Consultations on mātanga tapuhi nurse practitioner scope of practice 2014 -2016

Following extensive consultation the Nursing Council has made changes to the mātanga tapuhinurse practitioner scope of practice and education programmes that prepare nurse practitioners to meet future health needs of New Zealanders. These changes come into effect in April 2017.

The new scope of practice has been broadened and the requirement to restrict mātanga tapuhi nurse practitioners to a specific area of practice has been removed. Nurse practitioners as advanced clinicians will be expected to self-regulate and practice within their area of competence and experience.

The Council believes that these changes will allow greater flexibility and utility for mātanga tapuhi nurse practitioners to meet future health needs of New Zealanders, including rural and other under-served and diverse and aging populations. The revised scope of practice also makes the role and contribution of mātanga tapuhi nurse practitioners clearer to employers and the public, and differentiates the mātanga tapuhi nurse practitioner from advanced registered nurse roles.

The Council has also decided to refocus the education programmes to prepare nurse practitioners. These programmes will have more specific programme outcomes and include 300 hours of protected clinical learning time. These changes will lead to greater consistency and breadth in mātanga tapuhi nurse practitioner preparation and improve readiness for registration on completion of the programme.

The Council has developed new education programme standards for the broader scope of practice which will require students to develop advanced skills in more than one setting. They will provide more structure to mātanga tapuhi nurse practitioner preparation, improve the alignment between education and practice and increase consistency between education programmes.

The Council has decided to retain a refined portfolio and panel assessment system as the assessment process for mātanga tapuhi nurse practitioner registration. In the second consultation the Council proposed two options for changes to the registration process. The first option of delegating assessment of clinical competence to education providers was not supported. The second option proposing that Council maintain a role in assessment in addition to assessment of clinical competence undertaken by education providers received support. Concerns were raised about the ability of multiple education providers to assess clinical competence in a consistent manner and potential conflict of interest for education providers to ensure student achievement of qualifications and professional standards. The Council plans to review this again when the new programmes have been implemented. It is expected that over time there will be increased confidence that a consistent standard of education and clinical training is being achieved.

Consultation on the scope of practice and education programme 2014-2015

The Council consulted on the educational preparation for mātanga tapuhi nurse practitioner to explore:

  • Any changes it should make as a result of the proposed changes to the scope of practice including specifying programme outcomes
  • The impact of the proposed introduction of the postgraduate diploma in registered nurse prescribing for patients with long-term and common conditions and
  • Whether it should specify clinical learning time within the education programme

The Council received 63 submissions following the release of the Consultation document on the mātanga tapuhi nurse practitioner scope of practice in December 2014. These have been collated into an Analysis of submissions and individual submissions can be accessed below. Not all submitters have given permission for their submission to be made public.

Consultation on education programme standards and competencies for the mātanga tapuhinurse practitioner scope of practice – 2015-2016

The Council consulted on:

  • Draft education programme standards that would allow greater consistency between programmes preparing mātanga tapuhi nurse practitioners and give the Council confidence to register mātanga tapuhi nurse practitioner candidates based on assessments of clinical competence within the programmes.
  • Ways of ensuring a consistent standard of candidate assessment between programmes e.g. external moderation, involvement of clinical experts.
  • Whether mātanga tapuhi nurse practitioner candidates should continue to submit a portfolio to Council to demonstrate clinical competence when applying for registration.

New competencies for mātanga tapuhi nurse practitioners that are more integrated and concise and reflect the new scope statement. The draft competencies have been refocused on advanced clinical skills and leadership and prescribing has been integrated within the competencies.

Requiring a year of supervision to support the development of newly registered nurse practitioners.

The Council received 54 submissions following the release of the consultation document:

Consultation document - NP education programme standards and competencies Nov 2015

These have been collated into an analysis of submissions

Analysis of Submissions- Consultation on education programme standards and competencies for nurse practitioner  
Individual submissions can be accessed below (please note not all submitters have given permission for their submission to be made public).


Submissions from the Consultation on the scope of practice and education programme, December 2014

Many of the submissions received can be viewed below (not all submitters have given permission for their submission to be made public).

New Zealand Institute of Rural HealthAnonymous submitterWaitakere Union Health Centre Individual Nurse Council of New ZealandIndividual Doctor Individual Nurse Maori Health ProviderIntern and Nurse Practitioner peer review groupCanterbury Directors of Nursing and the Nursing Directorate of ChristchurchUniversity of Auckland school of nursing Group of nurses General Practice New Zealand Nursing Leadership ExecutiveIndividual NurseTaranaki District Health Board Individual Nurse Individual Nurse Family PlanningNeonatal Nurses College of Aotearoa- NZNO University of Otago, ChristchurchStarship Children's Hospital Nurse Practitioners Individual Nurse New Zealand Society of AnaesthetistsHawkes Bay District Health BoardGrace Hospital Wairarapa District Health Board Primary Health Care Nurse Reference Group- Hutt ValleyHutt Valley District Health Board including primary health careOtago Polytechnic Nurse Practitioner Group- Hawkes Bay District Health Board Te tai Tokerau Nurse Practitioners Auckland University of TechnologyCollege of Emergency Nurses New Zealand- NZNONational Council of Women of New Zealand Nurse Executives of New Zealand New Zealand Rural General Practice Network Nurse Practitioner New ZealandCapital and Coast District Health Board Australian and New Zealand College of AnaesthetistsMidCentral Health Nurse Practitioners Royal Australasian College of SurgeonsMidCentral Health District Health Board Eastern Institute of TechnologyVictoria University of WellingtonCollege of Nurses Aotearoa New ZealandNurse Education in the Tertiary Sector (Aotearoa NZ) (NETS)Critical Care Complex- Counties Manukau District Health BoardNew Zealand Nurses Organisation Pharmacy Guild of New ZealandHealth and Disability CommissionerRural Women New ZealandRoyal New Zealand College of General Practitioners