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Issue

Vol 126 No 1371: 15 March 2013

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Issue Summary

SUMMARY

New Zealand’s 2005 ‘no-fault’ compensation reforms and medical professional accountability for harm

Katharine Wallis

In 2005 the compensation of medical injury in New Zealand was changed: the prior medical error and rare and severe eligibility criteria were waived and eligibility was extended to all treatment injuries. Under the reforms ACCs prior duty to report all findings of medical error to the Medical Council was also waived and replaced with a new duty to report risk of harm to the public to the authorities responsible for patient safety. These changes have improved access to compensation for patients who are injured by treatment, and have also resulted in ACC reporting fewer doctors to the Medical Council. Decreased ACC reporting to the Medical Council has contributed to an overall downward trend in New Zealands accountability processes. Comparing the five years before and after the 2005 compensation reforms, there have been fewer referrals to the Medical Council overall, the Medical Council has conducted fewer performance reviews, the Health and Disability Commissioner (HDC) has investigated fewer complaints, and both the Medical Council and the HDC office have brought fewer disciplinary charges against doctors.

SUMMARY

A workforce survey of New Zealand medical oncologists

Simon Bidwell, Andrew Simpson, Richard Sullivan, Bridget Robinson, Wendy Thomas, Christopher Jackson, Garry Forgeson, Michael Jameson, Trish Clarke

Cancer workload increasing due to changing population demographics and treatment opportunities. Current Medical Oncology Senior Medical Officer workforce currently report heavy workload. Workforce demographics changing with an increasing female and part-time workforce. Need to look at future models of care to take these factors into account to provide sustainable service

ALL ARTICLES
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The proof of the pudding is in the eating—health system preparedness for the February 2011 Canterbury Earthquake

Mike Ardagh

Families burdened by the cost of tongue-tie division

James J Johnston, Subhaschandra Shetty

Inappropriate Prescribing (Med11/201P)

Endoscopic appendicectomy: can it be done?

James J Johnston, Kieran Kennedy

New Zealand’s 2005 ‘no-fault’ compensation reforms and medical professional accountability for harm

Katharine Wallis

Medical education—the next 40 years

Tim J Wilkinson

Medical image. A murmur and a bleed: the Heyde syndrome

Smita I Negi, Risheng Xu, Aashish Anand

The State Once Again to the Rescue

A workforce survey of New Zealand medical oncologists

Simon Bidwell, Andrew Simpson, Richard Sullivan, Bridget Robinson, Wendy Thomas, Christopher Jackson, Garry Forgeson, Michael Jameson, Trish Clarke

Bullosis diabeticorum: case report and review

Angela J Zhang, Michele Garret, Steven Miller

SUMMARY

New Zealand’s 2005 ‘no-fault’ compensation reforms and medical professional accountability for harm

Katharine Wallis

In 2005 the compensation of medical injury in New Zealand was changed: the prior medical error and rare and severe eligibility criteria were waived and eligibility was extended to all treatment injuries. Under the reforms ACCs prior duty to report all findings of medical error to the Medical Council was also waived and replaced with a new duty to report risk of harm to the public to the authorities responsible for patient safety. These changes have improved access to compensation for patients who are injured by treatment, and have also resulted in ACC reporting fewer doctors to the Medical Council. Decreased ACC reporting to the Medical Council has contributed to an overall downward trend in New Zealands accountability processes. Comparing the five years before and after the 2005 compensation reforms, there have been fewer referrals to the Medical Council overall, the Medical Council has conducted fewer performance reviews, the Health and Disability Commissioner (HDC) has investigated fewer complaints, and both the Medical Council and the HDC office have brought fewer disciplinary charges against doctors.

SUMMARY

A workforce survey of New Zealand medical oncologists

Simon Bidwell, Andrew Simpson, Richard Sullivan, Bridget Robinson, Wendy Thomas, Christopher Jackson, Garry Forgeson, Michael Jameson, Trish Clarke

Cancer workload increasing due to changing population demographics and treatment opportunities. Current Medical Oncology Senior Medical Officer workforce currently report heavy workload. Workforce demographics changing with an increasing female and part-time workforce. Need to look at future models of care to take these factors into account to provide sustainable service

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