We develop submissions in response to policy and legislative consultations on a wide range of issues affecting the specialty and the wider health sector.

Key advocacy issues in 2022

  • New Zealand’s Health and Disability System Review, described as “a once in a generation opportunity for systemic reform,” aims to reduce the variability of health service delivery in New Zealand and to address health inequities, especially for Maori. In 2021 the NZSA wrote a submission in response to the Pae Ora (Healthy Futures) Bill supporting the key aims of the reforms and the creation of the two new entities to replace the DHBs - Health NZ, and the Maori Health Authority. We suggested amendments to the Bill, including a stronger clinical governance framework, mandated engagement with health professional associations as the reforms are planned and implemented, and the inclusion of climate change among the Bill's health principles. We expressed concern at the lack of detail over the reforms and also addressed gaps in the Bill. We will continue to monitor the reforms and to be engaged in shaping the new health system. 
  • Climate Change and sustainable healthcare, we support lowering NZ’s carbon footprint to meet our obligations of the Paris Climate Accord and advocate on how the health sector is integral in lowering emissions to reach the Government’s 2030 zero carbon neutral goals. We have advocated that climate change mitigation and adaptation needs to be undertaken within the context of health, wellbeing and equity.  Our Environmental and Sustainability Network drives our work on sustainable healthcare and climate change advocacy. We wrote a number of submissions last year, including on the Emissions Reduction Bill and the MfE consultation on waste minimisation. We will monitor the outcomes of these topics and continue to be at the forefront of advocacy on this topic. 
  • PHARMAC medical devices procurement, is focused on fairer access and equity. We have strongly conveyed that anaesthetists must be represented across multiple committees to advise on medical devices, to reflect the breadth of our specialty’s involvement in the health sector. PHARMAC have been receptive to this advice and we are now awaiting more operational detail on this project. 
  • PHARMAC consultation on its advisory committees aims to make these committees more consumer focused, and able to deliver more equitable outcomes for medicines. We developed a submission and were pleased to see that PHARMAC have taken the sector's recommendations on board to ensure committees have greater consumer representation, along with more Maori representation to better deliver health equity.
  • Assistants to the Anaesthetists, we are part of a stakeholder group which aims to bridge AA shortages and ensure a smooth transition to AUT's degree program from the current diploma. A key aim is to ensure the new degree adheres to ANZCA's Position Statement on Assistants to the Anaesthetist to maintain high quality standards of care. The new degree will be offered from 2022. 

We have most recently developed submissions on funding of assisted dying services for implementation of the End of Life Care Act 2019 and proposals to widen the range of drugs able to be prescribed by designated pharmacist prescribers.

NZSA Submissions



Ministry for the Environment - Taking responsibility for our waste; A tertiary healthcare perspective - 10 Dec

Pae Ora legislation Committee - Pae Ora (Healthy Futures) Bill - 9 Dec

Ministry for the Environment - Emissions Reduction Plan - 23 Nov

ANZCA - Position Statement 09 Procedural Sedation Guidelines cover letter and NZSA comments - 29 Oct

PM, Deputy PM and Climate Change Minister - Aotearoa NZ at the United Nations Climate Change Conference (COP26) - 21 October

Medical Council of New Zealand - What to do when you have concerns about another doctor - 14 Oct 

Ministry of Health - Amendments to Designated Pharmacist Prescribers Regulations 2013 and Schedule 1B of the Misuse of Drugs Regulations - 9 August

Ministry of Health - Funding of assisted dying services - 26 July (MOH consultation document here)

PHARMAC - Review of PHARMAC model including questionnaire - 19 July

Medical Council of New Zealand - A doctor’s duty to help in a medical emergency - 9 April

Climate Change Commission - Climate Change Commission report - 28 March 2021

PHARMAC - Consultation on advisory committees - 19 March 2021

PM, Ministers of Health and Climate Change - Health sector contribution to Government's carbon neutral goals - 19 January 2021