Follow up to CDHB 10639:

Part 1: In the post-earthquake environment in Canterbury, the Charity Hospital offered its services to the CDHB, an offer that was declined. Would you please provide copies of CDHB minutes or extracts from those minutes at which this offer/s was discussed both internally and with Charity Hospital representatives and the specific reason/s why the offer/s were declined?

Part 2 (a) Is it the policy of the CDHB to discourage staff from volunteering at the Charity Hospital, instead preferring that they undertake contract work at private fee-charging hospitals? If so, would you please provide me with copies of documents which contain that policy.

Part 2 (b) Is it instead the policy of the CDHB to encourage staff to volunteer at the Charity Hospital and if so on what conditions? Would you please provide me with copies of documents which contain this information?

Tags Charity HospitalSpecialistsSurgeonsSurgerySurgical services

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Radiation therapists FTE and Headcount / vacancies, sick leave, oncology FSA as at 1/7/2021 / Wait list between FSA and first radiotherapy treatment. Numbers of hypofractionated treatments, normal and stereotactic treatments completed each month 20/21.

Tags Radiation therapistsRadiation therapyRadiotherapy

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Psychologists: FTE/Headcount / Pay scales 1-9 / Pay scale 10 and above / Number of applications for merit progression and how many successful. 1/12/2019 - 30/6/2021

Tags Mental HealthPsychologistsStaffing

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The latest two staff surveys relating to morale, job safety, security, bullying and harassment and similar from all departments.

• In whatever format or formats it has been communicated to senior leadership.
• And any resulting changes from leadership including emails to staff and/or unions.

Tags StaffStaff surveyStaffingWellbeing

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RMO FTE on ED runs 2016 and 2021, ED patient volumes last five years, ED presentations January and June 2021 by time band and day.

Tags CapacityEmergency DepartmentPatient flowPresentationsResident Medical OfficerRMO

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Provide the following information identified by Department/Specialty and by Hospital – that is, Christchurch, Hillmorton, Burwood, Princess Margaret, Ashburton Hospitals.

• Availability Allowance.
• Average after-hours call hours.
• Call ratio.
• Shift patterns (where they exist).
• Recovery Time Agreements.
• % of Non-Clinical time

Tags After-HoursAvailability allowanceOn-callSMOsStaffing

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With yet more reports appearing in The Press about the crisis that the CDHB is facing in the delivery of public healthcare, apart from surgical procedures being outsourced at considerable cost to the CDHB each year, given that Christchurch has New Zealand's first genuine charity hospital founded by Dr Bagshaw (St George's Hospital is a fee-charging society with charitable purposes while the Charity Hospital does not charge for its services),

1. what involvement has the CDHB had with the Charity Hospital regarding the use of its facilities and volunteer surgeons? To answer that rhetorical question,
2. would you please provide me with copies of all communications between the CDHB and the Charity Hospital from 2008 to 2021 regarding how the Charity Hospital might have assisted the CDHB in coping with its inability to provide surgical services.

Tags Charity HospitalShort-staffingSpecialistsSurgeonsSurgerySurgical services

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Can you please provide me with details of contractors/non FTE staff you have working under the funding and planning, and the IT department?
Function: gender date started at DHB date when IT account was setup, hourly rate P&F or IT M/F dd/mm/yyyy dd/mm/yyyy $xxx

Tags ConsultantsContractorsISGPlanning & Funding (P&F)SalaryStaffTechnology

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Total number of patients with Crohn's disease of ulcerative colitis to receive biologic treatments (infliximab, adalumimab) between 2016 and 2020 inclusive who were:

• White New Zealander
• Maori
• Asian (Ideally separated into South Asian and East Asian)
• Pacific Islanders by each ethnicity separately

Tags AdalumimabCrohn's diseaseInfliximabUlcerative colitis

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The amount of money your department /organisation has spent on the hiring of external contractors in the 2020/2021 financial year.

Could you also provide details of every contract over $10,000, including who/ which firm was hired, to do what job, and over how long of a period.

Tags ConsultantsContractorsSalaryStaff

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1. The Job Description of the person in charge (or employed within the Canterbury District Health Board) of the current and local (Canterbury region) Covid 19 Vaccination process.
2. The Salary (also expenses) of the person in charge (or employed within the Canterbury District Health Board) of the current and local (Canterbury region) Covid 19 vaccination process

Tags CoronavirusCOVID-19EmployeesPublic healthStaffing

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I request the following information relating to Managed Quarantine:

• What treatment, if any, was given to these 'positive cases'?

Tags CoronavirusCOVID-19IsolationMIQsPublic health

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The details of any psychometric testing undertaken as part of staff recruitment, training, resourcing or outsourcing - including as undertaken by outside recruitment firms.

Tags RecruitmentStaffVacancies

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How many MIQ workers and frontline healthcare workers have had their employment terminated because they have not received the Covid vaccination?

Tags CoronavirusCOVID-19EmployeesIsolationMIQsPublic healthStaffing

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Multiple Sclerosis New Zealand is aware that your DHB has been presented with a Business Case to make autologous haematopoietic stem cell transplants (aHSCT) available in your DHB to patients with Multiple Sclerosis. Multiple Sclerosis New Zealand requests a copy of this Business Case along with further information including any analysis of the business case correspondence etc regarding your decisions on this application.

Tags aHSCTAutologous haematopoietic stem cell transplantsMultiple SclerosisStem cell transplants

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The total number of annual leave days taken by (all) Senior Medical Officers (SMOs) in your employ in each of the following months for each DHB (WCDHB and CDHB) separately: December 2020 and January 2021

Tags Annual LeaveLeaveSMOsStaffing

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• Since the start of 2020 how many people have been made redundant at Canterbury DHB?
• How many fixed term contracts been terminated?
• How many people have been employed as permanent staff?
• How many fixed term contracts have been initiated?
• How are your supplies of smart infusions, infusion sets, medications, and IV fluids?
• Are any of your supplies at critical levels? If so, what, and when will they be restocked?
• Are you able to replenish your above mentioned supplies easily?

Tags Clinical suppliesResignationStaffingVacancies

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Re Cardiology Dept 15-29 March 2021:

• Number of echo staff,
• hours worked;
• numbers of cases completed per day and size of backlog;
• period of time backlog has existed;
• number of and period of staff absence for any reason including training, sickness, unfilled positions, acting up;
• work allocation and prioritisation; triage system rules;
• outpatient backlog size;
• age and quality of equipment.

Tags CapacityCardiologyEchoStaffing

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• Community Mental Health Services - Child and adolescent metal health; and (Te Haika) Mental Health Crisis response.
• DHB Mental Health Services Admissions, waitlists, number of psychologists employed by the DHB.

Tags CAFChild healthCommunity Mental Health ServicesCrisis resolutionMental HealthPsychologistsWait list

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The number of workers, not employed by hotels, but working in MIQFs who are currently earning below the Living Wage.

Tags CoronavirusCOVID-19Living wageManaged isolationMIQFMIQsStaff

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Background

The Information Team at Community and Public Health (the public health division of the Canterbury District Health Board), was approached by the Canterbury Regional Isolation and Quarantine (C-RIQ) leadership who were concerned by incidents of stigma and discrimination being reported to them by staff working within the Canterbury Managed Isolation and Quarantine facilities (MIQF). In order to inform next steps by the C-RIQ leadership in supporting their workforce, a rapid literature review and a survey of Canterbury MIQF staff was undertaken in late 2020.

You can also read the full MIQ facility workers survey and literature review

Tags CoronavirusCOVID-19Managed isolationMIQFMIQsPandemicStaffWellbeing

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Background

The Information Team at Community and Public Health (the public health division of the Canterbury District Health Board), was approached by the Canterbury Regional Isolation and Quarantine (C-RIQ) leadership who were concerned by incidents of stigma and discrimination being reported to them by staff working within the Canterbury Managed Isolation and Quarantine facilities (MIQF). In order to inform next steps by the C-RIQ leadership in supporting their workforce, a rapid literature review and a survey of Canterbury MIQF staff was undertaken in late 2020.

Literature Review

To date, little or no research has been applied to understanding any work-related wellbeing impacts for individual MIQF workers, their whānau, and their communities, as well as any implications for life outside-of-work. The most closely related literature is focused on healthcare and other front-line workers’ experiences within in-patient contexts, for other viral diseases such as HIV, EBOLA, MERS, SARS (although the COVID-19 literature is emerging).

In a high-stress situation, such as a pandemic response, distorted disease perception, misinformation, and fear can trigger reactions from individuals and groups that can disproportionately affect front-line workers (and their significant others) and lead to negative psychosocial outcomes. Stigma and discrimination directed towards front-line healthcare workers have been well documented across several previous viral epidemics including HIV, EBOLA, MERS, SARS, and currently COVID-19, where they have been shown to be strongly associated with low staff motivation, poor staff retention, low morale, reduced psychological wellbeing, and in some cases anxiety and depression.

The applicability of the literature review findings to COVID-19 MIQ facilities in New Zealand needs to be considered in light of the differences in illness severity and the nature of the settings studied in the literature. Despite these differences, previous epidemics and settings share many common elements, and many of the studies propose strategies that might be applied in the context of New Zealand’s MIQ facilities.

You can also read the MIQ facility workers survey summary

Tags CoronavirusCOVID-19Managed isolationMIQsPandemicStaffWellbeing

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The total number of staff vacancies across all sites operated by the DHB, broken down by area of work (eg. Nursing) as of 01/03/2021.

Tags StaffingVacancies

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Christchurch Hospital nurses turnover:

• How many nurses have left their jobs at Christchurch Hospital in the past three months?
• How many were replaced?
• How many have left the CDHB?
• What has been the turnover rate over the last three months and how does it compare with previous years?

Tags NursesNursingRecruitmentResignationStaffingVacancies

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Please can you advise on the total spent on temporary casual / bank and agency workers by the District in the periods Financial Year 18/19 and 19/20. Your response should be broken down by professional group and financial year.

• Nursing
• Allied Health Professionals
• Medical:  Medical Agency spend also includes spend on Locum Doctors.

Tags Agency workersCasual workersConsultantsLocumsSalaryStaffTemporary staffTemps

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Information regarding being a "Living Wage Employer":

1. Is your DHB currently a registered living wage employer?
2. If yes what factors influenced that decision?
3. Are your contractors/sub-contractors currently living wage employers?
4. Do you require them to be?
5. Does your DHB currently have plans to become a living wage employer?
6. If so can you describe how far you have progressed?
7. What do you see as the obstacles to becoming a living wage employer?

Tags Living wagePayPay rateSalaryStaff

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Corporate Office - salaries, consultants employed in past year, amount spent on IT projects.

Tags ConsultantsSalaryStaff

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Communications regarding the recruitment of new CEO and six other vacant executive management positions.

Tags CEOEMTRecruitmentStaffVacancies

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Resident Medical Officers (RMOs) cross cover instances, instances of additional duties paid, not taken up, and paid at higher rate.

Tags Resident Medical OfficerRMO

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Number of part-time Resident Medical Officers (RMOs).

Tags Resident Medical OfficerRMOVacancies

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In the past six months how many nursing staff have resigned or gone on maternity leave? Of those, how many have been replaced?

Tags Maternity leaveNursesNursingRecruitmentResignationStaffingVacancies

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• Average annual remuneration paid to the 20 highest-paid clinicians, broken down by gender (into number of men and women in this set of 20, and the average salary paid to each gender).
• Average annual remuneration paid to the clinical heads of department, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time surgeons , broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to part-time surgeons, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time Senior Medical Officers, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time Resident Medical Officers, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time ED nurses, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The number of sexual harassment, gender discrimination or bullying complaints each year for the last five years (Jan to Dec, including 2020 YTD), with a brief outline of each compliant and a breakdown by gender.
• Any reports, documents, correspondence, legal advice or emails (both internal and external) regarding: gender pay gap, gender bias, and/or sexual harassment and gender discrimination between January 2015 to September 2020.

Tags RemunerationSalarySalary bandsStaff

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• In the past two years to date how many Employment Relations Authority (ERA) hearings has the CDHB lost?
• How much money has the DHB paid to former staff members who have laid personal grievance claims against the DHB?
• How many cases has Chris Jury been involved in where the DHB has lost following an ERA hearing?

Tags Employment Relations AuthorityERAStaff

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Average Registered Nurse salary 2005-2020.

Tags Registered nurseSalarySalary bandsStaff

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DHB spend on locums for medical specialists every year for the past five years. i.e. General surgery, Orthopaedics, Enterology, Gynaecology, Ophthalmology, Urology, Cardiology.

Total locum spend year by year over this period, as well as the total internal staff spent on specialists for the same periods?

What is the size of the population the DHB serves and what is its annual operating budget? It would also be helpful to have explanations for higher (or lower) than usual locum costs for particular periods and whether or not the DHB offers limited services in respective departments.

Tags CardiologyEnterologyGynaecologyLocumsOphthalmologyOrthopaedicsShort-staffingSMOsSpecialistsStaffingSurgeryUrology

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How many RMOs employed by the DHB are Australian citizens or graduates of an Australian Medical School and a breakdown of these employees stating whether each one is a house officer or registrar and their specialty.

Tags Australian citizensResident Medical OfficerRMO

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Occupational therapists: headcount, FTE, annual leave taken. Continuing professional development Budget and Spend 2018/2019 and 2019/2020

Tags Occupational TherapyPhysiotherapyStaffing

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All annual reports from financial year 2001/2002 - 2007/2008.

Tags Annual ReportStaffing

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Questions around Medical Oncology staffing numbers, leave taken by staff, and type of leave taken by staff.

Tags CancerLeaveOncologyOutsourcingPatientsradiation oncologyRadiation therapyShort-staffing

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Psychotherapists employed by the DHB and CPD budget and spend 2018 and 2019.

Tags Mental HealthPsychotherapistPsychotherapy

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