Episode Transcript
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Speaker 1 (00:05):
Kiyota.
Speaker 2 (00:05):
I'm Chelsea Daniels and this is the Front Page, a
daily podcast presented by The New Zealand Herald. More than
thirty six thousand Nurses Organization members nationwide went on strike
yesterday and they will walk off the job again tomorrow.
(00:27):
Health New Zealand says the action could disrupt treatment services
and care over the entire week, especially for patients with
non urgent needs. It's while the Health Minister, Simeon Brown
has criticized the strikes, saying they'll disrupt more than thirteen
thousand surgeries and appointments, all this after a year of
(00:49):
deadlocked negotiations between the union and Health end Z. Today,
on the Front Page, union delegate and healthcare assistant at
christ Church Hospital, our deech joins us to tell us
what it's like on the ground and at the picket line. So,
(01:10):
first off, ou tell me why have nurses decided to
go on strike?
Speaker 3 (01:16):
Okay, so nurses, midwives and HCAs that are insident members
are striking essentially because our health system has completely overwhelmed
staffing levels, an atrocious state and short staffing is yeah,
it's chronic. It's been ongoing for quite some time and
(01:36):
We've just had enough of it. We're tired Christish Hospital
where our work over the weekend has been in code black.
The hospital is bursting at the seams and wards are
working chronically understaffed, day in, day out, and people have
had enough. I'm on the bargaining team with insident. I
know we've been in bargaining now for since September last year,
(01:57):
so roughly a year. And if that's order have failed
to address any of our key claims.
Speaker 2 (02:04):
I mean, this isn't the first time we've spoken about
understaffing issues. Why hasn't been anything been done?
Speaker 1 (02:11):
Well?
Speaker 4 (02:12):
I think you know, well, I guess the main reason
is funding.
Speaker 3 (02:15):
You know, we have we have a government that's looking
at you know that is underfunded health. It's been an
ongoing issue for quite some time from successive governments. This
government is interested in in you know, sterity measures and
cuts and that have impacted the front.
Speaker 4 (02:32):
Line and health. And it's it's all around budgets.
Speaker 3 (02:36):
It's all around sort of how much to spend, and
so it's not addressing what is fundamental, which is having
enough staff to give the care that we want to give.
Speaker 2 (02:46):
Health New Zealand says that the shift below target or
the SBT data is a moment in time measure and
not a reliable indicator of understaffing. Now, first off, can
you ex explained to me what that data shows and
how do you respond to that? Reasoning from health en
Z I.
Speaker 3 (03:05):
Mean c CDM or care capacity demand management as a
tool through trenk care that measures the acuity of patients
and determines the number of staff that are needed on
any particular shift. The nursing stuff input into that data
ongoing throughout the shift, so it's not like a once office.
(03:27):
It's a continuous process and that that is calculated and
measures through f FDA calculations how many staff were short.
You know, previously the up until their hiring freeze, FDA
calculations have provided uplifts and staffing in many many areas
because of the of the reason that.
Speaker 4 (03:48):
It's shown that we're understaffed.
Speaker 3 (03:51):
So, you know, being cynical, you could say that, you know,
one of the reasons is because it's that they wanted
to get rid of CCDM and trend care or to
sort of modify it is because it's it's showing the
gaps that exist and that that doesn't measure up to
the budget they've allowed.
Speaker 2 (04:08):
So Health New Zealand is also accusing nurses of putting
politics ahead of patients. How does the union respond to
this kind of criticism.
Speaker 3 (04:18):
Well, I mean it's it's it's political and as much
as it's about you know, a public health system and
the need for a good public health system. And it's
that have hit in the government who have become overly
and politically involved in this in this dispute, they're the
ones that have essentially changed it up and had Judith
(04:40):
Collins interfere with the Public Services Minister.
Speaker 4 (04:43):
You know.
Speaker 3 (04:44):
So I guess you could say you could argue that
that they've made it political in their approach.
Speaker 2 (04:52):
It's not all about money, though, is it. I mean
that chronic understaffing. How do you how do we address that?
Do you need a gar and tea I guess from
Health New Zealand to say, well, we promise to hire
x amount by the end of the year or by
year's time or something. I mean, how do we get
around that?
Speaker 3 (05:11):
Yeah, I mean in terms of if you're talking about wages,
it's you know, obviously the cost of living is impacting
on our members and you know, we want to we
want to wage increase that keeps up with and addresses inflation.
Speaker 4 (05:24):
You know, won't being off for so far as essentially
a pay cut.
Speaker 3 (05:26):
But in terms of like for safe staffing, we need
much more money put into the public health system and
we need order to commit to continuing the CCDM trend here.
And also we have a plane on bargaining around culturally
appropriate ratios that would be basically a safety net below
(05:48):
the care capacity demand management process, so that we would
have a net that would ensure that a certain number
of health messes and HCAs are there to provide the
care that we want to give and the care that
advice for a good you know person outcome.
Speaker 1 (06:09):
Right.
Speaker 2 (06:09):
So those processes that you mentioned that kind of mathematically
we figures out how many nurses should be on a
shift or something like that. I mean, on any given
day at the moment, can you give me an example
of how that isn't working out well?
Speaker 3 (06:24):
I mean, I can give you just one an incdotal
example of like where I worked that, you know, especially
on night shift, Like night shifts have been chronically short
staff for some time and and over this this you
know winter period. I mean, it's not really the winter
period because the the the pressures on that house system
of we've seen these numbers even before winter hit, but
(06:48):
over winter, you know, the staffing has become dire.
Speaker 4 (06:52):
Like you know, we're meant to be.
Speaker 3 (06:53):
Staffed to to five r ns and two h c's
on night shift, and regularly one of the is redeployed,
so we are four our ends on instead of five,
and after a certain time there's no h gas on
the floor. So you know, like that's that's just one area,
and that's that's across the board. Like we're we're staffing
(07:15):
and redeployed to try and fill the gaps.
Speaker 4 (07:17):
But when there's not enough staff, everywhere gets short.
Speaker 2 (07:20):
What are some ongoing challenges that nurses are facing that
impact I guess retention.
Speaker 3 (07:26):
Well, I guess a remuneration package that that meets the
cost of living and that that makes it easier, especially
for our members that are you know, single mothers or
single fathers, and that the struggling at the moment on
a sole income.
Speaker 4 (07:40):
You know, so wages essential to keeping people here. But
also when.
Speaker 3 (07:44):
You're in an environment where day in day out, you're
you're becoming anxious and fearful of going to it because
of the pressures and you're knowing how understaffed it is
and how busy it is, people burn out and people
sort of like want to move away from that obviously,
and so you know, when when they see conditions and
(08:05):
wages in Australia to be a lot better than they're
going to want to move to that. So it's something
and they're interest for I guess. But yeah, like we
don't want to see that. We want to see, you know,
a well funded, functioning public health system that retains our staff.
I mean, another aspect of the pressures that people are
under when we are short staffed is the culture that
(08:27):
develops and it becomes very cutthroat and it's something that
we need to address.
Speaker 4 (08:33):
So but yeah, I guess.
Speaker 3 (08:37):
Also you have to look at the fact that our
hospitals are overwhelmed because patients are becoming more acutely unwell.
We have an aging population. Successive governments have failed to
address that. I mean, the social determinants of health, whether
it's housing, whether it's poverty, whether it's homelessness, those sorts
of things. If we had a if we had a
well functioning primary health system, we'd be keeping people well
(09:00):
and longer and keeping them.
Speaker 4 (09:01):
Out of hospitals.
Speaker 3 (09:02):
I mean, the result of our hospital has been overwhelmed
as the result of brought me healthcare failing.
Speaker 1 (09:20):
We're hair not only for ourselves, but we hare for
our patients as well, because they deserve better care than
what we're able to provide in these conditions. And so
we've been pretty clear with our message. We need better staffing,
we want nursing ratios, and we want fear pay and
so far the government hasn't delivered on any of that.
So we've had to take this pretty historic action of
two day strikes, and Samian Brown has been misrepresenting the
(09:41):
truth and the reality. Up on his window today he's
got a sign saying that our strike is delaying thousands
of surgeries. I think he's got thirteen hundred surgeries. But
what he's not saying is the reason there's so many backlogs,
just because the government has failed to deliver on those outcomes.
Speaker 2 (10:01):
I saw that Health Minister Simeon Brown pointed out that
the average salary for a registered nurse is now over
one hundred and twenty five thousand dollars a year, including
overtime and allowances.
Speaker 4 (10:13):
Is this correct?
Speaker 1 (10:14):
Well?
Speaker 3 (10:15):
I would say to that that it's actually deliberate disinformation
because in order for your average nurse to earn that much,
that have to be working, that have to be a
senior nurse to start with, that have to be working,
you know, every every shift that earns a penalty, like
weekends and night shift, that kind of thing, and it's
(10:36):
that's that's just you know, there's only a very very
small number of members that would even earn that much,
So it's just deliberately you know, disinformation. I would say
that sort of is leading the public Australia. And then
when you look at you know, like the other members
of ends that you know that HCA is that don't
(10:57):
as much as are in so I mean what they're
in in is way less. It's only you know, in
the last round of bargaining last time that some HbAS
were brought up to the living wage and you know
there's there's the risk of HbA members falling below that again,
so you know that's that's a significant number of our
membership as well.
Speaker 2 (11:17):
Do you get frustrated when you see things like that
because you know, the average New Zealander who doesn't really
know anything or doesn't have a nurse in their life
say sees, ah, well, they must be doing it right,
because the average wages over you know, there's six figures
or they see something like, oh, graduates are getting you know,
seventy odd thousand dollars a year straight off the bat,
(11:39):
Like it must be frustrating that those figures aren't laid
out like that, Like, no, not everyone is going to
be getting those overnight shifts or weekend shift or Sunday shifts.
Speaker 4 (11:51):
Yeah, yeah, it is.
Speaker 3 (11:53):
It is very frustrating, and I mean it's a deliberate
take to you know, to put out that spin.
Speaker 4 (11:57):
I mean, this scivement's very good at it.
Speaker 3 (11:59):
You know that, like I said, it's a very small
number that would get anywhere near in that amount.
Speaker 4 (12:04):
And you know, like we.
Speaker 3 (12:05):
All need, you know, we acknowledge that, like you know,
many many working people are struggling at the moment of
the cost of living crisis, and you know, we're not
the only ones that are that are needing leading wage
increases that sort of interest and inflation and things like that.
So yeah, that's it's disappointing, but it's not unexpected, I guess.
Speaker 2 (12:26):
And what about the claims that nurses are putting patients
at risk by striking or going on two strikes in
one week, which is unprecedented. But I suppose one wouldn't
become a nurse if you didn't like people.
Speaker 3 (12:39):
Yeah, I mean, obviously we're in this job because we care.
You know, on a personal level, I get a reward
out of caring for people. It's something that you know,
like it's inherent in me. But I mean that's like
caring profession is. It's a role for people that care.
Speaker 2 (12:55):
I mean, I guess it's hard to put into words,
how you know, overworked and overwhelmed. You guys, what's it
been like on the picket lines.
Speaker 4 (13:02):
The response has been great.
Speaker 3 (13:03):
We've had the firefighters here again massive respect and solidarity
with the New Zealand Professional Firefighters Service, they union, they've
they've and we've had the representatives from other unions, from
the from the teachers and senior doctors, that sort of stuff.
I mean, we've had a lot of support, a lot
of public support. Our pickets in March has been very
(13:27):
rowdy and very excited, but you know, members, members are
angry and they're frustrated, and you know, they want to
see our claims addressed.
Speaker 2 (13:39):
And Lastly, now if you could waive a magic wand
what needs to be done tomorrow in terms of bargaining.
Speaker 3 (13:47):
I think that we need to be sitting back at
the table and we need to be having to take
our claims seriously and addressing them. You know, we have
a number of claims that would go a long way
to it dressing the issues around staffing that they're they're
failing to accept an address, So you know that that
(14:07):
would be a first good step would be to sit
back down at the table.
Speaker 4 (14:12):
We want to.
Speaker 3 (14:13):
Sit at the table and negotiate, but if they're not
prepared to even contemplate and accept some of our claims,
then there's there seems to be no point because they're
not they're not coming to the parties. So you know,
that's what we need is we need them to to
accept that, you know, what we're saying is correct and
that they that they need to address our claims.
Speaker 2 (14:33):
Thanks for joining us out.
Speaker 4 (14:34):
That's okay, Thank you very much.
Speaker 2 (14:39):
That's it for this episode of the Front Page. You
can read more about today's stories and extensive news coverage
at nzadherld dot co dot nz. The Front Page is
produced by Jane Ye and Richard Martin, who is also
our editor. I'm Chelsea Daniels. Subscribe to the front page
on iHeartRadio or wherever you get your podcasts, and tune
(15:02):
in tomorrow for another look behind the headlines.