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9bb6ecfa7b3e-0 | Human Tissue Act | Ministry of Health NZ
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HomeOur workRegulationHuman Tissue Act
Human Tissue Act
About the Act
Standard for non-therapeutic use
Consent process
Publications
Human Tissue Act | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/human-tissue-act |
9bb6ecfa7b3e-3 | The Human Tissue Act 2008 regulates the collection and use of tissue, primarily from dead human bodies, and sets up a framework for informed consent for human tissue collection and use.The Act also regulates trading in tissue, and provides for the establishment of regulations for the use of tissue for non-therapeutic purposes (eg, audit, anatomical examination, research and post mortem) and the importing and exporting of human tissue.
In addition, although the collection and use of tissue from living people is largely covered by existing legislation and common law, the Act also requires informed consent for:
analysis for the purpose of providing information about a condition or rait of a person ('donor analysis'), where the tissue is not collected in a health care procedure (tissue collected in a health care procedure is covered by existing legislation and guidelines)
the use for a secondary purpose of tissue collected from a living person after the donor’s death (ie, for a purpose other than one that the donor consented to while alive).
The Human Tissue Act 2008 was passed in April 2008 and came into force on 1 November 2008. It repealed and replaced the Human Tissue Act 1964. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/human-tissue-act |
9bb6ecfa7b3e-4 | In this section
About the Human Tissue Act
Information about the Act, including the consent framework, organ and tissue donor register, non-therapeutic use Standard, and offences and penalties.
Read more
Standard for the non-therapeutic use of human tissue
This standard ensures that correct processes are followed for collection, storage, use and return/disposal of tissue collected for non-therapeutic purposes.
Read more
Consent process for the use of human tissue
These documents provide guidance on the consent process for the collection and use of human tissue under the Human Tissue Act 2008.
Read more
Human tissue publications
Publications relating to regulation of the collection and use of human tissue in New Zealand.
Read more
Publication
Guidelines on the Use of Human Tissue for Future Unspecified Research Purposes
Related areas
Consent process for the use of human tissue
Page last updated: 15 May 2009
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Back to top | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/human-tissue-act |
000a969debb3-0 | Resources for Ngā Paerewa Health and Disability Services Standard | Ministry of Health NZ
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000a969debb3-1 | Other related resources
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000a969debb3-2 | View the full A-Z
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HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services Standard
Certification of health care services
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Resources for Ngā Paerewa Health and Disability Services Standard | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard |
000a969debb3-3 | On 28 February 2022 the updated Ngā Paerewa Health and Disability Services Standard NZS 8134:2021 came into effect.Ngā Paerewa Health and Disability Services Standard
Director-General of Health, Dr Ashley Bloomfield, introduces the Ngā Paerewa Health and Disability Services Standard. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard |
000a969debb3-4 | The Minister of Health has approved the updated Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021) for use under the Health and Disability Services (Safety) Act 2001. On 28 February 2022 the Ngā Paerewa Health and Disability Services Standard came into effect.
Ngā Paerewa replaces the Health and Disability Services Standards NZS 8134:2008, the Fertility Services Standard NZS 8181:2007, the Home and Community Support Sector Standards NZS 8158:2012, and the Interim Standards for Abortion Services in New Zealand. There was significant duplication across the four standards and amalgamating them into one means a wide range of health and disability providers and settings will now have a consistent standard for providing safe and quality of care.
Providers of fertility services, primary maternity centres, hospices, overnight hospital inpatient services (public and private), age-related residential care, residential addiction, mental health, and disability services will be required to comply with the Ngā Paerewa Health and Disability Services Standard NZS 8134:2021. Ngā Paerewa is also fit for use by home and community support services and abortion service providers in New Zealand Aotearoa.
Ngā Paerewa defines the updates to the quality and safety requirements for the provision of included services in New Zealand. A copy of the standard is available on the Standards New Zealand website.
HealthCERT provided a variety of workshops, education sessions, and printable resources to ensure the health and disability service providers, health professionals, designated auditing agencies, and the people and whānau who use these services are well supported in preparation for Ngā Paerewa to come into effect. For more information about engagement opportunities, see Training and support.
About Ngā Paerewa | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard |
000a969debb3-5 | About Ngā Paerewa
Ngā Paerewa reflects the shift towards more person- and whānau-centred health and disability services. People are empowered to make decisions about their own care and support in order to achieve their goals, with a stronger focus on outcomes for people receiving support.
Ngā Paerewa adopts a modular certification framework. This means that services are only audited against the sections, sub-sections and criteria relevant to those services. Each of the six sections is outcome focussed, which gives service providers flexibility in how they demonstrate they are achieving the requirements within the context of their service.
Each sections’ outcome statements have been updated to reflect the partnership between service providers and the people and whānau who use their services - and the service provider’s additional responsibilities under Te Tiriti to be responsive to the needs of Māori. To read more about how these were developed, see People statements.
Mapping analysis: Comparing the current standards to Ngā Paerewa | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard |
000a969debb3-6 | Mapping analysis: Comparing the current standards to Ngā Paerewa
HealthCERT completed an official mapping analysis of the Health and Disability Services Standards NZS 8134:2008, the Fertility Services Standard NZS 8181:2007, the Home and Community Support Sector Standards NZS 8158:2012, and the Interim Standards for Abortion Services in New Zealand to the updated Standard NZS 8134:2021. A post implementation review was also completed resulting in a second update to the standards mapping. A high-level version of the mapping analysis is provided below. This high-level summary of the mapping analysis shows what percentage of Ngā Paerewa’s material is new and what percentage is similar or the same. The detailed mapping analysis demonstrates what key areas of the standard have changed and make it easier for providers to determine what they need to focus on as they prepare to implement Ngā Paerewa. HealthCERT’s training and support will be framed around the unmapped criteria.
The detailed mapping analysis can be viewed at Standards Mapping Analysis.
The mapping analysis is categorized into three elements: | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard |
000a969debb3-7 | Mapped: criteria are explicit or intended in the previous standards
Partially mapped: criteria are not explicit in the previous standards and/or have a new component added in Ngā Paerewa criteria)
Unmapped: criteria do not map to previous standards
Mapping the Health and Disability Services Standards NZS 8134:2008 to Ngā Paerewa indicates that:
63% directly map
22% partially map
15% do not map | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard |
000a969debb3-8 | Certification transition planning
HealthCERT is adopting a transparent, supportive approach to implementing Ngā Paerewa. This includes an update to the Designated Auditing Agency Handbook and adopting a staged approach for unmapped and partially mapped criteria, where there are not immediate risks of harm to people and whānau using services.
A transition model for Ngā paerewa surveillance audits has been developed with inclusion of all new Te Tiriti criteria to support providers implementation of cultural safety services, particularly for Māori. The surveillance audit criteria is to be used for a transition period of 18 months to 2 years from 28 February 2022. The transition surveillance audit criteria is outlined in the following document.
Transition surveillance audit for Ngā paerewa Health and disability services standard (PDF, 244 KB)
Transition surveillance audit for Ngā paerewa Health and disability services standard (Word, 105 KB) | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard |
000a969debb3-9 | In this section
Training and support
HealthCERT is providing a variety of online seminars, education sessions, and printable resources to ensure health and disability service providers, health professionals, designated auditing agencies, and the people and whānau who use these services are well supported in preparation for the Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021) to come into effect.
Read more
Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)
This guidance supports providers to meet the updated Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.
Read more
Te Apārangi: Māori Partnership Alliance
Te Apārangi: Māori Partnership Alliance was established to work in partnership with HealthCERT and Regulatory Assurance teams to provide expert Māori advice, framed by Te Tiriti o Waitangi
Read more
Page last updated: 10 March 2023
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589fdd1f72f3-0 | Notifying an incident under section 31 | Ministry of Health NZ
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See all
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Rest home certification
Visiting a doctor or nurse
See all
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View the full A-Z
NZ health system | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
589fdd1f72f3-1 | Other related resources
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Health research and innovation
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Māori health
Medicinal cannabis
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Mental health and addiction
Nursing
Oral health
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Pacific health
Pay equity
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Primary health care
Public health workforce
Regulation
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Tobacco control
WHO Code in NZ
View the full A-Z
Health statistics | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
589fdd1f72f3-2 | View the full A-Z
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HomeOur workRegulationCertification of health care servicesFor service providersNotifying an incident under section 31
Certification of health care services
Health and Disability Services (Safety) Act
Standards
For residents and families
For service providersAnnual service provider declaration
Notification for one hospital-level resident to be cared for in a rest home service area
Applying for certification
Designated auditing agencies
Notifying a change of clinical or facility manager
Notifying a change of governance
Notifying an incident under section 31
Reconfiguring services or building a new premises
Reporting on an ACC Notification of Harm
Residential disability provider surveillance
For designated auditing agencies
For Te Whatu Ora
Making a complaint
HealthCERT Bulletin
Publications
Notifying an incident under section 31 | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
589fdd1f72f3-3 | Section 31(5) of the Health and Disability Services (Safety) Act 2001 requires certified providers to notify the Director-General of Health about any:
health and safety risk to residents or a situation that puts (or could potentially put) the health and safety of people at risk
Police investigation into any aspects of the service
death reported to the Coroner of a person to whom you have provided services or that occurred in any premises in which services are provided. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
589fdd1f72f3-4 | Reporting of these incidents enables providers and the health system to review and learn from adverse events. This knowledge helps everyone to provide safe and quality services.
If you are an aged residential care provider, hospice or provide maternity services, please use the Notification of an incident under section 31 form (Word, 87 KB) to advise HealthCERT of these incidents.
The Section 31 Reporting Guidelines (Word, 68 KB) provide more information about what incidents should be reported and things to consider when reporting an incident.
COVID-19 (novel coronavirus capable of causing severe respiratory illness) has been added to Section B of Part 1 of Schedule 1 of the Health Act 1956 and is now a notifiable disease. Cases or outbreaks of COVID-19 do not require notification to HealthCERT under Section 31. For information on COVID-19 reporting, please see updated advice for health professionals on the Ministry's COVID-19 website.
Registered nurse workforce availability in aged residential care
In response to an increasing concern about Registered Nurse (RN) shortages since the COVID-19 pandemic, in April 2022 HealthCERT created a specific RN shortage section 31 notification form for aged residential care providers. This form provides the information that HealthCERT needs to assess risk and mitigation of the RN shortage, as well as information HealthCERT aims to share with working groups who are focussing on the national RN shortage.
Aged residential care providers shall use the Notification of Registered Nurse Shortage Form (Word, 68 KB) to notify HealthCERT if they experience a shift where insufficient RNs meant there was a health and safety risk for residents, or when contractual requirement pertaining to RN oversight is not met.
Please submit this form as a Word document (avoid converting to a pdf document, or handwritten forms).
Pressure injuries | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
589fdd1f72f3-5 | Pressure injuries
Currently HealthCERT requires aged residential care providers, hospices and maternity services to report all pressure injuries at stage 3 and above on a separate form. That is: | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
589fdd1f72f3-6 | all stage 3 and stage 4 pressure injuries
unstageable pressure injuries
suspected deep tissue injuries.
Mucosal pressure injuries occur within a body opening, such as a nostril or the mouth. They are usually associated with pressure from a device, for example, an endotracheal or nasogastric tube.
Although mucosal pressure injuries fall outside the current cutaneous staging system, they are significant as can increase the risk of pain, infection and other problems in a vulnerable person.
For pressure injuries use Notification of a pressure injury form (Word, 94 KB). Reporting is required irrespective of where the pressure injury was acquired.
From December 2020, the notification form has been updated to include mucosal pressure injuries.
Advising your Te Whatu Ora portfolio manager
If you hold a contract with Te Whatu Ora, you should also send a copy of the completed notification form to your Te Whatu Ora Portfolio Manager.
Further information
If you have any questions, please contact HealthCERT on 0800 113 813 or at [email protected]. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
589fdd1f72f3-7 | Downloads
Notification of an incident under section 31 form (docx, 87 KB)
Notification of a pressure injury form (docx, 94 KB)
Section 31 Reporting Guidelines (docx, 68 KB)
Notification of Registered Nurse Shortage Form (docx, 68 KB)
Page last updated: 01 February 2023
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Back to top | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/notifying-incident-under-section-31 |
a7fc5643df54-0 | Part 4: Person-centred and safe environment | Ministry of Health NZ
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HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services StandardSector guidance
Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)Part 1: Our rights
Part 2: Workforce and structure
Part 3: Pathways to wellbeing
Part 4: Person-centred and safe environment
Part 5: Infection prevention and antimicrobial stewardship
Part 6: Restraint and seclusion
Part 4: Person-centred and safe environment | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-3 | Section 4.1: The facility
Criterion 4.1.1
Guidance for all providers
Ensure the facility has considered the use of the environment for various activities and cultural needs. For example, creating/improving culturally appropriate environments for whānau visiting and supporting Māori in your service. These environments could take the form of a separate space for whānau to gather, such as whānau rooms in hospitals. This ensures safe, and culturally appropriate spaces to have gathering, share kai, have karakia and other practices that centre around a holistic approach to care. Further, a pre-emptive approach to identifying those that would benefit from such spaces and proactively offering access, as opposed to whānau needing to ask, could promote wellbeing and help minimise disincentives such as feeling like a burden.
Criterion 4.1.2
Aged care: Guidance
External areas are independently accessible.
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.
The external environment of the home shows that the service provider:
maintains and trims gardens and trees, and manages allergy-producing plants to meet the needs of the people receiving services
considers sensory stimulation and aids – for example, chimes, use of colour contrast for low vision and fragrance gardening – to help people to negotiate their external environment
makes outside spaces accessible for all the people in the house, including through ground surface indicators and non-slip surfaces. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-4 | Service providers provide shade in the outside space.
The physical environment supports the independence of people receiving services, such as through appropriately placed handrails.
When people need to be transported or transferred between rooms or services in beds or wheelchairs, doorways, thoroughfares, lifts, and turning areas can readily accommodate the bed or wheelchair, attached equipment, and any escorts.
Fertility services: Guidance
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-5 | Residential disability: Guidance
External areas are independently accessible.
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.
The external environment of the home shows that the service provider:
maintains and trims gardens and trees, and manages allergy-producing plants to meet the needs of the people receiving services
considers sensory stimulation and aids – for example, chimes, use of colour contrast for low vision and fragrance gardening – to help people to negotiate their external environment
makes outside spaces accessible for all the people in the house, including through ground surface indicators and non-slip surfaces.
Service providers provide shade in the outside space.
The internal environment of the home shows:
the service provider’s office equipment is not in the living space unless the space can be used by everyone in the house
it has adequate task and general lighting, dimmer switches for low vision, handrails, and other supporting features as required.
The home has safety locks on windows to allow safety as well as security.
Residential mental health and alcohol and other drug: Guidance
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-6 | The external environment of the home shows that the service provider:
maintains and trims gardens and trees, and manages allergy-producing plants to meet the needs of the people receiving services
considers sensory stimulation and aids – for example, chimes, use of colour contrast for low vision and fragrance gardening – to help people to negotiate their external environment
makes outside spaces accessible for all the people in the house, including through ground surface indicators and non-slip surfaces.
Service providers provide shade in the outside space.
Public/private hospital: Guidance
When designing (or redesigning) services, service providers consider:
the impact of the facility design on service delivery models
versatile, flexible spaces (for example, open design to allow open space such as ‘marae’ style)
accommodation that meets particular cultural or identity needs of people
a co-design approach.
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-7 | Birthing units: Guidance
When designing (or redesigning) services, service providers consider:
the impact of the facility design on service delivery models
versatile, flexible spaces (for example, open design to allow open space such as ‘marae’ style)
accommodation that meets particular cultural or identity needs of people
a co-design approach.
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.
Hospice: Guidance
When designing (or redesigning) services, service providers consider:
the impact of the facility design on service delivery models
versatile, flexible spaces (for example, open design to allow open space such as ‘marae’ style)
accommodation that meets particular cultural or identity needs of people
a co-design approach.
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances.
Abortion services: Guidance
Service providers consider:
minimising environmental hazards
using amenities, fixtures, equipment, and furniture that meet infection prevention requirements, and are easy to clean and maintain
providing non-slip surfaces or other safe, effective means of minimising slipping in areas frequently exposed to moisture or slippery substances. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-8 | Criterion 4.1.3
Aged care: Guidance
The home has adequate space for equipment, individual, and group activities, and quiet space for people receiving services and their whānau.
Service providers consider relevant resources when renovating, including Lifemark standards and Homestar standards.
Where services provide dementia and psychogeriatric services, they consider relevant resources when renovating – for example. Lifemark standards, Homestar standards, and the Ministry of Health’s (2016) Secure Dementia Care Home Design: Information resource.
Residential disability: Guidance
The people in the household have the ultimate authority about how spaces are used and set up.
Service providers provide visual prompts and cues in homes as needed to enhance communication.
Houses have adequate room for the people who live in them. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-9 | Criterion 4.1.4
Aged care: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy.
When designing services for people with dementia or psychogeriatric needs, service providers consider available resources; for example, Ministry of Health (2016) Secure Dementia Care Home Design: Information resource.
Fertility services: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy.
Residential disability: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy.
No toilet doors have signs stating, ‘staff toilet only’.
Showers are accessible to all people.
Residential mental health and alcohol and other drug: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy.
No toilet doors have signs stating, ‘staff toilet only’.
Showers are accessible to all people.
Public/private hospital: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy.
Birthing units: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy.
Hospice: Guidance | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-10 | Hospice: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy.
Abortion services: Guidance
Gender-neutral toilets are available in shared spaces.
Toilets are of a suitable size to accommodate equipment and the activity required for the person receiving services.
Processes are in place to assure privacy. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-11 | Criterion 4.1.5
Aged care: Guidance
People who use mobility aids are able to safely manoeuvre with their aid within their personal space/bed area.
Where people need to be transported or transferred between rooms or services, doorways, thoroughfares, lifts, and turning areas can readily accommodate the bed, attached equipment, and any escorts.
Residential disability: Guidance
People who use mobility aids are able to safely manoeuvre with their aid within their personal space/bed area.
Where people need to be transported or transferred between rooms or services, doorways, thoroughfares, lifts, and turning areas can readily accommodate the bed, attached equipment, and any escorts.
Criterion 4.1.6
Aged care: Guidance
The external window can be opened, allowing fresh air into the room, and is suitable to the environment of the person’s room. For example, the room may have an external ranch slider.
Service providers monitor the environmental temperature.
Service providers have implemented processes to manage significant temperature changes.
Residential disability: Guidance
The external window can be opened, allowing fresh air into the room, and is suitable to the environment of the person’s room. For example, the room may have an external ranch slider.
Service providers monitor the environmental temperature.
Service providers have implemented processes to manage significant temperature changes.
Service providers supply effective heating for healthy and enjoyable lives. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-12 | Criterion 4.1.7
Fertility services: Guidance
Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
Evidence shows service providers seek comprehensive feedback from Māori and their whānau.
Residential disability: Guidance
Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
Evidence shows service providers seek comprehensive feedback from Māori and their whānau.
Residential mental health and alcohol and other drug: Guidance
Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
Evidence shows service providers seek comprehensive feedback from Māori and their whānau.
Public/private hospital: Guidance
Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
Evidence shows service providers seek comprehensive feedback from Māori and their whānau.
Birthing units: Guidance
Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
Evidence shows service providers seek comprehensive feedback from Māori and their whānau.
Hospice: Guidance
Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
Evidence shows service providers seek comprehensive feedback from Māori and their whānau.
Abortion services: Guidance
Service providers consider the evidence around what makes Māori receiving services and their whānau feel culturally safe.
Evidence shows service providers seek comprehensive feedback from Māori and their whānau. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-13 | Section 4.2: Security of people and workforce
Criterion 4.2.1
Guidance for all providers
Service providers meet the reporting requirements of the New Zealand Fire Service as specified in the Fire and Emergency New Zealand (Fire Safety, Evacuation Procedures, and Evacuation Schemes) Regulations 2018.
Criterion 4.2.2
Guidance for all providers
Where applicable, service providers have an emergency management plan that links to local district health board and local authority (Civil Defence Emergency Management Act 2002) requirements.
Emergency equipment is accessible, stored correctly, maintained, not expired, and stocked to a level appropriate to the service setting.
Service providers have policies and procedures on fire safety and emergency management relevant to the service.
Service providers prominently display evacuation plans or procedures.
Additional guidance
Aged care
Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.
Fertility services
Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.
Public/private hospital
Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.
Birthing units
Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies.
Hospice
Where applicable, service providers have access to oxygen and suction equipment, which they keep in a state of readiness for use in emergencies. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-14 | Criterion 4.2.3
Guidance for all providers
Service providers consider civil defence requirements, noting a generator is not always available.
Service providers have business continuity planning or a disaster recovery plan in place. They have evidence that they have trialled it.
Service providers provide induction and training for health care and support workers around responding to emergency and security situations.
Service providers monitor the wellbeing of their health care and support workforce during an emergency.
Selected health care and support workers undertake fire warden training.
Service providers support people receiving services to maintain their own wellbeing and know what to do in an emergency.
Criterion 4.2.4
Aged care: Guidance
Relevant health care and support workers have first aid training appropriate to the service.
A health care and support worker who is trained in first aid works on each shift.
Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.
Fertility services: Guidance
Relevant health care and support workers have first aid training appropriate to the service.
A health care and support worker who is trained in first aid works on each shift.
Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.
Residential disability: Guidance
Relevant health care and support workers have first aid training appropriate to the service.
A health care and support worker who is trained in first aid works on each shift.
Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.
Residential mental health and alcohol and other drug: Guidance
Relevant health care and support workers have first aid training appropriate to the service.
A health care and support worker who is trained in first aid works on each shift.
Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis.
Hospice: Guidance | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-15 | Hospice: Guidance
Relevant health care and support workers have first aid training appropriate to the service.
A health care and support worker who is trained in first aid works on each shift.
Enough health care and support workers are available at all times to support people receiving services in an emergency or crisis. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-16 | Criterion 4.2.5
Aged care: Guidance
Service providers monitor their call system’s response time and take action to enhance its responsiveness.
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use.
Fertility services: Guidance
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use.
Residential disability: Guidance
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use.
Residential mental health and alcohol and other drug: Guidance
Service providers monitor their call system’s response time and take action to enhance its responsiveness.
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use.
Public/private hospital: Guidance
Service providers monitor their call system’s response time and take action to enhance its responsiveness.
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use.
Birthing units: Guidance
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use.
Hospice: Guidance | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-17 | Hospice: Guidance
Service providers monitor their call system’s response time and take action to enhance its responsiveness.
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use.
Abortion services: Guidance
Health care and support workers have access to emergency escalation processes both on site and via an on-call process.
Service providers have a call system for use as required, which health care and support workers understand clearly and use. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-18 | Criterion 4.2.6
Guidance for all providers
Service providers have an implemented policy relating to the security of the people receiving services and the wider facility. The policy includes escalation processes to follow if a breach in security occurs.
Additional guidance
Home and community
Service providers have implemented policies for:
the safe handling and storage of keys
securing the home. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-4 |
a7fc5643df54-19 | Residential disability
People receiving services should, wherever possible, have their own housekey.
Service providers have implemented policies for:
the safe handling and storage of keys
securing the home.
Criterion 4.2.7
Guidance for all providers (except home and community)
Service providers meet civil defence emergency requirements.
The site is able to be operational during emergencies for a period of time. For example, the following supplies are available:
heating
water
emergency lighting
food
alternative communication device with power pack
alternative source of power where oxygen, concentrators, or other electrical equipment is used.
Criterion 4.2.8
Guidance for all providers
Service providers give information on emergency and security arrangements in accessible formats and through appropriate communication channels, and that are relevant to Māori receiving services and their whānau.
The information and communication are easy for all people to access, understand, and use, enact, or follow. To meet this criterion, consider Ministry of Health (2015) A Framework for Health Literacy.
Part 3: Pathways to wellbeing
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Part 5: Infection prevention and antimicrobial stewardship
Page last updated: 28 February 2023
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NZ health system | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/regulation-vaping-herbal-smoking-and-smokeless-tobacco-products |
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HomeOur workRegulationVaping, herbal smoking and smokeless tobacco products
Regulation of vaping, herbal smoking and smokeless tobacco products
This section provides information about how the Smokefree Environments and Regulated Products Act 1990 regulates vaping, herbal smoking and smokeless tobacco products in New Zealand and what that means for retailers, manufacturers and importers of vape products.
Information for:
General retailers (eg, dairies, newsagents)
Specialist vape retailers
Manufacturers and importers | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/regulation-vaping-herbal-smoking-and-smokeless-tobacco-products |
994100b7c415-3 | Latest Updates
3 February 2023 – HARP improvements – Annual Returns to be submitted by 19 February
Following performance issues with HARP due to a large number of Annual Returns being submitted at the same time, we have implemented several system improvements so notifiers and Specialist Vape Retailers should now be able to submit their Annual Returns. Due to the issues, we have extended the deadline for Annual Returns to be submitted to 5pm, 19 February 2023.
If all of your Annual Return submissions have the status of 'submitted' then please disregard this information.
Submit your Annual Sales Return
When submitting your Annual Sales Return, please check the following:
You are using the correct template saved in CSV format not the product notification template or your own format. PDF files cannot be used
In column E - the PG:VG is in the correct format. If some of your data keeps changing to the wrong format, then delete the data and leave this column blank for that product. Make sure you do not delete the column, though
Please also note:
When completing Annual Returns, the product type must be one of five product types; 'nicotine salt vaping substance', 'freebase nicotine vaping substance', 'vaping device', 'kit' or 'smokeless tobacco product'. Any components sold separately (e.g., coils, pods and tanks) should be included under the product type 'vaping device' and disposable vaping products should be included under the product type 'kit'.’
As HARP needs to validate the data in the CSV file it may give a ‘fail to save’ error. If this happens, wait a minute and try pressing submit again. After the file has been processed successfully, it will have a status of Submitted. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/regulation-vaping-herbal-smoking-and-smokeless-tobacco-products |
994100b7c415-4 | If you have any queries, please contact the team at [email protected]
2 February 2023 - Planned HARP outage
HARP will be down from 5pm tonight for planned maintenance.
11 January 2023 New record keeping requirements
Under the new provisions of the Smokefree Environments and Regulated Products (Smoked Tobacco) Amendment Act, manufacturers, importers, exporters, distributors and retailers of regulated products (smoked tobacco, vaping, herbal smoking and smokeless tobacco products) are responsible for keeping accurate records relating to all of their regulated products.
If you are a retailer please read: Information for or about Specialist Vape Retailers
If you are a manufacturer, importer or exporter then please read: Information for manufacturers and importers (notifiers)
9 January 2023 What the Smokefree Environments & Regulated Products (Smoked Tobacco) Act 2022 means for retailers
The key changes are that any retailer who sells a notifiable product (vaping, herbal smoking or smokeless tobacco product) needs to notify the Ministry of Health and be registered. The notification is annual and a fee is to be paid. More details on how you do this will be available later in the year after the Regulations are approved but essentially by 1 October 2023 you need to have notified and from 2026 you will also need to start providing an annual sales return on what you sold for the previous year. Sign up to the newsletter to keep informed.
9 January 2023 What the Smokefree Environments & Regulated Products (Smoked Tobacco) Act 2022 means for notifiers
Herbal smoking products are now added to the list of notifiable products. You need to start notifying these products from 1 October 2023.
20 December 2022 Changes to assessments for Approved Vaping Premises | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/regulation-vaping-herbal-smoking-and-smokeless-tobacco-products |
994100b7c415-5 | 20 December 2022 Changes to assessments for Approved Vaping Premises
The Smokefree Environments and Regulated Products (Smoked Tobacco) Amendment Bill passed on Tuesday 13 December 2022 and new provisions come into effect from 1 January 2023.
When assessing applications for Approved Vaping Premises (AVP), the Vaping Regulatory Authority (VRA) will now also be required to specifically consider whether the retail premises specified by the Specialist Vape Retailer (SVR) in their application are a suitable place from which to operate an AVP. The new provision says the VRA must not give approval unless satisfied that the retail premises are appropriate premises from which to operate.
16 December 2022 Notifiable Products – products that are no longer notified
Notifiable products must not be sold in New Zealand if their notification has been withdrawn, suspended or cancelled. If a notification expires, the product notifier must stop selling it immediately, but provided there are no safety concerns with the product, retailers can continue to sell-through their existing stock for up to three months.
Refer to Notifiable Products – products that are no longer notified for further information. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/regulation-vaping-herbal-smoking-and-smokeless-tobacco-products |
994100b7c415-6 | Adverse Reactions
To help monitor vaping safety in New Zealand, anyone who suspects that a vaping product has caused harm should report it to the New Zealand Pharmacovigilance Centre.
Consumers - Vaping Facts
The Vaping Facts website provides New Zealand consumers with information about vaping. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/regulation-vaping-herbal-smoking-and-smokeless-tobacco-products |
994100b7c415-7 | Make a complaint
If your complaint is about vape sales to under 18s or vaping in a workplace then contact your local Public Health Service
If you have a complaint about a vaping product, vaping substance or vaping device then you can let the Vaping Regulatory Authority (VRA) know through the complaints form in the HARP portal
Complaints relating to an adverse reaction to a vaping product should be reported to the New Zealand Pharmacovigilance Centre
The Amendment Act >
The Smokefree Environments and Regulated Products (Vaping) Amendment Act 2020 (the Amendment Act) commenced on 11 November 2020. The Amendment Act amended the Smoke-free Environments Act 1990 and renamed it the Smokefree Environments and Regulated Products Act 1990 (the Act).
Retail - vaping products >
Prohibitions and requirements
Specialist vape retailers
Apply to be a Specialist Vape Retailer
SVR Register
Manufacturers and importers >
Annual reporting to the VRA
Product notifications
Notified Products register
About the Vaping Regulatory Authority >
Subscribe for updates
Meetings with vaping industry representatives
Page last updated: 16 February 2023
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07db4033ff3f-0 | Designated auditing agencies | Ministry of Health NZ
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Designated auditing agencies | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/designated-auditing-agencies |
07db4033ff3f-3 | The following Auditing Agencies have been designated under Section 32 of the Health and Disability Services (Safety) Act 2001 to audit health care services by the Director-General of Health.On this page:
Central Region’s Technical Advisory Services Limited
Global-Mark Pty Limited
BSI Group New Zealand Ltd (previously HDANZ Ltd)
HealthShare Limited
The DAA Group Limited
Central Region’s Technical Advisory Services Limited
Central Region’s Technical Advisory Services Limited was designated on 28 November 2019. Central Region’s Technical Advisory Services Limited is designated to audit the provision of the following health care services:
hospital care services (as defined in section 4(1) of the Act), that are:
children's health services
geriatric services
maternity services
medical services
mental health services
surgical services
rest home care services (as defined in section 6(2) of the Act)
residential disability services (as defined in section 4(1) of the Act), that are:
intellectual
physical
psychiatric
sensory. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/designated-auditing-agencies |
07db4033ff3f-4 | This designation expires on 28 November 2022.
Contact: Helen Wood-Rowe
Central Region’s Technical Advisory Services Limited
69 Tory Street,
PO Box 23075, Wellington 6140
Ph: 027 531 9207
Email: [email protected]
Website: www.tas.health.nz
View New Zealand Gazette notice:
Designation of Auditing Agency - Central Region’s Technical Advisory Services
Global-Mark Pty Limited
Global-Mark Pty Limited was designated on 15 April 2022. Global-Mark Pty Limited is designated to audit the provision of the following health care services:
· New Zealand fertility services.
This designation expires on 15 April 2025.
Contact: Herve Michoux
Managing Director
Global- Mark Pty Limited
Suite 407, 32 Delhi Road
North Ryde NSW 2113
AUSTRALIA
Ph: +61 2 9886 0222
Fax: +61 2 9886 0200
Email: [email protected]
Website: www.global-mark.com.au
View New Zealand Gazette notice:
Designation of Auditing Agency – Global-Mark PTY Limited
BSI Group New Zealand Ltd (previously HDANZ Ltd)
BSI Group New Zealand Ltd was designated on 22 June 2020. BSI Group New Zealand Ltd is designated to audit the provision of the following health care services:
hospital care services (as defined in section 4(1) of the Act), that are:
children's health services
geriatric services
maternity services
medical services
mental health services
surgical services
rest home care services (as defined in section 6(2) of the Act)
residential disability services (as defined in section 4(1) of the Act), that are:
intellectual
physical
psychiatric
sensory. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/designated-auditing-agencies |
07db4033ff3f-5 | This designation expires on 22 June 2023.
Lisa Cochrane
BSI Group New Zealand Ltd (previously HDANZ Ltd)
PO Box 19541
Woolston
CHRISTCHURCH 8241
Email: [email protected]
Website: bsigroup.com/en-nz
Ph: 0800 44 99 11
Fax: 03 366 8254
View New Zealand Gazette notice:
Designation of Auditing Agency – Health and Disability Auditing New Zealand Limited
HealthShare Limited
HealthShare Limited was designated on 27 May 2022. HealthShare Limited is designated to audit the provision of the following health care services:
Hospital care services (as defined in section 4(1) of the Act), that are:
geriatric services
maternity services
rest home care (as defined in section 6(2) of the Act)
residential disability care (as defined in section 4(1) of the Act).
intellectual
physical
psychiatric
sensory. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/designated-auditing-agencies |
07db4033ff3f-6 | This designation expires on 27 May 2025.
Contact: Ian Goulton (Director, Corporate Services and Assurance)
HealthShare Limited
PO Box 19064
Hamilton 3244
Ph: 021 198 4082
Email: [email protected]
View New Zealand Gazette notice:
Designation of Auditing Agency – HealthShare Limited
The DAA Group Limited
The DAA Group Limited was designated on 20 December 2022. The DAA Group Limited is designated to audit the provision of the following health care services:
hospital care services (as defined in section 4(1) of the Act) that are:
children’s health services
geriatric services
maternity services
medical services
mental health services
surgical services
rest home care services (as defined in section 6(2) of the Act)
residential disability services (as defined in section 4(1) of the Act) that are:
intellectual
physical
psychiatric
sensory. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/designated-auditing-agencies |
07db4033ff3f-7 | New Zealand fertility services
This designation expires on 20 December 2025.
Contact: Cathy Cummings
The DAA Group Limited
PO Box 5088
WELLINGTON 6145
Ph: 0508 246 776
Fax: 04 499 0368
Email: [email protected]
Website: www.daagroup.co.nz
View New Zealand Gazette notice:
Designation of Auditing Agency – The DAA Group Limited
Page last updated: 29 March 2023
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© Ministry of Health – Manatū Hauora
Back to top | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/information-providers-health-care-services/designated-auditing-agencies |
6b5bd37bbee5-0 | Drug checking | Ministry of Health NZ
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NZ health system | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-1 | Other related resources
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Health statistics | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-2 | View the full A-Z
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HomeOur workRegulationDrug checking
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Vaping, herbal smoking and smokeless tobacco products
Drug checking | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-3 | Information about drug checking services and service providers.What is drug checking?
Drug checking services conduct scientific tests on substances in order to indicate their likely identity and composition. Services test unknown substances (which may be illicit drugs), interpret results, and provide harm reduction information to a person who provides a sample.
Drug checking services aim to reduce risk and harm by helping people make informed decisions about drug use. It does not promote illicit drug use or claim that illicit drug use is safe.
Legal framework for drug checking
Drug checking is regulated under amendments to the Misuse of Drugs Act 1975, Psychoactive Substances Act 2013, the Medicines Act 1981, and relevant regulations under those Acts. These amendments can be viewed on the New Zealand Legislation website through the following links.
Misuse of Drugs Act 1975
Misuse of Drugs (Drug and Substance Checking Service Providers) Regulations 2022 | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-4 | In December 2020, the Misuse of Drugs Act was amended to allow the Director-General of Health to appoint drug checking service providers by way of notice in the New Zealand Gazette.
The appointment provisions in the Misuse of Drugs Act were temporary. They were intended to allow drug checking to take place with legal certainty while a licensing scheme was developed. Appointed and licensed providers are legally allowed to possess illicit drugs for drug checking purposes.
If an appointed provider applied for a licence within one month after the regulations came into force (5 May 2022), their appointment continues until the Director-General of Health or the Minister of Health makes a licensing decision on the applicant.
If there is a breach of any terms or condition of licence, the offender is liable for a fine of up to $5,000, and the licence may be cancelled.
The penalty for a person (or entity) undertaking drug checking without a licence is $20,000.
Drug Checking Licensing Scheme
The Ministry of Health’s Drug Checking Licensing Scheme regulates licenced service providers and is responsible for:
licensing new providers
renewing licences
suspending, and cancelling licences
imposing, amending and revoking licence conditions
managing reviews of licensing decisions
managing complaints
monitoring the compliance of drug checking service providers. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-5 | Organisations or individuals may apply for licensing if they consider they meet the suitability requirements of the relevant Acts, and their regulations.
Applicants must demonstrate how they meet (or intend to meet) the functions of a drug checking service provider as specified in the Misuse of Drugs Act.
The licence term is usually for a maximum of three years. This term may be shorter at the discretion of the Director-General of Health. To apply, download the Drug Checking licensing application form. Complete the application form and submit this with all supporting documentation to: [email protected].
There are no application fees.
Approved drug checking methods
The methods listed below are approved as suitable drug checking methods for use by providers. The Director-General will specify which technology and testing methods that each provider is approved to use in their licensing notification letter. New methods can only be used once written approval is received from the drug checking licensing team.
Drug checking service providers are required to use a range of testing methodologies and equipment to carry out comprehensive, high-quality drug checking activities in line with best practice. When drug checking is provided, it is expected that services have access to equipment and testing methodologies from this approved methods list to ensure a comprehensive, quality service is delivered for people presenting drugs for testing. This includes access to current drug libraries associated with each specific spectrometer.
Reagent testing as a stand-alone service does not meet the intent of the legislation with regard to providing a high-quality drug checking service (with the exception of approved stand-alone methods stated in table 1). The use of reagent testing alone may increase a person’s risk of serious harm. A reagent test may identify a single drug (eg, MDMA) when a substance also contains a drug of greater risk (eg, eutylone). | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-6 | Table 1 outlines methods (equipment and reagents/test strips) that are suitable to be used for drug checking. Table 2 outlines methods that may be used only in conjunction with an approved equipment method from table 1 (equipment subsection).
Table 1: Approved technology and testing methods | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-7 | Equipment | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-8 | Method/technology name
Notes | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-9 | Fourier Transform Infrared (FTIR) spectrometer
Suitable for the field.
Gas Chromatography-Mass Spectrometry (GC-MS) bench instrument
Not suitable for field.
Quick probe GC-MS bench instrument
Not suitable for field.
Liquid Chromatography with tandem Mass Spectrometry (LC-MS-MS) bench instrument
Not suitable for field.
Liquid Chromatography Quadrupole Time-of-Flight Mass Spectrometry (LC-QTOF-MS) bench instrument
Not suitable for field.
Liquid Chromatography with Hybrid Triple Quadrupole Linear Ion Trap Spectrometers (LC-QTrap-MS-MS) bench instrument
Not suitable for field.
Gas Chromatography with tandem Mass Spectrometry (GC-MS-MS) bench instrument
Not suitable for field.
Nuclear Magnetic Resonance (NMR), portable and laboratory instruments
Not suitable for field.
High Performance Liquid Chromatography (HPLC)
Not suitable for field. Only to be used for cannabis plant material and cannabinoid products. Results to include THC and/or CBD only and must be reported as a percentage (whole number or percentage range).
Reagents and test strips
Method/technology name
Notes
Ehrlich’s test either commercial or prepared by an appropriately accredited laboratory.
Ehrlich’s test is approved as a stand-alone test for paper doses of LSD.
Lysergamide Test Strips
Lysergamide Test Strips are approved as a stand-alone test for LSD.
Fentanyl Test Strip
Fentanyl Test Strips are approved as a stand-alone test for fentanyl.
Table 2: Other approved methods with additional conditions
These methods are approved for use only when in conjunction with at least one confirmatory equipment method from table 1 (equipment subsection). They are not approved to be used as a standalone testing method for drug checking.
Equipment
Method/technology name
Notes | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-10 | Gas Chromatography Flame Ionization Detector (GC-FID)
May only be used in conjunction with confirmatory testing with an approved method from table one (equipment subsection).
Near Infrared (NIR) spectrometer portable device
Raman hand-held device
FTIR hand-held device
Liquid Chromatography with UV Detector (LC-UV) bench instrument
Reagents and test strips
Method/technology name
Notes
Reagent testing (Marquis, Morris, Mandelin, Cobalt II thiocynate, Chen’s test, Dragendorff’s test, Simon’s, Mecke, Zimmermann, Folin, Froehde and Liebermann) either commercial or prepared by an appropriately accredited laboratory.
May only be used in conjunction with confirmatory testing with an approved method from table one (equipment subsection).
Duquenois-Levine test (only for use on cannabinoids) either commercial or prepared by an appropriately accredited laboratory.
Benzodiazepine test strips
Other
Method/technology name
Notes
Tablet library/database (eg TICTAC)
May only be used in conjunction with confirmatory testing with an approved method from table one (equipment subsection). | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-11 | If an applicant or licensed provider wishes to use a method not on the approved list, they will need to satisfy the Director-General that the method is fit for its intended purpose. To submit a testing method for approval, email evidence that it is fit for purpose to [email protected].
Information required for method approval includes:
what substances the method is designed to test for
how the method will be used by the provider (what scenarios it will be used in, including how it will fit in with current testing methods)
limitations to the testing method (eg, health and safety considerations, time required to obtain a result, any other limitations including mitigations to manage these)
scientific evidence of validity and reliability to ensure high quality testing outcomes
Licensed drug checking providers
The Director-General of Health has licensed the following providers pursuant to clause 4 of Schedule 6 of the Misuse of Drugs Act 1975 to carry out drug checking:
Trading name
Legal name
Website
KnowYourStuffNZ (KYSNZ)
Know Your Stuff Ltd
knowyourstuff.nz
The Institute of Environmental Science and Research (ESR)
The Institute of Environmental Science and Research
www.esr.cri.nz
NZ Drug Foundation
New Zealand Drug Foundation
www.drugfoundation.org.nz
New Zealand Needle Exchange Programme (NZNEP)
Note: Excludes Needle Exchange Regional Trusts
Needle Exchange Services Trust
www.nznep.org.nz
More information
If you would like to know more about drug checking or how it is regulated, please email [email protected].
Related areas
Drug Checking Service Provider Licensing Handbook
Drug Checking Licensing Scheme Provider Licensing Application Form
Drug Checking Complaints Policy
Drug Checking Complaints Form
Drug Checking Review of Decisions Policy
Drug Checking Review of Decisions Form
Drug Checking Suitability and Non-Compliance Policy
Drug Checking Responsible Persons Amendment Form | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/drug-checking |
6b5bd37bbee5-12 | Page last updated: 08 December 2022
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ad543cb9722b-0 | Health Practitioners Competence Assurance Act | Ministry of Health NZ
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ad543cb9722b-1 | Other related resources
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ad543cb9722b-2 | View the full A-Z
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HomeOur workRegulationHealth Practitioners Competence Assurance Act
Health Practitioners Competence Assurance Act
About the Act
Review of the Health Practitioners Competence Assurance Act
Non-regulated health professions
Restricted activities
Quality assurance activities
Responsible authorities
Regulating a new profession
Publications
Updates
Health Practitioners Competence Assurance Act | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/health-practitioners-competence-assurance-act |
ad543cb9722b-3 | The Health Practitioners Competence Assurance Act 2003 (the Act) provides a framework for the regulation of health practitioners in order to protect the public where there is a risk of harm from professional practice.Having one legislative framework allows for consistent procedures and terminology across the professions now regulated by the Act. The principal purpose of protecting the health and safety of the public is emphasised and the Act includes mechanisms to ensure that practitioners are competent and fit to practise their professions for the duration of their professional lives.
The Act was passed by Parliament on 11 September 2003 and received the Royal assent on 18 September 2003. The Act came fully into force on 18 September 2004. In doing so, the Act repealed 11 occupational statutes governing 13 professions.
Not all health professions are regulated under the Act. Not being regulated under the Act does not imply that a profession lacks professional standards. Some are not regulated because they pose little risk of harm to the public; some are not regulated because they work under the supervision of a regulated profession; some are regulated in other ways. For example, they may be regulated through their employer or self-regulated by their profession. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/health-practitioners-competence-assurance-act |
ad543cb9722b-4 | In this section
About the Health Practitioners Competence Assurance Act
The Act protects the health and safety of members of the public by providing mechanisms to ensure the lifelong competence of health practitioners.
Read more
Review of the Health Practitioners Competence Assurance Act
A formal review of the Health Practitioners Competence Assurance (HPCA) Act 2003 commenced on August 31 2012 and the Health Practitioners Competence Assurance Amendment Act was passed on 9 April 2019
Read more
Non-regulated health professions
Not all health professions are regulated under the Health Practitioners Competence Assurance Act (the Act). Not being regulated under the Act does not imply that a profession lacks professional standards.
Read more
Restricted activities under the Act
The Health Practitioners Competence Assurance Act allows certain activities to be restricted to registered health practitioners. This page provides guidelines for the operation of restricted activities.
Read more
Quality assurance activities under the Act
This section describes what a quality assurance activity is, how to apply for activities to be protected, and what reporting requirements there are.
Read more
Responsible authorities under the Act
The authorities listed on this page are responsible for ensuring that all health practitioners registered with them are fully competent in the practice of their profession.
Read more
Regulating a new profession
Practitioners and professions that provide health services, but are not currently included in the Health Practitioners Competence Assurance Act, may apply for inclusion.
Read more
Health Practitioners Competence Assurance Act publications
Publications relating to the regulation of health practitioners under the Health Practitioners Competence Assurance Act.
Read more
Updates - Health Practitioners Competence Assurance Act
Updates relating to the Health Practitioners Competence Assurance Act 2003.
Read more | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/health-practitioners-competence-assurance-act |
ad543cb9722b-5 | Page last reviewed: 28 February 2018
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Back to top | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/health-practitioners-competence-assurance-act |
265328239403-0 | Part 1: Our rights | Ministry of Health NZ
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265328239403-1 | Other related resources
View the full A-Z
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See all
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See all
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See all
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Medicines control
Mental health and addiction
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Oral health
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Pacific health
Pay equity
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Public health workforce
Regulation
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WHO Code in NZ
View the full A-Z
Health statistics | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-2 | View the full A-Z
Health statistics
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Cancer
Diabetes
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Obesity
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See all
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NZ Cancer Registry
NZ Health Survey
Nutrition Survey
PRIMHD
See all
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Courses on clinical coding
SNOMED CT
Using ICD-10-AM/ACHI/ACS
See all
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See all
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HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services StandardSector guidance
Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)Part 1: Our rights
Part 2: Workforce and structure
Part 3: Pathways to wellbeing
Part 4: Person-centred and safe environment
Part 5: Infection prevention and antimicrobial stewardship
Part 6: Restraint and seclusion
Part 1: Our rights | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-3 | Section 1.1: Pae ora healthy futures
Criteria 1.1.1–1.1.5
Guidance for all providers
Planning
Annual plans show evidence of:
equity of access (available, high-quality, and acceptable services) and outcomes for Māori
Māori-centred services
fostering Māori community integration
recognising the value of Māori health models and traditional healing
proactively identifying and removing barriers to participating in New Zealand society, including te ao Māori, for Māori with disabilities and their whānau
increasing Māori participation in decision making
increasing Māori capacity and capability and the size of the Māori health workforce – actively recruiting and retaining a Māori health and disability workforce
providing effective health and disability services for Māori where services are operating in ways that are culturally safe.
Annual plans show evidence of a selection of health equity and Māori health indicators.
Service delivery
Evidence shows that, at executive meetings that review health equity and Māori health indicators, discussion includes:
checking progress on health equity and Māori health key performance indicators
presenting dashboard data, including health equity and Māori health indicators.
Evidence shows service providers seek comprehensive feedback from Māori receiving services and their whānau (through interviews, patient feedback forms, or similar).
Evidence shows the workforce reviews their practice at defined intervals through a health equity and quality lens.
Evidence shows service providers work in partnership with iwi and Māori organisations within and beyond the health sector to improve service integration, planning, and support for Māori.
Self-review | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-4 | Self-review
Evidence shows self-review occurs at defined intervals, applying the sector guidance above to a culture of planning, review, and modification concerning Māori health and equity.
Robust performance improvement, monitoring, and accountability mechanisms demonstrate that organisations are on track to achieve equity of health outcomes for Māori.
Tools and resources
Relevant tools and resources include:
Ministry of Health (2014) Equity of Health Care for Māori: A framework. The three actions that support the framework are:
leadership – by championing the provision of high-quality health care that delivers equitable health outcomes for Māori
knowledge – by developing a knowledge base about ways to effectively deliver and monitor high-quality health care for Māori
commitment – to providing high-quality health care that meets the health care needs and aspirations of Māori
Health Quality & Safety Commission (2019) Health Quality & Safety Commission – Self-review Report Based on the Performance Improvement Framework, Kupu Taurangi Hauora o Aotearoa | Pūrongorongo arotake whaiaro i whai i te Anga Whakapiki Whakaaturanga.
Whanganui District Health Board (2018) Pro Equity Check-up Report (PDF, 568 KB).
Health Quality & Safety Commission (2022) Code of expectations for health entities’ engagement with consumers and whānau | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-5 | Section 1.2: Ola manuia of Pacific peoples in Aotearoa
Criterion 1.2.1
Guidance for all providers
Service providers are centred on Pacific lived-experience, are whānau-centred and reflect Pacific worldviews and values.
Service providers have a cultural safety policy that is embraced, embedded, and enacted in the service provision and reviewed annually.
Service providers evidence their ability to engage with people in a culturally appropriate way; for example, understanding that the Pacific worldview is underpinned by connectedness of a person to whānau, communities, land, atua, and ancestors.
Service providers appoint or contract Pacific cultural advisors to provide cultural training and supervision. Smaller service providers show evidence of linking to or collaborating with relevant Pacific organisations who can provide this.
Information and resources about the services provided are relevant to the different nations of Pacific peoples and are readily available or displayed in appropriate forms and languages. These may include:
the Code of Health and Disability Services Consumers’ Rights
complaints information
the service that is being provided
public health information.
Criterion 1.2.2
Guidance for all providers
Service delivery reflects and is responsive to the health and disability needs of Pacific peoples in order to achieve health equity for Pacific peoples.
Service providers are centred on Pacific lived-experience, are whānau-centred and reflect Pacific worldviews and values.
Service providers demonstrate that they align with Ola Manuia: Pacific Health and Wellbeing Action Plan 2020–2025 and other Pacific health and wellbeing plans. This may include references to additional Pacific-related information, health planning, or research findings from:
the Ministry of Health (policy guidance)
Pacific non-governmental organisations
health and disability researchers, including Pacific health and disability researchers
Health Research Council
district health boards. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-6 | Criterion 1.2.3
Guidance for all providers
Service providers develop a Pacific plan that includes references to strategies relevant to Pacific peoples such as:
achieving equity of access (available, high-quality, and acceptable services) and outcomes for Pacific peoples
providing Pacific-centred services
reflecting the health and disability needs of Pacific peoples
fostering Pacific community integration and collaboration
recognising the value of Pacific health models, which acknowledge the fundamental importance of the relationships between Pacific peoples, their families, community, land, atua, ancestors, and traditional healing
removing barriers to Pacific peoples with disabilities and their whānau participating in Aotearoa society and Pacific communities
increasing the participation of Pacific peoples in decision making so that Pacific voices are meaningfully incorporated into service delivery
increasing Pacific capacity and capability through actively recruiting and retaining Pacific health care and support workers and, because service providers recognise the cultural roles Pacific health care and support workers will play, providing adequate time, additional to their normal hours, for them to fulfil these roles
improving their quality of service for Pacific peoples entering their service
providing effective health and disability services for Pacific peoples by operating in ways that are culturally safe
providing health promotion information and education that is culturally appropriate, is tailored to the Pacific population, and uses effective media, such as Pacific media channels. For example, the service provider may focus on reducing the leading causes of morbidity and mortality in Pacific populations.
Service providers embed and enact relevant national and regional Pacific health plans within their own strategic health plans with the main aim of improving the health outcomes of Pacific peoples.
Service providers work collaboratively with Pacific organisations, across sectors, to improve service integration, planning, and support for Pacific peoples.
Service providers put people using the services, whānau, and communities at the heart of their services.
Criterion 1.2.4
Guidance for all providers | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-7 | Criterion 1.2.4
Guidance for all providers
Service providers:
work collaboratively with Pacific communities and spiritual leaders, with the aim of supporting Pacific peoples to take ownership of their own health
embed and enact Ola Manuia in their strategic plans
provide high-quality professional development for Pacific health care and support workers to enhance their health and wellbeing
actively recruit, appoint, and retain Pacific peoples in leadership roles
acknowledge the value of language and cultural expertise in their workforce
recruit and retain a Pacific workforce that reflects the population they serve
support their Pacific workforce through targeted education and training, which may include Pacific-related content or context. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-8 | Criterion 1.2.5
Guidance for all providers
Service providers:
work collaboratively with Pacific communities and cultural and spiritual leaders, with the aim of supporting people to take ownership of their own health
collaborate with Pacific communities, including cultural and spiritual leaders, to develop evidence-based and effective interventions that improve wellbeing outcomes for Pacific peoples
distribute well-conducted Pacific research and writings on the health of Pacific peoples from reputable sources
support, and may partner or affiliate with, Pacific health researchers or relevant research institutions that develop robust, well-designed, culturally tailored research to improve health outcomes for Pacific peoples
purposefully involve Pacific communities and cultural and spiritual leaders in the development of robust and culturally tailored interventions that may lead to improved health outcomes for Pacific peoples
link with other organisations, across the health and disability sector, to improve health outcomes for Pacific peoples
monitor Pacific health and disability outcome data, integrate key lessons and identified areas for improvement into practice and service delivery, and highlight and disseminate improvements through health promotion and positive media to Pacific peoples
evaluate service provision at defined intervals to measure the quality and effectiveness of the service for Pacific peoples
maintain ethnicity data on Pacific peoples to inform targeted interventions and solutions. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-9 | Section 1.3: My rights during service delivery
Criterion 1.3.1
Guidance for all providers
In addition to Te Tiriti o Waitangi and tikanga, health care and support workers’ induction and education on the legal framework for rights relevant to the service being provided may cover:
United Nations conventions
human rights instruments, including under the New Zealand Bill of Rights Act 1990
Privacy Act 2020
the Code of Health and Disability Services Consumers’ Rights
Care of Children Act 2004
Substance Addiction (Compulsory Assessment and Treatment) Act 2017
Contraception, Sterilisation, and Abortion Act 1977
Protection of Personal and Property Rights Act 1988
Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003
Mental Health (Compulsory Assessment and Treatment) Act 1992.
Service providers demonstrate an understanding of the rights frameworks listed above and how each of these frameworks applies to their service.
Adequate information on people’s rights is available to people receiving services and their whānau in an accessible format for the people receiving services. Service providers include opportunities for explanations, discussion, and clarification at defined intervals throughout the time of a person’s contact with the service.
Service providers demonstrate an understanding of how the Protection of Personal and Property Rights Act 1988 affects the rights of a person who has a legally appointed representative under the Act.
In addition to the rights frameworks listed in the first point, service providers include in health care and support workers’ education and application to practice:
strategies to counter racism, discrimination, and stigma in all its forms, including unconscious or implicit bias
communication, including concepts such as empathy
privacy and person-centred service provision
clinical approach. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-10 | Service providers incorporate the iwi and hapū affiliations of people receiving services into service provision.
Service providers demonstrate they meet cultural rights giving consideration to the percentage of Māori employees, people’s right to speak their own language, tikanga, and connections to iwi, hapū, and whānau.
Relevant resources: Health & Disability Commissioner, Online training on the Code of Health and Disability Services Consumers’ Rights (note, you are required to create a login to access the course. It is free to do so).
Additional guidance
Residential disability
Service providers demonstrate an understanding of the United Nations conventions related to people with a disability, and the rights of people to live where and with whom they choose. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-11 | Criteria 1.3.2
Guidance for all providers
Service providers’ services are sufficiently flexible to meet each person’s needs.
Service providers are aware of and actively embed the principles of Enabling Good Lives and the New Zealand Disability Strategy.
Additional guidance
Aged care
People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.
Home and community
People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.
Residential disability
People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.
Residential mental health and alcohol and other drug
People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right.
Hospice
People receiving services have the right to determine where they live and who they live with where possible. Service providers have a mechanism in place to support this right. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-12 | Criterion 1.3.3
Guidance for all providers
Information about the Nationwide Health and Disability Advocacy Service and other advocacy services is available to people receiving services (and, where appropriate, their whānau) in accessible formats. People receive this information when they enter the service and during service delivery.
Service providers have:
mechanisms in place to verify they are meeting people’s rights
implemented a proactive process to verify that whānau understand the rights of people receiving services
implemented a process that allows time for discussion with people receiving services and their whānau. They offer follow-up conversations.
Where people are receiving services under legislation, service providers offer them follow-up conversations about their rights under the Mental Health (Compulsory Assessment and Treatment) Act 1992, Substance Addiction (Compulsory Assessment and Treatment) Act 2017, Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003, and the Code of Health and Disability Services Consumers’ Rights.
Information is provided in a manner directed by the person receiving services (or their legal representative where appropriate) and can be reviewed at any point during service contact.
Service providers access available resources to support discussion, such as the Health and Disability Commissioner’s ‘You have rights’.
Information about the Code of Health and Disability Services Consumers’ Rights in a residential home is not intrusive. While it should be available and accessible, it should not make a person’s home feel like a facility.
Health care or support workers advise people of their right to seek counselling and facilitate their referral to a suitably trained and credentialled professional whose counselling practice meets these standards.
This may include facilitating referral to a culturally appropriate person such as a kaumātua, kuia, or cultural expert.
Criterion 1.3.4
Guidance for all providers | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-13 | Criterion 1.3.4
Guidance for all providers
The service provider:
informs people receiving services of their right to have a support person of their choice
equips health care and support workers with knowledge about advocacy services and support situations through initial and ongoing education as needed
provides access to appropriately skilled advocates and makes information on this available and visible
provides access to cultural advocates
provides access to interpretation and translation services.
Advocacy support, including the national advocacy service, is accessed through a developed relationship and actively promoted.
Independent advocates are available. These may include faith-based or spiritual support workers, cultural experts, chaplains, kaitūhono (connectors for people using disability services), and support workers for rainbow communities.
Service providers may use an internal advisory group (or similar) of people who have lived experience of the relevant services to systematically advocate for people receiving services.
Service providers have established relationships with Māori experts, including:
chaplains
kuia and kaumātua
tohunga.
Service providers offer and provide access to Māori experts for support.
Criterion 1.3.5
Guidance for all providers | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-14 | Criterion 1.3.5
Guidance for all providers
Service providers display the Code of Health and Disability Services Consumers’ Rights so that it is visible and is also available in accessible formats in te reo Māori, New Zealand Sign Language, and English, so that Māori understand their rights.
Service providers have processes that support building resilience and that encourage and support whānau self-management and self-advocacy.
Service providers identify and remove processes that prevent whānau-centred service provision and whānau ora.
Service providers demonstrate an understanding of Māori indigenous rights and current issues in relation to Māori health and health equity. See Medical Council of New Zealand (2019) He Ara Hauora Māori: A pathway to Māori health equity (PDF, 70 KB), the United Nations Declaration on the Rights of Indigenous Peoples, and the United Nations Convention on the Rights of Persons with Disabilities.
Service providers respond to tāngata whaikaha needs as well as enable their participation in te ao Māori as a right.
Section 1.4: I am treated with respect
Criterion 1.4.1
Guidance for all providers
Service providers allow for the involvement of whānau, advocates, and other representatives when people receiving services request or agree to it.
Service providers use a person-centred approach during discussions.
Service providers support people to choose what they want to do, and can demonstrate that they do this.
Service providers acknowledge that people’s whānau may be unavailable where court orders or bail conditions are involved.
Service providers provide for people to:
make informed decisions about the service they are receiving
exercise their right to manage acceptable levels of risk for themselves. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-15 | People are supported to make decisions about whether they would like whānau members to be involved in their care or other forms of support.
Service providers may use an internal advisory group (or similar) of people who have lived experience of the relevant services to systemically advocate for people receiving services.
Criterion 1.4.2
Guidance for all providers | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-16 | Health care and support workers understand what Te Tiriti o Waitangi means to their practice.
Principles of universal design may be incorporated into service development and delivery. See the Centre for Excellence in Universal Design website.
Assessment and service provision may consider gender, marital status, religious belief, colour, race, ethical belief, ethnic origins, disability, age, political affiliation, employment status, family status, sexual orientation, gender identity, gender expression, and/or variations of sex characteristics.
Service providers build rainbow awareness and understanding through providing training for health care and support workers and education of people using the service, available resources, assessment tools, and data collection.
Service providers implement policies to guide health care and support workers in how to act on advance directives and maximise people’s independence.
Service providers have and promote a philosophy of genuine inclusiveness (for example, in terms of rainbow awareness and cultural awareness) and show evidence of applying it in practice.
People receiving services choose whether they would like whānau to be involved.
People receiving services are encouraged and supported to do what is important to them and agreed to by them.
People receiving services have control over activities they participate in.
People’s identities and the things that are important to them shape the care and support they receive.
Service providers understand and respect the mana in the community of the person receiving services.
Service providers demonstrate and implement a rights-based model of service provision.
Rainbow awareness training provided to health care and support workers specifically includes the unique needs of transgender and gender diverse people.
Cultural assessments are evident.
In developing a person's care or support plan, the person receives support to connect cultural identity to their care or support goals.
Service providers demonstrate delivery of training that is responsive to the diverse needs of people accessing services.
Service providers:
seek out agreeable matches between people receiving services and support workers | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-17 | Service providers:
seek out agreeable matches between people receiving services and support workers
verify people are not discriminated against based on their identity
inform people that they have the right to change clinician. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-18 | Criterion 1.4.3
Guidance for all providers
Service providers demonstrate an understanding of the United Nations conventions and principles that are relevant to health and disability service providers.
Orientation and ongoing education for health care and support workers cover the concepts of personal privacy and dignity.
Providing visual, auditory, and physical privacy may include:
moving to a more suitable area to conduct an examination or consultation
providing dedicated areas for people to keep their personal property and possessions
allowing people to wear their own clothing (with the exceptions of clinical requirements such as for those within operating theatres)
ensuring people have visual and auditory privacy when attending to personal hygiene requirements
enabling people to meet with whānau and friends where appropriate, in a private space or room other than their bedroom
health care and support workers closing doors and curtains as appropriate. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-19 | People receiving services are addressed by their chosen name and correct pronouns, and their name is pronounced correctly.
Services are always delivered in the least intrusive manner.
Service providers allow whānau, advocates, and other representatives to be included when people receiving services request or agree to it.
Communication with people receiving services is respectful in language, tone, and messaging, without sarcasm, negative comments, or yelling.
People are informed that service providers are unable to assure confidentiality in situations where there is a risk of homicide, suicide, abuse, neglect, or maltreatment.
Service providers support people receiving services to follow cultural practice, including tikanga.
Service providers demonstrate cultural responsiveness to the needs of Māori.
Service providers seek cultural advice and support from other providers, if required.
Versatile, flexible spaces that follow principles of open design are available, allowing a ‘marae-style’ environment.
Service providers are aware of the principles of Enabling Good Lives and the New Zealand Disability Strategy.
Clinicians offer to examine each person receiving the service in private when more than one person attends the same appointment.
People’s bodies are covered during clinical procedures to maintain their dignity.
Additional guidance
Aged care
Service providers respect people’s right to have space to engage in intimate and sexual relationships.
Service providers use person-centred and respectful language.
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
Fertility services
Specimen collection rooms allow visual, auditory, and physical privacy.
Home and community | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-20 | Specimen collection rooms allow visual, auditory, and physical privacy.
Home and community
Service providers respect people’s right to have space to engage in intimate and sexual relationships.
Service providers use person-centred and respectful language.
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
Residential disability
Service providers respect people’s right to have space to engage in intimate and sexual relationships.
Service providers use person-centred and respectful language.
Health care and support workers communicate with people with respect, and without sarcastic or mean comments about people living in the service.
People have full access to all facilities in their own home. This should include:
a key to the home
access to Wi-Fi
access to the kitchen (including the fridge).
Support workers and other people living with people receiving services respect their personal items.
Support workers and others living with people receiving services respect their personal space when they are frustrated, processing emotions, or seeking quiet time.
People have the freedom to be spontaneous.
If room searches occur, the person should always be present.
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
Residential mental health and alcohol and other drug | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
265328239403-21 | Residential mental health and alcohol and other drug
Service providers respect people’s right to have space to engage in intimate and sexual relationships.
Service providers use person-centred and respectful language.
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
Public/private hospital
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
Birthing units
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services.
Hospice
Service providers meet Hospice NZ Standards of Palliative Care in line with Te Ohu Rata o Aotearoa Māori Medical Practitioners (2019) Mauri Mate: A Māori palliative care framework for hospices.
Abortion services
Service providers give people receiving services adequate time to use hygiene facilities such as showers and bathrooms, with respect for their dignity, privacy, confidentiality, and preferred level of interdependence.
Health care and support workers operate in a manner that minimises interruptions to the sleep of the people receiving services. | https://www.health.govt.nz/our-work/regulation-health-and-disability-system/certification-health-care-services/services-standard/resources-nga-paerewa-health-and-disability-services-standard/sector-guidance-nga-paerewa-health-and-disability-services-standard-nzs-81342021/part-1-our |
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