OIA 2022031501 Response.pdf

29 April 2022



OIA Reference: OIA2022031501

Amber Saxton
Email: [FYI request #18882 email]

Tēnā koe Amber,

Official Information Act 1982 (OIA) – Response OIA2022031501

Thank you for your Official Information Act 1982 (OIA) request regarding your information about expected
clinical working hours for paediatrics and general medicine.

Specifically, you have requested the following information:

With regards to general medicine and paediatrics departments.

1)  What is the list if senior medical officers designated to be clinical supervisors for medical students
from the University of Auckland (i.e. who are the SMOs who can sign CSRs).
2)  From above, what is the FTE of each SMO, and number of hours expected on site.
2a) if applicable, what is their salary as per Association of Salaries Medical Specialist contact
2ai) what has this been for the last 10 years
2b) if unavailable, what is their generic SMO pay scale
3)  To prevent burn often doctors get rostered time off
3a) how many days in a row can an SMO work as per contact
3b) what is the policy around SMO rostered days off
3c) what compensation is given when SMO do work beyond their day off? e.g. come in on a RDO
4)  With regards to house Officer
4a) what are the run categories for house officers on paediatrics and general Medicine
attachments, ergo number of expected hours
4b) what is their pay as per pgy# and run category from above
4bi) what has this been for the last 10 years?
4c) what is the maximum number of days house officers in the attachments above have to work in
a row
4d) what is the rostered day off policy for house officers in the rotations mentioned above?
5)  With regards to trainee interns
5a) how many hours per week are trainee interns expected to be on placement in runs above?
5b) as they are not paid, what protections are ensured trainee interns have proper rest and food
breaks?
5c) how many days in a row are trainee interns expected to be on placement
5d) what is the DHB policy for rostered days off for trainee interns
5e) how does (the) DHB manage the expectations for trainee interns to be present with their health
and wellbeing in a demanding field

Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

I request all information in a tabulated excel document.

With  our  two  DHBs  sharing  information,  staff,  many  services,  and  a  single  Chief  Executive,  you  are
receiving a joint Hutt Valley and Capital & Coast DHB (2DHB) response. Our joint 2DHB response to your
request is outlined below.

Response

Hutt Valley District Health Board

1.  What is the list if senior medical officers designated to be clinical supervisors for medical students
from the University of Auckland (i.e. who are the SMOs who can sign CSRs)
We are unable to respond to your request for information under Section 18(e) and Section 18 (f) of
the Official Information Act as the information requested is not held by the DHB in a database and
cannot otherwise be made available without substantial collation or research.

2.  From above, what is the FTE of each SMO, and number of hours expected onsite.
a.  If applicable, what is their salary as per Association of Salaries Medical Specialist contact
b.  What is this been for the last 10 years
c.  If unavailable, what is their generic SMO pay scale

We are unable to respond to your request for information under Section 18(e) and Section 18 (f)
of the Official Information Act as the information requested is not held by the DHB in a database
and cannot otherwise be made available without substantial collation or research.

For the generic SMO pay scale, please refer to our response to Question 3c below.

3.  To prevent burn often doctors get rostered time off
a.  How many days in a row can an SMO work as per contract?

An  employee’s  hours  of  work  and  job  size  are  mutually  agreed  and  objectively  reflect  the
requirements of the service and the time reasonably required for the employee to complete their
agreed duties and responsibilities, as set out in their job description.

b.  What is the policy around SMO rostered days off (RDO)?

Services that operate a shift system or an after-hours’ call roster are expected to have agreed
arrangements in place that allow an employee to have an adequate break without deduction from
full pay before commencing work following periods of on call related work or shift work where
the employee is too fatigued to safely undertake their next scheduled activity.

c.  What compensation is given when SMOs do work beyond their day off? E.g. come in on a
RDO

There  are  entitlements  within  the  Senior  Medical  and  Dental  Officers  collective  agreement  to
provide additional remuneration – a link to the agreement is here:

https://tas.health.nz/assets/ER/ASMS-Senior-Medical-Dental-Officers-MECA-1-April-2020-31-
March-2021-1.29Mb.pdf

Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

4.  With regards to house Officer

There are two Resident Medical Officer (RMO) Collective Agreements (MECAs) that apply to House
Officers:

  20 DHB and NZ Resident Doctors’ Association (RDA) Multi Employer Collective Agreement
(17 May 2021 to 31 March 2024) (RDA MECA); and

  20  DHB  and  Specialty  Trainees  of  New  Zealand  (STONZ)  Multi  Employer  Collective
Agreement (14 December 2021 – 13 December 2023) (STONZ MECA).

When providing responses to the OIA request this has been split to identify RDA MECA and STONZ
MECA provisions.

The first STONZ MECA came into effect on 10 December 2018 and when responding to Question 4b
the data for the STONZ MECA commences from this date. Prior to this date the only MECA in force
was the RDA MECA.

a.  what  are  the  run  categories  for  house  officers  on  paediatrics  and  general  Medicine
attachments, ergo number of expected hours

Run Categories are based on a range of hours as set out in the table below. This range of hours
represents the weekly hours averaged over the 13 week run rotation and does not reflect the
actual hours worked from week to week as this will fluctuate dependent on the roster pattern.
This table is the same for both RDA and STONZ MECAs.

Cat
Hours
F
40 - 44.9
E
45 - 49.9
D
50 - 54.9
C
55 - 55.9
B
60 - 64.9

A
65+

b.  What is their pay as per pgy# and run category from above?

The salaries and run categories contained in the RDA and SToNZ MECAs are set out in the tables
below.
Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

URBAN SCALES - FULL ROTATING SHIFT WORK ROSTERS
Effective 18 April 2022
RDA
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
61,949
66,896
70,571
74,242
E
45 - 49.9
68,608
74,106
78,186
82,273
D
50 - 54.9
78,599
84,925
89,618
94,310
C
55 - 55.9
88,593
95,742
101,045
106,353
B
60 - 64.9
98,585
106,557
112,475
118,394
A
65+
111,906
120,975
127,713
134,451
Effective 20 December 2021
STONZ
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
65,100
70,100
73,700
77,400
E
45 - 49.9
72,000
77,600
81,600
85,700
D
50 - 54.9
82,300
88,700
93,300
98,100
C
55 - 55.9
92,600
99,800
105,100
110,400
B
60 - 64.9
103,000
111,000
116,900
122,900
A
65+
116,800
125,900
132,600
139,400
URBAN SCALES - STANDARD (NON-SHIFT WORK) ROSTERS
Effective 18 April 2022
RDA
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
64,949
69,896
73,571
77,242
E
45 - 49.9
71,608
77,106
81,186
85,273
D
50 - 54.9
81,599
87,925
92,618
97,310
C
55 - 55.9
91,593
98,742
104,045
109,353
B
60 - 64.9
101,585
109,557
115,475
121,394
A
65+
114,906
123,975
130,713
137,451
Effective 20 December 2021
STONZ
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
68,300
73,300
76,900
80,600
E
45 - 49.9
75,200
80,800
84,800
88,900
D
50 - 54.9
85,500
91,900
96,500
101,300
C
55 - 55.9
95,800
103,000
108,300
113,600
B
60 - 64.9
106,200
114,200
120,100
126,100
A
65+
120,000
129,100
135,700
142,400

Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

What has this been for the last 10 years?

Please refer to the information contained in Attachment A. The spreadsheet shows the data
for 10 years with respect to the RDA MECA and four years with respect to the STONZ MECA
as that MECA has only be in effect since 10 December 2018.

c.  What is the maximum number of  day’s  house officers in the attachments above have to
work in a row?

RDA MECA – The parties have a commitment to work back to a maximum of 60 hours per
week.  RMOs shall not be required to work more than 72 hours in any consecutive seven days
nor more than 16 hours in any day.

STONZ MECA – A period on duty shall not exceed 16 consecutive hours.

d.  What is the rostered day off policy for house officers in the rotations mentioned above?

RDA MECA – There shall be no more than 5 consecutive days worked in a row, except that in
the case of night shifts there shall be no more than 4 consecutive shifts in a row.

STONZ MECA – In an effort to minimise the risks of fatigue, the parties will aim to provide a
minimum 12 hours continuous break during any given 48 hour period, and avoid periods of
duty  exceeding  12  hours  for  more  than  two  sequential  days.  A  minimum  break  of  eight
consecutive hours off duty shall be provident between any two periods of duty of a full shift
or more.

5.  With regards to trainee interns
5a) how many hours per week are trainee interns expected to be on placement in runs above?
5b) as they are not paid, what protections are ensured trainee interns have proper rest and food
breaks?
5c) how many days in a row are trainee interns expected to be on placement
5d) what is the DHB policy for rostered days off for trainee interns
5e) how does (the) DHB manage the expectations for trainee interns to be present with their
health and wellbeing in a demanding field

We are unable to respond to your request for information under Section 18(e) and Section 18 (f)
of the Official Information Act as the information requested is not held by the DHB and cannot
otherwise be made available without substantial collation or research.

Capital & Coast District Health Board

1.  What is the list if senior medical officers designated to be clinical supervisors for medical students
from the University of Auckland (i.e. who are the SMOs who can sign CSRs)

We  are  unable  to  respond  to  your  request  under  Section  18(e)  and  Section  18(f)  of  the  Official
Information Act as the information requested is not held by the DHB and cannot otherwise be made
available without substantial collation or research.

Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

2.  From above, what is the FTE of each SMO, and number of hours expected on site:
a.  If applicable, what is their salary as per Association of Salaries Medical Specialist contact
b.  What is this been for the last 10 years
c.  If unavailable, what is their generic SMO pay scale

We are unable to respond to your request for information under Section 18(e) and Section 18 (f)
of the Official Information Act as the information requested is not held by the DHB in a database
and cannot otherwise be made available without substantial collation or research.

For the generic SMO pay scale, please refer to our response to Question 3c below.

3.  To prevent burn often doctors get rostered time off
a.  How many days in a row can an SMO work as per contract?

An  employee’s  hours  of  work  and  job  size  are  mutually  agreed  and  objectively  reflect  the
requirements of the service and the time reasonably required for the employee to complete their
agreed duties and responsibilities, as set out in their job description.

b.  What is the policy around SMO rostered days off (RDO)?

Services that operate a shift system or an after-hours’ call roster are expected to have agreed
arrangements in place that allow an employee to have an adequate break without deduction from
full pay before commencing work following periods of on call related work or shift work where
the employee is too fatigued to safely undertake their next scheduled activity.

c.  What compensation is given when SMO do work beyond their day off? E.g. come in on a
RDO

There  are  entitlements  within  the  Senior  Medical  and  Dental  Officers  collective  agreement  to
provide additional remuneration – a link to the agreement is here:

https://tas.health.nz/assets/ER/ASMS-Senior-Medical-Dental-Officers-MECA-1-April-2020-31-
March-2021-1.29Mb.pdf

4.  With regards to house Officer
There are two Resident Medical Officer (RMO) Collective Agreements (MECAs) that apply to House
Officers:
  20 DHB and NZ Resident Doctors’ Association (RDA) Multi Employer Collective Agreement
(17 May 2021 to 31 March 2024) (RDA MECA); and

  20  DHB  and  Specialty  Trainees  of  New  Zealand  (STONZ)  Multi  Employer  Collective
Agreement (14 December 2021 – 13 December 2023) (STONZ MECA).

When providing responses to the OIA request this has been split to identify RDA MECA and STONZ
MECA provisions.

The first STONZ MECA came into effect on 10 December 2018 and when responding to Question 4b
the data for the STONZ MECA commences from this date. Prior to this date the only MECA in force
was the RDA MECA.

Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

a.  what  are  the  run  categories  for  house  officers  on  paediatrics  and  general  Medicine
attachments, ergo number of expected hours

Run Categories are based on a range of hours as set out in the table below. This range of hours
represents the weekly hours averaged over the 13 week run rotation and does not reflect the
actual hours worked from week to week as this will fluctuate dependent on the roster pattern.
This is the same for both RDA and STONZ MECAs.

Cat
Hours
F
40 - 44.9
E
45 - 49.9
D
50 - 54.9
C
55 - 55.9
B
60 - 64.9

A
65+

b.  What is their pay as per pgy# and run category from above?

The salaries and run categories contained in the RDA and SToNZ MECAs are  set out in the
tables below.

URBAN SCALES - FULL ROTATING SHIFT WORK ROSTERS
Effective 18 April 2022
RDA
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
61,949
66,896
70,571
74,242
E
45 - 49.9
68,608
74,106
78,186
82,273
D
50 - 54.9
78,599
84,925
89,618
94,310
C
55 - 55.9
88,593
95,742
101,045
106,353
B
60 - 64.9
98,585
106,557
112,475
118,394
A
65+
111,906
120,975
127,713
134,451
Effective 20 December 2021
STONZ
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
65,100
70,100
73,700
77,400
E
45 - 49.9
72,000
77,600
81,600
85,700
D
50 - 54.9
82,300
88,700
93,300
98,100
C
55 - 55.9
92,600
99,800
105,100
110,400
B
60 - 64.9
103,000
111,000
116,900
122,900
A
65+
116,800
125,900
132,600
139,400
Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

URBAN SCALES - STANDARD (NON-SHIFT WORK) ROSTERS
Effective 18 April 2022
RDA
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
64,949
69,896
73,571
77,242
E
45 - 49.9
71,608
77,106
81,186
85,273
D
50 - 54.9
81,599
87,925
92,618
97,310
C
55 - 55.9
91,593
98,742
104,045
109,353
B
60 - 64.9
101,585
109,557
115,475
121,394
A
65+
114,906
123,975
130,713
137,451
Effective 20 December 2021
STONZ
House Officer
Senior House Officer
Cat
Hours
Year 1
Year 2
Year 3
Year 4
F
40 - 44.9
68,300
73,300
76,900
80,600
E
45 - 49.9
75,200
80,800
84,800
88,900
D
50 - 54.9
85,500
91,900
96,500
101,300
C
55 - 55.9
95,800
103,000
108,300
113,600
B
60 - 64.9
106,200
114,200
120,100
126,100
A
65+
120,000
129,100
135,700
142,400

What has this been for the last 10 years?

Please refer to the information contained in Attachment A. The spreadsheet shows the data
for 10 years with respect to the RDA MECA and four years with respect to the STONZ MECA
as that MECA has only be in effect since 10 December 2018.

c.  What is the maximum number of  day’s  house officers in the attachments above have to
work in a row?

RDA MECA – The parties have a commitment to work back to a maximum of 60 hours per
week.  RMOs shall not be required to work more than 72 hours in any consecutive seven days
nor more than 16 hours in any day.

STONZ MECA – A period on duty shall not exceed 16 consecutive hours.

d.  What is the rostered day off policy for house officers in the rotations mentioned above?

RDA MECA – There shall be no more than 5 consecutive days worked in a row, except that in
the case of night shifts there shall be no more than 4 consecutive shifts in a row.

STONZ MECA – In an effort to minimise the risks of fatigue, the parties will aim to provide a
minimum 12 hours continuous break during any given 48 hour period, and avoid periods of
duty  exceeding  12  hours  for  more  than  two  sequential  days.  A  minimum  break  of  eight
consecutive hours off duty shall be provident between any two periods of duty of a full shift
or more.

Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz

5)  With regards to trainee interns (Questions 5 to 5e)
5a) how many hours per week are trainee interns expected to be on placement in runs above?
5b) as they are not paid, what protections are ensured trainee interns have proper rest and food
breaks?
5c) how many days in a row are trainee interns expected to be on placement
5d) what is the DHB policy for rostered days off for trainee interns
5e) how does (the)DHB manage the expectations for trainee interns to be present with their
health and wellbeing in a demanding field

We are unable to respond to your request for information under Section 18(e) and Section 18 (f)
of the Official Information Act as the information requested is not held by the DHB and cannot
otherwise be made available without substantial collation or research.

I trust this information fulfils your request. You have the right, under section 28 of the OIA, to seek an
investigation and review by the Ombudsman of this decision. Information about how to make a complaint
is available at www.ombudsman.parliament.nz or you can free phone 0800 802 602.

Nāku ite noa, nā

Fionnagh Dougan
Āpiha Whakahaere Mātāmua | Chief Executive
Ūpoko ki te uru Hauora | Capital & Coast and Hutt Valley District Health Boards

Hutt Valley DHB | Private Bag 31907, Lower Hutt 5010 | 04 566 6999 l   www.huttvalleydhb.org.nz
Capital & Coast DHB | Private Bag 7902, Newtown, Wellington 6342 | 04 385 5999 l www.ccdhb.org.nz