Home and community

Where applicable, discharge planning starts when a person enters a service.

Residential disability

Where applicable, discharge planning starts when a person enters a service.

Residential mental health and alcohol and other drug

Where applicable, discharge planning starts when a person enters a service.

Public/private hospital

Service providers have processes to:

transition people between public and private services (and vice versa) to support them through the change
provide continuous care following a procedure. This process can include people who choose to self-discharge.

Where applicable, discharge planning starts when a person enters a service.

Birthing units

Service providers have processes to:

transition people between public and private services (and vice versa) to support them through the change
provide continuous care following a procedure. This process can include people who choose to self-discharge.

Where applicable, discharge planning starts when a person enters a service.

Hospice

Service providers have processes to:

transition people between public and private services (and vice versa) to support them through the change
provide continuous care following a procedure. This process can include people who choose to self-discharge.

Where applicable, discharge planning starts when a person enters a service.

Abortion services

People who are completing treatment at home remain under the service provider’s care until documentation confirms that the treatment is complete. The person receiving services understands this arrangement.
Where service providers do not have appropriate facilities for inpatient services, they have an implemented policy for transferring people to an appropriate alternative facility.


Criterion 3.6.2
Guidance for all providers

Service providers have transition, transfer, and discharge information available in accessible formats and provide it in a timely manner.
Service providers discuss reasons for transition, transfer, or discharge with the person receiving services and their whānau. They record any concerns the person or whānau express in the person’s notes.
Service providers allow sufficient time for meetings with the person and their whānau when planning transition or discharge.
Service providers confirm all providers that are involved are aware of discharge or transition plans.

Additional guidance

Aged care

Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:

referral to other agencies
equipment needs
needs reassessment (for example, through a Needs Assessment and Service Coordination service).


Fertility services

When no further treatment is planned or likely to be considered, service providers plan further care or support that meets the needs of the person receiving services and, when appropriate, of their whānau. This may include:

referral to counselling
liaising with advocates or lived experience support services
liaising with community support services, including Māori specialist services where appropriate
advising people what to do if they wish to reconsider assisted reproductive technology services later
referral to a different health service
referral for appointments.

Home and community

Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:

referral to other agencies
equipment needs
needs reassessment (for example, through a Needs Assessment and Service Coordination service).

Residential disability

Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:

referral to other agencies
equipment needs
needs reassessment (for example, through a Needs Assessment and Service Coordination service).

Residential mental health and alcohol and other drug

Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:

referral to other agencies
equipment needs
needs reassessment (for example, through a Needs Assessment and Service Coordination service).

Public/private hospital

Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:

referral to other agencies
equipment needs
needs reassessment (for example, through a Needs Assessment and Service Coordination service).


Hospice

Discussions about transition, transfer, or discharge include the person receiving services and whānau and cover an understanding of:

referral to other agencies
equipment needs
needs reassessment (for example, through a Needs Assessment and Service Coordination service).


Criterion 3.6.3
Guidance for all providers

Advice on people’s options to access other services may cover:

specialised therapy services
allied health practitioners
equipment
community resources.

Additional guidance

Fertility services

Service providers keep a record of this process.

Home and community

Service providers keep a record of this process.

Residential disability

Service providers keep a record of this process.

Residential mental health and alcohol and other drug

Service providers keep a record of this process.

Public/private hospital

Service providers keep a record of this process.

Birthing units

Service providers keep a record of this process.

Hospice

Service providers keep a record of this process.

Abortion services

Service providers keep a record of this process.


Criterion 3.6.4
Guidance for all providers

Service providers demonstrate that transition, transfer, and discharge plans assess the current needs of the person. This includes documented identification of risks and necessary mitigations.

Additional guidance

Residential mental health and alcohol and other drug

Information is complete to the ‘point of discharge’. For example, if a person is going home to whānau, the information is sufficiently clear and comprehensive to allow the person to receive the appropriate care or support (for example, medication management) from whānau.
Service providers’ medication management policy includes discharge risk mitigation and considers time frames and supply of medications (for example, whether daily methadone pickups are necessary, the day of the week on which discharge occurs, and whether the location is rural or urban).
Service providers take a risk mitigation approach when returning people’s property. For example, if a person enters the service with sharps and these are removed on admission, a risk assessment determines whether to return them on discharge.

Public/private hospital

Information is complete to the ‘point of discharge’. For example, if a person is going home to whānau, the information is sufficiently clear and comprehensive to allow the person to receive the appropriate care or support (for example, medication management) from whānau.
Service providers’ medication management policy includes discharge risk mitigation and considers time frames and supply of medications (for example, whether daily methadone pickups are necessary, the day of the week on which discharge occurs, and whether the location is rural or urban).
Service providers take a risk mitigation approach when returning people’s property. For example, if a person enters the service with sharps and these are removed on admission, a risk assessment determines whether to return them on discharge.


Criterion 3.6.5
Guidance for all providers

Where possible, service providers confirm arrangements for discharge.

Additional guidance

Residential mental health and alcohol and other drug

Service providers make reasonable efforts to follow up with the person receiving services.
Service providers make reasonable efforts to verify their referral is acknowledged.

Public/private hospital

Service providers make reasonable efforts to follow up with the person receiving services.
Service providers make reasonable efforts to verify their referral is acknowledged.

Abortion services

Service providers make reasonable efforts to follow up with the person receiving services.
Service providers make reasonable efforts to verify their referral is acknowledged.


Section 3.7: Electroconvulsive therapy

Public/private hospital: Guidance

Criterion 3.7.1

National standards prescribe acceptable practice for ECT.
In reference to ECT, the Mental Health (Compulsory Assessment and Treatment) Act 1992, the Health and Disability Services Consumers’ Code of Rights, and the National Mental Health Sector Standard require that service providers deliver care to Māori with proper recognition of and respect for cultural and/or ethical beliefs.

Criterion 3.7.2

The Ministry of Health established baseline data on the quality of ECT delivery in New Zealand. It conducted this audit mainly to determine whether the technical standards of ECT delivery in New Zealand are as high as is practicable.
While existing guidelines do not specifically address the needs of Māori, service providers need to give New Zealanders the assurance that if they or their whānau receive ECT, treatment will be delivered in a way that is as safe as possible while giving the treatment the highest chance of success.

Criterion 3.7.3


Criterion 3.7.3

Service providers listen to people with lived experience of ECT treatment. They give people with lived experience and their whānau/carers an opportunity to discuss their concerns. They use concerns raised to help to address stigma associated with ECT as a treatment.
Service providers provide information on ECT. This includes information about the type of ECT to be administered (including electrode placement) and expected outcomes. Service providers acknowledge concerns and any risks associated with ECT and include whānau and/or carers in the discussion. Psychiatrists should do everything possible to minimise adverse effects of ECT.
Service providers seek consent before undertaking any procedure, treatment or providing a report for legal or other purposes.
Service providers deliver ECT services in an appropriate environment that safely manages people receiving therapy.
Clinical decisions follow approved guidelines and protocols. A trained professional team delivers best practice ECT care. Service providers use the knowledge gained from patient experience to improve ECT services.
The experience of patients and whānau/carers informs improvement of ECT services. Service providers apply learning to inform future best practice. For more information, see Ministry of Health (2009) Electroconvulsive Therapy (ECT) in New Zealand. What you and your family and whānau need to know, The Royal Australian and New Zealand College of Psychiatrists (2020) ‘Electroconvulsive Therapy (ECT): Your health in mind’ (consumer information), and Health Navigator’s information for consumers on depression and ECT.

Criterion 3.7.4


Criterion 3.7.4

Where whānau want to be more closely involved in and consulted on specific cultural preferences and concerns, service providers carefully consider the indications for ECT and all aspects of the process and explain them in a culturally sensitive manner. Te Whare Tapa Whā and other Māori models of care are relevant. Information should also include alternative treatment options.
Service providers could use the Takarangi Competency Framework to guide best practice in culturally safe care.


Section 3.8: Obtaining and caring for gametes and embryos

Fertility services: Guidance

Criterion 3.8.1

Service providers use a minimum of three types of identifying information to verify the traceability of all people receiving services and biological material. This identifying information can include:

full name
date of birth
address
mobile phone number.

Service providers use a minimum of three identifiers, one of which is a unique identifier, to verify the traceability of all biological material.
Service providers undertake risk assessment to minimise identification error.
Service providers undertake two independent checks of people or biological material during assisted reproductive procedures, using the Reproductive Technology Accreditation Committee’s technical bulletins as sector guidance.
People providing semen samples confirm, in writing and on each occasion, that the sample is theirs.
At a minimum, service providers undertake an annual audit of the patient, gamete, and embryo identification processes and associated digital and manual records.

Criterion 3.8.2

Service providers undertake risk assessment to manage people’s safety, covering:

documented pre-admission instructions
informed consents for treatment
pre-existing medical conditions
safe, appropriate levels of sedation or anaesthesia
post-procedure and treatment support, such as written information and emergency contact information
safe discharge after the procedure
the education and competence of the personnel, emergency trolley, emergency response, and the number and skill mix of health care and support workers during procedures
management of clinical emergencies.

Service providers develop and implement policies and procedures to manage clinical emergencies that may arise, including policies and procedures on moving a person to another service provider and on training health care and support workers in advanced life support.
Service providers use the Royal Australian and New Zealand College of Anaesthetists (2019) Safe procedural sedation competencies (PDF, 152 KB).

Criterion 3.8.3


Criterion 3.8.3

All buildings, plant, and equipment are fit for purpose.
Service providers maintain all buildings, plant, and equipment in reliable and safe working order.
The facility layout and design are clinically appropriate; contribute to safe service delivery; and maintain safety for people receiving services, their whānau, and service providers.
Relevant equipment is calibrated and validated.
All equipment necessary to provide the service is available when required, and service providers have a contingency plan to follow if such equipment becomes unavailable.
The environment is suitable for the procedures carried out to minimise the risk associated with particulate material and volatile organic compound.
Where service providers are storing critical material (for example, medication or culture medium), they may monitor temperatures or other critical parameters and demonstrate that these are in line with the manufacturer’s instructions.
Facilities are secured against entry of unauthorised personnel.

Criterion 3.8.4

Service providers have a written procedure that defines specifications for transporting human gametes, embryos, or other biological samples.
Service providers maintain security of system and of storage vessels.
Service providers have implemented policies and procedures that comply with the HART Act.

Criterion 3.8.5

Service providers undertake a risk assessment.
Service providers have documentation of working through scenarios.

Criterion 3.8.6
Guidance has not been developed for this criterion.
Criterion 3.8.7


When a fertility service closes, the service provider sends any relevant information that Births, Deaths and Marriages usually holds to the Registrar-General.
Service providers have policies and procedures in place detailing arrangements for the ongoing storage of  cryopreserved gametes, embryos, or other biological samples.
Service providers record details of the number of people with cryopreserved embryos, gametes, or other biological samples in storage and details of the location of the material.
Where the service provider is transferring storage of the  cryopreserved  gametes, embryos, or other biological material to another organisation, it obtains and records:

the name and address of the organisation agreeing to accept storage
the name of the medical director responsible for the storage of the material
a letter from the medical director accepting responsibility for storage
copies of the communication with people who have material in storage, outlining their options and costs for future storage
a copy of procedures for consenting to the transfer of embryos and gametes sent to the new organisation, including the consent forms.

Service providers have an implemented policy for providing for the ongoing storage of medical records.
Service providers maintain a copy of procedures for consenting for the transfer of medical records to another doctor, and the consent forms.
Service providers demonstrate confirmation that someone from the organisation has notified the Director-General of Health of closure under section 81 of the HART Act within the required time after closure of the organisation.

Criterion 3.8.8

Service providers are Māori-centred. For example, they provide sufficient information focused on Māori needs, sharing the experiences of Māori with fertility treatment.
Service providers monitor access of their services by ethnicity to verify service provision is appropriate and achieves equitable access and outcomes for Māori.
Service providers have suitable processes and procedures to verify their day-stay services are culturally and clinically safe.


Part 2: Workforce and structure
Up to First page
Part 4: Person-centred and safe environment

Page last updated: 01 March 2023

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Psychoactive substances regulation | Ministry of Health NZ

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HomeOur workRegulationPsychoactive substances regulation

 Psychoactive substances regulation


Psychoactive substances regulation

Psychoactive substances are regulated in New Zealand by the Psychoactive Substances Act 2013. The aim of the Act is to protect the health of, and minimise harm to, individuals who use psychoactive substances. The Psychoactive Substances Regulatory Authority administers the Act.Synthetic cannabis
In July 2018, the Coroner advised that since 1 June 2017 there were 40 to 45 deaths across New Zealand which provisionally appear to be attributable to synthetic cannabis toxicity. Agencies are working together to address how best to reduce the harms from synthetic cannabinoids. Read more
Psychoactive Substances Act 2013
The Act aims to regulate the availability of psychoactive substances in New Zealand to protect the health of, and minimise harm to, individuals who use psychoactive substances. Read more

The definitions and history of psychoactive substances in New Zealand
Review of the Psychoactive Substances Act 2013

How to get a product approved
Information for applicants submitting a product approval application. Read more

The Code of Manufacturing Practice outlines the quality control requirements for manufacturers of psychoactive substances.
Register of Product Approvals - Note: There are no approved products and no applications for a product have been received.

How to get a licence
Find out about the cost of and how to apply for a licence to import, research, manufacture, wholesale, retail, sell unapproved substances. Read more

Licences for psychoactive substances

Information for healthcare professionals
Information about clinical advice and clinical coding for synthetic cannabis. Read more
Psychoactive Substances Expert Advisory Committee
The Psychoactive Substances Expert Advisory Committee provides technical advice to the Authority. Read more.
The Psychoactive Substances Appeals Committee
The Psychoactive Substances Appeals Committee (PSAC) hears appeals against decisions made by the Psychoactive Substances Regulatory Authority. Read more


Email the Authority
Email: [email protected]
Email the Psychoactive Substances Regulatory Authority if you have any questions or concerns about psychoactive substances in New Zealand

Help
The New Zealand National Poisons Centre has clinical toxicologists on their staff who can provide treatment advice about unidentified substances taken by individuals. The National Poisons Centre runs a 24-hour 7-day toll free emergency telephone service. Phone: 0800 POISON (0800 764 766).

Related areas

Psychoactive substances help.
	What to expect if you stop using drugs, common withdrawal symptoms, and where to get help for a drug use problem or in an emergency.

Page last updated: 30 October 2019

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Part 5: Infection prevention and antimicrobial stewardship | Ministry of Health NZ

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HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services StandardSector guidance

Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)Part 1: Our rights
Part 2: Workforce and structure
Part 3: Pathways to wellbeing
Part 4: Person-centred and safe environment
Part 5: Infection prevention and antimicrobial stewardship
Part 6: Restraint and seclusion

 Part 5: Infection prevention and antimicrobial stewardship


Section 5.1: Governance
Criterion 5.1.1
Guidance for all providers

The governance body develops IP and AMS programmes that align with the organisation’s strategic document and reviews them annually.
The content and detail are appropriate to the size, complexity, and degree of risk associated with the services provided.
The governance body knows and understands its responsibilities for delivering the IP and AMS programmes and seeks additional support where needed to fulfil these responsibilities.
Service providers adequately resource their IP and AMS programme activities.

Criterion 5.1.2
Guidance for all providers

The service provider has a clear structure that enables access to IP and AMS expertise and a clearly defined process for accessing this advice.

Criterion 5.1.3
Guidance for all providers

Under the service provider’s arrangements, executive clinical management or clinical governance address IP and AMS issues.
Escalation may be linked to emergency management procedures and processes.
Governing bodies are responsive to IP and AMS situations, including health care-associated infections (HAI).
The IP team or personnel facilitate activation of outbreak and pandemic plans in consultation with the local public health team if there are wider community implications. The governance body oversees the response. It may be necessary to involve other relevant services and co-opt them as required and in line with national and regional guidance.
If an outbreak occurs, activation includes education and communication strategies for people receiving services and their whānau, access holders, and contractors.

Criterion 5.1.4
Guidance for all providers


Criterion 5.1.4
Guidance for all providers

The service provider has strategic, operational, and quality improvement systems, with clinical governance oversight to demonstrate its compliance with infection prevention and AMS policies.
The service provider agrees and monitors key performance indicators for IP and AMS. Executive leadership receives, reports on, and acts on these. Where possible, benchmarking with comparable organisations occurs.
A culture of learning from significant events is evident where adverse events, including outbreaks and incidents, promote system change and reduce risks.

Section 5.2: The infection prevention programme and implementation
Criterion 5.2.1
Guidance for all providers

Where multidisciplinary IP expertise is not available within a service, the service provider has a defined process for gaining advice and support on infection prevention, infectious disease, or clinical microbiology.
A position description, terms of reference, or  similar document clearly states the responsibilities, functions, and allocated hours of work of the IP role and personnel.
The IP role or personnel have access to the necessary tools (such as standards, guidelines, and evidence-informed literature) to perform their function.
Service providers support the IP role or personnel to develop the skills they need to meet the requirements of the role.

Criterion 5.2.2
Guidance has not been developed for this criterion.
Guidance is related to the infection prevention plan for an organization. It needs to include:

If the plan is developed by IP personnel
The plan details a timeframe for annual review against strategic company/hospital/facility objectives
Links to the quality improvement programme for an organization

Criterion 5.2.3
Guidance for all providers


Criterion 5.2.3
Guidance for all providers

Examples of policies for built environment include policies for ventilation, water, and renovation and construction.
The IP suite of policies may also include:

procurement (see 5.2.7)
waste management (see 5.5.1)
cleaning (see 5.5.3)
laundry (see 5.5.4).


Additional guidance

Fertility services

Infection prevention in assisted reproductive technology covers the distinct aspects of:

general hygiene as for any health provider, screening of people for infection agents that may cross-contaminate in vitro culture or storage systems, screening donors for infectious agents that may be transmitted to recipients and day-stay surgery procedures
prevention of cross-contamination in the liquid nitrogen storage systems
prevention of cross-contamination in collection areas.


Criterion 5.2.4
Guidance for all providers

Service providers have a pandemic response plan with clearly defined roles and communication pathways. This may be linked to the emergency response process.
The plan reflects national and regional policy or guidance.
The IP team or committee facilitates activation of outbreak and pandemic plans. It may be necessary to involve other relevant services and co-opt them as required.
Service providers arrange for pandemic response education that includes hand hygiene and the appropriate use, removal, and disposal of PPE. Updates are delivered at defined intervals to verify ongoing compliance and competency.
The provision of education and communication of information during a pandemic or outbreak situation are part of the pandemic response plan.
PPE stock rotation occurs so it remains fit for purpose. Service providers observe expiry dates and maintain the integrity of the product.

Criterion 5.2.5
Guidance for all providers

IP personnel may have input into the following policies:

insertion, management, and removal of invasive, indwelling medical devices
aseptic technique
food safety
new procedures or processes that may influence the risk of infection.

Service providers carry out procedures requiring asepsis in a suitable, clean environment.

Criterion 5.2.6
Guidance for all providers

Education for health care and support workers:

is tailored to meet the needs of various roles and responsibilities
occurs in a manner that recognises and meets their communication method, style, and preference
is easy for all people to access, understand, and use, enact, or follow.
is based on evidence-informed practice.


Service providers assess the IP education and training needs of all health care and support workers through assessment and review processes; for example, via performance management reviews.
Service providers evaluate the provision, quality, and uptake of IP education and maintain education records of health care and support workers.
All health care and support workers receive education on IP risk assessment and how to apply this to implementation of standard precautions.
Service providers have multiple and integrated approaches to deliver IP education across all professions and disciplines.
Education for people using the service:

occurs in a manner that recognises and meets their communication method, style, and preference
is recorded in their health record
is easy for all people to access, understand, and use, enact, or follow.
may be reviewed by using health literacy tools; for example, Ministry of Health (2015) A Framework for Health Literacy.

Service providers also provide visitors with education as required; for example, during outbreaks of infection.

Criterion 5.2.7
Guidance for all providers

Service providers have clear, documented processes for accessing IP advice during procurement. This process includes providing an evaluation of the decontamination and reprocessing requirements for the medical equipment or device.
IP-related products, including PPE, are of an acceptable quality and conform to relevant minimum standards.

Criterion 5.2.8
Guidance for all providers

IP role and personnel are involved in any new build or renovation from design phase to completion.
The policy on the built environment sets out the process for early consultation.
The process for consultation includes changes to ratios of health care and support workers to outsourced contracts that could impact on IP.

Criterion 5.2.9
Guidance for all providers


Criterion 5.2.9
Guidance for all providers

Service providers reprocess medical devices in line with relevant standards; for example, AS/NZ 4187.
Where disinfection and sterilisation of reusable medical devices occur, these procedures are appropriately aligned with accepted best practice standards.
Where mechanical equipment is used in these procedures, it complies with relevant standards.
Where sterilisation of reusable medical devices is not applicable, service providers still have appropriate decontamination procedures in place for equipment and devices used in the delivery of care.

Criterion 5.2.10

Aged care: Guidance

Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

Fertility services: Guidance

Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

Public/private hospital: Guidance

Automated reprocessing has continuous quality monitoring processes in place where possible.
Service providers audit procedures for reprocessing reusable medical devices at least annually.
External audit is recommended for high-risk reprocessing of reusable medical devices (for example, sterile services and endoscope reprocessing) where possible.
The service provider has a process for critical equipment track and trace to the person receiving services.
Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

Birthing units: Guidance


Birthing units: Guidance

Automated reprocessing has continuous quality monitoring processes in place where possible.
Service providers audit procedures for reprocessing reusable medical devices at least annually.
External audit is recommended for high-risk reprocessing of reusable medical devices (for example, sterile services and endoscope reprocessing) where possible.
The service provider has a process for critical equipment track and trace to the person receiving services.
Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

Hospice: Guidance

Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.

Abortion services: Guidance

Service providers are able to demonstrate via audit that they have checks in place to verify that they have sterilised equipment before using it.


Criterion 5.2.11

Aged care: Guidance

Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

Public/private hospital: Guidance

Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

Birthing units: Guidance

Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

Hospice: Guidance

Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.

Abortion services: Guidance

Reprocessing constitutes remanufacturing. Service providers will not reprocess single-use medical devices for which they do not have validated cleaning instructions or procedures, regulatory registrations and associated technical documentation.


Criterion 5.2.12
Guidance for all providers

Service providers seek feedback on information and education on infection prevention that they provide in te reo Māori.

Criterion 5.2.13
Guidance for all providers

Service providers can evidence that they take a partnership approach with Māori to provide culturally safe practice in IP.
Service providers proactively seek feedback from Māori who access these services and make changes or improvements based on their recommendations.

Additional guidance

Public/private hospital

Service providers do not see birth as a sterile procedure, except when it involves a caesarean section. Infection prevention for the person giving birth, baby, and health care and support workers is important. For example, service providers support and encourage cultural practices such as use of muka pito ties for tying the umbilical cord.

Birthing units

Service providers do not see birth as a sterile procedure, except when it involves a caesarean section. Infection prevention for the person giving birth, baby, and health care and support workers is important. For example, service providers support and encourage cultural practices such as use of muka pito ties for tying the umbilical cord.


Section 5.3: Antimicrobial stewardship programme and implementation
Criterion 5.3.1

Aged care: Guidance

For a residential home or facility, prescribers are responsible for ensuring people receiving services use antimicrobials appropriately and in line with relevant evidence-based guidance, expert advice, and susceptibility findings.
In these settings, service providers support AMS through:

working to reduce inappropriate antibiotic prescribing by preventing infections in the care setting
discouraging laboratory testing without a clear indication, which may otherwise drive antimicrobial use
discouraging antimicrobial use, including topically, unless it is to treat a current infection for a defined period
promoting appropriate antimicrobial agents for clear indications, including with the message that antimicrobials are not useful for viral illnesses and topical agents are rarely used.

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

Fertility services: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

Residential disability: Guidance


Residential disability: Guidance

For a residential home or facility, prescribers are responsible for ensuring people receiving services use antimicrobials appropriately and in line with relevant evidence-based guidance, expert advice, and susceptibility findings.
In these settings, service providers support AMS through:

working to reduce inappropriate antibiotic prescribing by preventing infections in the care setting
discouraging laboratory testing without a clear indication, which may otherwise drive antimicrobial use
discouraging antimicrobial use, including topically, unless it is to treat a current infection for a defined period
promoting appropriate antimicrobial agents for clear indications, including with the message that antimicrobials are not useful for viral illnesses and topical agents are rarely used.

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

Public/private hospital: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

Birthing units: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

Hospice: Guidance


Hospice: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.

Abortion services: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes this information available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.


Criterion 5.3.2

Public/private hospital: Guidance

The AMS policies or guidance on targeted antimicrobial therapy as well as prophylaxis are accessible to relevant health care and support workers who are involved in antimicrobial use.
Service providers communicate any changes in policy and guidance on antimicrobial practice to health care and support workers in a timely manner.
Sufficient resources to support appropriate antimicrobial prescribing and use are readily available.


Criterion 5.3.3

Aged care: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.

Fertility services: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.

Residential disability: Guidance


Residential disability: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.

Public/private hospital: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.
The AMS programme provides reports that include information about empirical prescribing, prophylaxis (where applicable), audit findings, and controls to manage the use of restricted antimicrobials.

Hospice: Guidance


Hospice: Guidance

The local diagnostic laboratory provides information on the antimicrobial susceptibility patterns of significant clinical isolates to support empiric use of antimicrobials and makes it available to the relevant clinical health care workers, the prescriber, and the service provider. It provides this information at least annually.
Service providers review relevant antimicrobial susceptibility patterns to inform antimicrobial prescribing in the service.
Service providers undertake internal audits to evaluate antimicrobial use and how well it aligns with relevant evidence-informed guidance and quality improvement initiatives for antimicrobial prescribing.
Service providers report on the effectiveness of AMS initiatives and their compliance with evidence-informed guidelines at defined intervals to the governance body. This reporting will identify the appropriateness of antimicrobial prescribing and areas for improvement.
Service providers provide an education strategy for clinicians who are involved in antimicrobial medication and patients.


Section 5.4: Surveillance of health care-associated infection
Criterion 5.4.1

Guidance for all providers (except home and community)

Service providers have adequate resources, expertise, and systems to collect and analyse surveillance data.
Service providers should use electronic systems where possible to facilitate surveillance processes.
When surveillance activities identify issues, service providers appropriately investigate, report on, and act on them in a timely manner
Service providers have systems to:

monitor and investigate laboratory reported infections, including multi-drug resistant organisms
monitor and investigate infections while providing care.

There is access to shared clinical record and laboratory results to support surveillance activities.
Service providers demonstrate formal processes for reporting communicable disease to Community and Public Health and how it accesses support if required.

Criterion 5.4.2

Guidance for all providers (except home and community)

Service providers develop a surveillance plan and their governing body endorses it.
The plan should include participation in national and regional quality improvement and surveillance programmes where possible.
Surveillance activities may include monitoring and reporting of:

HAIs, including adverse events and treatment injuries that may result from them
specific types of infections and colonisation that may pose particular risk to users of the service
critical incidents.


Criterion 5.4.3

Aged care: Guidance

A programme of surveillance, appropriate to the size and setting of the service, is in place.
Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
Service providers should benchmark surveillance data with comparable organisations where possible.

Residential disability: Guidance

A programme of surveillance, appropriate to the size and setting of the service, is in place.
Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
Service providers should benchmark surveillance data with comparable organisations where possible.

Residential mental health and alcohol and other drug: Guidance


Residential mental health and alcohol and other drug: Guidance

A programme of surveillance, appropriate to the size and setting of the service, is in place.
Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
Service providers should benchmark surveillance data with comparable organisations where possible.

Public/private hospital: Guidance

A programme of surveillance, appropriate to the size and setting of the service, is in place.
Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
Service providers should benchmark surveillance data with comparable organisations where possible.

Birthing units: Guidance


Birthing units: Guidance

A programme of surveillance, appropriate to the size and setting of the service, is in place.
Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
Service providers should benchmark surveillance data with comparable organisations where possible.

Hospice: Guidance

A programme of surveillance, appropriate to the size and setting of the service, is in place.
Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
Service providers should benchmark surveillance data with comparable organisations where possible.

Abortion services: Guidance


Abortion services: Guidance

A programme of surveillance, appropriate to the size and setting of the service, is in place.
Service providers use standardised surveillance definitions to identify and classify infection events that relate to the type of infection under surveillance and are provided by recognised authorities.
Data collection tools should be validated and, if required, access to appropriate expertise for analysing the results is available.
Data analysis may include the number and type of events being monitored during a defined time period. This is to support comparison over time and also to measure the effectiveness of continuous quality improvement interventions. Where possible, the analysis should take account of the demographics of the people receiving services, including ethnicity.
Service providers should benchmark surveillance data with comparable organisations where possible.


Criterion 5.4.4

Aged care: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
The surveillance report identifies new, emergent, or re-emerging infection-related risks.
The governance body provides oversight of the implementation of recommendations.
Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
Results of the surveillance and recommendations are easy for all people to access, understand and use.

Fertility services: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
The surveillance report identifies new, emergent, or re-emerging infection-related risks.
The governance body provides oversight of the implementation of recommendations.
Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
Results of the surveillance and recommendations are easy for all people to access, understand and use.

Residential disability: Guidance


Residential disability: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
The surveillance report identifies new, emergent, or re-emerging infection-related risks.
The governance body provides oversight of the implementation of recommendations.
Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
Results of the surveillance and recommendations are easy for all people to access, understand and use.

Residential mental health and alcohol and other drug: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
The surveillance report identifies new, emergent, or re-emerging infection-related risks.
The governance body provides oversight of the implementation of recommendations.
Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
Results of the surveillance and recommendations are easy for all people to access, understand and use.

Public/private hospital: Guidance


Public/private hospital: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
The surveillance report identifies new, emergent, or re-emerging infection-related risks.
The governance body provides oversight of the implementation of recommendations.
Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
Results of the surveillance and recommendations are easy for all people to access, understand and use.

Birthing units: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.

Hospice: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
The surveillance report identifies new, emergent, or re-emerging infection-related risks.
The governance body provides oversight of the implementation of recommendations.
Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
Results of the surveillance and recommendations are easy for all people to access, understand and use.

Abortion services: Guidance


Abortion services: Guidance

Service providers prepare a summary of surveillance activities and submit it to their governing body at defined intervals. As well as monitoring HAIs, this summary evaluates the effectiveness of the surveillance programme and identifies any areas for improvement.
The IP role or personnel reviews, analyses, and interprets the surveillance data and produces a report with recommendations.
The surveillance report identifies new, emergent, or re-emerging infection-related risks.
The governance body provides oversight of the implementation of recommendations.
Relevant people to share the results with include health care and support workers, the person receiving services and their whānau.
Results of the surveillance and recommendations are easy for all people to access, understand and use.


Criterion 5.4.5

Guidance for all providers (except home and community)

Service providers have processes for communication with people receiving services.
Service providers document their communication with each person receiving their services in the person’s record.
During and after investigation, service providers provide feedback on progress and the outcome to the person receiving services and their whānau.

Section 5.5: Environment
Criterion 5.5.1
Guidance for all providers

Safe and appropriate storage and disposal of waste may include prevention strategies, prompt action, and management in line with relevant waste standards.
Service providers meet their contractual requirements.

Criterion 5.5.2
Guidance for all providers

Service providers provide suitable PPE appropriate to the risks involved for those handling waste or hazardous substances.

Criterion 5.5.3
Guidance for all providers

Service providers provide suitable PPE for those who are performing the cleaning.
A procurement and contract review process is in place to check that cleaning and disinfection products are fit for purpose.
Cleaning contractors and their employees understand and follow recognised guidelines.

Additional guidance

Fertility services

Cleaning products take into account embryo-toxicity risks.

Residential disability

Cleaning services fit the situation of the people living in the house.

Residential mental health and alcohol and other drug

Cleaning services fit the situation of the people living in the house.

Public/private hospital

Service providers have procedures to support practice for cleaning seclusion rooms between patients.


Criterion 5.5.4

Aged care: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
Service providers wash all personal clothing or items separately from other linen.
Service providers have an implemented process to manage residents’ clothing and personal items.

Fertility services: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.

Residential disability: Guidance


Residential disability: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
Service providers wash all personal clothing or items separately from other linen.
Service providers have an implemented process to manage residents’ clothing and personal items.

Residential mental health and alcohol and other drug: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
Service providers wash all personal clothing or items separately from other linen.
Service providers have an implemented process to manage residents’ clothing and personal items.

Public/private hospital: Guidance


Public/private hospital: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.

Birthing units: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.

Hospice: Guidance


Hospice: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.
Service providers wash all personal clothing or items separately from other linen.

Abortion services: Guidance

Service providers may meet relevant laundry standards that apply to the service they are providing.
Training is appropriate to the role.
Service providers have an implemented process for transporting/moving dirty linen within the facility.
Single, remote, or rural service providers show evidence that they have taken measures to meet the intent of the standard.
Service providers demonstrate a commitment to cultural safety by separating items that are sent to the laundry; for example, tea towels are separated from other linen. Items that touch the head or face (for example, pillowcases and face cloths) are not used on other parts of the body. See sector guidance for criterion 3.5.7.


Criterion 5.5.5

Guidance for all providers (except home and community)

The IP role or personnel receives regular reports from facilities on the testing required by the relevant Building Codes or Standards that are applicable to the complexity of their organisation. Facilities will consult and inform the IP role or personnel when they deviate from safe parameters.


Part 4: Person-centred and safe environment
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Part 6: Restraint and seclusion

Page last updated: 28 February 2023

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Prescribing – New professions

 Medicines Act 1981


The Medicines Act 1981 regulates medicines, related products and medical devices in New Zealand. The Act ensures that the medicines and products used in New Zealand are safe and effective.Medicines, related products and medical devices
The Act:

defines what a medicine is
sets out:

requirements for the approval, classification, manufacture, sale, distribution, advertising, prescribing and dispensing of medicines
licensing requirements for the medicines distribution chain, including wholesalers and pharmacies
requirements for the approval of related products
post-market controls on medicines and medical devices.


Medicines cannot be advertised, sold or distributed without the approval of the Minister of Health (except in a few limited circumstances, which are described in the Act).
 Some (narcotic and psychotropic) products that are used for therapeutic purposes are classified as controlled drugs. These products are therefore regulated under both the Medicines Act and the Misuse of Drugs Act 1975.
Administration of the Act
The Ministry of Health administers the Act and the regulations made under the Act such as the Medicines Regulations 1984, the Medicines (Database of Medical Devices) Regulations 2003 and designated prescriber regulations.
Medsafe
Medsafe (the New Zealand Medicines and Medical Devices Safety Authority) operates as a business unit within the Ministry of Health. Medsafe is responsible for administering most aspects of the Medicines Act 1981 and its associated regulations in New Zealand including:

approval of new and changed medicines and related products
audit and licensing of medicine manufacturers
approval of clinical trials of new medicines
classification of medicines
pharmacovigilance
surveillance and monitoring
border control and enforcement
administration of a database of medical devices in New Zealand
oversight of medicine and medical device recalls.

For more information on their work, see the Medsafe website.
Medicines Control
The Medicines Control team within the Ministry of Health administers controls on the distribution chain of medicines and controlled drugs in New Zealand, as well as managing related drug abuse containment issues.
The team is responsible for issuing licences under the Medicines Act, for people to:

operate a pharmacy
sell medicines by wholesale
hawk medicines
sell medicines by retail.

The team audits licensees regularly to ensure they comply with the Act.
Prescribing
The Act sets out:

the legislative framework for prescribing prescription medicines
the groups of health professionals able to prescribe.


the legislative framework for prescribing prescription medicines
the groups of health professionals able to prescribe.

In New Zealand all prescribers are also regulated under the Health Practitioner Competence Assurance Act 2003.
View the Prescribing statement which provides clarity for New Zealand health practitioners about the difference between the legal requirements for prescribing and the subsidisation of pharmaceuticals, including prescription medicines.


In this section

Prescribing statement - legal requirements and subsidisation

 This information is to provide clarity for New Zealand health practitioners about the difference between the legal requirements for prescribing and the subsidisation of pharmaceuticals, including prescription medicines.

 Read more

Prescribing – New professions

 Find out about the process for a new profession to gain prescribing rights under the Medicines Act 1981.

 Read more

 Legislation
All New Zealand acts and regulations are published on the NZ Legislation website.

Medicines Act 1981
Medicines Regulations 1984
Medicines (Database of Medical Devices) Regulations 2003
Misuse of Drugs Act 1975
Health Practitioner Competence Assurance Act 2003

Related areas

 Medicines control

 Therapeutic products regulatory regime

Related websites

 Medsafe

Page last updated: 28 February 2018

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Notifying a change of clinical or facility manager | Ministry of Health NZ

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HomeOur workRegulationCertification of health care servicesFor service providersNotifying a change of clinical or facility manager

Certification of health care services

Health and Disability Services (Safety) Act
Standards
For residents and families
For service providersAnnual service provider declaration
Notification for one hospital-level resident to be cared for in a rest home service area
Applying for certification
Designated auditing agencies
Notifying a change of clinical or facility manager
Notifying a change of governance
Notifying an incident under section 31
Reconfiguring services or building a new premises
Reporting on an ACC Notification of Harm
Residential disability provider surveillance

For designated auditing agencies
For Te Whatu Ora
Making a complaint
HealthCERT Bulletin
Publications

 Notifying a change of clinical or facility manager


All certified aged residential care providers must notify HealthCERT when they have a change in clinical manager or facility manager.There are two separate forms for notifying HealthCERT.
Change of clinical manager
The clinical manager of an aged residential care facility is the person responsible for the clinical care of the residents.
When the clinical manager changes, the provider must fill in the Notification of change of clinical manager form (Word, 61 KB).
The form must be completed for the appointment of either a temporary or permanent clinical manager.
Change of facility manager
HealthCERT must be notified of the facility manager and when it changes. In this situation, the provider must fill in the Notification of change of facility manager form (Word, 60 KB).
Further information
If you have any questions, please contact HealthCERT on 0800 113 813.

Downloads

 Notification of change of clinical manager form (docx, 61 KB)

 Notification of change of facility manager form (docx, 60 KB)

Page last updated: 24 October 2018

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Whaikaha | Ministry of Disabled People
Te Aho o Te Kahu | Cancer Control Agency

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Sterilisation services | Ministry of Health NZ

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Your health

Conditions & treatments

Depression
Diabetes
Influenza
Measles
Meningococcal disease
Mumps
RSV
Sore throat
See all

Healthy living

Drinking-water
Green Prescriptions
Immunisation
Physical activity
Smoking
Teeth and gums
See all

Pregnancy and kids

Birth and afterwards
Breastfeeding
Pregnancy
Services and support during pregnancy
Services and support for you and your child
The first year
Under fives
See all

Services & support

Alcohol and drugs
Earthquake Support Line
Healthline
Mental health services
Māori health providers
Rest home certification
Visiting a doctor or nurse
See all

Other related resources
View the full A-Z

NZ health system


View the full A-Z

Health statistics

Statistics by topic

Cancer
Diabetes
Mental health
Māori health
Obesity
Suicide
Tobacco
See all

About our surveys & data collections

Alcohol & Drug Use Survey
NCAMP
NZ Cancer Registry
NZ Health Survey
Nutrition Survey
PRIMHD
See all

Classification & terminology

Coding query database
Courses on clinical coding
SNOMED CT
Using ICD-10-AM/ACHI/ACS
See all

Data references

Code tables
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See all

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HomeOur workRegulationSterilisation services

 Sterilisation services

Information about current sterilisation legislation reporting requirements and support for sterilisation providers in New Zealand.

Sterilisation services in the health system

An overview of how sterilisation services are regulated in New Zealand.

Processes for embedding Te Tiriti o Waitangi
Regulating sterilisation services: a focus on equity

Sterilisation reporting

Manatū Hauora is required to collect and report on sterilisation provision in New Zealand. Find out what information is collected, what health practitioners need to report on, and how the reporting process works.
– Find out more


Sterilisation Services work programme
Regulation of sterilisation services now sits within the Manatū Hauora Regulatory Assurance team, in the Regulatory Services directorate.
This team is now the primary contact for sterilisation service providers.
If you have any questions or would like further information or support, you can reach team by emailing [email protected] or calling the Contact Centre on 0800 499 500 and asking to speak to one of the sterilisation team members in Regulatory Assurance.

Page last updated: 26 January 2023

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Part 2: Workforce and structure | Ministry of Health NZ

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MenuToggle navigation

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See all

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Variants of concern
See all

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News & media updates

Your health

Conditions & treatments

Depression
Diabetes
Influenza
Measles
Meningococcal disease
Mumps
RSV
Sore throat
See all

Healthy living

Drinking-water
Green Prescriptions
Immunisation
Physical activity
Smoking
Teeth and gums
See all

Pregnancy and kids

Birth and afterwards
Breastfeeding
Pregnancy
Services and support during pregnancy
Services and support for you and your child
The first year
Under fives
See all

Services & support

Alcohol and drugs
Earthquake Support Line
Healthline
Mental health services
Māori health providers
Rest home certification
Visiting a doctor or nurse
See all

Other related resources
View the full A-Z

NZ health system


View the full A-Z

Health statistics

Statistics by topic

Cancer
Diabetes
Mental health
Māori health
Obesity
Suicide
Tobacco
See all

About our surveys & data collections

Alcohol & Drug Use Survey
NCAMP
NZ Cancer Registry
NZ Health Survey
Nutrition Survey
PRIMHD
See all

Classification & terminology

Coding query database
Courses on clinical coding
SNOMED CT
Using ICD-10-AM/ACHI/ACS
See all

Data references

Code tables
Data dictionaries
Diagnosis-related groups
Domicile code table
ICD mapping tools
Weighted Inlier Equivalent Separations
See all

Other related resources
Release calendar for our Tier 1 statistics Data and survey enquiries

Publications
Contact us

HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services StandardSector guidance

Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)Part 1: Our rights
Part 2: Workforce and structure
Part 3: Pathways to wellbeing
Part 4: Person-centred and safe environment
Part 5: Infection prevention and antimicrobial stewardship
Part 6: Restraint and seclusion

 Part 2: Workforce and structure


Section 2.1: Governance
Criterion 2.1.1
Guidance for all providers

People on governance bodies receive appropriate orientation to their governance roles and responsibilities, and are offered governance training.
Training for people on governance bodies may cover:

Te Tiriti o Waitangi and tikanga
Government Inquiry into Mental Health and Addiction (2018) He Ara Oranga: Report of the Government Inquiry into Mental Health and Addiction
education in lived experience voices at governance
education on the disability sector and priorities
a person-centred approach to service development, implementation, and review
the difference between governance and operational management
influencing organisational culture and behaviour change
quality in the relevant health and disability service
relevant legislation.

People with relevant lived experience hold a meaningful proportion of seats on the governance body.
Governance bodies work with management to meet the requirements of relevant standards and legislation.
Governance bodies use data that reflects the communities they serve in planning and delivering services.
Governance bodies have current terms of reference.

Criterion 2.1.2
Guidance for all providers

Organisations have documented plans that include their mission, vision, and goals.
Documented plans are reviewed at defined intervals. Organisations are set up to deliver on the outcomes identified in the documented plan.
Organisational values are person-centred and whānau-focused.
Organisational goals aim for integrated service delivery.
Values are embedded into all levels of practice.
The input of people with lived experience is evident in planning.

Criterion 2.1.3

Aged care: Guidance

Managers appointed should have experience in dementia and the special needs of older people.

Fertility services: Guidance


Fertility services: Guidance

Service providers identify a ‘person responsible for activity’, as defined in section 20 of the HART Act, and a ‘practice director’ for communication with the Australian and New Zealand Assisted Reproduction Database.
Service providers consider adopting technical bulletins issued by the Reproductive Technology Accreditation Committee (RTAC) or other professional bodies as best practice guidelines.

Birthing units: Guidance

Managers appointed are experienced midwives.


Criterion 2.1.4
Guidance for all providers

Governance bodies:

at defined intervals receive reports on quality and risk activity and endorse actions
are aware of and understand relevant national guidance on matters that affect the services being delivered (for example, in terms of reducing violence in the workplace)
understand the actions that contribute to patient safety
at defined intervals receive reports framed by Te Tiriti o Waitangi that relate to equity for Māori.

Criterion 2.1.5
Guidance for all providers

Strategic and business planning documents align with:

Ministry of Health strategies – in particular, He Korowai Oranga: Māori Health Strategy
the government strategic direction for achieving outcomes for Māori – see Ministry of Health (2014) Equity of Health Care for Māori: A framework.

Service providers collaborate with mana whenua in business planning and service development.
Where service providers do not have a governance body, they show evidence of taking a meaningful approach to decision making and implementing this criterion so that it is reflected in the services provided.

Criterion 2.1.6
Guidance for all providers

Strategic and business planning documents show evidence that they align with:

Ministry of Health strategy – in particular, the Disability Support Services Strategic Plan and Ministry of Health (2018) Whāia Te Ao Mārama 2018 to 2022: The Māori Disability Action Plan
government strategic direction to achieve outcomes for tāngata whaikaha.

Tāngata whaikaha have meaningful representation on the governance body.

Additional guidance

Aged care

Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
Governance bodies may seek:

expertise from people with lived experience
a partnership approach to decision making.


Home and community

Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
Governance bodies may seek:

expertise from people with lived experience
a partnership approach to decision making.

Governance body membership includes expertise from people with lived experience.
Service providers and their governance bodies report to, and are accountable to, people receiving services.

Residential disability

Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
Governance bodies may seek:

expertise from people with lived experience
a partnership approach to decision making.

Governance body membership includes expertise from people with lived experience.
Service providers and their governance bodies report to, and are accountable to, people receiving services.

Residential mental health and alcohol and other drug

Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
Governance bodies may seek:

expertise from people with lived experience
a partnership approach to decision making.

Governance body membership includes expertise from people with lived experience.
Service providers and their governance bodies report to, and are accountable to, people receiving services.

Public/private hospital

Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
Governance bodies may seek:

expertise from people with lived experience
a partnership approach to decision making.

Hospice

Service providers demonstrate an understanding of the Ministry of Health’s (2016) Healthy Ageing Strategy.
Governance bodies may seek:

expertise from people with lived experience
a partnership approach to decision making.