TIME FOR QUALITY. The parties note the Tripartite Process involving the Government, the DHBs and the Council of Trade Union affiliated unions which is based on the Health Sector Relationship Agreement and which includes the Time for Quality Document. Consistent with this relationship the principles of engagement are as follows: Employee/management partnership is founded on teamwork and respect. Managers will support employees to provide leadership in service design, configuration and best practice service delivery. Managers will support employees to ensure recognised competency and credentialing standards are met. Managers and employees affirm that quality care drives the system to optimise patient outcomes. Managers and employees will collaborate to meet both the “patient test” and the “whanau test” which means the patient experience is optimised for the patient and in a culturally appropriate way. Managers and employees explicitly agree that decision-making and responsibility will be devolved to the appropriate level. Managers and employees accept that there will be some services that can more appropriately be delivered regionally or nationally to effectively meet patient needs. Employees will support managers to operate services within the resources available.
TIME FOR QUALITY. The parties note the Tripartite Process involving the Government, the DHBs and the Council of Trade Union affiliated unions which is based on the Health Sector Relationship Agreement and which includes the Time for Quality Document. Consistent with this relationship the principles of engagement are as follows: ⚫ Employee/management partnership is founded on teamwork and respect. ⚫ Managers will support employees to provide leadership in service design, configuration and best practice service delivery. ⚫ Managers will support employees to ensure recognised competency and credentialing standards are met. ⚫ Managers and employees affirm that quality care drives the system to optimise patient outcomes. ⚫ Managers and employees will collaborate to meet both the “patient test” and the “whanau test” which means the patient experience is optimised for the patient and in a culturally appropriate way. ⚫ Managers and employees explicitly agree that decision-making and responsibility will be devolved to the appropriate level. ⚫ Managers and employees accept that there will be some services that can more appropriately be delivered regionally or nationally to effectively meet patient needs. ⚫ Employees will support managers to operate services within the resources available.
TIME FOR QUALITY. The parties note the bipartite relationship between Te Whatu Ora, Te Aka Whai Ora, the Council of Trade Union and health sector unions which is based on He Ara Tapatahi and Kāhui Kōkiri engagement processes. The parties further note that these parties and processes are successors to the Health Sector Relationship Agreement and its outcomes which includes the Time for Quality Document. Consistent with this relationship the principles of engagement are as follows: Employee/management partnership is founded on teamwork and respect. Managers will support employees to provide leadership in service design, configuration and best practice service delivery. Managers will support employees to ensure recognised competency and credentialing standards are met. Managers and employees affirm that quality care drives the system to optimise patient outcomes. Managers and employees will collaborate to meet both the “patient test” and the “whanau test” which means the patient experience is optimised for the patient and in a culturally appropriate way. Managers and employees explicitly agree that decision-making and responsibility will be devolved to the appropriate level. Managers and employees accept that there will be some services that can more appropriately be delivered regionally or nationally to effectively meet patient needs. Employees will support managers to operate services within the resources available.
TIME FOR QUALITY. The MECA (Clause 2) highlights the importance of the engagement principles of the Time for Quality agreement (2008), including the requirement that the role of managers is to support senior doctors in the leadership of changes to clinical service design, organisation and delivery. The underlying principles of the Time for Quality agreement are: (a) quality is critical for the health system to succeed; (b) health professionals (in the MECA context senior doctors) are critical for ensuring quality; and (c) if health professionals are to ensure quality, then the most valuable resource they need for this is time. DHBs are therefore responsible for providing this time. Eligibility for the specialist (medical & dental) salary scale The definition of who is eligible for the specialist scale (Clauses 11.3 and 11.4 for doctors and Clauses 11.1 and 11.2 for dentists) is important to understand. Prior to the first national MECA (2003-06) management in some DHBs had the discretion to determine eligibility. However, this discretion was removed in the first MECA. Now the determination of who is paid on the specialist scale is linked to professional scopes of practice and vocational registration, as determined by the Medical or Dental Council. Summary of other provisions The rest of Part One contains the following: • Nature of the Agreement: a national, multi-employer collective agreement provides minimum terms and conditions of employment; it sets out the core terms and conditions of senior medical and dental officers while expressly permitting additional terms and conditions to be negotiated by individuals or groups of individuals provided they are not inconsistent with the provisions of the MECA. • Parties to the Agreement identify the ASMS and each DHB as the MECA’s formal parties. • Coverage quite prescriptively defines which medical & dental practitioners are covered (and not covered) by the MECA inclusive of all its entitlements, rights and protections. • Role of the Association in which each DHB recognises the role of the ASMS on behalf of members. • New Employees requires DHBs to advise new appointees of the MECA, of their right to be covered by it if they join ASMS, and how to contact us. This requirement remains after the expiry date if negotiations for a replacement collective agreement are continuing. • Variation covering the process for any subsequently agreed variations to the MECA. • Mutual Obligations recognises the importance of ‘mutual trust and confid...
