Auckland Responses for OIA HNZ000033146 RMO Understaffing Data.pdf

Te Toka Tumai Auckland District Response
OIA HNZ000033146 RMO Understaffing Data CRM:0354014
Requestor: Chrystal Hil
Request  I wish to know the number of house officers and registrars working in your regions –
specifical y Waitematā, Counties Manukau, and Auckland City. Please treat this as three
separate requests for each region.
1/ House Officers:
A. Time Frame: Week 6 of each quarter in 2023.
B/ Information Required:
i. Department and Team Breakdown: Exact number of house officers in each
department and team.
i . Relieving Staff Numbers: Total count of relieving house officers during these weeks.
i i. Vacant Positions: Detailed list of al  vacant house officer positions.
iv. Leave Details: Specific numbers of house officers on annual leave, sick leave, and
bereavement leave from Monday to Sunday of the specified weeks.
v. Extra Shifts and Duties: Detailed account of any additional duties or cross-covering
shifts, including those outside normal hours.
vi. Changes in Staff Numbers: Clear explanations for any variations in house officer
numbers between quarters.
2/ Registrars:
A/ Time Frame: Weeks 4 and 10 of each half-year rotation in 2023.
B/ Information Required:
i. Department and Team Breakdown: Exact number of registrars in each department
and team.
i . Relieving Staff Numbers: Total count of relieving registrars during these weeks.
i i. Vacant Positions: Detailed list of al  vacant registrar positions.
iv. Leave Details: Specific numbers of registrars on annual leave, sick leave, and
bereavement leave from Monday to Sunday of the specified weeks.
under The Official Information Act 1982
v. Extra Shifts and Duties: Detailed account of any additional duties or cross-covering
shifts, including those outside normal hours.
vi . Changes in Staff Numbers: Clear explanations for any variations in registrar
numbers between the specified times.
Released
Page 1 of 24

QUESTION 1 RESPONSES – HOUSE OFFICERS

Please note that when responding to this question the information provided captures both House Officer and
Senior House Officers at each District.

A. Time Frame: Week 6 of each quarter in 2023.

The House Officer rotation dates for the 2023 Training Year were;
•  HO Q1 2023 dates 16/01/2023 – 16/04/2023
•  HO Q2 2023 dates 17/04/2023 – 16/07/2023
•  HO Q3 2023 dates 17/07/2023 – 15/10/2023
•  HO Q4 2023 dates 16/10/2023 – 14/01/2024

The week 6 timeframe for each quarter that the data provided covers are as fol ows;
•  HO Q1 2023, week 6 period is 20/02/2023 to 26/02/2023
•  HO Q2 2023, week 6 period is 08/05/2023 to 14/05/2023
1982
•  HO Q3 2023, week 6 period is 21/08/2023 to 27/08/2023
•  HO Q4 2023, week 6 period is 20/11/2023 to 26/11/2023
Act

B/ Information Required:

i. Department and Team Breakdown: Exact number of house officers in each department and team.

The information provided for the response to Question 1 – B(i) details the total num
Information ber of House Officer positions
split by Service and Position Name. The position FTE (ful  time equivalent) is provided for week 6 in each House
Officer rotation and represents the approved number of House Officer positions for the service.

Official
When providing House Officer numbers this includes both House Officer and Senior House Officer positions.

The
Service and Position Name
HO Q1 WK 6  HO Q2 WK 6  HO Q3 WK 6  HO Q4 WK 6
Anaesthesia
8
8
8
8
Anaesthesia SHO
8
8
8
8
Cardiac
under
14
14
14
14
Cardiology
6
6
6
6
CTSU
8
8
8
8
Critical Care
2
2
2
2
ICM CVICU SHO
2
2
2
2
Dental Care
9
9
9
9
Released
Dental HO
9
9
9
9
Emergency Medicine
18
18
18
18
Emergency
11
11
11
11
Emergency Department
6
6
6
6
Paediatric Relief/ED
1
1
1
1
Gastroenterology
1
1
1
1
Gastroenterology
1
1
1
1
General Practice Community Based Attachment
1
1
1
1
Community Coast to Coast Health Care Wel sford
1
1
1
1
General Surgery
27
27
27
27
General Surgery
7
7
7
7
General Surgery - ASU/GSU
8
8
8
8
General Surgery & Vascular Surgery Night Reliever
1
1
1
1
Surgical Relief
11
11
11
11
Geriatrics Inpatient
9
9
9
9
Med Geriatrics
8
8
8
8
Page 2 of 24

Med Geriatrics Relief
1
1
1
1
Haematology
2
2
2
2
Haematology
2
2
2
2
Medical Oncology
1
1
1
1
Medical Oncology
1
1
1
1
Medicine
27
27
27
27
General Medicine
14
14
14
14
Medicine Relief
11
11
11
11
Medicine Specialities Night Reliever
1
1
1
1
Medicine Specialities Relief
1
1
1
1
Neurology
2
2
2
2
Neurology
2
2
2
2
Neurosurgery
7
7
7
7
Neurosurgery
7
7
7
7
Obstetrics & Gynacology
16
16
16
16
O&G
10
10
10
10
O&G Relief
4
4
4
4
O&G SHO
2
2
2
2
Ophthalmology
3
3
3
3
Ophthalmology
3
3
3
1982
3
Orthopaedics
13
13
13
13
Orthopaedics
10
10
Act 10
10
Surg Urology/Ortho Night Reliever
1
1
1
1
Surg Urology/Ortho Relief
2
2
2
2
Otorhinolaryngology
4
4
4
4
ORL/ENT
4
4
4
4
Paediatric Neonatology
1
1
1
1
Neonates
1
1
1
1
Paediatric Orthopaedic Surgery
2
2
Information
2
2
Orthopaedics
2
2
2
2
Paediatric Otolarlyngology
1
1
1
1
ENT
1
1
1
1
Paediatric Surgery
2
2
2
2
Official
Surgery
2
2
2
2
Paediatrics
16
17
17
16
Cardiology
The
1
1
1
1
Gastro/ID
1
1
1
1
Neurology/Metabolic
1
1
1
1
Oncology
1
1
1
1
under
Paed Neurosurgery and Endocrine
1
1
1
1
Paediatric Relief
7
7
7
7
Paediatric Renal/Rheum
1
1
1
1
Respiratory/Immunology
1
1
1
1
Gen Paeds
2
3
3
2
Pal iative Care
1
1
1
1
Released
Community Mercy Hospice
1
1
1
1
Psychiatry
8
8
8
8
Community Mental Health Tupu Ora
1
1
1
1
Psychiatry
4
4
4
4
Psychiatry - FMU
1
1
1
1
Psychiatry CFU
1
1
1
1
Psychiatry Relief
1
1
1
1
Public Health
2
2
2
2
Community Public Health
2
2
2
2
Rehab Medicine
2
2
2
2
Rehab
2
2
2
2
Renal
2
2
2
2
Renal
2
2
2
2
Respiratory
2
2
2
2
Respiratory
2
2
2
2
Urology
3
3
3
3
Page 3 of 24

Urology
3
3
3
3
Vascular
4
4
4
4
Vascular
3
3
3
3
Vascular/HDU
1
1
1
1
Total House Officer Positions
Te Toka Tumai Auckland
210
211
211
210

i . Relieving Staff Numbers: Total count of relieving house officers during these weeks.

The information provided for the response to Question 1 – B(i ) details the total number of dedicated House
Officer Reliever positions split by Service and Position Name. The Reliever position FTE (ful  time equivalent) is
provided for week 6 in each House Officer rotation. When providing House Officer numbers this includes both
House Officer and Senior House Officer positions.

To provide context we have included the fol owing information in the table as part of the response;
•  Reliever Position FTE – this is consistent with the information provided at Question 1 – B(i) and represents
the approved position FTE for the service.
1982
•  Al ocated FTE – this is the number of House Officers al ocated to the Reliver position. Where this is more
than the position FTE it means that the position is overal ocated i.e. there are add
Act itional House Officers
al ocated to the position.

Important note on Relief Models
The total number of dedicated reliever positions set out in the response is not indicative of al  relief models in
place across services.

Information
There are a number of different relief models utilised by services that do not involve dedicated reliever positions
and where this applies they are not included in the reliever table. Examples of the various relief models are set
out as fol ows noting that models 1 to 4 involve dedicated reliever positions.
Official
•  Relief Model 1: Designated Service Relief
  Relieving RMOs are employed into a designated service and only provide relief cover for that
specific service roster. As an example,
The   the designated General Surgery relievers only provide relief
cover for duties within the General Surgery roster.
•  Relief Model 2: Pooled Relief
  Pooled relief is where relievin
under g RMOs are in one large pool and relief cover is provided from
within this pool for multiple services. Rosters for the relief RMOs can include duties from al
services covered by the relief pool. For example, a Surgical House Officer relief pool would
provide relief cover for all Surgical Specialities (e.g. General Surgery, Orthopaedics, Plastic
Surgery, etc.).
•  Relief Model 3: Aligned Poo
Released led Relief
  Aligned pooled relief is where relieving RMOs are in one large relief pool which provides cover for
multiple services, however within this each RMO is aligned with 1-2 primary services.
•  Relief Model 4: Rotating Relief
  Rotating Relief is where throughout the run, RMOs rotate from a team position into a period of
relief and a relieving RMO rotates into a designated team position. The purpose of this model is
to ensure adequate relief cover while reducing the period individual RMOs are in a relief role.
•  Relief Model 5: Embedded Relief
  Embedded relief is where RMOs work a complete roster (no additional support required to staff
the baseline roster) and cover RDOs, sleep days and day duties of RMOs on nights within the
team without the need for a reliever.
•  Relief Model 6: After-Hours (Rostered Additional) Relief
  The After-Hours Relief model is where RMOs are assigned to a team position Monday – Friday as
per their al ocation and their relief duties only consist of hours over the ordinary hours such as
Page 4 of 24

evenings, weekends and nights. This is suited to services where the number of RMOs required
during the day time is more than the after-hours requirement.
•  Relief Model 7: Embedded Relief/Re-allocation
  This model includes development of a roster template that al ows for a set number of RMOs to be
away at any given time, with afterhours shared across those remaining within the service. This is
done either by writing the roster to accommodate and minimise the impact of pre-approved
leave or by RMOs swapping shifts to accommodate leave booked after roster publication. In this
model, the roster is written (and remunerated) based on the number of Registrars required at
work on any given day instead of the number of RMOs al ocated to the service.
•  Relief Model 8: Service Changes
  In certain positions, senior registrars may provide services in the hospital that cannot be
adequately covered by a reliever/junior registrar during their absence. In addition, relief roles
cannot be implemented at a Senior Registrar level due to col ege restrictions.

HO Q1 WK 6
HO Q2 WK 6
HO Q3 WK 6
HO Q4 WK 6
Position  Al ocated  Position  Al ocated  Position  Al ocated  Position  Al ocated
Service and Position
FTE
FTE
FTE
FTE
FTE
FTE
FTE
FTE
1982
Emergency Medicine
1
1
1
1
1
1
1
1
Paediatric Relief/ED
1
1
1
1
1
1
1
1
Act
General Surgery
12
10
12
11
12
8
12
11
General Surgery &
Vascular Surgery Night
Reliever
1
0
1
1
1
0
1
1
Surgical Relief
11
10
11
10
11
8
11
10
Geriatrics Inpatient
1
1
1
1
1
0
1
0
Med Geriatrics Relief
1
1
1
1
1
Information  0
1
0
Medicine
13
14
13
12
13
10
13
10
Medicine Relief
11
11
11
10
11
8
11
8
Medicine Specialities
Night Reliever
1
1
1
1
Official
1
1
1
1
Medicine Specialities
Relief
1
2
1
1
1
1
1
1
The
Obstetrics & Gynacology
4
2
4
2.9
4
3
4
4
O&G Relief
4
2
4
2.9
4
3
4
4
Orthopaedics
3
3
3
3
3
3
3
3
Surg Urology/Ortho
under
Night Reliever
1
1
1
1
1
1
1
1
Surg Urology/Ortho
Relief
2
2
2
2
2
2
2
2
Paediatrics
7
8
7
7
7
7
7
7
Paediatric Relief
7
8
7
7
7
7
7
7
Released
Psychiatry
1
1
1
1
1
0
1
0
Psychiatry Relief
1
1
1
1
1
0
1
0
Total Reliever House
Officer Positions
Te Toka Tumai
42
40
42
38.9
42
32
42
36



Page 5 of 24

i i. Vacant Positions: Detailed list of al  vacant house officer positions.

The information provided for the response to Question 1 – B(i i) details the total number of vacant House Officer
positions split by Service and Position Name. The vacant House Officer positions are provided for week 6 in each
House Officer rotation.

When providing House Officer numbers this includes both House Officer and Senior House Officer positions.
To provide context we have included the fol owing information in the table as part of the response;
•  Position FTE – this is consistent with the information provided at Question 1 – B(i) and represents the
approved position FTE for the service.
•  Al ocated FTE – this is the number of House Officers al ocated to the position. Where this is more than the
position FTE it means that the position is overal ocated i.e. there are additional House Officers allocated
to the position.
•  Vacant FTE – this is the number of vacant House Officer positions. Where this is a negative number it
means that the position is overal ocated and is not a vacancy.

1982

HO Q1 WK 6
HO Q2 WK 6
HO Q3 WK 6
HO Q4 WK 6
Act
Service and Position
Position  Al ocate
Vacant  Position  Al ocate
Vacant
Position  Al ocate
Vacant
Position  Al ocate
Vacant
Name
FTE
d FTE
FTE
FTE
d FTE
FTE
FTE
d FTE
FTE
FTE
d FTE
FTE
Anaesthesia
8
8
0
8
8
0
8
8
0
8
8
0
Anaesthesia SHO
8
8
0
8
8
0
8
8
0
8
8
0
Cardiac
14
13
1
14
14
0
14
14
0
14
14
0
Cardiology
6
6
0
6
6
0
6
6
0
6
6
0
Information
CTSU
8
7
1
8
8
0
8
8
0
8
8
0
Critical Care
2
2
0
2
2
0
2
2
0
2
2
0
ICM CVICU SHO
2
2
0
2
2
0
2
2
0
2
2
0
Dental Care
9
8
1
9
8
1
Official  9
8
1
9
8
1
Dental HO
9
8
1
9
8
1
9
8
1
9
8
1
Emergency Medicine
18
18
0
18
16
2
18
17
1
18
18
0
The
Emergency
11
11
0
11
9
2
11
10
1
11
11
0
Emergency Department
6
6
0
6
6
0
6
6
0
6
6
0
under
Paediatric Relief/ED
1
1
0
1
1
0
1
1
0
1
1
0
Gastroenterology
1
1
0
1
1
0
1
1
0
1
1
0
Gastroenterology
1
1
0
1
1
0
1
1
0
1
1
0
General Practice
Community Based
Released
Attachment
1
1
0
1
1
0
1
1
0
1
0
1
Community Coast to
Coast Health Care
Wel sford
1
1
0
1
1
0
1
1
0
1
0
1
General Surgery
27
29
-2
27
28
-1
27
22.74
4.26
27
26
1
General Surgery
7
10
-3
7
9
-2
7
6.74
0.26
7
7
0
General Surgery -
ASU/GSU
8
9
-1
8
8
0
8
8
0
8
8
0
General Surgery &
Vascular Surgery Night
Reliever
1
0
1
1
1
0
1
0
1
1
1
0
Surgical Relief
11
10
1
11
10
1
11
8
3
11
10
1
Geriatrics Inpatient
9
9
0
9
8
1
9
8
1
9
7
2
Med Geriatrics
8
8
0
8
7
1
8
8
0
8
7
1
Page 6 of 24

Med Geriatrics Relief
1
1
0
1
1
0
1
0
1
1
0
1
Haematology
2
2
0
2
2
0
2
2
0
2
2
0
Haematology
2
2
0
2
2
0
2
2
0
2
2
0
Medical Oncology
1
2
-1
1
2
-1
1
2
-1
1
2
-1
Medical Oncology
1
2
-1
1
2
-1
1
2
-1
1
2
-1
Medicine
27
32
-5
27
27
0
27
24
3
27
25
2
General Medicine
14
18
-4
14
15
-1
14
14
0
14
15
-1
Medicine Relief
11
11
0
11
10
1
11
8
3
11
8
3
Medicine Specialities
Night Reliever
1
1
0
1
1
0
1
1
0
1
1
0
Medicine Specialities
Relief
1
2
-1
1
1
0
1
1
0
1
1
0
Neurology
2
2
0
2
2
0
2
2
0
2
2
0
Neurology
2
2
0
2
2
0
2
2
0
2
2
0
Neurosurgery
7
7
0
7
6
1
7
7
0
7
6
1
Neurosurgery
7
7
0
7
6
1
7
7
0
7
6
1
1982
Obstetrics &
Gynacology
16
14
2
16
14.9
1.1
16
15
1
16
16
0
Act
O&G
10
10
0
10
10
0
10
10
0
10
10
0
O&G Relief
4
2
2
4
2.9
1.1
4
3
1
4
4
0
O&G SHO
2
2
0
2
2
0
2
2
0
2
2
0
Ophthalmology
3
3
0
3
3
0
3
3
0
3
3
0
Ophthalmology
3
3
0
3
3
0
3
3
0
3
3
0
Orthopaedics
13
13
0
13
13
0
13
13
0
13
13
0
Information
Orthopaedics
10
10
0
10
10
0
10
10
0
10
10
0
Surg Urology/Ortho
Night Reliever
1
1
0
1
1
0
1
1
0
1
1
0
Surg Urology/Ortho
Official
Relief
2
2
0
2
2
0
2
2
0
2
2
0
Otorhinolaryngology
4
4
0
4
4
0
4
4
0
4
3
1
ORL/ENT
4
4
0
4
The 4
0
4
4
0
4
3
1
Paediatric Neonatology
1
1
0
1
1
0
1
1
0
1
1
0
Neonates
1
1
0
1
1
0
1
1
0
1
1
0
under
Paediatric Orthopaedic
Surgery
2
2
0
2
2
0
2
2
0
2
2
0
Orthopaedics
2
2
0
2
2
0
2
2
0
2
2
0
Paediatric
Otolarlyngology
1
1
0
1
1
0
1
1
0
1
1
0
ENT
1
1
0
1
1
0
1
1
0
1
1
0
Released
Paediatric Surgery
2
2
0
2
2
0
2
2
0
2
2
0
Surgery
2
2
0
2
2
0
2
2
0
2
2
0
Paediatrics
16
17
-1
17
17
0
17
17
0
16
15
1
Cardiology
1
1
0
1
1
0
1
1
0
1
1
0
Gastro/ID
1
1
0
1
1
0
1
1
0
1
1
0
Gen Paeds
2
3
-1
3
3
0
3
3
0
2
1
1
Neurology/Metabolic
1
1
0
1
1
0
1
1
0
1
1
0
Oncology
1
1
0
1
1
0
1
1
0
1
1
0
Paed Neurosurgery and
Endocrine
1
1
0
1
1
0
1
1
0
1
1
0
Paediatric Relief
7
8
-1
7
7
0
7
7
0
7
7
0
Paediatric
Renal/Rheum
1
0
1
1
1
0
1
1
0
1
1
0
Page 7 of 24

Respiratory /
Immunology
1
1
0
1
1
0
1
1
0
1
1
0
Palliative Care
1
1
0
1
1
0
1
1
0
1
1
0
Community Mercy
Hospice
1
1
0
1
1
0
1
1
0
1
1
0
Psychiatry
8
9
-1
8
7.93
0.07
8
7
1
8
6
2
Community Mental
Health Tupu Ora
1
1
0
1
0.93
0.07
1
1
0
1
0
1
Psychiatry
4
5
-1
4
4
0
4
4
0
4
4
0
Psychiatry - FMU
1
1
0
1
1
0
1
1
0
1
1
0
Psychiatry CFU
1
1
0
1
1
0
1
1
0
1
1
0
Psychiatry Relief
1
1
0
1
1
0
1
0
1
1
0
1
Public Health
2
2
0
2
2
0
2
2
0
2
2
0
Community Public
Health
2
2
0
2
2
0
2
2
0
2
2
0
Rehab Medicine
2
2
0
2
1
1
2
2
0
2
2
0
Rehab
2
2
0
2
1
1
2
2
0
2
2
0
Renal
2
2
0
2
2
0
2
2
0
2
2
0
1982
Renal
2
2
0
2
2
0
2
2
0
2
2
0
Respiratory
2
2
0
2
2
0
2
2
0
2
2
0
Act
Respiratory
2
2
0
2
2
0
2
2
0
2
2
0
Urology
3
3
0
3
4
-1
3
3
0
3
3
0
Urology
3
3
0
3
4
-1
3
3
0
3
3
0
Vascular
4
4
0
4
4
0
4
4
0
4
4
0
Vascular
3
3
0
3
3
0
3
3
0
3
3
0
Vascular/HDU
1
1
0
1
1
0
1
1
0
1
1
0
Information
House Officer Total
Te Toka Tumai
210
216
-6
211
206.8
4.17
211
199.7  11.26
210
199
11

Official
iv. Leave Details: Specific numbers of house officers on annual leave, sick leave, and bereavement
leave from Monday to Sunday of the specified weeks.
The

The information provided for the response to Question 1 – B(iv) details the total number of House Officers on
annual leave, sick leave and bereavement leave per day in week 6 in each House Officer rotation.
under

We note that there are more than three types of leave available to RMOs, these are not included in the response
as they do not form part of the request;
•  Medical Education leave
•  Union leave and Employment Relations Education leave
Released
•  Parental leave
•  Leave without pay
•  Special COVID leave
•  Alternate Holiday leave
•  Time in lieu leave

The data provided has been reported out of the Leader payrol  system and each instance of leave recorded has
been reported whether that is for a ful  day or part of a day during the period specified.

Col ective Agreement provisions impacting how leave is deducted
The RMO col ective agreements set out that leave can only be deducted Monday through Friday. For this reason
you wil  note that there are no House Officers on annual leave on Saturday/Sunday in week 6 of each rotation.
The exceptions where leave can be deducted over a weekend are;
Page 8 of 24

•  Bereavement Leave
•  Sick Leave
•  Alternate Holidays
Bereavement
Total House
Timeframe
Annual Leave
Leave
Sick Leave
Officers on Leave
HO Q1 WK 6
81
3
23
107
20-Feb
15
0
5
20
21-Feb
14
<5
6
21
22-Feb
15
0
6
21
23-Feb
13
<5
<5
16
24-Feb
24
<5
<5
28
25-Feb
0
0
<5
<5
HO Q2 WK 6
55
3
35
93
08-May
12
0
11
23
09-May
10
0
7
17
10-May
10
0
8
18
11-May
10
<5
<5
15
12-May
13
<5
5
20
1982
HO Q3 WK 6
94
<5
22
118
21-Aug
18
0
7
25
Act
22-Aug
17
0
6
23
23-Aug
19
<5
<5
24
24-Aug
18
<5
<5
21
25-Aug
22
0
<5
25
HO Q4 WK 6
95

24
119
20-Nov
21
0
6
27
21-Nov
18
0
<5
Information
22
22-Nov
17
0
<5
20
23-Nov
18
0
5
23
24-Nov
21
0
6
27

Official

v. Extra Shifts and Duties: Detailed account of any additional duties or cross-covering shifts, including
The
those outside normal hours.

The information provided for the response to Q
under  uestion 1 – B(v) details the additional duties and cross covering
shifts per day in week 6 in each House Officer rotation. This information has been reported out of the Leader
payrol  system.

In the Additional Duties table we have reported the number of additional duties on each day of week 6 in each
House Officer rotation, the number
Released  of additional duty hours and the amount of additional duties paid. Shift
information is not available this is not captured in the payrol  system.

Number of
Additional Duty
Timeframe
Additional Duties
Hours
Amount Paid
HO Q1 WK 6
35
203.5
$30,102.50
20-Feb
2
6.5
$655.00
21-Feb
1
6
$570.00
22-Feb
5
24.5
$2,797.50
23-Feb
4
22.5
$3,875.00
24-Feb
3
22
$3,880.00
25-Feb
9
49.5
$7,880.00
26-Feb
11
72.5
$10,445.00
HO Q2 WK 6
31
161.33
$25,226.10
08-May
5
20.33
$2,501.10
Page 9 of 24

10-May
3
12.5
$1,225.00
11-May
2
7
$1,240.00
12-May
4
27
$4,460.00
13-May
10
55
$8,750.00
14-May
7
39.5
$7,050.00
HO Q3 WK 6
78
439.81
$56,542.70
21-Aug
8
41
$4,720.00
22-Aug
5
25.5
$2,967.50
23-Aug
7
32.5
$3,745.00
24-Aug
11
51.5
$5,212.50
25-Aug
14
55.48
$6,416.60
26-Aug
17
123.33
$17,516.10
27-Aug
16
110.5
$15,965.00
HO Q4 WK 6
79
464.5
$55,982.50
20-Nov
8
40.5
$2,820.00
21-Nov
7
39
$2,870.00
22-Nov
9
48
$4,397.50
23-Nov
6
29
$3,165.00
24-Nov
15
75
$9,030.00
1982
25-Nov
14
97
$14,015.00
26-Nov
20
136
$19,685.00
Act
Total HO Additional Duties
Te Toka Tumai Auckland
223
1269.14
$167,853.80

In the Cross Cover table we have reported the number of cross cover instances on each day of week 6 in each
House Officer rotation and the amount of the cross cover paid. This represents cross cover in ordinary hours and
we have split out where the cross cover has been shared. Where cross cover outside ordinary hours occurs this is
Information
paid as additional duties not cross cover and is not captured as a separate category in the payrol  data.

Number of
Cross Cover
Number of Shared
Shared Cross
Timeframe
Cross Cover
Amount Paid
Official  Cross Cover
Cover Paid
HO Q1 WK 6
18
$5,400.00
8
$1,200.00
20-Feb
3
$900.00
0
0
The
21-Feb
3
$900.00
0
0
22-Feb
3
$900.00
2
$300.00
23-Feb
3
$900.00
2
$300.00
24-Feb
6
under  $1,800.00
4
$600.00
HO Q2 WK 6
5
$1,500.00
3
$450.00
08-May
1
$300.00
3
$450.00
10-May
1
$300.00
0
0
11-May
1
$300.00
0
0
12-May
2
$600.00
0
0
Released
HO Q3 WK 6
40
$11,900.00
38
$5,300.00
21-Aug
10
$3,000.00
9
$1,200.00
22-Aug
4
$1,200.00
5
$650.00
23-Aug
7
$2,100.00
7
$1,050.00
24-Aug
8
$2,400.00
11
$1,500.00
25-Aug
10
$2,900.00
6
$900.00
27-Aug
1
$300.00
0
0
HO Q4 WK 6
31
$9,100.00
55
$6,675.00
20-Nov
9
$2,700.00
16
$1,950.00
21-Nov
6
$1,800.00
16
$1,950.00
22-Nov
5
$1,300.00
5
$700.00
23-Nov
4
$1,200.00
7
$850.00
24-Nov
7
$2,100.00
11
$1,225.00
Total HO Cross Cover
Te Toka Tumai Auckland
94
$27,900.00
104
$13,625.00
Page 10 of 24

vi. Changes in Staff Numbers: Clear explanations for any variations in house officer numbers between
quarters.

The table below provides the response to Question 1 – B(vi). It identifies where there are variations in House
Officer position FTE between each rotation and provides an explanation for those variations.

Position FTE
Service and Position
HO Q1 HO Q2 HO Q3 HO Q4 Explanation for variations between quarters
WK 6
WK 6
WK 6
WK 6
Paediatrics

Summer / Winter roster in operation. For winter
Gen Paeds
2
3
3
2
period across Q2/Q3 Paediatric House Officer
positions increase by 1FTE.

1982
Act
Information
Official
The
under
Released
Page 11 of 24

QUESTION 2 RESPONSES – REGISTRARS

Please note that when responding to this question the information provided captures both Registrar and Fel ow
positions covered by RMO terms and conditions.

A. Time Frame: Weeks 4 and 10 of each half-year rotation in 2023.

The Registrar rotation dates for each half-year rotation in the 2023 Training Year were;
•  REG R1 2023 dates 31/01/2023 – 30/07/2023
•  REG R2 2023 dates 31/07/2023 – 29/01/2024

The week 4 and week 10 timeframe for each half-year rotation that the data provided covers are;
•  REG R1 2023, week 4 period is 20/02/2023 to 26/02/2023
•  REG R1 2023, week 10 period is 03/04/2023 to 09/04/2023
•  REG R2 2023, week 4 period is 21/08/2023 to 27/08/2023
•  REG R2 2023, week 10 period is 02/10/2023 to 08/10/2023
1982

B/ Information Required:
Act

i. Department and Team Breakdown: Exact number of Registrars in each department and team.

The information provided for the response to Question 2 – B(i) details the total number of Registrar positions split
by Service and Position Name. The position FTE (ful  time equivalent) is provided for week 4 and weeks 10 in each
rotation and represents the approved number of Registrar positions for the service.
Information

When providing Registrar numbers this includes both Registrar and Fel ow RMO positions.

Official
Service and Position Name
REG R1 WK 4
REG R1 WK 10  REG R2 WK4  REG R2 WK10
Anaesthesia
39
39
39
39
Anaes (Card)
The  6
6
6
6
Anaes (Gen)
18
18
18
18
Anaes (Womens)
7
7
7
7
Anaes Paed
6
6
6
6
under
Emergency Anaes Trainee
2
2
2
2
Cardiac
20
20
20
20
Cardiology
11
11
11
11
Surg CTSU
1
1
1
1
Surg CTSU (Non-SET)
2
2
2
2
Surg CTSU Cardiac
6
6
6
6
Released
Clinical Education
1
1
1
1
Medical Education Fel ow
1
1
1
1
Critical Care
38
38
39
39
Anaes (Cardiac ICU)
3
3
3
3
Anaes DCCM
4
4
4
4
DCCM
1
1
1
1
Emergency DCCM
3
3
3
3
Emergency PICU
2
2
2
2
ICM CVICU
4
4
5
5
ICM DCCM
7
7
7
7
ICM PICU
1
1
1
1
Paed PICU 6/12
2
2
2
2
PICU
11
11
11
11
Dental Care
9
9
8
8
Dental
2
2
2
2
Dental (Non Training)
1
1

Page 12 of 24

Dental OMS Registrar
1
1
1
1
Dental Paediatrics (Non Training)
2
2
2
2
HSD Non-Training Registrar
1
1
1
1
Oral Medicine Registrar (Non Training)
1
1
1
1
OralMaxFac - Non-Training Registrar
1
1
1
1
Dermatology
3
3
3
3
Dermatology
3
3
3
3
Diabetes
2
2
2
2
Diabetes
2
2
2
2
Emergency Medicine
28
28
28
28
Emergency
17
17
17
17
Emergency Paed CED
6
6
6
6
Paed CED
5
5
5
5
Endocrinology
1
1
1
1
Endocrinology
1
1
1
1
Gastroenterology
3
3
3
3
Gastroenterology
3
3
3
3
General Surgery
21
21
21
21
Surg Breast & Endo Fel ow
1
1
1
1
Surg Colorectal Fellow
1
1
1
1982
1
Surg Gen
6
6
6
6
Surg Gen (Non-SET)
3
3
3
3
Act
Surg Gen Rotator (Non-SET)
1
1
1
1
Surg Gen Trauma/Acute Surg Fel ow
1
1
1
1
Surg Hepatobiliary Fellow
1
1
1
1
Surg Relief (Non-SET)
6
6
6
6
Surg UGI Fel ow
1
1
1
1
Geriatrics
12
12
12
12
Geriatrics
12
12
Information
12
12
Haematology
5
5
5
5
Haematology
4
4
4
4
Haematology Rotator
1
1
1
1
Hepatology
3
3
3
3
Official
Hepatology/Transplant
3
3
3
3
Immunology
2
2
2
2
Immunology
The 2
2
2
2
Infectious Diseases
2
2
2
2
Infectious Diseases
2
2
2
2
Medical Administration
1
1
1
1
under
Medical Administration
1
1
1
1
Medical Oncology
11
11
11
11
Medical Oncology
11
11
11
11
Medicine
36
36
36
36
General Medicine
24
24
24
24
Medical Relief
6
6
6
6
Released
Medical Relief - Cardiology
1
1
1
1
Medical Relief - Gastroenterology
1
1
1
1
Medical Relief - Haematology/Oncology
1
1
1
1
Medical Relief - Neurology/OPH
1
1
1
1
Medical Relief - Renal/Diabetes/Endo
1
1
1
1
Medical Relief - Respiratory/ID
1
1
1
1
Neurology
6
6
6
6
Neurology
6
6
6
6
Neurosurgery
6
6
6
6
Surg Neurosurgery
4
4
4
4
Surg Neurosurgery (Non-SET)
2
2
2
2
Obstetrics & Gynacology
20
20
20
20
O&G
19
19
19
19
Obstetric Medicine
1
1
1
1
Ophthalmology
13
13
13
13
Ophthalmology
8
8
8
8
Page 13 of 24

Ophthalmology Non - Voc
4
4
4
4
Ophthalmology Non - Voc
1
1
1
1
Orthopaedics
19
19
19
19
Surg Arthroplastry Fellow
1
1
1
1
Surg Ortho
3
3
3
3
Surg Ortho (Non-SET)
11
11
11
11
Surg Ortho Spinal Fel ow
2
2
2
2
Surg Ortho Trauma
1
1
1
1
Surg Ortho Trauma Fellow
1
1
1
1
Otorhinolaryngology
7
7
7
7
Surg ORL
3
3
3
3
Surg ORL (Non-SET)
1
1
1
1
Surg ORL Relief (Non-SET)
3
3
3
3
Paediatric - Outpatient
1
1
1
1
Paed General Outpatient
1
1
1
1
Paediatric Neonatology
11
11
11
11
Paed Neonates
10
10
10
10
Paed Neonates Relief
1
1
1
1
Paediatric Orthopaedic Surgery
7
7
7
7
Surg Ortho Paed
1
1
1
1982
1
Surg Ortho Paed (Non-SET)
3
3
3
3
Surg Ortho Paed Fel ow
2
2
2
2
Act
Surg Ortho Paed Relief (Non-SET)
1
1
1
1
Paediatric Otolarlyngology
2
2
2
2
Surg ORL Paeds
1
1
1
1
Surg ORL/Plastics Paeds (non-SET)
1
1
1
1
Paediatric Surgery
9
9
9
9
Surg Paed
2
2
2
2
Surg Paed (Non-SET)
7
7
Information
7
7
Paediatrics
26
26
26
26
Paed Cardiac Surgical (SET)
1
1
1
1
Paed Cardiology
3
3
3
3
Paed Child Abuse
1
1
1
1
Official
Paed Consult Liaison
1
1
1
1
Paed Endocrinology
1
1
1
1
Paed Gastro
The 1
1
1
1
Paed General
4
4
4
4
Paed Imm/ID
1
1
1
1
Paed Metabolic/Genetics
1
1
1
1
under
Paed Neurology
1
1
1
1
Paed Oncology/Haem
2
2
2
2
Paed Relief
4
4
4
4
Paed Relief - Subspecialty
2
2
2
2
Paed Renal
1
1
1
1
Paed Resp
2
2
2
2
Released
Pal iative Care
2
2
1
1
Palliative Care
2
2
1
1
Pathology
20
20
20
20
Path Chem
1
1
1
1
Path Forensic
2
2
2
2
Path Genetics
1
1
1
1
Path Haem
2
2
2
2
Path Haem Rotator
1
1
1
1
Path Histo Cytology
1
1
1
1
Path Histo Cytology DML
1
1
1
1
Path Histo Forensic
1
1
1
1
Path Histo Paeds
1
1
1
1
Path Histopath
5
5
5
5
Path Microbiology
2
2
2
2
Path Virology
2
2
2
2
Psychiatry
17
17
17
17
Page 14 of 24

Psych Buchanan
1
1
1
1
Psych CFU SSH 1
1
1
1
1
Psych CFU SSH 2
1
1
1
1
Psych CMHC Manaaki House
1
1
1
1
Psych CMHC St Lukes
1
1
1
1
Psych CMHC Taylor Centre
1
1
1
1
Psych CornwallHse/Lotofale
1
1
1
1
Psych Fraser McDonald Unit
1
1
1
1
Psych Kari Centre
1
1
1
1
Psych Liaison ACH
1
1
1
1
Psych Manawanui
1
1
1
1
Psych MHSOP Community
1
1
1
1
Psych Starship Liaison
1
1
1
1
Psych Tu Maia
1
1
1
1
Psych TWT Blue
1
1
1
1
Psych TWT Green
1
1
1
1
Psych TWT ICU
1
1
1
1
Public Health
3
3
3
3
Public Health
2
2
2
2
Public Health - Funding & Planning
1
1
1
1982
1
Radiation Oncology
9
9
9
9
Radiation Oncology
9
9
9
9
Act
Radiology
25
25
25
25
Radiology
25
25
25
25
Rehab Medicine
2
2
2
2
Rehab
2
2
2
2
Renal
5
5
5
5
Renal
5
5
5
5
Respiratory
6
6
Information
6
6
Respiratory
5
5
5
5
Respiratory Sleep Fellow
1
1
1
1
Rheumatology
2
2
2
2
Rheumatology
2
2
2
2
Official
Sexual Health
2
2
2
2
Sexual Health
2
2
2
2
Urology
The 6
6
6
6
Surg Urology
2
2
2
2
Surg Urology (Non-SET)
4
4
4
4
Vascular
4
4
5
5
under
Surg Vascular
2
2
2
2
Surg Vascular (Non-SET)
2
2
3
3
Total Registrar Positions
Te Toka Tumai Auckland
467
467
467
467

Released

Page 15 of 24

i . Relieving Staff Numbers: Total count of relieving Registrars during these weeks.

The information provided for the response to Question 2 – B(i ) details the total number of dedicated Registrar
Reliever positions split by Service and Position Name. The Reliever position FTE (ful  time equivalent) is provided
for week 4 and week 10 in each Registrar rotation. When providing Registrar numbers this includes both
Registrar and Fel ow RMO positions.

To provide context we have included the fol owing information in the table as part of the response;
•  Reliever Position FTE – this is consistent with the information provided at Question 2 – B(i) and represents
the approved position FTE for the service.
•  Al ocated FTE – this is the number of Registrars al ocated to the Reliver position. Where this is more than
the position FTE it means that the position is overal ocated i.e. there are additional Registrars al ocated to
the position.

Important note on Relief Models
The total number of dedicated reliever positions set out in the response is not indicative of al  relief models in
place across services.
1982

Act
There are a number of different relief models utilised by services that do not involve dedicated reliever positions
and where this applies they are not included in the reliever table. Examples of the various relief models are set
out as fol ows noting that models 1 to 4 involve dedicated reliever positions.
•  Relief Model 1: Designated Service Relief
  Relieving RMOs are employed into a designated service and only provide relief cover for that
specific service roster. As an example, the designated General Surgery relievers only provide relief
Information
cover for duties within the General Surgery roster.
•  Relief Model 2: Pooled Relief
  Pooled relief is where relieving RMOs are in one large pool and relief cover is provided from
within this pool for multiple services. Rosters for the relief RMOs can include duties from al
Official
services covered by the relief pool. For example, a Surgical House Officer relief pool would
provide relief cover for all Surgical Specialities (e.g. General Surgery, Orthopaedics, Plastic
The
Surgery, etc.).
•  Relief Model 3: Aligned Pooled Relief
  Aligned pooled relief is where relieving RMOs are in one large relief pool which provides cover for
under
multiple services, however within this each RMO is aligned with 1-2 primary services.
•  Relief Model 4: Rotating Relief
  Rotating Relief is where throughout the run, RMOs rotate from a team position into a period of
relief and a relieving RMO rotates into a designated team position. The purpose of this model is
to ensure adequate relief cover while reducing the period individual RMOs are in a relief role.
Released
•  Relief Model 5: Embedded Relief
  Embedded relief is where RMOs work a complete roster (no additional support required to staff
the baseline roster) and cover RDOs, sleep days and day duties of RMOs on nights within the
team without the need for a reliever.
•  Relief Model 6: After-Hours (Rostered Additional) Relief
  The After-Hours Relief model is where RMOs are assigned to a team position Monday – Friday as
per their al ocation and their relief duties only consist of hours over the ordinary hours such as
evenings, weekends and nights. This is suited to services where the number of RMOs required
during the day time is more than the after-hours requirement.
•  Relief Model 7: Embedded Relief/Re-allocation
  This model includes development of a roster template that al ows for a set number of RMOs to be
away at any given time, with afterhours shared across those remaining within the service. This is
done either by writing the roster to accommodate and minimise the impact of pre-approved
Page 16 of 24

leave or by RMOs swapping shifts to accommodate leave booked after roster publication. In this
model, the roster is written (and remunerated) based on the number of Registrars required at
work on any given day instead of the number of RMOs al ocated to the service.
•  Relief Model 8: Service Changes
  In certain positions, senior registrars may provide services in the hospital that cannot be
adequately covered by a reliever/junior registrar during their absence. In addition, relief roles
cannot be implemented at a Senior Registrar level due to col ege restrictions.
REG R1 WK 4
REG R1 WK 10
REG R2 WK4
REG R2 WK10

Position  Allocated
Position
Allocated
Position
Allocated
Position
Allocated
Service and Position Name
FTE
FTE
FTE
FTE
FTE
FTE
FTE
FTE
General Surgery
7
5
7
5
7
6
7
6
Surg Gen Rotator
(Non-SET)
1
0
1
0
1
1
1
1
Surg Relief (Non-SET)
6
5
6
5
6
5
6
5
Haematology
1
1
1
1
1
1
1
1
Haematology Rotator
1
1
1
1
1
1
1
1
Medicine
12
4
12
3
12
0
12
1982
0
Medical Relief
6
1
6
1
6
0
6
0
Medical Relief –
Act
Cardiology
1
0
1
0
1
0
1
0
Medical Relief –
Gastroenterology
1
1
1
1
1
0
1
0
Medical Relief –
Haematology/Oncology
1
1
1
0
1
0
1
0
Medical Relief –
Neurology/OPH
1
0
1
0
1
Information  0
1
0
Medical Relief –
Renal/Diabetes/Endo
1
0
1
0
1
0
1
0
Medical Relief –
Respiratory/ID
1
1
1
1
1
0
1
0
Official
Obstetrics & Gynacology
4
4
4
3
4
4
4
4
O&G
4
4
4
3
4
4
4
4
The
Ophthalmology
1
1
1
1
1
1
1
0
Ophthalmology  Non - Voc
1
1
1
1
1
1
1
0
Otorhinolaryngology
3
3
3
3
3
3
3
3
under
Surg ORL Relief (Non-SET)
3
3
3
3
3
3
3
3
Paediatric Neonatology
1
1
1
1
1
1
1
0
Paed Neonates Relief
1
1
1
1
1
1
1
0
Paediatric Orthopaedic
Surgery
1
1
1
1
1
1
1
1
Released
Surg Ortho Paed Relief
(Non-SET)
1
1
1
1
1
1
1
1
Paediatrics
6
6.5
6
6
6
5
6
5
Paed Relief
4
4
4
4
4
3.5
4
3.5
Paed Relief - Subspecialty
2
2.5
2
2
2
1.5
2
1.5
Pathology
1
1
1
1
1
1
1
1
Path Haem Rotator
1
1
1
1
1
1
1
1
Psychiatry
3
2
3
2
3
3
3
3
Psych Buchanan
1
1
1
1
1
1
1
1
Psych Manawanui
1
1
1
1
1
1
1
1
Psych Tu Maia
1
0
1
0
1
1
1
1
Total Registrar
Reliever Positions
Te Toka Tumai Auckland
40
29.5
40
27
40
26
40
24
Page 17 of 24

i i. Vacant Positions: Detailed list of al  vacant Registrar positions.

The information provided for the response to Question 2 – B(i i) details the total number of vacant Registrar
positions split by Service and Position Name. The vacant Registrar positions are provided for week 4 and week 10
in each rotation.

When providing Registrar numbers this includes both Registrar and Fel ow RMO positions.

To provide context we have included the fol owing information in the table as part of the response;
•  Position FTE – this is consistent with the information provided at Question 2 – B(i) and represents the
approved position FTE for the service.
•  Al ocated FTE – this is the number of Registrars al ocated to the position. Where this is more than the
position FTE it means that the position is overal ocated i.e. there are additional Registrars al ocated to the
position.
•  Vacant FTE – this is the number of vacant Registrar positions. Where this is a negative number it means
that the position is overal ocated and is not a vacancy.

1982
REG R1 WK 4
REG R1 WK 10
REG R2 WK
REG R2 WK10
Act
Service and Position
Position  Al ocated  Vacant  Position  Al ocated  Vacant  Position  Al ocated  Vacant  Position  Al ocated  Vacant
Name
FTE
FTE
FTE
FTE
FTE
FTE
FTE
FTE
FTE
FTE
FTE
FTE
Anaesthesia
39
47.6
-8.6
39
45.6
-6.6
39
39.2
-0.2
39
40
-1
Anaes (Card)
6
8
-2
6
8
-2
6
7
-1
6
8
-2
Anaes (Gen)
18
22.6
-4.6
18
21.6
-3.6
18
17
1
18
18
0
Anaes (Womens)
7
7
0
7
7
0
7
7.2
-0.2
7
7
0
Anaes Paed
6
8
-2
6
8
-2
6
8
Information
-2
6
7
-1
Emergency Anaes
Trainee
2
2
0
2
1
1
2
0
2
2
0
2
Cardiac
20
20
0
20
20
0
20
19
1
20
19
1
Cardiology
11
11
0
11
11
0
11
10
1
11
11
0
Official
Surg CTSU
1
1
0
1
1
0
1
1
0
1
1
0
Surg CTSU (Non-SET)
2
2
0
2
2
0
2
2
0
2
2
0
Surg CTSU Cardiac
6
6
0
6
6
0
6
6
0
6
5
1
The
Clinical Education
1
1
0
1
1
0
1
1
0
1
1
0
Medical Education
Fel ow
1
1
0
1
1
0
1
1
0
1
1
0
Critical Care
38
33
5
under  38  34  4  39  37  2  39  39  0
Anaes (Cardiac ICU)
3
3
0
3
3
0
3
3
0
3
3
0
Anaes DCCM
4
4
0
4
4
0
4
5
-1
4
5
-1
DCCM
1
0
1
1
0
1
1
1
0
1
1
0
Emergency DCCM
3
3
0
3
3
0
3
3
0
3
3
0
Emergency PICU
2
2
0
2
2
0
2
2
0
2
2
0
ICM CVICU
4
4
Released  0  4
4
0
5
4
1
5
5
0
ICM DCCM
7
7
0
7
7
0
7
8
-1
7
8
-1
ICM PICU
1
1
0
1
1
0
1
1
0
1
1
0
Paed PICU 6/12
2
2
0
2
2
0
2
2
0
2
2
0
PICU
11
7
4
11
8
3
11
8
3
11
9
2
Dental Care
9
10
-1
9
10
-1
8
9
-1
8
8
0
Dental
2
2
0
2
2
0
2
2
0
2
2
0
Dental (Non Training)
1
1
0
1
1
0

Dental OMS Registrar
1
1
0
1
1
0
1
1
0
1
1
0
Dental Paediatrics (Non
Training)
2
2
0
2
2
0
2
2
0
2
1
1
HSD Non-Training
Registrar
1
2
-1
1
2
-1
1
2
-1
1
2
-1
Oral Medicine Registrar
(Non Training)
1
1
0
1
1
0
1
1
0
1
1
0
OralMaxFac - Non-
Training Registrar
1
1
0
1
1
0
1
1
0
1
1
0
Page 18 of 24

Dermatology
3
3
0
3
3
0
3
3
0
3
3
0
Dermatology
3
3
0
3
3
0
3
3
0
3
3
0
Diabetes
2
2
0
2
2
0
2
2
0
2
2
0
Diabetes
2
2
0
2
2
0
2
2
0
2
2
0
Emergency Medicine
28
25.5
2.5
28
27
1
28
27
1
28
26.5
1.5
Emergency
17
15
2
17
15.5
1.5
17
14
3
17
14
3
Emergency Paed CED
6
5.5
0.5
6
6.5
-0.5
6
6
0
6
5
1
Paed CED
5
5
0
5
5
0
5
7
-2
5
7.5
-2.5
Endocrinology
1
1
0
1
1
0
1
1
0
1
1
0
Endocrinology
1
1
0
1
1
0
1
1
0
1
1
0
Gastroenterology
3
4
-1
3
3
0
3
3
0
3
3
0
Gastroenterology
3
4
-1
3
3
0
3
3
0
3
3
0
General Surgery
21
19
2
21
19
2
21
20
1
21
20
1
Surg Breast & Endo
Fel ow
1
1
0
1
1
0
1
1
0
1
1
0
Surg Colorectal Fel ow
1
1
0
1
1
0
1
1
0
1
1
0
Surg Gen
6
6
0
6
6
0
6
6
0
6
6
0
Surg Gen (Non-SET)
3
3
0
3
3
0
3
3
0
3
3
0
Surg Gen Rotator (Non-
SET)
1
0
1
1
0
1
1
1
0
1
1
0
1982
Surg Gen
Trauma/Acute Surg
Act
Fel ow
1
1
0
1
1
0
1
1
0
1
1
0
Surg Hepatobiliary
Fel ow
1
1
0
1
1
0
1
1
0
1
1
0
Surg Relief (Non-SET)
6
5
1
6
5
1
6
5
1
6
5
1
Surg UGI Fel ow
1
1
0
1
1
0
1
1
0
1
1
0
Geriatrics
12
12
0
12
12
0
12
12
0
12
11
1
Geriatrics
12
12
0
12
12
0
12
12
0
12
11
1
Haematology
5
5
0
5
5
0
5
5
Information
0
5
5
0
Haematology
4
4
0
4
4
0
4
4
0
4
4
0
Haematology Rotator
1
1
0
1
1
0
1
1
0
1
1
0
Hepatology
3
3
0
3
3
0
3
3
0
3
3
0
Hepatology/Transplant
3
3
0
3
3
0
3
3
0
3
3
0
Official
Immunology
2
2
0
2
2
0
2
2
0
2
2
0
Immunology
2
2
0
2
2
0
2
2
0
2
2
0
The
Infectious Diseases
2
2
0
2
2
0
2
2
0
2
2
0
Infectious Diseases
2
2
0
2
2
0
2
2
0
2
2
0
Medical
Administration
1
0
1
1
0
1
1
0
1
1
0
1
under
Medical Administration
1
0
1
1
0
1
1
0
1
1
0
1
Medical Oncology
11
9.81
1.19
11
11
0
11
10
1
11
10
1
Medical Oncology
11
9.81
1.19
11
11
0
11
10
1
11
10
1
Medicine
36
24.72  11.28
36
23.72  12.28
36
17.5
18.5
36
17.45  18.55
General Medicine
24
20.72
3.28
24
20.72
3.28
24
17.5
6.5
24
17.45
6.55
Medical Relief
6
1
5
6
1
5
6
0
6
6
0
6
Released
Medical Relief -
Cardiology
1
0
1
1
0
1
1
0
1
1
0
1
Medical Relief -
Gastroenterology
1
1
0
1
1
0
1
0
1
1
0
1
Medical Relief -
Haematology/Oncology
1
1
0
1
0
1
1
0
1
1
0
1
Medical Relief -
Neurology/OPH
1
0
1
1
0
1
1
0
1
1
0
1
Medical Relief -
Renal/Diabetes/Endo
1
0
1
1
0
1
1
0
1
1
0
1
Medical Relief -
Respiratory/ID
1
1
0
1
1
0
1
0
1
1
0
1
Neurology
6
6
0
6
6
0
6
6
0
6
6
0
Neurology
6
6
0
6
6
0
6
6
0
6
6
0
Neurosurgery
6
6
0
6
6
0
6
7
-1
6
7
-1
Surg Neurosurgery
4
5
-1
4
5
-1
4
5
-1
4
5
-1
Page 19 of 24

Surg Neurosurgery
(Non-SET)
2
1
1
2
1
1
2
2
0
2
2
0
Obstetrics &
Gynacology
20
20.83
-0.83
20
18.83
1.17
20
20.48
-0.48
20
19.48
0.52
O&G
19
19.83
-0.83
19
17.83
1.17
19
19.48
-0.48
19
18.48
0.52
Obstetric Medicine
1
1
0
1
1
0
1
1
0
1
1
0
Ophthalmology
13
13.7
-0.7
13
13
0
13
13
0
13
12.09
0.91
Ophthalmology
8
8.7
-0.7
8
8
0
8
7
1
8
8.09
-0.09
Ophthalmology Non -
Voc
4
4
0
4
4
0
4
4
0
4
2
2
Ophthalmology Non -
Voc
1
1
0
1
1
0
1
2
-1
1
2
-1
Orthopaedics
19
20
-1
19
20
-1
19
16
3
19
17
2
Surg Arthroplastry
Fel ow
1
1
0
1
1
0
1
1
0
1
1
0
Surg Ortho
3
4
-1
3
4
-1
3
4
-1
3
4
-1
Surg Ortho (Non-SET)
11
12
-1
11
12
-1
11
10
1
11
10
1
Surg Ortho Spinal
Fel ow
2
1
1
2
1
1
2
0
2
2
0
2
Surg Ortho Trauma
1
1
0
1
1
0
1
1
0
1
1
0
Surg Ortho Trauma
1982
Fel ow
1
1
0
1
1
0
1
0
1
1
1
0
Otorhinolaryngology
7
7
0
7
7
0
7
7
0
7
7
0
Act
Surg ORL
3
3
0
3
3
0
3
3
0
3
3
0
Surg ORL (Non-SET)
1
1
0
1
1
0
1
1
0
1
1
0
Surg ORL Relief (Non-
SET)
3
3
0
3
3
0
3
3
0
3
3
0
Paediatric - Outpatient
1
1
0
1
1
0
1
1
0
1
1
0
Paed General
Outpatient
1
1
0
1
1
0
1
1
0
1
1
0
Paediatric
Information
Neonatology
11
10
1
11
9
2
11
9
2
11
8
3
Paed Neonates
10
9
1
10
8
2
10
8
2
10
8
2
Paed Neonates Relief
1
1
0
1
1
0
1
1
0
1
0
1
Paediatric Orthopaedic
Official
Surgery
7
7
0
7
7
0
7
6
1
7
8
-1
Surg Ortho Paed
1
1
0
1
1
0
1
1
0
1
1
0
Surg Ortho Paed
The
(Non-SET)
3
3
0
3
3
0
3
2
1
3
3
0
Surg Ortho Paed Fellow
2
2
0
2
2
0
2
2
0
2
3
-1
Surg Ortho Paed Relief
(Non-SET)
1
1
0
1
1
0
1
1
0
1
1
0
under
Paediatric
Otolarlyngology
2
2
0
2
2
0
2
2
0
2
2
0
Surg ORL Paeds
1
1
0
1
1
0
1
1
0
1
1
0
Surg ORL/Plastics
Paeds (non-SET)
1
1
0
1
1
0
1
1
0
1
1
0
Paediatric Surgery
9
8
1
9
9
0
9
9
0
9
9
0
Released
Surg Paed
2
2
0
2
2
0
2
2
0
2
2
0
Surg Paed (Non-SET)
7
6
1
7
7
0
7
7
0
7
7
0
Paediatrics
26
25.5
0.5
26
26
0
26
25
1
26
25
1
Paed Cardiac Surgical
(SET)
1
1
0
1
1
0
1
1
0
1
1
0
Paed Cardiology
3
2
1
3
3
0
3
3
0
3
3
0
Paed Child Abuse
1
1
0
1
1
0
1
1
0
1
1
0
Paed Consult Liaison
1
1
0
1
1
0
1
1
0
1
1
0
Paed Endocrinology
1
1
0
1
1
0
1
1
0
1
1
0
Paed Gastro
1
1
0
1
1
0
1
1
0
1
1
0
Paed General
4
4
0
4
4
0
4
4
0
4
4
0
Paed Imm/ID
1
1
0
1
1
0
1
1
0
1
1
0
Paed
Metabolic/Genetics
1
1
0
1
1
0
1
1
0
1
1
0
Paed Neurology
1
1
0
1
1
0
1
1
0
1
1
0
Paed Oncology/Haem
2
2
0
2
2
0
2
2
0
2
2
0
Page 20 of 24

Paed Relief
4
4
0
4
4
0
4
3.5
0.5
4
3.5
0.5
Paed Relief -
Subspecialty
2
2.5
-0.5
2
2
0
2
1.5
0.5
2
1.5
0.5
Paed Renal
1
1
0
1
1
0
1
1
0
1
1
0
Paed Resp
2
2
0
2
2
0
2
2
0
2
2
0
Palliative Care
2
1
1
2
1
1
1
2
-1
1
2
-1
Palliative Care
2
1
1
2
1
1
1
2
-1
1
2
-1
Pathology
20
18.8
1.2
20
18.8
1.2
20
19.8
0.2
20
18.8
1.2
Path Chem
1
1
0
1
1
0
1
1
0
1
1
0
Path Forensic
2
1
1
2
1
1
2
2
0
2
1
1
Path Genetics
1
1
0
1
1
0
1
1
0
1
1
0
Path Haem
2
2
0
2
2
0
2
2
0
2
2
0
Path Haem Rotator
1
1
0
1
1
0
1
1
0
1
1
0
Path Histo Cytology
1
1
0
1
1
0
1
2
-1
1
1
0
Path Histo Cytology
DML
1
1
0
1
1
0
1
1
0
1
1
0
Path Histo Forensic
1
1
0
1
1
0
1
0
1
1
1
0
Path Histo Paeds
1
1
0
1
1
0
1
1
0
1
1
0
Path Histopath
5
5
0
5
5
0
5
5
0
5
5
0
Path Microbiology
2
1.8
0.2
2
1.8
0.2
2
1.8
0.2
2
1.8
0.2
1982
Path Virology
2
2
0
2
2
0
2
2
0
2
2
0
Psychiatry
17
15.4
1.6
17
15.4
1.6
17
17
0
17
18
-1
Act
Psych Buchanan
1
1
0
1
1
0
1
1
0
1
1
0
Psych CFU SSH 1
1
1
0
1
1
0
1
1
0
1
1
0
Psych CFU SSH 2
1
1
0
1
1
0
1
1
0
1
1
0
Psych CMHC Manaaki
House
1
1
0
1
1
0
1
1
0
1
1
0
Psych CMHC St Lukes
1
1
0
1
1
0
1
1
0
1
1
0
Psych CMHC Taylor
Centre
1
1
0
1
1
0
1
1
Information
0
1
1
0
Psych
CornwallHse/Lotofale
1
1
0
1
1
0
1
1
0
1
1
0
Psych Fraser McDonald
Unit
1
1
0
1
1
0
1
1
0
1
1
0
Official
Psych Kari Centre
1
0.8
0.2
1
0.8
0.2
1
1
0
1
1
0
Psych Liaison ACH
1
1
0
1
1
0
1
1
0
1
1
0
Psych Manawanui
1
1
0
1
1
0
1
1
0
1
1
0
The
Psych MHSOP
Community
1
0.6
0.4
1
0.6
0.4
1
1
0
1
1
0
Psych Starship Liaison
1
1
0
1
1
0
1
1
0
1
1
0
Psych Tu Maia
1
0
1
1
0
1
1
1
0
1
1
0
under
Psych TWT Blue
1
2
-1
1
2
-1
1
1
0
1
2
-1
Psych TWT Green
1
1
0
1
1
0
1
2
-1
1
2
-1
Psych TWT ICU
1
0
1
1
0
1
1
0
1
1
0
1
Public Health
3
2
1
3
1
2
3
4.5
-1.5
3
3.5
-0.5
Public Health
2
2
0
2
1
1
2
4.5
-2.5
2
3.5
-1.5
Public Health - Funding Released
& Planning
1
0
1
1
0
1
1
0
1
1
0
1
Radiation Oncology
9
8.77
0.23
9
8.77
0.23
9
7.86
1.14
9
8.86
0.14
Radiation Oncology
9
8.77
0.23
9
8.77
0.23
9
7.86
1.14
9
8.86
0.14
Radiology
25
25
0
25
24.42
0.58
25
24.42
0.58
25
24
1
Radiology
25
25
0
25
24.42
0.58
25
24.42
0.58
25
24
1
Rehab Medicine
2
2
0
2
2
0
2
2
0
2
2
0
Rehab
2
2
0
2
2
0
2
2
0
2
2
0
Renal
5
5
0
5
5
0
5
5
0
5
5
0
Renal
5
5
0
5
5
0
5
5
0
5
5
0
Respiratory
6
4
2
6
5
1
6
6
0
6
6
0
Respiratory
5
4
1
5
4
1
5
5
0
5
5
0
Respiratory Sleep
Fel ow
1
0
1
1
1
0
1
1
0
1
1
0
Rheumatology
2
2
0
2
2
0
2
2
0
2
2
0
Rheumatology
2
2
0
2
2
0
2
2
0
2
2
0
Sexual Health
2
2
0
2
2
0
2
2
0
2
2
0
Page 21 of 24

Sexual Health
2
2
0
2
2
0
2
2
0
2
2
0
Urology
6
6
0
6
6
0
6
6
0
6
6
0
Surg Urology
2
2
0
2
2
0
2
2
0
2
2
0
Surg Urology (Non-SET)
4
4
0
4
4
0
4
4
0
4
4
0
Vascular
4
4
0
4
4
0
5
4
1
5
4
1
Surg Vascular
2
2
0
2
2
0
2
2
0
2
2
0
Surg Vascular (Non-
SET)
2
2
0
2
2
0
3
2
1
3
2
1
Total Vacant Positions
467
447.6  19.37
467
444.5  22.46
467
436.8  30.24
467
436.7  30.32

iv. Leave Details: Specific numbers of Registrars on annual leave, sick leave, and bereavement leave
from Monday to Sunday of the specified weeks.
The information provided for the response to Question 2 – B(iv) details the total number of Registrars on annual
leave, sick leave and bereavement leave per day in week 4 and week 10 of each Registrar rotation.

We note that there are more than three types of leave available to RMOs, these are not included in the response
as they do not form part of the request;
1982
•  Medical Education leave
•  Union leave and Employment Relations Education leave
Act
•  Parental leave
•  Leave without pay
•  Special COVID leave
•  Alternate Holiday leave
•  Time in lieu leave
Information

The data provided has been reported out of the Leader payrol  system and each instance of leave recorded has
been reported whether that is for a ful  day or part of a day during the period specified.

Official
Col ective Agreement provisions impacting how leave is deducted
The RMO col ective agreements set out that leave can only be deducted Monday through Friday. For this reason
The
you wil  note that there are no Registrars on annual leave on Saturday/Sunday in week 4 and week 10 of each
rotation. The exceptions where leave can be deducted over a weekend are;
•  Bereavement Leave
under
•  Sick Leave
•  Alternate Holidays
Bereavement
Total Registrar
Timeframe
Annual Leave
Leave
Sick Leave
Leave
REG R1 WK 4
125

34
159
Released
20-Feb
21
0
8
29
21-Feb
21
0
6
27
22-Feb
22
0
7
29
23-Feb
26
0
8
34
24-Feb
33
0
5
38
25-Feb
<5
0
0
<5
26-Feb
<5
0
0
<5
REG R1 WK 10
126
<5
33
161
03-Apr
27
0
8
35
04-Apr
28
0
5
33
05-Apr
34
<5
10
45
06-Apr
36
<5
10
47
07-Apr
<5
0
0
<5
REG R2 WK 4
172
0
60
232
21-Aug
34
0
15
49
22-Aug
31
0
13
44
Page 22 of 24

23-Aug
33
0
11
44
24-Aug
34
0
11
45
25-Aug
40
0
10
50
REG R2 WK 10
188
<5
43
232
02-Oct
38
<5
8
47
03-Oct
32
0
8
40
04-Oct
33
0
10
43
05-Oct
41
0
5
46
06-Oct
44
0
12
56

v. Extra Shifts and Duties: Detailed account of any additional duties or cross-covering shifts, including
those outside normal hours.

The information provided for the response to Question 2 – B(v) details the additional duties and cross covering
shifts per day in week 4 and week 10 in each rotation. This information has been reported out of the Leader
payrol  system.

1982
In the Additional Duties table we have reported the number of additional duties on each day of week 4 and week
10 in each rotation, the number of additional duty hours and the amount of additional duties paid. Shift
Act
information is not available this is not captured in the payrol  system.
Number of
Additional Duty
Timeframe
Additional Duties
Hours
Amount Paid
REG R1 WK 4
164
913.87
$181,627.65
20-Feb
17
74.5
$13,627.50
21-Feb
21
120.5
$23,840.00
Information
22-Feb
10
50.25
$9,976.25
23-Feb
25
124
$24,052.50
24-Feb
27
137.25
$26,097.50
25-Feb
32
231.12
$46,831.40
Official
26-Feb
32
176.25
$37,202.50
REG R1 WK 10
200
1071.13
$228,362.30
03-Apr
15
83.67
$16,643.90
The
04-Apr
21
89
$17,030.00
05-Apr
20
90
$16,372.50
06-Apr
31
124.44
$20,724.30
07-Apr
46
under
285.52
$80,109.10
08-Apr
32
203.5
$39,487.50
09-Apr
35
195
$37,995.00
REG R2 WK 4
149
723.58
$129,391.00
21-Aug
22
93.5
$15,552.50
22-Aug
18
88.75
$16,485.00
Released
23-Aug
19
76.5
$12,817.50
24-Aug
18
69.5
$11,917.50
25-Aug
21
72.25
$11,267.50
26-Aug
27
150.5
$28,592.50
27-Aug
24
172.58
$32,758.50
REG R2 WK 10
205
1008.76
$172,374.95
02-Oct
28
129.25
$20,002.50
03-Oct
23
106.5
$18,695.00
04-Oct
34
153.17
$25,789.45
05-Oct
40
181.19
$31,110.00
06-Oct
24
112.5
$18,720.00
07-Oct
29
158
$27,705.00
08-Oct
27
168.15
$30,353.00
Total Registrar Additional Duties
Te Toka Tumai Auckland
718
3717.34
$711,755.90
Page 23 of 24

In the Cross Cover table we have reported the number of cross cover instances on each day of week 4 and week
10 in each rotation and the amount of the cross cover paid. This represents cross cover in ordinary hours and we
have split out where the cross cover has been shared.  Where cross cover outside ordinary hours occurs this is
paid as additional duties not cross cover and is not captured as a separate category in the payrol  data.

Number of
Number of
Cross Cover
Shared Cross
Shared Cross
Timeframe
Cross Cover
Amount Paid
Cover
Cover Paid
REG R1 WK 4
29
$8,700.00
2
$200.00
20-Feb
7
$2,100.00
0

21-Feb
5
$1,500.00
0

22-Feb
5
$1,500.00
0

23-Feb
4
$1,200.00
1
$100.00
24-Feb
8
$2,400.00
1
$100.00
REG R1 WK 10
39
$11,865.00
0

03-Apr
8
$2,400.00
0

04-Apr
10
$3,000.00
0

05-Apr
10
$3,000.00
0

1982
06-Apr
11
$3,465.00
0

REG R2 WK 4
58
$17,400.00
7
$850.00
Act
21-Aug
16
$4,800.00
3
$400.00
22-Aug
14
$4,200.00
0

23-Aug
11
$3,300.00
2
$200.00
24-Aug
8
$2,400.00
1
$100.00
25-Aug
9
$2,700.00
1
$150.00
REG R2 WK 10
65
$19,800.00
11
$1,200.00
02-Oct
15
$4,500.00
3
Information
$300.00
03-Oct
9
$2,700.00
1
$150.00
04-Oct
12
$3,900.00
4
$450.00
05-Oct
11
$3,300.00
3
$300.00
06-Oct
18
$5,400.00
0
Official

Total Registrar Cross Cover
Te Toka Tumai Auckland
191
$57,765.00
20
$2,250.00
The

vi. Changes in Staff Numbers: Clear explanations for any variations in Registrar numbers between the specified
times.
under
The table below provides the response to Question 2 – B(vi). It identifies where there are variations in Registrar
position FTE between each half-year rotation and provides an explanation for those variations.
Position FTE
Service and Position Name
Released REG R1  REG R1  REG R2  REG R2  Explanation
WK 4
WK 10
WK4
WK10
Critical Care

Increase of 1FTE in ICM Registrar
ICM CVICU
4
4
5
5
positions at CVICU from second 6
month rotation effective 31 July 2023
Dental

Position only al ocated first rotation.
Dental (Non Training)
1
1

DR3 funding for second half moved to
DR7 for first rotation of 2024
Pal iative Care Service

Palliative Care in hospital position
Palliative Care
1
1

banked for second 6 month rotation
Advanced Trainee at Hospice.

Page 24 of 24