Legislation update

August 2016

  • Health and Safety: The Health and Safety at Work Act 2015 came into effect on 4 April 2016. Health and disability providers are using this new legislation to review and update their health and safety policies / procedures to make any needed changes to align with the legislation. This includes at the governance level, staff training and how health and safety management is monitored for on-going effectiveness. There is information available at http://www.business.govt.nz/worksafe/about/reform
  • Vulnerable Children’s Act 2014: The Vulnerable Children Act 2014 has broad application in New Zealand and this includes in the health and disability sector. The children’s workforce is made up of all workers who have regular or overnight contact with children (less than 18 years old), without a parent or guardian being present, as part of their role. In the health and disability sector, organisations contracted by the Ministry of Health and district health boards that provide children’s services must adopt child protection policies that must: a) be written, b) cover the provision of children’s services and c) contain matters related to identifying and reporting child abuse and neglect.   From 1 July 2015, new government safety checking regulations made under the Vulnerable Children Act 2014 that required all paid employees and contractors who work with children for state-funded organisations to be safety checked started to be phased in. The regulations also apply to people doing unpaid work with children as part of an educational or vocational training course (eg, trainees or students). These regulations have been phased in from 1 July 2015, with this phasing happening over four years for new and existing employees and contractors. The key dates for conducting the children’s workforce safety checks are:
    • New employees: a) 1 July 2015 – all new core children’s workers must be safety checked before starting employment or engagement as a children’s worker from this date. b) 1 July 2016 – all new non-core children’s workers must be safety checked before starting employment or engagement as a children’s worker from this date
    • Existing employees: a) 1 July 2018 – all existing core children’s workers must have been safety checked by this date. b) 1 July 2019 – all existing non-core children’s workers must have been safety checked by this date.
    • The entire state-funded children’s workforce is required to be safety checked by 1 July 2019 and workers need to be rechecked every three years.

Services need to determine how this legislation may affect them and references include the following. http://www.health.govt.nz/our-work/health-workforce/childrens-action-plan-childrens-worker-safety-checking-and-child-protection-policies http://www.legislation.govt.nz http://childrensactionplan.govt.nz Also, contact us if you would like a copy of our latest Keep on Tracking newsletter February 2016

Sector Update

August 2015

  • CI ratings:  Continuous improvement ratings can be awarded as defined in the standards for: “Having fully attained the criterion the service can in addition clearly demonstrate a review process including analysis and reporting of findings, evidence of action taken based on those findings, and improvements to service provision and consumer safety, or satisfaction as a result of the review process”.  HDANZ’s audit teams are looking to see evidence as outlined above to demonstrate you have an embedded continued improvement (CI) process or specific quality initiative that represents achievement beyond the expected level of full attainment.
  • Designated Auditing:  Aged care audit reports are fully published on the MoH website.  Public hospital summaries are published and the intent is that published summaries will be increasingly available for all provider types.  This is so that consumers and their families can make more informed choices about care options.
  • RNZCGP: The College has developed The Foundation Standard for General Practice.  The College is responsible for oversight, moderation and training of assessors.  PHOs are responsible to implement the assessment process.  The requirement is that as of 1 July 2016 all practices will either have achieved Foundation or be Cornerstone accredited.

Contact us if you would like a copy of our latest Keep on Tracking newsletter 15 July 2015. 8th August 2014

  • Next HDANZ Auditor Training Course (NZQA 8086) is just around the corner on 18-21 September in Christchurch. To apply, please complete the application form at bottom left side of this web-site or contact us for information
  • The New Zealand Aged Care Associations’ (NZACA – http://nzaca.org.nz/ ) annual conference is 15 – 17 October in Wellington and HDANZ will be represented as usual so come visit us at our stand.
  • It has just been announced that the publishing of full rest home audit reports on the Ministry of Health’s web-site will continue after completion of the 6 month trial.
  • Also, for designated auditing, mental health / AOD contract integration with certification is in full swing with providers certified for psychiatric disability. This includes that their surveillance audit is now unannounced as has been occurring in aged care for a number of years.
  • The Home Care sector successfully transitioned to their updated 2012 standard last year and all providers are expected to now be certified. The funders are involved in this process which has minimised the need for contract audits.
  • Southern Cross Health Society is the latest to make auditing a requirement as, by July 2015, their affiliated providers have to be certified to either NZS 8164:2005 Day Stay Surgery and Procedures Sector Standard or the NZS 8165:2005 Rooms / Office Based Surgery and Procedures.

If you have any queries about audit, certification or auditor training in the health and disability sector then please do contact us.

The Latest Changes

24th January 2013 Summary of updated audit requirements

Earthquake Status Update

2nd March 2011 Just one week ago our lives in Christchurch and wider Canterbury changed forever. After 4th Sept last year this is our worst nightmare. We especially feel for those who have lost loved ones both from here and abroad. Our thoughts and hearts continue to be with you. We are thankful in having received many messages of support and that our team of staff and local auditors are safe with varying degrees of impact including lost property. Our office is based in Ferrymead and the office staff had a bit of a wild ride last Tuesday (Lisa Cochrane and I were out in local aged care services). The office mess has been cleaned up and power was restored yesterday. Computer systems are back up and running (the UPS worked). It is a bit of a mission getting out to the office so we are combining office visits with working from home. Will be getting staff fully back on board subject to water, sewage and personal circumstances. However, in the meantime call 0800 44 99 11 or email me at jim.durose@hdanz.co.nz if you need anything. Once again thank you for the support and I’m sure, like us, you are thinking of those who are no longer with us from this devastating tragedy. Please take care. Jim DuRose – Managing Director

Annual Report

30th December 2010 HDANZ Annual Report 2010

5 October 2010 Update

5th October 2010 For those of us who live in Canterbury, yesterday we had a one month reminder to the main event earthquake of 4th September with a 5.0 “house rattler” at 10.21 pm. Even with the house moving, we can be thankful, as there are many people and families affected who can not live in their homes, or have had to close their business. Our thoughts continue to be with them. In many ways HDANZ was very fortunate. Our office in Ferrymead was not affected (though some minor interior cracks are now showing) and it didn’t even lose power. There has been quite an interruption to workflows and rescheduling of audits, etc but we are mostly now back on track. Staff and our local auditors have had varying degrees of impact on their lives from minimal property damage to being significantly affected. One of our team lives in West Melton and though well prepared with a caravan has had about enough. Plus, our physiotherapy auditor in Kaiapoi has had to relocate his business premises but the house is ok. The main thing is that nobody was hurt but we do wish the earth would stop moving as the continued aftershocks (over 1500) do take their physical and emotional toll with ongoing fatigue being a big factor. The following web-sites can help you keep up with the blow by blow: http://www.geonet.org.nz/ http://quake.crowe.co.nz/ http://www.christchurchquakemap.co.nz/ PS – When the earthquake hit at 4.36 am a good number of the country’s GPs were tucked up in the city’s hotel rooms having completed the first day of their annual conference with the College of General Practitioners (RNZCGP). It is understood that hotel rooms were a mess and many were 12 storeys or so up. They evacuated out into the city streets in various stages of dress including at least one in his underwear. Now that we have your attention – please read on for this update from Around the Sector 1. Health Select Committee finished hearing submissions in July 2010 about the office of the Auditor General’s Report— Effectiveness of arrangements to check the standard of services provided by rest homes (Dec 2009). HDANZ provided both a written and oral submission, and answered a number of queries during the oral presentation. To see all submissions go to; http://www.parliament.nz/en-NZ/PB/SC/Documents/Evidence/?Custom=00DBSCH_OTH_9740_1 2. Designated Auditing for the Safety Act: The latest update of the Ministry’s DAA Handbook was released 3 August 2010. The DAA Handbook outlines acceptable standards for auditing practice based on international standards such as the following;

  • includes third party accreditation requirements of DAAs
  • strengthens minimum qualifications, skills and competencies required of auditors
  • requires a fifty percent rotation of auditors at each certification audit
  • outlines the role of individual members of the audit team
  • provides more explicit information on the management of conflicts of interest
  • confirms a code of conduct for auditors
  • requires an annual declaration to be completed by DAAs including updating their
  • auditor register that is held by the Ministry
  • amends audit requirements to improve the focus of auditing on service delivery

3. HealthCERT also issued an update bulletin for DAAs (July 2010) that included some information that proved to be quite timely for us in Canterbury. Emergency management: Is an alternative water source available? In an emergency in which the main supplies fail, the provider must have an alternative supply of water available, consistent with Health and Disability Services Standard An audit report must include evidence as to whether such a supply is available. To be consistent with civil defence advice, a provider should have at least three litres of drinking water available for each person in the service to last for three days. In addition, they should have at least one litre of water for each of the following:

  • washing food and cooking for each meal
  • washing dishes after a meal
  • personal washing

Regional, district and city councils are responsible for civil defence emergency management. For more information about storing water, refer providers to their local council. The relevant contacts are available on the Ministry of Civil Defence and Emergency Management website: http://www.civildefence.govt.nz/memwebsite.nsf

  • For HDSS criterion also need to attend to emergency lighting, cooking and heating.
  • From our recent earthquake experience a few additional tips include; to stress the importance of a well equipped and fully stocked civil defence kit, emergency food supplies as many services count on the food still being available in the pantry, an emergency get away kit – just in case you have to evacuate, and don’t count on water remaining in the cylinders or holding tanks.

4. Allied Health certification: Physiotherapy services were affected significantly by ACC contractual changes introduced in November 2009. The bottom line is that a number have had to cease trading whereas others continue to maintain their certification and adapt and explore ways to provide services such as expanding off-sites for specific purposes such as schools and sports. 5. Home based support forms a vital part of the continuum of care for older people. Julie Haggie has been appointed Chief Executive Officer of the New Zealand Home Health Association (NZHHA). She replaces Jane Cumming, who left at the end of June. NZS8158:2003—Home and Community Support Sector Standards is being updated in 2011 to bring it into line with the Health and Disability standards and make it more outcome focused. All the best with continuous quality improvement.