the unique nature of continuity of care midwifery and thus the lack of or international market the unique gendered nature of the workforce and clients and the opportunity for inherent bias to build up over time through institutional and personal discrimination the systemic undervaluation of services in existing methodologies. In order to establish fair and reasonable remuneration the co-design group used multiple methodologies to establish the likely range within which remuneration should sit. This approach was reviewed and approved by State Services Commission and the Ministry of Health Steering Group in September 2017. The purpose of this report is to present the results of these methodologies to assist the Ministry of Health to develop a Budget 2018 bid for additional funding for the Primary Maternity Appropriation to recognise cost and service pressures. The document sets out the following components: The work of a community midwife Description of work Significant scope changes since the creation of the role Employment context costs and benefits – Pricing methodologies Historic pricing adjusted for inflation and significant scope change Pricing of comparable jobs Expert statement on strengths and limitations of methodologies in this context. Calculation of 1 Full Time Equivalent Best practice/evidence based practice time allocation Actual time spent by workforce currently Proposed methodology of recognising caseload variance. Calculation of costs of providing community midwifery Pricing of operating costs Pricing on-call expectations Pricing of a national locum service. The work of a community midwife in 2017 Description of work Community LMC midwifery is a complex and demanding occupation. It requires equivalent to a four year degree to achieve the starting qualification (plus an Intern Year encompassing the First Year of Practice), and a further 4-5 years of clinical practice and continuing professional education and mentoring to gain full proficiency.
the unique nature of continuity of care midwifery and thus the lack of or international market the unique gendered nature of the workforce and clients and the opportunity for inherent bias to build up over time through institutional and personal discrimination the systemic undervaluation of services in existing methodologies. In order to establish fair and reasonable remuneration the co-design group used multiple methodologies to establish the likely range within which remuneration should sit. This approach was reviewed and approved by State Services Commission and the Ministry of Health Steering Group in September 2017. The purpose of this report is to present the results of these methodologies to assist the Ministry of Health to develop a Budget 2018 bid for additional funding for the Primary Maternity Appropriation to recognise cost and service pressures. The document sets out the following components: The work of a community midwife Description of work Significant scope changes since the creation of the role Employment context – costs and benefits Pricing methodologies Historic pricing adjusted for inflation and significant scope change Pricing of comparable jobs Expert statement on strengths and limitations of methodologies in this context. Calculation of 1 Full Time Equivalent Best practice/evidence based practice time allocation Actual time spent by workforce currently Proposed methodology of recognising caseload variance. Calculation of costs of providing community midwifery Pricing of operating costs Pricing on-call expectations Pricing of a national locum service. The work of a community midwife in 2017 Description of work Community LMC midwifery is a complex and demanding occupation. It requires equivalent to a four year degree to achieve the starting qualification (plus an Intern Year encompassing the First Year of Practice), and a further 4-5 years of clinical practice and continuing professional education and mentoring to gain full proficiency.
ministry-nzcom-co-design-pricing-model-report.docx