Immigration laws and procedures have made recruiting nurses from overseas tougher while our local nurses are leaving residential aged care in droves to take up higher paying positions in our public hospitals.  Underpinning this is the fact that the funding model for nurses working in aged care is deeply flawed.  They earn only a pittance more than their unqualified colleagues working in the industry.

The question on everyone’s lips is, how much longer before we see some really disturbing examples of how this national nursing shortage impacts our elderly?

To keep aged care facilities operating safely and with the high levels of care that residents need these days, owners and managers are stepping up and filling the gaps.  It’s wonderful to see these fantastic and dedicated people rise up, chip in and put the care of residents ahead of their personal priorities – but they can’t do it forever.

In March this year, Stuff reported that about one in five aged care nurses are employed in New Zealand on a work visa (21 percent), in Aged Care it is as high as 30 percent.  As an industry, we rely on overseas workers to operate, not unlike the construction or education sectors.  At Radius Care facilities, and just like our competitors, we have many highly trained, motivated, visa-holding workers on our staff. They provide much needed and exceptional care to our residents.

I implore the New Zealand government to step up and make an immediate, positive difference to the elderly being cared for around the country.  Improve the care of our aged population by adding registered nurses to the Long-Term Skills Shortage List. This delivers a pipeline of highly skilled workers to care for our elderly and gives immigrant nurses the security they need to move with their families to New Zealand.

We also need to do whatever we can to incentivise nurses into aged care.  Residential aged care facilities simply can’t afford to match the DHB’s pay rates.  As compensation to our nurses, we have begun negotiating with various outlets and providers to offer attractive staff discounts for everything from groceries, fuel, clothing and footwear, to electronics and dining out. We’re doing our part, but we need policymakers to do their part too – and start paying these valuable and qualified people what they deserve.

The funding model for the aged care sector has not been reviewed by the government for 20 years. This outdated model does not recognise the change in the services that facilities provide and the change in residents’ needs.

New Zealand has a fast growing aging population, no one disputes this. Within ten years, there is likely to be a 75 percent increase in demand for aged care caregivers and nurses as an estimated 20,000 more people will need residential aged care facilities. If measures are not put in place to remove the current stresses on the industry now, the situation will only worsen and our elderly will be the ones that suffer most.


  1. It may help the case Brien Cree is making if he paid the registered nurses working for Radius higher rates. Other major providers, including Rymans, Oceania and Bupa, are paying their RNs at, or close to the RN pay rates in the DHB MECA. In August Radius increased the pay rate of RNs by $2 an hour and in just-concluded negotiations, Radius made no further offer to increase RNs’ pay. The pay rates fall short of the DHB MECA rates. Perhaps Brien should look closer to home to help solve the RN shortage in aged care before calling on the Government to do so.


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