This is an HTML version of an attachment to the Official Information request 'Te Whatu Ora Waitematā MCNZ Accreditation'.


PO Box 10509 
+64 4 384 7635 
The Terrace 
0800 286 801 
Wellington 6143 
[email address]
New Zealand
mcnz.org.nz 
Ref: 9027556 
11 January 2018 
Private and confidential 
To be opened by addressee only 
Dr Dale Bramley 
Chief Executive Officer 
Waitemata District Health Board 
Via email only: [email address] 
Dear Dr Bramley 
Medical Council of New Zealand (Council) accreditation report 
Waitemata District Health Board (DHB) recently underwent an accreditation assessment as a provider 
of prevocational medical training. Council’s accreditation team has completed its review, taking into 
account information provided by Waitemata DHB as part of its self-assessment, as well as findings 
from the site visits to North Shore and Waitakere Hospital on 4 and 5 September 2018. 
At its meeting on 4 and 5 December 2018, Council reviewed the draft Prevocational medical training 
accreditation report: Waitemata District Health Board 
and your response to the report. 
Council’s decision 
Following consideration of your response to the draft Prevocational medical training accreditation 
report: Waitemata District Health Board, 
Council resolved to amend the outcome of Standard 3.4 
Orientation from ‘not met’ to ‘substantially met’. 
Having made this amendment, Council resolved to endorse the Prevocational medical training 
accreditation report: Waitemata District Health Board 
and resolved that: 
under the Official Information Act 1982

the overall outcome of the assessment for accreditation is substantially met

Waitemata DHB be accredited for a period of 3 years (until 31 December 2021) subject to it
satisfactorily addressing the required actions below.
As above, Council resolved that it requires an interim report from Waitemata DHB that satisfies 
Council that the required actions specified below have been addressed by 14 June 2019
1.
Waitemata DHB must ensure that the process of obtaining informed consent aligns with
Council’s statement on Information, choice of treatment and informed consent and is
Released 
understood by all staff involved in patient care and enacted across all services. (Standard
3.1.10)
2.
Waitemata DHB must ensure that interns commencing employment partway through the
intern year receive appropriate orientation to the DHB. (Standard 3.4.1)
Te tiaki i te iwi whānui me 
Protecting the public, 
te whakatairanga pai i te mahi 
promoting good 
e pā ana ki te taha rongoā
medical practice




3.
Waitemata DHB must ensure that formal orientation at the start of each clinical attachment
occurs. (Standard 3.4.2)
4.
Waitemata DHB must ensure that interns are clinically supervised at a level appropriate to
their clinical experience and responsibilities at all times. (Standard 4.3.2)
5.
Waitemata DHB must ensure that applications for annual leave are dealt with fairly and
transparently. (Standard 6.2.7)
Please find enclosed a template for the interim report due 14 June 2019. Please note, if, 12 months 
after accreditation has been granted, all the required actions have not satisfactorily been addressed, 
a further accreditation assessment will be required within 6 months of Council’s decision. 
The Education Committee will review the interim report at its meeting in August 2019. 
Final report 
Please find enclosed the report Prevocational medical training accreditation report: Waitemata 
District Health Board.
 Council will publish the enclosed report on its website on 12 February 2019. 
Feedback on prevocational medical training accreditation assessment process 
Council would like to invite Waitemata DHB to provide feedback on its recent experience of Council’s 
accreditation process. Please find enclosed a feedback form. Your feedback will inform quality 
improvement of our processes. 
On behalf of the accreditation team, I would like to thank you and the staff at Waitemata DHB for all 
of the assistance we received organising and making arrangements for the visit. 
Should you have any questions regarding the above, please do not hesitate to contact Hollie 
Bennett, Team leader, Education on 04 381 6786 or by email at [email address].  
Yours sincerely 
Joan Simeon   
Chief Executive Officer 
cc 
Dr A Brant (Chief Medical Officer) 
under the Official Information Act 1982
Dr I Wallace (Clinical Director of Training) 
Drs N Ahmed, L Chapman, R, Desai, H Gardner, A Herd, P Insull, A Jenner, R Kalluru, V Ozorio, K Read, P Shapkov 
and V Singh (Prevocational Educational Supervisors) 
Ms N Heap (Team Leader, Clinical Education and Training Unit) 
Ms T Davis (Portfolio Manager Workforce Operations, NRA)   
encl 
Prevocational medical training accreditation report: Waitemata District Health Board 
Template for interim report due 14 June 2019 
Feedback form 

Released 
Te tiaki i te iwi whānui me 
Protecting the public, 
te whakatairanga pai i te mahi 
promoting good 
e pā ana ki te taha rongoā
medical practice