Key Takeaways
- The New Zealand Nurses Organisation is criticizing Health NZ for delaying collective contract settlements, resulting in a cost savings of $538 million, which is affecting the workforce.
- The government’s policy against backdating settlements in the public sector is seen as a breach of good faith in bargaining, causing health workers to miss out on payments.
- Health NZ is overspending on outsourced personnel, with a $162 million overspend in the 2024/25 year, due to critical understaffing in the health system.
- The organization is calling for a settlement that recognizes the contributions of health workers and addresses the staffing crisis.
Introduction to the Dispute
The New Zealand Nurses Organisation, the largest nurses’ union in the country, is speaking out against Health NZ for delaying collective contract settlements, resulting in significant cost savings for the organization. According to the union’s chief executive, Paul Goulter, Health NZ spent $538 million less than budgeted on personnel in the last financial year. This has led to widespread discontent among nurses, who feel that their employer is not recognizing their contributions and is instead prioritizing cost-cutting measures.
The Impact of Delayed Settlements
Goulter argues that the delays in settling collective contracts are having a negative impact on the workforce, with health workers missing out on payments due to the government’s policy against backdating settlements in the public sector. This policy is seen as a breach of good faith in bargaining, and the union is calling for a settlement that recognizes the contributions of health workers and addresses the staffing crisis. The longer the delays continue, the more health workers will miss out, which is causing frustration and disillusionment among nurses.
The Cost of Outsourced Personnel
Meanwhile, Health NZ is overspending on outsourced personnel, with a $162 million overspend in the 2024/25 year. This is due to critical understaffing in the health system, which is forcing the organization to rely on locums to plug gaps. Goulter describes this as a "patch-up job" that is not addressing the underlying issues in the health system. Despite Health NZ’s claims that it is actively recruiting to reduce its reliance on outsourced personnel, the union argues that more needs to be done to address the staffing crisis.
Health NZ’s Response
Health NZ has stated that the funding available for collective agreements has not changed in either the 24/25 or 25/26 financial years, and it remains committed to settling them. However, the organization’s actions suggest otherwise, with the delays in settling contracts and the overspending on outsourced personnel causing concern among health workers. Health NZ has also pointed to its recruitment efforts, which have resulted in the addition of approximately 750 full-time workers to its clinical workforce in the most recent financial year. However, the union argues that this is not enough to address the staffing crisis, and more needs to be done to recognize the contributions of health workers and provide a stable and secure workforce.
Conclusion
The dispute between the New Zealand Nurses Organisation and Health NZ highlights the challenges facing the health system in New Zealand. The delays in settling collective contracts and the overspending on outsourced personnel are causing concern among health workers, who feel that their contributions are not being recognized. The union is calling for a settlement that addresses the staffing crisis and recognizes the value of health workers. As the health system continues to face challenges, it is essential that the government and Health NZ work with the union to find a solution that prioritizes the well-being of both patients and health workers. By addressing the underlying issues in the health system, including staffing shortages and funding constraints, it is possible to create a more stable and secure workforce, which is essential for providing high-quality patient care.

