HNZ00104073 Appendix One.pdf

Appendix One
HNZ00104073 – OIA Request
1. Annual workforce size (2018–2025)
For each year 2018, 2019, 2020, 2021, 2022, 2023, 2024, and the most recent data
available for 2025:
1.1 Doctors
•
Total number of doctors actively practising in NZ (holding a current APC).
•
Breakdown by:
•
Vocational y registered / General scope
•
Public vs private
•
NZ-trained vs international y trained
1.2 Nurses
•
Total number of actively practising:
•
Registered Nurses
•
Enrolled Nurses
•
Nurse Practitioners
•
Public vs private sector distribution
•
NZ-trained vs international y qualiﬁed nurses (IQNs)
1.3 Other regulated professions
•
Total actively practising:
•
Midwives
•
Major allied health categories (physiotherapy, occupational therapy,
radiography, mental health professionals)
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2. Workforce exits, attrition, and retirements (2018–2025)

For each year 2018–2025, please provide the number of practitioners who left the
workforce, broken down (if recorded) into:

2.1 Doctors and nurses
      •       Retirements (with age bands, e.g. <50, 50–59, 60–64, 65+)
      •       Practising certiﬁcate not renewed / moved to non-practising / removed from
register
      •       Permanent relocation overseas
      •       Resignations from Te Whatu Ora / former DHBs
      •       Resignations from primary/community care
      •       Early retirement or medical retirement
      •       Deaths (aggregated only – no identifying data)

2.2 Reasons for exit

If reason-for-exit coding exists, please provide the categories and counts for:
      •       Burnout
      •       Workload
      •       Pay / remuneration issues
      •       Workplace stress
      •       Health-related reasons
      •       Family/whānau reasons
      •       Other

If your system uses different categories, please supply those.

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3. Vacancy levels and shortages (2018–2025)

For Te Whatu Ora (and DHBs pre-2022), please provide:

3.1 Vacant FTE positions

For 30 June and 31 December of each year 2018–2025:
      •       Number of funded doctor FTE positions
      •       Number of vacant doctor FTE
      •       Number of funded nursing FTE positions
      •       Number of vacant nursing FTE
      •       Vacancy rate (%) for each profession
      •       Breakdown by region/district
      •       Breakdown by major service (ED, ICU, general medicine, theatre, maternity,
mental health)

3.2 National shortage estimates

Any workforce modelling or workforce-plan documents estimating numerical shortfalls
in:
      •       Doctors
      •       Nurses
      •       Midwives
      •       Allied health
for any year 2018–2025 (including projections out to 2030 if available).

⸻

4. Il ness-related leave, long-term sickness, and medical retirements (2020–2025)

Without identifying individuals, please provide aggregated data for each year 2020–2025
on:
      •       Rates of long-term sick leave (>20 days) for doctors and nurses
      •       Total hours or FTE lost due to sickness
      •       Number of medical retirements per year
      •       Any internal reporting on:
      •       Rising il ness-related absences
      •       Patterns of unexpected or early medical retirements
      •       Occupational health risks
      •       Use of temporary/agency staff to cover sick leave
      •       Impacts on service delivery

If separate sickness records exist for:
      •       COVID-19-related il ness
      •       Non-COVID illness
please provide both.

⸻

5. Impacts of vaccination mandates (if analysed)

I am not requesting personal health information.
Only aggregated workforce-impact analysis.

For the period 2021–2023, please provide any internal analysis, reports, or datasets
relating to:

      •       Total number of health workers stood down under vaccination orders
      •       Number who subsequently:
      •       Returned to work
      •       Resigned
      •       Retired
      •       Permanently exited the health workforce
      •       Any model ing, risk analysis, or workforce impact assessments performed in
relation to mandates or their removal.

If no analysis was undertaken, please conﬁrm this.

⸻

6. Emergency department capacity and staffing strain (2018–2025)

Any national reports, dashboards, or numerical datasets on:
      •       ED staffing shortages
      •       Rosters below safe-staffing levels
      •       Instances where hospitals operated under “extreme staffing pressure” statuses
      •       Any CCDM (Care Capacity Demand Management) metrics indicating:
      •       Under-staffed shifts
      •       Failure to meet safe staffing targets
      •       Use of overtime/extra shifts to maintain minimum safety

⸻

7. Brieﬁngs to Ministers (2020–2025)

Please provide:
      •       A list of al  brieﬁngs, aide-memoire, or reports to Ministers of Health where the
subject matter relates to:
      •       Workforce shortages
      •       Workforce exits
      •       System capacity or staffing strain
      •       Early retirement or il ness trends
      •       Overseas migration of doctors or nurses
      •       And for up to the ﬁrst ﬁve documents in each category:
      •       A copy of the brieﬁng (with redactions if necessary)

⸻

8. Format
      •       Please provide numerical data in spreadsheet or CSV where possible.
      •       Documents in PDF are ﬁne.
      •       For any part you do not hold, please transfer it to the appropriate agency under
section 14 of the OIA.

⸻

Purpose of request (for context only)

New Zealand’s health workforce is under visible strain. Communities across Aotearoa
are reporting:
      •       longer delays accessing GP and hospital care
      •       early retirements among clinicians
      •       increasing vacancies
      •       rising il ness and burnout

• practices closing or reducing hours
• difficulty recruiting nurses, midwives, and al ied health staff

This OIA request seeks neutral, factual, numerical data only, to al ow the public to make
informed assessments about the health system’s resilience, safety, and sustainability.