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NZSSD Workforce Survey

NZSSD Workforce Survey. Patrick Manning Gavin Hendry Victoria Farmer. Aim. To obtain a snapshot of the diabetes workforce in New Zealand To determine the regional variation in diabetes workforce throughout New Zealand. Methods. Questionnaire sent to all 21 DHB’s in New Zealand

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NZSSD Workforce Survey

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  1. NZSSD Workforce Survey Patrick Manning Gavin Hendry Victoria Farmer

  2. Aim To obtain a snapshot of the diabetes workforce in New Zealand To determine the regional variation in diabetes workforce throughout New Zealand

  3. Methods Questionnaire sent to all 21 DHB’s in New Zealand Sent to DHB CEO’s requesting information under the OIA All DHB’s eventually responded Data reviewed and verified

  4. Survey Form

  5. Diabetes Physician Workforce

  6. Diabetes Physician Workforce per 100 000 pop Mean 0.35

  7. Diabetes Physician Workforce per 100 000 pop Mean 0.35

  8. Recommended Diabetes Physician Workforce • 77 hours per week for outpatient diabetes + administration per 250,000 population. • This equates to 1FTE per 125,000 population or 0.8FTE per 100,000 population • Based on data from “Federation of the Royal Colleges of Physicians of the United Kingdom. Census of consultant physicians in the UK, 2006. Data and commentary. Suffolk: Lavenham Press, 2007.”

  9. Physician Workforce - FTE

  10. Conclusion • There is significant variation in the provision of diabetes specialist physician services between DHB's. • The national mean is 0.35 FTE Diabetes Specialist Physicians per 100,000 population. • The total Diabetes Specialist Physician FTE for New Zealand is 14.5 • No DHB has a Diabetes Specialist Physician service that is at or above that recommended by the Federation of the Royal Colleges of Physicians of the United Kingdom. • New Zealand requires 19.4 more Diabetes Specialist Physician FTE's to meet recommended numbers.

  11. Diabetes Nurse Specialist Workforce

  12. Diabetes Nurse Specialist Workforce per 100 000 pop Mean 2.79

  13. Diabetes Nurse Specialist Workforce • Figures are only for DHB Diabetes Nurse Specialist/Educators • Certain areas may not be accounted for e.g. paediatrics, antenatal or in the community including nurses employed by PHO’s

  14. Diabetes Nurse Specialist Workforce Findings: • There is significant variation in the provision of Diabetes Nurse Specialist services between DHB’s. • The national mean is 2.79 FTE Diabetes Nurse Specialists per 100,000 population. • The national range is 1.08 to 4.87 per 100,000 population.

  15. 0.70 WestCoast 0.60 Canterbury Mean 2.79 Lakes Wairarapa Otago Auckland Midcentral 0.50 Nelson / Marlborough Southland Capital andCoast Counties Hanukah Waikato HuttValley Northland Waitemata 0.40 Tairawhiti FTE Bayof Plenty Hawkes Bay South Canterbury Whanganui Taranaki 0.30 0.20 0.10 0.00 Diabetes Specialist Physicians per 100,000 population

  16. Dietitian per 100 000 pop

  17. Podiatrist per 100 000 pop

  18. Other Data • Dedicated Diabetes Centres 8/21 • Diabetes Psychologist 9/21 of which the mean is less than 0.4 FTE • Podiatry services mean 0.3 FTE/100,000 • Training registrar positions – 8 total

  19. Conclusions There is significant regional variation in the resources allocated to diabetes care throughout New Zealand This raises the distinct possibility that there is inequity of care No region currently meets the recommended FTE for Diabetes Physicians

  20. NZSSD Recommendations National consensus on the diabetes workforce required per 100,000 individuals Variance based on ethnic mix DHB’s should be instructed to achieve this target over a certain period Training of health professionals required to meet the need

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