RDA Delegate Training March 2013

1. RDA Delegate TrainingMarch 2013

2. INTRODUCTION • Welcome • Getting to know each other • The purpose of the course • What we don’t expect to achieve • How we expect to achieve outcomes

3. Why have a Collective Organisation? • When we come to work for a DHB, what is it that the parties want from and give to each other? • What do we give the employer? • What does the employer give to us? • What does the employer want from us? • What do we want from the employer? • Of all the elements, which are most important to each of the parties? • Where does the power balance lie? • What can shift the balance of power?

4. Who else is in Health? • Government Agencies • Health Providers • User Groups • Professional Bodies • Representative Organisations • Others? • What happens when we “collide”

5. The Structure and Function of NZRDA • Who does what? • Role, rights and responsibility of • the executive, • secretariat • individual member, • delegate • HELP!!! • What is available? • What are your rights? • Knowing when to call. • Knowing who to call.

6. The Objects of NZRDA • Negotiate, protect, and improve the collective employment interests of its Members. • Provide advice and representation for Members with employment relationship problems. • Promote and support Member participation in decision-making processes affecting their employment and general quality of life, and the well being of the professional workforce to which they belong. • Promote and support Member’s acquisition and improvement of their occupational skills, and the standing of the professional group as a whole. • Promote a high standard of patient care. • Do anything else necessary and helpful in furtherance of the above objects.

7. NZRDA National Executive • National President • National Vice President • Executive Secretary/Treasurer • National Secretary • Peripheral Representative • Community Based Representative • Auckland (x2; includes Northland) • Waikato (Hamilton, Rotorua, Whakatane, Gisborne, and Tauranga) • Central (Palmerston North, Hawkes Bay, Whanganui, Taranaki) • Wellington (Wellington, Hutt, Wairarapa, Nelson, and Marlborough) • Canterbury (Timaru, Canterbury, West Coast) • Otago (Southland and Dunedin)

8. NZRDA Education Trust • The trustees shall hold the capital and income of the trust fund upon trust to apply the income and all or such part or parts of the capital at such time or times and in such manner as shall be necessary for the furtherance and protection of the education or training of resident medical officers (“RMO’s”) in all aspects of medical practice in New Zealand including: • The provision of financial assistance towards the establishment and conduct of training seminars and conferences. • The provision of financial assistance towards the production of newsletters, brochures, training manuals whether printed or visual, and other training materials and aids for RMOs. • The creation and funding of scholarships, bursaries, grants or prizes awarded to RMOs engaged or wishing to be engaged in the medical profession in New Zealand to assist the further education and training of those persons both within New Zealand and overseas. • The education of, and provision of information to, the medical profession and/or the general public in New Zealand regarding matters and issues of relevance to the education or training of RMOs in New Zealand.

9. NZ Medical Professionals Ltd (NZMPL) • Is a Registered Insurance Company (Requiring Min $ and insured’s protections) • Covers 2000 NZ doctors (RMOs, SMOs and GPs) • 100% NZ owned • NZRDA has 15% shareholding • Deborah Powell has 37.5% shareholding and is a director • No cost to RMOs (premiums paid by employers); free to medical students • Board of Directors • Brian Osborne – Chair and Independent Director (Insurance expert) • Tony Driscoll – Independent Director (Accountant, investment specialist & chair of risk committee)) • Dennis Dixon-McIver (Service Provider) • Deborah Powell (Medico legal advisor) • Conservative growth strategy, investment and dividend policy

10. Medical Protection Society and Medicus • MPS • Friendly Society (Discretionary Cover) • UK Owned • Not required to comply with Insurance provider legislation (doesn’t provide insurance) • In existence the longest time in NZ; exited Australia. • Medicus • A “voluntary risk management organisation” • Is an Incorporated Society not an insurance company. • Aon, an insurance company provides the insurance. To access Aon a doctor must join Medicus who provides the front line services

11. Employer-Union Engagement: Getting into bed with the enemy? • NREG • National RMO Unit Manual • Health and Safety: Rostering and fatigue • HWNZ (RTH, Career Planning) • Training Lists • Sector View on RMO Training • Protected Training Time • MECA Interpretation Group • Relievers • Role in Bargaining

12. Employer-Union Engagement: Getting into bed with the enemy ctd? • LREG • Who? • How? • What? • How to make the most of the process • Agenda • Issues and outcomes • Timeframes • Clear roles and responsibilities • Not about being “nice” • When good LEGs go bad (Whanganui Case Study)

13. A Chance to Negotiate Negotiating Teams

14. What’s in Your MECA? • An Introduction to the “app” • Salary • Run Descriptions and Reviews • Rostering • Training • Types of leave and associated entitlements • Cover for leave • Cross Cover (in and outside ordinary hours) • Additional Duties • Limits on Hours • Meals • The Rest……

15. Social Media: a useful tool or invitation for disaster? • The risks • Email • Facebook • Smart Phones • Interesting Cases? • How we can use social media to our advantage? • Using modern media • TV adverts, • apps • Rapid Communications • During Bargaining (2 case studies)

16. Members in Trouble: what to do?A Case Study It is 1100 on a Saturday morning and your phone rings: Sergio, an ED registrar is in trouble! Sergio is qualified in the USA; his primary qualification gained in 2004 is a DO (Doctor of Osteopathic Medicine, New York Institute of Technology, New York College of Osteopathic Medicine, United States of America). He is provisionally registered with MCNZ and has been in DHB employment since midyear changeover 2011. Sergio explains that he has received a letter from his clinical supervisor (handed to him at 2100 hours whilst on shift the previous evening), inviting him to a meeting the following Tuesday to discuss concerns over his performance. He wants to know what to do…. What do you say…..?

17. Members in Trouble: what to do? DON’T PANIC • Membership of NZRDA • Call NZRDA • Documentation • Personal file • Patient notes • Letter / details of complaint • DHB letter inviting to meeting • Members response to the allegations • MCNZ status? • Support, do not judge or gossip

18. Members in Trouble: what to do?A Case Study Over breakfast muesli at your local café you see the front page of the Herald has a picture of a “very interesting” X-ray. Originally taken at your hospital’s ED department, the Herald got a copy off Facebook. At work you find the DHB has already launched an investigation… What is your next move?

19. Members in Trouble: what to do? • Ear to the ground, let us know of anyone who could get caught up in the process. • ? Obvious members involved, get in touch. • If you hear of members who might have… let us know. • Spread the word…. Don’t…. • Early intervention / advice reaps rewards

20. Clinical Governance Over to Thida Ching, Auckland Divisional President.

21. Engagement with TIs • Welcome to Phillip Chao, President of the NZ Medical Students Association • TI registration • Engagement with NZRDA • As employees?

22. Whose Training Is It? • Health Workforce NZ • Career Planning • Training Hubs • Voluntary Bonding Scheme • Advanced Training Scheme • Nurse Anaesthetists / physician assistants • GPEP • MCNZ • General Registration recertification • “Amalgamation” of DHBs • College Trainee Committees

23. MECA Renewal • Bargaining Teams • Bargaining Focus • Bargaining Style • Members involvement • Stop Work Timetable • Members issues and priorities • Fellows • Potential environment (0.7% AOCS)

24. Stop Work Timetable