Nurses warn that changes to Plunket services in Auckland will shorten clinics or clinic time for many babies.
In an internal Plunket document, obtained by RNZ, the children's welfare group said that there could be fewer home visits and that parents might have to travel further to clinics if they had the means to do so.
Families "may have more clinic appointments versus home visits," the document said in an appendix titled Equity Planning Team Resource.
Read the full document here (PDF, 16KB)
Under risk, the document is called "potential for customers to" through the gaps "" and "impact on the community" – what if it is made public "?
According to the organization of the Nurses Organization nurses had been told that they would only have appointments of 10 minutes, this is not enough time, even for an appointment where a baby is weighed alone.
Plunket said in a statement to RNZ that none of his services was changing.
RNZ asked Plunket to explain the apparent contradictions between his internal and public statements, but it did not and did not make his chief executive available for an interview.
The nurses' union fears that the changes may be part of Plunket, which is trying to limit its universal services, and sees care for nine out of ten babies born in New Zealand in response to a staff crisis.
A submission by a nursing organization to the proposed changes: "The management of Plunket must solve the short personnel and personnel retention problems before any changes are implemented that do not alleviate these problems."
Read the submission of the nursing organization at Plunket's Equity Planning Draft (PDF 1.5MB)
Her members were told that families in affluent areas as low needs & # 39; would be considered.
Plunket's public statement said it did not change its universal service, but its internal document uses the term "progressive universal service."
This was a contradiction, the trade union said: "A service that is only offered to some people is no longer a universal service."
Plunket's internal document said the goal was more staff, visits and support in areas with high needs, and having a "just" spread of supervisors and front-line nurses, it said.
The 300 Plunket nurses in Auckland were already overworked, the union said.
"An overwhelming majority of the members consulted resisted the planned changes and had serious concerns about related issues," said the Nurses' entry.
"Members report that oral briefings have told them that Plunket will cancel home visits and visits to the full clinic for some customers and replace them with" speed clinics "or" drop-in clinics "where these clients can reach their baby without appointment # 39; s weighed alone, & # 39; said the entry.
"Nurses have been told that they should not follow up clients who are offered a clinic but do not arrive."
Current clinic appointments lasted 45 minutes; it was not clear what parts were meant to leave, it said.
Plunket says that there are no staffing or service changes
In a statement, Plunket said that it "does not make any changes to staffing or makes changes to services to customers".
"Plunket does not introduce speed clinics to replace our usual services." We have tested some open clinics in West Auckland, allowing customers to invade if they wish and if top-of-mind issues are handled at a time that suits them – so whether customers get a check or a clinic at home completely away from them. "
In the internal document, however, an interruption in the continuity of care for babies was identified as a risk.
The reward of Plunket nurses was now 5 percent behind DHB nurses after the recent payroll of nurses, said trade union organizer Danielle Davies.
The agency tried to put a "bandaid" on the broadcast crisis at the expense of health care for babies, she said.
A five-day consultation period on the proposal was recently terminated; it is unclear whether this will be extended to all employees or only managers.
The union waited for Plunket to hear. The details of the proposal in the consultation were inadequate, said Mrs Davies.
Plunket's annual report last year shows that just over a third of the 570,000 contacts with families were in the three highest disadvantaged areas. 51,000 new babies had been referred to, nine of the ten babies born in the whole country.
Earlier this year Plunket cut a dozen jobs for mainly management and administration in the central region around Wellington.
It has also evolved to centralize its management, causing local organizations to worry about being nobbled.
Plunket said that the multi-million dollar deficit is mainly due to the cost of introducing a national electronic electronic registration system. It gets three quarters of its financing from the government.
The nursing organization is also worried about whether the agency uses enough casual nurses to take a patient load and that some Saturday clinics in Auckland seem to be closing.
From Phil Pennington