NZSSD Workforce Survey

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NZSSD Workforce Survey

• Patrick Manning
• Gavin Hendry
• Victoria Farmer

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Aim

• To obtain a snapshot of the diabetes workforce in
  New Zealand
• To determine the regional variation in diabetes
  workforce throughout New Zealand

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Methods

• Questionnaire sent to all 21 DHBs in New Zealand
• Sent to DHB CEOs requesting information under
  the OIA
• All DHBs eventually responded
• Data reviewed and verified

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Survey Form
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Diabetes Physician Workforce
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Diabetes Physician Workforce per 100 000 pop
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Diabetes Physician Workforce per 100 000 pop
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Recommended Diabetes Physician Workforce

• 77 hours per week for outpatient diabetes
  administration per 250,000 population.
• This equates to 1FTE per 125,000 population or
  0.8FTE per 100,000 population
• Based on data from Federation of the Royal
  Colleges of Physicians of the United Kingdom.
  Census of consultant physicians in the UK, 2006.
  Data and commentary. Suffolk Lavenham Press,
  2007.

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Physician Workforce - FTE
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Conclusion

• There is significant variation in the provision
  of diabetes specialist physician services between
  DHB's.
• The national mean is 0.35 FTE Diabetes Specialist
  Physicians per 100,000 population.
• The total Diabetes Specialist Physician FTE for
  New Zealand is 14.5
• No DHB has a Diabetes Specialist Physician
  service that is at or above that recommended by
  the Federation of the Royal Colleges of
  Physicians of the United Kingdom.
• New Zealand requires 19.4 more Diabetes
  Specialist Physician FTE's to meet recommended
  numbers.

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Diabetes Nurse Specialist Workforce
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Diabetes Nurse Specialist Workforce per 100 000
pop
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Diabetes Nurse Specialist Workforce

• Figures are only for DHB Diabetes Nurse
  Specialist/Educators
• Certain areas may not be accounted for
• e.g. paediatrics, antenatal or in the community
  including nurses employed by PHOs

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Diabetes Nurse Specialist Workforce

• Findings
• There is significant variation in the provision
  of Diabetes Nurse Specialist services between
  DHBs.
• The national mean is 2.79 FTE Diabetes Nurse
  Specialists per 100,000 population.
• The national range is 1.08 to 4.87 per 100,000
  population.

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Dietitian per 100 000 pop
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Podiatrist per 100 000 pop
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Other Data

• Dedicated Diabetes Centres 8/21
• Diabetes Psychologist
• 9/21 of which the mean is less than 0.4 FTE
• Podiatry services mean 0.3 FTE/100,000
• Training registrar positions 8 total

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Conclusions

• There is significant regional variation in the
  resources allocated to diabetes care throughout
  New Zealand
• This raises the distinct possibility that there
  is inequity of care
• No region currently meets the recommended FTE for
  Diabetes Physicians

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NZSSD Recommendations

• National consensus on the diabetes workforce
  required per 100,000 individuals
• Variance based on ethnic mix
• DHBs should be instructed to achieve this target
  over a certain period
• Training of health professionals required to meet
  the need