Q&As - Staffing
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74. What are the advantages of having the GPs employed by the PHO? |
Most young GPs now expect to work as part of a team and few want to run a business. GPs will work as salaried employees of Nelson Bays Primary Health Organisation in much the same way as hospital specialists are employed by health boards. The PHO was chosen as the employer for the integrated services because it has expertise in health service management and already employs staff in a number of roles in the community. |
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75. Are you going to pay staff less than they currently receive? |
No. Integration business plans are based on transferring staff at current rates of pay. |
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76. Staff say they do not want to work for a trust and are worried they will be offered less money? |
Staff will be employed by the PHO and will transfer at current rates of pay. |
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77. Why can’t you continue some of the integration in the meantime, such as using the hospital as the after-hours contact point? |
| We are looking at ways we can do that. | |
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78. Is there the option to add other services such as dentistry, mental health and alternative health? |
We could look at that in the future, but getting these three health organisations together is enough of a challenge in the meantime! |
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79. Is integration predicated on cutting costs and reducing staff? |
No, the logic behind integration is to sustain and improve health services, attract and retain professional staff and retain rest home facilities in Golden Bay. We hope to do this by making our health dollars go further through more efficiencies and better coordination. |
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80. How can you integrate staff and reduce their numbers? Surely you will still need the same number of nurses to look after rest home residents, and the same number to run the medical centre and the same number at the hospital? |
There are efficiencies we can make with both the use of support staff (reception, cooks, cleaning etc) and possibly with some nursing staff. |
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81. What about the suggestions that staff will be paid less for more work because there will be fewer people employed? |
The employment negotiations for employment in a new integration agreement will be based on existing pay rates. The financial assumptions in the business case for integration were based on the nurses’ collective agreement used for most nursing staff employed in Golden Bay. |
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82. Have the doctors all agreed to be employed by the Primary Health Organisation? |
Negotiations are underway. |
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83. What would happen if a nurse was bathing a rest home resident and there was an emergency at the hospital? How would you decide the priority – would the same nurse do both? |
They are very likely to be different people – a caregiver versus a registered nurse, and we would have sufficient staff to deal with both routine and crisis work. |
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