reflecting on the visit, Jane was impressed with the enthusiasm and level of professionalism of nurses, midwives and their colleagues as they go about their work. There was widespread acknowledgement of the work as challenging and correspondingly rewarding; one nurse noted her love of the work and how she values the responsibility and accountability that working in the community provides.
The challenges and opportunities facing the various organisations mirrors those heralded by the New Zealand Health Strategy . A major theme of the visit was nursing’s role in leading and shaping future directions required for health care sustainability and consumer acceptability.
Health care is indeed a rich matrix of services and the quality of care seen in its various contexts was inspiring. There is reason indeed for us to be extremely grateful for the amazing work health and social care professionals do in support of people in their communities.
Aniva Master of Professional Practice (Leadership) programme
The first cohort of Pacific nurses to participate in the Master of Professional Practice (Leadership) qualification under the Ministry of Health funded Aniva programme (Whitireia New Zealand) was celebrated at Te Papa recently.
The event acknowledged the contribution of families, communities, employers and education stakeholders in achieving this milestone.
The Aniva programme was started to advance achievement of postgraduate qualifications by Pacific nurses. This programme is designed specifically to encourage progression to a Masters Level
qualification with an indepth understanding of health issues affecting Pacific peoples. It includes tailored support, clinical and cultural leadership, mentoring, and activities that build and strengthen a Pacific nursing network.
The programme boasts a higher percentage achievement rate compared to Pacific students enrolled in other Master’s level programmes. Since 2011, 120 people have been enrolled in the programme; accounting for almost one in six postgraduate health enrolments, and one in every four postgraduate course completions by Pacific peoples as of 2015.
Denise Kivell steps down as Chair of Nurse Executives of New Zealand (NENZ)
In July, after two terms as an inspirational Chair, Denise Kivell handed leadership of NENZ to Director of Primary Health Care Nursing at Counties Manukau DHB, Karyn Sangster. Denise received a beautiful bouquet of flowers in acknowledgment of her outstanding leadership in the role.
Left to Right: Karyn Sangster, incoming Chair, Denise Kivell and Michele Coghlan, continuing in the role of NENZ secretary
Te Hau Awhiowhio O Otangarei - nurse led practice in Whangarei
Te Hau Awhiowhio O Otangarei in Whangarei has an enrolled population of 1150, 98% of whom are Māori. The organisation is in a low decile area with a large number of enrolled patients experiencing complex physical, psychosocial and socioeconomic needs.
With more than 15 years’ experience working with whānau, Te Hau Ᾱwhiowhio O Otangarei is a well-known provider of primary health care services, education, justice and social services to the community including youth mentoring, counselling, budgeting, community research, after-school activities and programmes.
Over the last two years, the practice has had extended periods with little or no general practitioner coverage.
Continued nurse development has meant that the practice now employs two nurse practitioners with a further nurse about to submit her NP portfolio; two of whom are Māori.
With solid assessment and intervention skills, the nursing team are responsive to patient needs and work collaboratively with neighbouring practices and allied health agencies to ensure a comprehensive primary health service. A general practitioner is now also at the practice 16 hours a week along with a clinical pharmacist who provides medication reviews and medication management advice and support for the staff.
The nurses partner with the local accident and medical clinic for medical back up when necessary and patients are transported to the clinic. The nurses employ a Whānau Ora approach. The practice is part of the Otangarei Trust and is supported by the social and intersectoral networks facilitated by the Trust.
Nurses at Te Hau Awhiowhio O Otangarei
Back: NP Helen Topia, Charlie Kaipo, Miriama Reihana. Middle: Minnie Cotton, Shelly Hita Front: Margaret Hand (on NP pathway ), Linda Mahika, NP Margarita Bartlett, Janine Kaipo.
Ministry of Health news and updates
The Mobility Action Programme
In 2015 $6 million was allocated over three years to improve care for people with musculoskeletal health conditions.
The funding enables improved access to multidisciplinary teams providing programmes advice and treatment, education to improve self-management, and rehabilitation to improve function and participation in activities important to participants.
The aim is to fulfil potential and increase independence of people with musculoskeletal health conditions.
Seventeen early intervention pilots have been funded for people with musculoskeletal conditions.
These models vary depending on locality and on the target population and conditions.
The Mobility Action Programmes (MAPs) have been set up collaboratively with PHOs, DHB, NGOs private health providers, Maori health providers and an online digital health company.
Nurses have contributed their specialist knowledge and skills in the design, planning and implementation of the MAPs. At K’aute Pasifika Trust in the Waikato DHB they are delivering a MAP in Tokoroa and Hamilton for people with osteoarthritis of the knee or with gout.
This Pasifika focused, multidisciplinary programme is led by Specialist Nurse Michelle Edge.
Nurse Educators at Arthritis NZ in collaboration with Melon Health Ltd, a digital health company, are supporting, coaching and educating people with osteoarthritis to improve their health, wellbeing and self-management. This programme is available online in the Wairarapa, Whanganui, West Coast, Lakes and Taranaki DHBs.
A comprehensive evaluation of the MAPs is already underway.
More information about MAP is available on the Ministry of Health website:
Contact Julie Palmer, Portfolio Manager julie_palmer@moh.govt.nz
Healthy Families NZ
Healthy Families NZ is a large-scale initiative that brings community leadership together in a united effort for better health. The initiative aligns closely with the aim of the New Zealand Health Strategy and nursing’s role in health promotion and disease prevention.
It aims to improve people’s health where they live, learn, work and play making good health easier and more accessible for people, by creating many health promoting environments.
Healthy Families NZ is challenging communities to think differently about the underlying causes of poor health, and to make changes – in our schools, workplaces, sports clubs, marae and other key community settings – that will help people make healthier choices.
The initiative national story is being told through the recent development of a National News Update which details some of the work being done across the 10 sites. Each News Update will be based on a theme. Nurses may like to sign up to this to receive up to date information.
New Zealand skin cancer primary prevention and early detection strategy
The new five year New Zealand Skin Cancer Primary Prevention and Early Detection Strategy 2017 to 2022 is available on the Sunsmart and Melanoma Network of New Zealand Incorporated (MELNET) website.
The strategy includes the latest epidemiology on Skin Cancer in NZ, risk factors, evidence-based interventions to reduce exposure to UVR that causes harm, and in appendix A (page 31 of the document) ‘Core messages for consumers’. We encourage you to review the document to remain up to date on the latest thinking in skin cancer prevention.
Receive this update by email
We want to make it as easy as possible for you to read our newsletter on your tablet or mobile. Did you know you can easily sign up to receive it directly instead of relying on your colleagues to pass it on?
If you’d like to keep getting this newsletter, there’s just two things you need to do.
- Sign up for the newsletter at health.govt.nz/our-work/nursing/newsletter.
- We’ll send you a confirmation with a link in it. Click the link in the email to lock in your subscription.
We are always keen to hear from you. Contact Savita.parbhu@moh.govt.nz to get in touch with Jane or any of the team. We’d love to hear from you.
For an overview of our work, visit the Nursing page on the Ministry of Health website:
ISSN 2423-0561
 |  |  |
133 Molesworth Street, Thorndon
Wellington, 6140
New Zealand
