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Think Differently About DHB Multi-Employer Collective Agreements James Hogan

Think Differently About DHB Multi-Employer Collective Agreements James Hogan (Masters of Commerce Thesis). You Know About MECAs. You know the agreement terms and conditions Automatic salary band inflation adjustment

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Think Differently About DHB Multi-Employer Collective Agreements James Hogan

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  1. Think Differently About DHB Multi-Employer Collective Agreements James Hogan (Masters of Commerce Thesis)

  2. You Know About MECAs • You know the agreement terms and conditions • Automatic salary band inflation adjustment • Automatic annual salary band increments for doctors and nurses without performance review • Rigid junior doctor training runs requirement • You know the process • Tripartite arrangement between DHBs, unions, Minister of Health • You know how they have affected your DHB. • There's nothing I can tell you about that.

  3. Politics, Policy and the Role of Evidence • How should DHBs conduct their Industrial Relations policy? • Recognise that Clinicians know best, and Clinical Leadership will create the best health workforce that is “good” and “best”.http://www.northlanddhb.org.nz/AboutUs/OurPeople/ClinicalLeadership.aspx)` • Nurses deserve better. They are the backbone of the health sector. We should pay them more.http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=3589906) • A positive and profitable workplace is created through good treatment for employees. A negative workplace culture flows from the misalignment of employer and employee interests(Royal Australian College of Physicians) (http://www.google.co.nz/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CCEQFjAA&url=http%3A%2F%2Fwww.racp.org.nz%2Findex.cfm%3Fobjectid%3DE2F74DB8-95EE-6BC7-9E2C313D721B6F11&ei=MwoYVN-EC6OziwLksICoDg&usg=AFQjCNGAwU0xn4WAkHLS_5L-Wp5EIbUdyw&bvm=bv.75097201,d.cGE&cad=rja) • Our best and brightest are leaving! Pay them more(http://www.health.govt.nz/our-work/health-workforce/education-and-training/advanced-trainee-fellowship-atf-scheme) • Its apt that two days out from a general election, I am talking about politics. • But I want you to focus on Economics: verifiable, provable, evidenced-based, policy-focused, real world analysis.

  4. Little bit of labour market economic theory... • Point (A) is a Magic Point and I will tell you why. • Point (B) is where the MECA agreements have lead your DHBs: • You're employing fewer workers than you want to. • You're paying more for each worker than you should be. • You can't get enough workers even if you want you. Something is stopping you. • You are powerless to change the workforce terms and conditions. They are set nationally. “Professor Gorman says there are 582 accredited hospital training positions - enough for the 400 New Zealand medical graduates expected to seek to fill them this year - but bottlenecks remain and need to be cleared.” (http://www.radionz.co.nz/news/national/240482/foreign-doctors-demand-action-on-jobs)

  5. Problems: The Evidence

  6. Problems: The Evidence

  7. MECA Distortions:Graduates Can't get Employed

  8. MECA Distortions: Overseas Attracted by Higher than Competitive Wages

  9. Estimating the DHB Workforce • Each workforce effects each other • Change in Doctors effects how many nurses are needed. • Change in Nurses effects how many support staff are needed • Change in Man/Admin depended on how many nurses/support staff are needed..... • Not all workforce are equal • Doctors produce more “health sector output” per worker than nurses. • Nurses produce more “health sector output” than allied health workers in secondary care providers • Allied health workers produce more “health sector output” then nurses in tertiary providers • Not all health sector providers are equal: • Secondary Providers need more nurses: they are nursing constrained • Tertiary Providers have too many nurses: they are nursing over-endowed • Everybody needs more doctors: doctors are systemicallyscarce. Problem with the System

  10. Departing thoughts • This is a VERY big topic • There's a lot in my thesis – more than 30 mins. I've given you a very big overview • This is your data • You made HWIP 7 years ago. And NOW its created a rich data set capable of supporting the economic and forecasting modelling it was designed to do • These results are EVIDENCE BASED. Underlying all these numbers are individuals. • Because this is YOUR DATA it shouldn't come as a surprise to you, that these are the results: it would be more surprising if these results were a surprises. • Strategic Workforce Planning • Www.wiltshirehogan.co.nzIs a website created for scenario modelling . I'm happy to spend more time explaining this website more.

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