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‘Toxic relationship’: The jobs nurses are doing instead of nursing

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Nearly half the country’s nurses are not working as nurses, with some even taking jobs in supermarkets or on road gangs in preference to healthcare.

Te Whatu Ora is keen to persuade some back to the front lines to help fill chronic shortages.

However, one former nurse said returning to work in the health system would be like going back into an “abusive marriage”.

Amanda Homewood walked away from nursing in 2021 after nearly four decades. She has made a conscious decision to let her practising certificate lapse to safeguard her own health and wellbeing, in case she is tempted to go back.

“I know there are heaps of really amazing nurses and others in the health system who are really on their knees and I’ve struggled with leaving them and coming out of the fray. I’ve felt quite guilty at times over that.”

Homewood said she loved most of her 37 years nursing, but the underfunded system – and what it was doing to patients and staff – ground her down.

“Until the system is fixed I wouldn’t go back to it, it would be like going back into an abusive marriage to be honest, that’s how it felt by the end. It was like a toxic relationship.”

There were more than 150,000 nurses on the New Zealand Register of Nurses – but that included those who have retired and others who left the profession decades ago.

Just under 75,000 held annual practising certificates allowing them to work.

Nurses Organisation kaiwhakahaere Kerri Nuku said many were just “burned out”. She knew nurses who had opted to work in supermarkets and one who had joined a roading crew.

“As she said, she’s earning more money than what she did as nursing and it’s not nearly as taxing.”

Kerri Nuku. Photo:

Union president Anne Daniels said Queensland and California had legally mandated nurse-patient ratios boosting their workforces.

“What has attracted those nurses back to nursing is knowing they are going back to a safe work environment where they will be supported to their job to the best of their ability, as opposed to having to constantly make priority decisions about who’s going to get the care and who’s not.”

The Nursing Council estimated between 4 and 5 percent of the more than 70,000 nurses with current practising certificates were not working as nurses in New Zealand when they renewed them.

“That’s 3500 nurses, which is nearly as many nurses as would fill the vacancies that we need.”

Former Southland Hospital ED nurse Kerri Templeton quit last year after less than two years. Five other nurses in her department resigned in the same week.

In an open letter to then Health Minister Andrew Little, she wrote she feared someone would die as a result of under-staffing.

But after six months travelling overseas and working on a superyacht, she is starting a new job at Christchurch Hospital ED in January.

“I didn’t miss it to start with, I was more just recovering and having a life again.

“I am excited to go back but I’m aware that things are probably not any better than when I left. I guess I’m a bit more prepared in that I know what to expect now.”

In its workforce stocktake in July, Te Whatu Ora estimated the system was short about 4800 nurses, despite a nearly 23 percent increase in the number of nurses employed by Te Whatu Ora in the last five years.

Director of workforce development and planning, John Snook, said increasing the number of nurses was “a vital part” of the plan to boost the medical workforce with the recent pay increases and training initiatives.

The Return to Nursing fund provides up to $5000 to help New Zealand nurses to get a current practising certificate, and foreign nurses who are residents or citizens with the cost of gaining registration in this country. So far this year the fund has received 228 applications for support.

In the last 12 months, 12,719 new nurses joined the register, of whom 82 percent were overseas trained. However, it was not possible to say how many of those would work in New Zealand.

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Police guarding scene after Massey house fire overnight

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Seven fire trucks were required to put out a blaze in an abandoned house in Massey overnight.

The fire on Don Buck Rd was first reported around 10pm, with multiple calls coming in from the public, said Fire and Emergency NZ northern shift manager Carren Larking.

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Mother of missing Marokopa children posts letter she says is from their fugitive dad

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The mother of the missing Marokopa children has published a letter which she says was written to her by the children’s fugitive father, Tom Phillips.

Police have been searching for Ember, eight, Maverick, nine, and Jayda, 10, since December 2021, when they were taken by Phillips to an unknown location – though police believe it was in Western Waikato within Marokopa or the surrounding areas.

Tom Phillips does not have legal custody of the children and there is a warrant out for his arrest.

A picture posted by Cat on social media which she says is the last birthday we got to celebrate with Jayda as a family.

A picture posted by Cat on social media which she says is “the last birthday we got to celebrate with Jayda as a family”. Photo: Supplied

Posting on Facebook, their mother, known as Cat, said she was “well aware of the hateful rumours being spread around” and asked that people knew her before judging her.

She said she was sharing the letter to show that all was not as it seemed and to assure people that the children would be coming home to a loving and stable family.

Cat said she along with their two sisters, grandparents, aunties and cousins would be waiting for them.

The handwritten letter – which is not dated or signed and which RNZ has not been able to verify – describes the writer’s love for Cat, apologises to her and says he has a good heart and means well.

“I know if I ever give up trying to make things right I will regret it forever,” the letter says.

“Im sorry for everything I have ever said or done to hurt you,” it says.

The letter goes on to say that “although I make multiple f*** ups I have a good heart and I mean well”.

“We have an awesome family and thats worth fighting for,” is the last line of the letter.

Cat said she had not spoken out earlier because she did not believe it would bring her children home, but the fact that police were now offering a substantial reward had given her the courage to break her silence.

On Tuesday Cat broke her silence to make a video appeal provided by police for people’s help in returning the children to her.

Police have offered an $80,000 reward for information that would help discover the whereabouts of three children and lead to their safe return.

RNZ has contacted the police to verify whether they knew about the letter and whether they can confirm it is from Tom Phillips.

 

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Nicola Willis challenged over climate change, cancer drugs

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Finance Minister Nicola Willis has revealed new details about the timeline for cancer drug funding, and faced a barrage of questions over climate under questioning from MPs.

Willis appeared before the Finance and Expenditure Committee on Wednesday as part of Parliament’s first Scrutiny Week, a new initiative which allows for extended questioning of ministers over the government’s spending.

She quickly came under fire from Labour’s Finance and Climate spokespeople Barbara Edmonds and Megan Woods, and the Greens’ co-leader and Finance spokesperson Chlöe Swarbrick.

Cancer drugs

The election policy of funding 13 specific cancer drugs had been a glaring broken promise from this year’s Budget.

Willis told the committee MPs that as the Budget for this year was formulated, the cancer drugs policy “did require more work”, and she outlined how the government intended to pay for the drugs using money from next year’s Budget while still working to supply the promised drugs.

“It was not resolved in time for Budget 2024, so we agreed it would be a priority for funding set aside in Budget 2025,” she said. “So we are now working diligently on the policy delivery ahead of Budget 2025, with a view to making a decision on it shortly.”

However, she soon clarified that “we will be funding those drugs this year”, and the reason the policy was not funded in this year’s Budget was “we still had significant policy choices to make as we worked through the problem. And so it wasn’t appropriate to set aside a contingency until those fundamental policy decisions had been made”.

She later explained under questioning from Woods that people would be able to access at least some of the drugs before 2025.

“We will be making an announcement that will ensure that some of those medicines are funded this year,” she said.

Woods questioned if that would mean funding for the drugs this year, and Willis agreed.

Under questioning from Edmonds she said expressed confidence that the government would find the money, noting the government had already approved health funding from the 2025 and 2026 Budgets.

“As the member says, budgets are about priorities – and we are confident that, because this policy is a priority, we can and will fund it.”

She later told reporters at Parliament the word “some” was “just a use of a word, we will be funding the 13 medicines, we’ve made that commitment, we’ll be making announcements on it shortly”.

When pressed, however, she would not confirm whether that meant all 13 specific drugs listed in National’s policy would be funded and available before 2025.

“We’ll make a full announcement with the details of how drugs will be accessed and what dates in due course. I’m not making that announcement today.”

She also refused to shed light on how exactly the drugs would be funded.

Climate change

Swarbrick focused in on the Budget and its effect on climate change, asking how Williis could account for the $700m her Budget assumed would be coming from Emissions Trading Scheme revenue when today’s unit auction appeared likely to fail.

Swarbrick highlighted that at an expected $58 price point they would fall short of the $60 lower limit at which the units would be permitted to sell, and asked what would happen if the units failed to sell, but Willis said she was “not going to go into a hypothetical”.

“We have a requirement for approximately $2.9b in terms of your numbers stacking up here for revenue from the emissions trading scheme,” Swarbrick said, “but you’ve also have presented a Budget which cuts approximately $15m from market governance and integrity of the emissions trading scheme, so I’m wondering if you could help us reconcile those things”.

“It is very important … that I not in any way influence auction behaviour,” she said. “We want it to be a functional, effective, reliable market.”

When Swarbrick pushed her on why the funding had been cut from the efficacy and market governance, Willis said the government did not consider that funding necessary to improving the market’s operations, and rejected Swarbrick’s characterisation there was “next to no meaningful regulation of the ETS market, for example insider trading is technically legal”.

“We do not have concerns about the current way in which the ETS is regulated,” Willis said. She noted the government was yet to release the second Emissions Reduction Plan, due in December. That plan would set out how the government intends to achieve the emisssions reductions set out in the Emissions Budget, in line with international obligations.

“The government is doing its own work on the emissions reduction plan and we envisage the ETS will play a critical role,” Willis said. She also pointed to some initiatives the government had not scrapped in this year’s Budget including the rollout of electric vehicle chargers and the purchase of electric buses for local councils to buy.

Swarbrick earlier asked whether the decisions in this year’s Budget would increase or decrease emissions. Willis acknowledged climate impact policy assessments had showed they “won’t make a significant material difference to emission period 1. Over the second two emission periods, they will have an impact of potentially increasing emissions”.

However, she questioned whether those reports were “as good as they could be”, and pointed to the emissions impact report having included policies like more police on the roads, and upgrades to Defence Force equipment and infrastructure, as examples of where the reports were questionable.

“My point is it is not always appropriate to narrowly look at a policy based simply on its emission impact, because I don’t think there is a New Zealander who would say ‘I don’t want you hiring more police because it might add to emissions’.”

She later told reporters the assessment only looked at a subset of 40 initiatives.

Swarbrick also asked about the $3 billion to $24b the government is estimated to need to fork out in “offshore liability” – buying foreign climate credits to make up for the lack of domestic emissions reductions, and whether Willis had budgeted for those expected costs this year.

“No, I have not,” Willis said. “That has not been a priority in this Budget.”

VIA RNZ

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