Qualifications Supply Analysis - The New Zealand Health Sector

Transcription

1 Qualifications Supply Analysis - The New Zealand Health Sector

2 October 2004 Tertiary Education Commission Te Amorangi Mätauranga Matua National Office 44 The Terrace Wellington New Zealand PO Box

3 Contents Executive summary...4 Background...6 Purpose and scope...7 Methodology...9 Approach...9 Data validation... Presentation... Veracity of data... Findings...2 Analysis of Qualifications...3. Numbers of qualifications Level of qualifications Major occupational groups Location of availability of qualifications Clinical training by qualification Total Crown funding for health qualifications Analysis of Graduates Number of graduates Capacity of the system to meet current workforce demand Per graduate cost of qualifications Analysis by funder Cost to TEC Cost to Clinical Training Agency Analysis by Provider type: Qualifications by providers Significance of TEC funding to providers Parallel provision...22 Further work...22 Appendices Appendix :...27 Data Table... 9 Appendix 2:...4 Data Sourcing and Analysis

4 Executive summary This report sets out the findings of a project titled Qualifications Supply Analysis - The New Zealand Health Sector. This project was jointly sponsored by Gillian Durham, Deputy Director General of The Ministry of Health (MOH) and Ann Clark, General Manager of the Tertiary Education Commission (TEC). It was undertaken between August 2003 and July The Clinical Training Agency, DHBNZ and tertiary education providers were key contributors to the project. The purpose of the project was to provide a comprehensive insight into: the nature, volume and mix of tertiary education sector s current delivery of health sector qualifications, and related clinical training; and, how these qualifications are funded by various government agencies and students and others. The project included consideration of the full spectrum of human health qualifications, including mental health, sports & fitness and complementary health disciplines. The year 2002 was selected as the focus of analysis as it was the most recent year for which a near complete set of information was available. The insight that the project sought to provide was not definitive. It was expected that it would raise many more questions and elicit more information that would add to our knowledge of health qualifications. The particular questions that the project sought to address, and the answers to those questions are set out in brief below: What range and volume of health qualifications are currently provided by the tertiary education sector? The New Zealand tertiary education sector provided qualifications spanning 2 major occupational classes in health. There were 350 different qualifications offered in There were 490 instances that these qualifications were delivered. 2 Where volatility between years was apparent, some smoothing was applied. Clinical Training data was drawn from the 2002/2003 financial year. 2 The number of instances equals the total number of different qualifications multiplied by the total number of providers that delivered the qualifications. 4

5 Where and by whom are these qualifications provided? In 2002 these 350 different qualifications were provided by 60 Tertiary Education Organisations (TEOs) comprising 8 Universities, 20 Polytechnics, 3 Wananga, 28 Private Training Establishments (PTEs) and College of Education. These providers represented approximately 0 % of active tertiary education providers, which accessed government funding in For what health qualifications is clinical training provided and how is it funded? Explicit funding for clinical training was provided by the MOH via the Clinical Training Agency (CTA). The bulk of this investment in clinical training was directed toward medical, but some clinical training was also funded for Dentistry, Nursing, Pharmacy, Mental Health Workers and other health professionals. DHBs indirectly funded clinical training through activities such as the provision of clinical supervision. How is the cost 3 of these qualifications shared between the Crown, the learner and others? The Crown met around 78% of the cost of tertiary health qualifications through the investment of the TEC, the CTA and District Health Boards (DHBs). Learners contributed the balance of 22% in the form of tuition fees. The private sector contributed a small amount, and work to identify this sum is continuing. For those learners who received clinical training, their contribution as a percentage of the total cost of the qualification was considerably lower. How is the cost to the Crown shared between various Crown funders? The TEC provided around two thirds of the total Crown investment in health qualifications. The CTA provided around one third of the total Crown investment in heath qualifications. It is estimated that DHBs contributed approximately about 5% of the total Crown investment in the funding of health qualifications. 3 Throughout this report the term cost means the price paid by Crown funders and /or others to Tertiary Education Providers. Note that this is different from the cost incurred by tertiary education providers in delivering qualifications. The latter is unknown. 5

6 What is the total cost to Crown funders of health qualifications, on an absolute annual and per graduate basis? The TEC invested $9.2 million of funding in health qualifications. The Clinical Training Agency invested $86.6 million in clinical training. It is estimated that DHBs contribute approximately $5 million toward the cost of health qualifications. Background The needs of New Zealand health consumers are rapidly changing. This change is due to the combined impacts of: consumer demographics service delivery models technology consumer expectations. There are considerable risks to New Zealand should a misalignment develop between the needs of health consumers and the skills and competencies of the health workforce. These risks might include increased morbidity and mortality, poor consumer satisfaction, shortfalls in consumer education and poor use of best practice health technologies. These may result in reduced efficiency and effectiveness, increased costs and diminished public confidence. The Minister of Health, the MOH, and DHBs have a number of health sector workforce initiatives to ensure that the competencies of the health work force develop and keep pace with the changing needs of New Zealand s health consumers. These include: The Health Workforce Advisory Committee; The DHBNZ Workforce Action Plan; and, The Health Practitioners Competence Assurance Act Central to the issue of the skills and competencies of the health sector workforce is the Crown s investment in training and education. In 2003 officials of TEC and Ministry of Health identified value in obtaining an insight into the nature, volume and mix of health sector qualifications being currently produced by the tertiary education sector in New Zealand. 6

7 The Tertiary Education Commission, a Crown entity established in January 2003, is responsible inter alia for the funding of tertiary education and training in New Zealand. The TEC is responsible for: Implementing the Government s Tertiary Education Strategy 2005/7 and the Statement of Tertiary Education Priorities; Allocating $.9 billion to tertiary education organisations according to a new integrated funding framework; Building the capability of tertiary education and training to contribute to national economic and social goals; Advising the Government on policies, priorities and sectoral performance; Negotiating a new system of Charters and Profiles to steer the tertiary education sector. In 2003 the Ministry and the TEC signed Terms of Reference for the project titled Qualifications Supply Analysis - The New Zealand Health Sector. This is the first substantial project by TEC whereby sector-specific analysis has been undertaken by the TEC with the intention of informing key stakeholders and ultimately facilitating the steering of the tertiary education sector, through instruments such as Charters and Profiles. Purpose and scope The purpose of the project was to provide a comprehensive insight into: the nature, volume and mix of the tertiary education sector s current delivery of health sector qualifications, and related clinical training; and, how these qualifications were funded by various government agencies and students and others. Thus the scope of this project was intentionally narrow, being limited to Qualification Supply Analysis. In effect, it was intended to provide a stocktake of the qualifications produced by the tertiary sector at the most recent date for which a full data set was available. It was not the intention of the project to undertake what might be described as workforce planning for the health sector, primarily because the value of workforce planning at a micro level is questionable due to: the rapid changes in the health sector as described in the first paragraph of this paper; and, the complex dynamics involved in the supply of labour. 7

8 These dynamics are evident in the diagram below: QUALIFIED HEALTH PROFESSIONALS (Potential Health Workforce) Newly Qualified and Trained ACTUAL HEALTH WORKFORCE Expired Registration Potential to Actual Health Workforce Retirement Actual to Potential Health Workforce Retirement Immigration Emigration Notwithstanding this, the value of this project will be determined by the further work that it stimulates, specifically in assessing macro level alignment between the needs of health consumers and the skills and competencies of the health workforce. This further work may include: Workforce demand analysis: examining the likely configuration of the future health workforce, having regard to consumer demographics, new service delivery models, new technologies and emerging consumer expectations Workforce supply analysis: consideration of all possible sources of the mix of skilled professionals needed within the future health workforce Qualification demand analysis: consideration, at a macro level, of the volume and mix of qualifications necessary to be produced in New Zealand. Qualification review: reviewing the structure and content of existing qualifications to improve their fit with the skill requirements of the future health workforce. Steering: the stakeholders and the TEC engaging with the tertiary education sector to align qualification supply with future qualification demand, primarily through the process of profile negotiation, but also, where appropriate, by the use of other steering tools. 8

9 The work described above, and its relationship to qualifications supply analysis is shown diagrammatically below: Workforce Supply Analysis Workforce Demand Analysis Qualification Supply Analysis Qualification Demand Analysis Qualification Review Steering Methodology Approach The project methodology was designed to source, analyse and logically present information the current supply of qualifications for nominated health workforce areas, including the clinical training component required for some qualifications. Qualifications were classified into one of four groups. These four groups are: Certificate/Diploma Degree Postgraduate Certificate/Diploma Postgraduate Degree. 9

10 The project methodology broadly involved: The sourcing of all relevant data concerning health related qualifications. The grouping of the data by qualifications. The linking of qualifications to one of the following 2 major occupational groups: o Medicine - includes medical practitioners, general practitioners, gynaecologists and obstetricians o Dentistry includes dentists, dental therapists, dental assistants and dental technicians o Nursing o Midwifery o Ancillary/Support Workers includes health assistants and caregivers o Pharmacy includes pharmacists and pharmaceutical assistants o Allied Health Professionals includes physiotherapists, occupational therapists, osteopaths, podiatrists, chiropractors, dieticians, nutritionists, optometrists, medical laboratory technicians, medical radiation technologists, ambulance officers, public health workers, health associate professionals and other health associate professionals o Mental Health Workers includes mental health workers, counsellors, psychotherapists and psychologists o Social Workers includes social workers and child care workers o Health Administrators includes health management and informatics o Sport /Fitness/Recreation includes, among others, sport coaching, sport and fitness, physical education, recreation and leisure studies o Complementary/Alternative Medicine includes, among others, aromatherapy, allied therapies, massage, reflexology, naturopathy and acupuncture. The construction of a model showing the linkages between qualifications (e.g. students would first complete Bachelor of Health Science (first year Medicine), then go on to study Bachelor of Medicine). Extension of the analysis to include the clinical training received posttertiary education. The Research & Analysis team at the TEC constructing the analytic model. The linking of qualifications to occupational groups required input from MOH personnel. The source information and the mapping of qualifications to occupations was verified by the relevant TEOs. 0

11 Data validation The project team identified 60 different TEOs that offered health related qualifications in Of the 60 TEOs, there were 28 PTEs, 20 Polytechnics, 8 Universities, 3 Wananga and College of Education. All 60 providers were sent a letter to verify the accuracy and completeness of the data. The verification process involved: Confirming that all the qualifications listed in the table were in fact offered by the TEO in 2002; Identifying any health related qualifications that were offered by the TEO in 2002 that were not included in the table; Confirming that the qualifications were mapped to the correct occupational group; and, Confirming that the total EFTS, completed students, subsidy and fees (if indicated) for each qualification were correct (in this instance within + or 5% of the actual data). Presentation The findings of the project are presented in this report and its appendices. These comprise: Summarised findings, set out in the body of this report; and, A set of tables providing greater detail. These are included as Appendix to this report. Veracity of data In considering the findings of this project, the following points should be kept in mind: Figures were drawn from the year 2002 there may have been some changes since that time TEO data was drawn from the SDR 4. The SDR inevitably has some inherent gaps and errors. 5 The possible impact of these gaps and errors was mitigated by the data validation process described above Actual students fees information was provided by the TEOs. Where actual fees data was not available, fees were estimated using the 2004 Fee and Course Cost Maxima (FCCM). The FCCM are the maximum fees and course costs TEOs can charge students to retain approval for government funding. 4 An electronic collection of learner and learner tuition information, similar to Health s Minimum Data Set. 5 The TEC is giving priority to working with the MOE and TEOs to improve the quality of the SDR, as it will become an increasingly important data source for projects such as this.

12 The CTA data related to the financial year July June 2003, rather than the academic/calendar year All CTA figures were GST inclusive. The DHB investment was an estimate and might be very conservative. Notwithstanding the points above, the project team believes that the findings of the project are fit for purpose. Findings The findings of the project are set out below under the following headings: Analysis of health qualifications: Numbers of qualifications Level of qualifications Major occupational groups Location of availability of qualifications Clinical training by qualification Total Crown funding for qualifications. 2 Analysis of Graduates: Number of graduates Capacity of the system to meet current workforce demand Per graduate cost of qualifications 3 Analysis by Funders: Cost to TEC Cost to Clinical Training Agency 4 Analysis by Providers: Qualifications by Provider types Significance of TEC funding Parallel provision 2

13 Throughout these findings, occupations were primarily aggregated at the level of 2 major occupational classes. This classification was mostly based on the New Zealand Standard Classification of upation 999 (NZSCO99). In areas where the major occupational class was not included in NZSCO99 the project team allocated the category. In some parts of the report however, the findings look at a lower level of aggregation by occupation, and in such cases the tables are titled upational Class rather than Major upational Class. More detailed information can be found in the Powerpoint Slides and Data Table that form Appendices and 2 respectively to this report. Analysis of Qualifications. Numbers of qualifications There were 350 different health qualifications offered by the tertiary sector in There were 490 instances that these qualifications were delivered by 60 different providers. 6.2 Level of qualifications These 490 qualifications are grouped by level as follows: Programme Award Number of Qualifications % of total Certificate/Diploma % Degree 76 6% Postgraduate Degree 55 % Postgraduate Certificate/Diploma 95 20% Total % 6 The number of instances equals the total number of different qualifications multiplied by the total number of different providers that delivered the qualifications. 3

14 .3 Major occupational groups The number of qualifications offered by the tertiary education sector, linked to major occupational class is shown in the following table: Major upational Certificate/ Diploma Degree Postgraduate Degree Postgraduate Certificate/ Diploma Total Medicine Dentistry Nursing Midwifery Ancillary/Support Workers Pharmacy Allied Health professionals Mental Health Workers Social Workers Health Administrators Sport/Fitness/ Recreation Complementary/ Alternative Medicine Total

15 .4 Location of availability of qualifications Qualifications offered by the tertiary education sector for health professionals are widely accessible across New Zealand, as shown in the following table: Region Certificate/ Diploma Degree Postgraduate Degree Postgraduate Certificate/ Diploma Qualifications available Auckland Bay of Plenty Canterbury Gisborne 4 4 Hawkes Bay Manawatu/Wanganui Nelson 7 8 Northland 5 6 Otago Southland Taranaki 0 Waikato Wellington West Coast 3 3 Total Clinical training by qualification Clinical training is funded by the Clinical Training Agency for qualifications within 6 major occupational classes. Medical qualifications attract 73% of the CTA investment, and the remaining five occupational classes share 27% of the total CTA investment. The number of learners that receive clinical training, and the total value of that training (inclusive of GST) are shown on the following table: 5

16 Major upational Number of Trainees Annual Total Value ($M) Annual Value per Trainee Medicine $3,092 Dentistry $56,079 Nursing $,559 Pharmacy $,754 Mental Health Workers $30,848 Other Health Professionals $27,857 Total Total Crown funding for health qualifications The total Crown investment in the funding of health qualifications, aggregated up to the level of major occupational classes, is shown below: Major upational Total Crown funding $M Medicine 2.0 Dentistry 9.2 Nursing 56.9 Midwifery 3.4 Ancillary/Support Workers Assistants.9 Pharmacy 9.4 Allied Health Professionals 32.0 Mental Health Workers 6.8 Social Workers 6.7 Health Administrators 0.3 Complementary/Alternative Medicine 7.6 Sport/Fitness/Recreation 22.6 Other Health Professionals (CTA Funded) Community Services Support Industry Training 2.6 TOTAL Including 67 Overseas Trained Doctors at a total cost of $4m 8 These include public health, disability support and technicians 6

17 2 Analysis of Graduates 2. Number of graduates The number of persons completing degree qualifications, analysed by occupation is shown below upation Degree Graduates Medicine 266 Dentistry 60 Nursing 392 Midwifery 03 Pharmacy 08 Physiotherapy 8 upational Therapy 4 Podiatry 9 Chiropractice 9 Mental Health Workers Optometry 25 Medical Radiation Technologist 68 Medical Lab Technician Capacity of the system to meet current workforce demand The capacity of the tertiary education system to maintain the current numbers in workforce can be very provisionally estimated by comparing the annual number of graduates against the size of the workforce, and making an assumption about the average working life of health professionals. 7

18 For some occupational classes, this analysis is shown on the following table: upation Number in Workforce Degree graduates No of years to replace current workforce Medicine 8, yrs Dentistry yrs Nursing/midwifery 37, yrs Optometrists yrs upational Therapists, yrs Podiatrists yrs Physiotherapists 2, yrs Medical Lab Technologists, yrs If it is assumed that the average working life of a health professional is 35 years, this simple analysis suggests that the system is not producing excessive numbers of graduates across these occupational classes. The participation of women in these occupations, and the impact of their time out of the workforce is an important factor in considering whether the tertiary education system to providing adequate numbers of qualifications to maintain the current workforce. 2.3 Per graduate cost of qualifications The combined cost to the Crown and the learner of acquiring some common qualifications is shown below: upation Total cost (Crown funding plus tuition fees) $ Medicine 99,000 Dentistry 63,000 Nursing 39,000 Midwifery 42,000 Pharmacy 59,000 Physiotherapy 52,000 upational Therapy 35,000 Podiatry 46,000 Chiropractor 30,000 Optometry 70,000 Medical Lab Technician 66,000 8

19 3 Analysis by funder 3. Cost to TEC Funding of health qualifications consumes $9.2 million, or approximately 0% of the TEC s total annual budget of $,900 million. Within major occupational classes, the TEC s funding of health qualifications is spread as follows: Major upational Class TEC Funding $M % Medicine $ % Dentistry $ % Nursing $ % Midwifery $3.4.8% Ancillary/Support Workers $.9.0% Pharmacy $9. 4.8% Allied Health Professionals $ % Mental Health Workers $ % Social Workers $ % Health Administrators $ % Sport/Fitness/Recreation $22.6.8% Complementary/Alternative Medicine $ % Community Support Services ITO $2.6.4% Total $9.2 00% 9

20 3.2 Cost to Clinical Training Agency Within major occupational classes, Clinical Training Funding spending is as follows: Major upational Class CTA Funding $M % Medicine % Dentistry % Nursing % Midwifery Ancillary/Support Workers Pharmacy % Allied Health Professionals Mental Health Workers % Social Workers Health Administrators Sport/Fitness/Recreation Complementary/Alternative Medicine Other Health Professionals % Total % 20

21 4 Analysis by Provider type 4. Qualifications by providers The 490 health qualifications offered by the tertiary education sector in New Zealand are delivered by the following providers types: Provider Type Certificate/ Diploma Degree Postgraduate Degree Postgraduate Certificate/ Diploma Total Number of qualifications offered College of Education Polytechnic Private Training Establishment University Wananga Total Significance of TEC funding to providers TEC funding for health qualifications as a percentage of total TEC funding received by the various provider types is: Provider Type TEC funding for health qualifications $M Health qual funding as % of total funding received from TEC College of Education % Polytechnic % Private Training Establishment % University % Wananga % Industry Training Organisations % Total 9.2 2

22 Otago and Auckland Universities provide the majority by value of health qualifications that are offered by Universities, and so TEC funding of health qualifications is likely to be very significant for those institutions. 4.3 Parallel provision For many of the qualifications that lead to occupations in the health sector, there are many active tertiary education providers, and limited specialisation, as shown in this table: Qualification/upation Number of Active Providers Certificate/Diploma Degree Medicine 2 Dentistry Nursing 0 6 Midwifery 2 5 Pharmacy 2 2 Mental Health Work 20 Social Work 0 3 Sports/Fitness/Recreation 30 Complementary/Alternative Medicine 23 3 Further work The Ministry of Health and District Health Boards New Zealand (DHBNZ) wish to work with the TEC and key stakeholders to use the health qualification analysis as a foundation for further work. This further work will occur in three phases, these being: Phase I: Update of the qualification supply analysis This will involve the TEOs that provide health qualifications together with other informed stakeholders (including the MOE) confirming that the qualification supply analysis accurately portrays the status quo. It is intended that the qualification supply analysis will be updated and republished to coincide with progress in Phases II and III. 22

23 Phase II: Understanding the Need: The objective of Phase II will be to equip the Ministry of Health and DHBNZ with information with which to engage tertiary providers in a meaningful and effective dialogue about future health sector tertiary education and training needs. This will be achieved by assembling a comprehensive set of information about the likely configuration of the future health work force and the associated needs for tertiary education and training Phase III: Achieving Alignment with Future Need: The objective of Phase III of the project will be to bring about change in the provision of health sector qualifications so that they are aligned with expected future needs. This will be achieved by effective engagement with providers of tertiary health education and training. 23

24 Appendices Appendix : Data Table Appendix 2: Data sourcing 25

25 Appendix : Data Table 27

26 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees 0: Medicine 0: 2220 Medical Practitioners Bachelor of Human Biology 34 2 $5,357,586 $2,238,530 Bachelor of Medical Science 9 7 $209,267 $43,095 Bachelor of Medicine and Bachelor of Surgery $26,629,004 $2,22,739 Bachelor of Medicine and Bachelor of Surgery (st Year) 79 $,362,49 $628,06 Master of Health Sciences (Endorsed in Aviation Medicine) $5,069 $4,436 Master of Medical Science $247,09 $72,383 Doctorate in Medicine $2,3,899 $404,333 Diploma in upational Medicine 8 4 $64,584 $80,000 Postgraduate Certificate in Aeromedical Evacuation 3 3 $50,07 $3,943 Postgraduate Certificate in Civil Aviation Medicine $22,735 $6,338 Postgraduate Certificate in Medical Science $8,93 $0,000 Postgraduate Diploma in Aviation Medicine 8 6 $45,504 $40,560 Postgraduate Diploma in Clinical Psychology 25 6 $276,275 $93,220 Postgraduate Diploma in Community Emergency Medicine $784,68 $440,000 Postgraduate Diploma in Geriatric Medicine 5 3 $75,483 $50,000 Postgraduate Diploma in Industrial Health 2 3 $40,923 $,408 Postgraduate Diploma in Medical Science 2 $42,295 $20,000 Postgraduate Diploma in Opthalmic Basic Science 6 5 $75,875 $30,420 Postgraduate Diploma in Sports Medicine 9 $63,046 $90,000 02: 222 General Practitioner Master of General Practice 6 2 $04,607 $28,59 Master of Primary Health Care 0 $2,855 $,268 Postgraduate Certificate in General Practice 3 $9,094 $2,535 Postgraduate Certificate in Primary Health Care 2 $3,355 $2,04 Postgraduate Certificate in Travel Medicine 4 3 $68,205 $20,280 Postgraduate Diploma in General Practice 7 4 $22,225 $34,856 Postgraduate Diploma in Primary Health Care 2 $29,078 $2,04 Postgraduate Diploma in Sports Medicine 2 9 $27,346 $207,500 Postgraduate Diploma in Travel Medicine 4 $0 $9,03 03: 2225 Gynaecologist and Obstetrician Diploma in Obstetrics and Medical Gynaecology 8 6 $3,45 $80,000 0: Medicine Total $38,436,26 $6,96,564 02: Dentistry 05: Dentists Bachelor of Dental Surgery $7,023,79 $2,29,760 Bachelor of Dental Surgery (st Year) 57 $432,79 $99,56 Master of Community Dentistry 2 $40,923 $48,578 Doctorate in Dentistry 4 $65,932 $8,379 Postgraduate Diploma in Community Dentistry $9,094 $0,795 06: 3222 Dental Therapists 0: Certificate/Diploma Qualifications Supply Analysis I The New Zealand Health Sector 29

27 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees Qualification Title 02: Dentis06: : Certific Diploma in Dental Therapy 7 2 $3,257 $86,90 02: Dentistry Total 07: Dental Assistants 0: Certificate/Diploma 07: Dental Technicians 0: Certificate/Diploma Bachelor of Health Sciences (Endorsed in Dental Therapy) 5 $38,784 $2,585 Dental Assistants $5,84 $500 Diploma in Dental Hygiene 36 7 $275,640 $80,999 Bachelor of Health Science - Conversion Scheme 3 $3,358 $5,342 Bachelor of Health Sciences (Endorsed in Dental Hygiene) 5 $32,905 $20,263 Diploma in Dental Technology 7 8 $65,943 $85,76 Bachelor of Dental Technology 23 $99,452 $7, $8,434,442 $2,924,707 03: Nursing 08: 2230 Nursing 0: Certificate/Diploma Certificate in Contemporary New Zealand Nursing Practice Certificate in Foundation Nursing Certificate in Health Science (Enrolled Nursing) CERTIFICATE IN INTERMEDIATE HEALTH SCIENCE I CERTIFICATE IN INTERMEDIATE HEALTH SCIENCE II CERTIFICATE IN INTRODUCTION TO NURSING CERTIFICATE IN INTRODUCTORY HEALTH SCIENCE Diploma in Health (Mental Health Nursing) Foundation Cert. For Nursing, Recreation & Sport Science Foundation Certificate - Introduction to Health Studies FOUNDATION CERTIFICATE IN NURSING AND HEALTH STUDIES National Certificate in Human Services Professional Certificate in Nursing Practice Short Courses in Nursing SIT Pre Entry Certificate in Bachelor of Nursing SIT Pre Entry Certificate to the Bachelor of Health Science Bachelor of Health Science Bachelor Of Health Science (Nursing) Bachelor of Nursing Bachelor of Nursing for Registered Nurses Registered Nurses to Bachelor of Nursing Bachelor of Health Science (Honours) Bachelor of Nursing with Honours Doctor of Health Science Master of Health Sciences (Endorsed in Nursing) Master of Health Sciences (Endorsed in upational Health) Master of Nursing Graduate Certificate in Hospice Palliative Care Graduate Certificate in Speciality Nursing (EQL7) Post Graduate Diploma in Nursing (Level 8) 4 6 $2,867 $5, $33,279 $5, $258,635 $97, $26,99 $7,593 6 $27,774 $8, $368,729 $57, $27,383 $7,848 0 $2,22 $ $2,00 $62, $89,88 $49, $64,324 $46,305 2 $53,477 $36, $,099 $7, $88,875 $70, $56,409 $32, $62,564 $53, $,04,399 $424, $8,908,539 $3,523, $28,335,92 $2,697, $28,883 $50, $29,66 $44,000 $2,467 $3,589 2 $9,206 $6,935 2 $23,687 $6, $28,332 $7,605 $8,540 $4, $,032,26 $348, $34,954 $20,938 3 $89,779 $42, $3,962 $6, Qualifications Supply Analysis I The New Zealand Health Sector

28 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees 03: Nursin08: : PG CertPostgraduate Certificate in Advanced Nursing $273,55 $98,000 Postgraduate Certificate in Health Sciences (Endorsed in upatio 2 2 $23,944 $8,873 Postgraduate Certificate in Nursing 36 5 $200,058 $7,47 Post-Graduate Diploma in Health Science 9 2 $04,507 $32,373 Postgraduate Diploma in Health Science (Nursing) 2 $22,842 $7,52 Postgraduate Diploma in Health Sciences (Endorsed in Nursing) 9 $25,63 $55,770 Postgraduate Diploma in Health Sciences (Endorsed in upation 9 5 $27,243 $47,5 Postgraduate Diploma in Nursing $230,774 $3,47 SIT PostGraduate Diploma in Health Science $2,003 $3,335 03: Nursing Total $42,623,93 $8,823,776 04: Midwifery 09: 2237 Midwife 0: Certificate/Diploma Certificate in Childbirth Education $4,32 $72,495 Diploma in Midwifery 5 $4,839 $9,92 BACHELOR OF HEALTH SCIENCE (MIDWIFERY) 93 3 $704,875 $286,463 Bachelor of Midwifery $2,34,222 $972,646 Master of Midwifery 2 9 $2,042 $3,98 Postgraduate Certificate in Midwifery 0 $2,855 $,25 Postgraduate Certificate in Midwifery Practice 2 $9,206 $6,242 Postgraduate Diploma in Midwifery $75,222 $25,045 04: Midwifery Total $3,40,392 $,405,909 05: Ancillary/Support Workers 0: 532 Health Assistant 0: Certificate/Diploma CERTIFICATE IN HEALTH CARE 22 $03,686 $67,584 Certificate in Health Care Assistance 5 23 $74,367 $57,489 Certificate in Rehabilitation Studies 24 2 $68,269 $73,980 Diploma in Health Studies 4 5 $73,566 $55,244 Health Assistant Advanced Certificate 6 8 $3,50 $22,265 Health Assistant Certificate 2 55 $03,24 $60,39 Managing Health & Safety in the Workplace $56,300 $,700 Short Course Certificate in Clinical Supervision $,950 Waiariki Certificate for Health Care Assistants 8 $42,642 $9,099 WITT Certificate in Health Support Assistant 5 $59,986 $35,936 Bachelor of Health Science (Maori Health) 4 $26,608 $2,680 Bachelor of Health Science (Rehabilitation) 2 $83,57 $36,330 Bachelor of Health Service (Environmental Health) 7 $09,637 $47,440 Postgraduate Diploma in Rehabilitation 5 3 $6,968 $58,844 2: 536 Caregiver 0: Certificate/Diploma Certificate in Gerontic Caregiving - Residential & Community 3 2 $56,360 $7,94 National Certificate in Support of the Older Person (Level 3) $753,84 $43,425 05: Ancillary/Support Workers Total $,905,0 $990,08 06: Pharmacy Qualifications Supply Analysis I The New Zealand Health Sector 3

29 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award 06: Pharm3: Pharmacists 0: Certificate/Diploma Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees Certificate in Retail Pharmacy $72,555 $46,788 National Certificate in Pharmacy (Assistant) Level $66,485 $6,700 Bachelor of Pharmacy $5,646,56 $2,070,64 Bachelor of Pharmacy (st Year) 26 $96,758 $443,369 Bachelor of Science/Bachelor of Pharmacy (Conjoint) 2 $20,653 $0,352 Master of Clinical Pharmacy 4 $47,887 $7,745 Master of Pharmacy 2 $5,503 $0,40 Doctorate in Pharmacy 5 4 $79,025 $76,050 Postgraduate Certificate in Pharmacy $47,082 $54,503 Postgraduate Certificate in Pharmacy Practice 9 $32,708 $44,585 Postgraduate Diploma in Clinical Pharmacy 6 3 $75,25 $27,885 Postgraduate Diploma in Pharmacy Practice $2,905 $4,458 4: Pharmaceutical Assistants 0: Certificate/Diploma CERTIFICATE IN PHARMACY (TECHNICIAN) 37 $263,275 $2,28 National Certificate in Pharmacy (Assistant) Level $233,930 $05,550 National Certificate in Pharmacy(Technician) $,043,700 $93,000 06: Pharmacy Total $9,9,232 $3,478,47 07: Allied Health Professionals 5: 3223 Physiotherapists BACHELOR OF HEALTH SCIENCE (PHYSIOTHERAPY) $3,330,684 $,353,600 Bachelor of Physiotherapy $2,49,662 $,63,725 Bachelor of Physiotherapy (st Year) 84 $64,72 $295,579 Master of Health Sciences (Endorsed in Musculoskeletal Manageme $6,84 $2,535 Master of Physiotherapy 4 5 $56,80 $8,379 Doctorate in Physiotherapy 2 2 $33,932 $7,605 Postgraduate Certificate in Physiotherapy 2 3 $9,987 $8,873 Postgraduate Diploma in Health Sciences (Endorsed in Musculoske 3 2 $34,263 $5,20 Postgraduate Diploma in Physiotherapy 4 2 $39,974 $7,745 6: upational Therapist 0: Certificate/Diploma National Certificate in Diversional Therapy 5 8 $74,468 $38,590 BACHELOR OF HEALTH SCIENCE (OCCUPATIONAL THERAPY) $,55,580 $65,936 BACHELOR OF OCCUPATIONAL THERAPY $,38,876 $664,020 Bachelor of upational Therapy with Honours $9,248 $3,872 Master of upational Therapy 0 $4,227 $694 Graduate Diploma in upational Safety and Health 38 4 $89,607 $4,754 Postgraduate Diploma in upational Therapy Practice 2 2 $20,273 $6,588 7: Osteopath Master of Osteopathy 22 $9,333 $7, Qualifications Supply Analysis I The New Zealand Health Sector

30 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award 07: Allied 8: Podiatrist 9: Chiropractor 20: 2225 Dieticians and Nutritionists 0: Certificate/Diploma Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees Bachelor of Health Science in Podiatry 34 9 $3,295 $04,96 Bachelor of Chiropractic 5 9 $409,86 $759,762 Certificate in Diet and Nutrition 3 $9,865 $5,280 Certificate of Achievement in Food and Nutrition (Level 3) 2 4 $65,850 $860 Bachelor of Consumer and Applied Science (Human Nutrition) 39 9 $380,328 $64,05 Bachelor of Science (Human Nutrition) $,294,560 $672,560 Master of Science (Community Nutrition) $4,38 $3,69 Master of Science (Human Nutrition) 0 $89,858 $53,65 Postgraduate Diploma in Dietetics $646,0 $226,7 Postgraduate Diploma in Science (Community Nutrition) 5 2 $52,537 $23,322 Postgraduate Diploma in Science (Human Nutrition) $3,05 $5,577 2: 2226 Optometrists Bachelor of Optometry $,068,9 $688,932 22: 322 Medical Laboratory Technician Bachelor of Medical Laboratory Science $2,094,470 $866,709 Bachelor of Medical Laboratory Science (st Year) 63 $480,879 $22,684 Bachelor of Science/Bachelor of Medical Laboratory Science 3 $23,086 $,523 Master of Medical Laboratory Science 0 2 $3,423 $634 Postgraduate Diploma in Medical Laboratory Science 5 4 $59,876 $22,942 23: 333 Medical Radiation Technologist Bachelor of Applied Science (Medical Imaging Technology) 6 0 $439,78 $23,800 Bachelor of Health Science (Medical Imaging) $667,508 $359,00 Bachelor of Health Sciences (Endorsed in Medical Radiation Therap 75 0 $,59,32 $38,264 Bachelor of Medical Imaging $634,469 $333,657 Master of Health Science (Medical Radiation Technology or Nu $5,7 $4,275 Postgraduate Diploma in Health Science (MRT) 7 $75,275 $25,052 24: 533 Ambulance Officer 0: Certificate/Diploma National Certificate in Ambulance (Patient Care and Transpor 6 $45,983 $9,584 NATIONAL DIPLOMA IN AMBULANCE (PARAMEDIC) Level $2,623 $5,376 25: Health Associate Professionals 0: Certificate/Diploma Certificate in Health Sciences 44 7 $349,73 $3,376 Certificate in Health; Science and Technology (BN Stream) - Level $247,023 $2,92 Bachelor of Health Sciences 69 6 $,47,887 $674,08 BACHELOR OF HEALTH STUDIES 8 $42,972 $37,25 Qualifications Supply Analysis I The New Zealand Health Sector 33

31 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees 07: Allied 25: Conjoint: Bachelor of Arts/Bachelor of Health Science 5 $35,352 $2,22 Conjoint: Bachelor of Commerce/Bachelor of Health Science 5 2 $49,277 $23,793 MASTER OF HEALTH SCIENCE $2,488,72 $52,43 Master of Health Sciences 35 6 $625,862 $57,500 Master of Health Sciences (Endorsed in Rehabilitation) 6 3 $30,257 $28,59 Master of Health Sciences (Non-Endorsed) 3 5 $282,828 $64,009 Graduate Diploma in Health Sciences 0 3 $3,865 $45,000 Postgraduate Certificate in Health Sciences $,009,470 $477,000 Postgraduate Certificate in Health Sciences (Endorsed in Gerontolo $9,696 $3,803 Postgraduate Certificate in Health Sciences (Endorsed in Resuscita 4 9 $49,255 $8,252 Postgraduate Diploma in Health Science 6 6 $82,299 $273,903 Postgraduate Diploma in Health Sciences (Endorsed in Alcohol, Dru 3 5 $33,640 $2,675 Postgraduate Diploma in Health Sciences (Endorsed in Gerontology 0 $2,855 $,268 Postgraduate Diploma in Health Sciences (Non-Endorsed) 7 4 $9,000 $35,490 Postgraduate Diploma in Rehabilitation 2 22 $377,980 $06,470 26: 3226 Other Health Associate Professional 0: Certificate/Diploma CERTIFICATE IN EMERGENCY MANAGEMENT 5 77 $08,95 $46,080 Certificate in New Zealand Sign Language and Deaf Studies 7 3 $6,275 $67,763 Pacific Community Health Workers Certificate 3 $65,585 $4,58 Speech Therapy Int 59 $379,272 $29,85 Bachelor of Speech and Language Therapy $886,57 $342,434 Doctorate in Speech and Language Therapy 3 $86,334 $9,593 Master of Audiology 23 3 $355,5 $9,438 Master of Speech and Language Therapy 3 $43,903 $2,08 27: 2235 Public Health 0: Certificate/Diploma Certificate in Health Promotion 8 20 $92,07 $92,528 Diploma in Public Health $5,50 $4,458 Master of Bioethics and Health Law 0 2 $72,370 $29,795 Master of Health Sciences (Endorsed Bioethics) 2 4 $23,625 $0,40 Master of Public Health $804,227 $29,097 Postgraduate Certificate in Public Health 6 2 $99,60 $72,000 Postgraduate Diploma in Public Health $745,473 $299,442 07: Allied Health Professionals Total $32,043,6 $4,363,47 08: Mental Health Workers 28: 9999 Mental Health 0: Certificate/Diploma Diploma in Mental Health $4,995 $4,458 DIPLOMA IN MENTAL HEALTH SUPPORT WORK 7 8 $80,2 $52,224 DIPLOMA IN VIOLENCE AND TRAUMA STUDIES 7 8 $9,96 $5,072 SIT Diploma in Mental Health Support Work 2 $0,064 $7,800 National Certificate in Mental Health (Mental Health Support Work) $2,845,429 $,888,669 Bachelor of Alcohol and Drug Studies 97 $694,44 $34, Qualifications Supply Analysis I The New Zealand Health Sector

32 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees 08: Menta28: : PG DegMaster of Health Sciences (Endorsed in Mental Health) 5 3 $87,23 $24,083 New Graduate Certificate in Mental Health Nursing 9 8 $342,000 $85,500 PG Certificate in Medical Science (Primary Mental Health) $8,93 $4,50 Postgraduate Certificate in Health Sciences (Endorsed in Mental He 2 5 $27,364 $0,40 Postgraduate Certificate in Health Sciences (Endorsed in Nursing w 6 2 $7,38 $3,688 Postgraduate Diploma in Child Advocacy $34,900 $59,000 Postgraduate Diploma in Children's Issues 2 $8,43 $3,688 Postgraduate Diploma in Health Sciences (Endorsed in Mental Heal 5 9 $90,380 $65,250 29: 2445 Counsellor 0: Certificate/Diploma Certificate in Applied Counselling Skills - Level 5 9 $47,784 $8,694 Certificate in Community Counselling Skills 7 5 $3,767 $2,98 Certificate in Counselling 0 $2,63 $,090 Certificate in Counselling Theory 22 2 $5,729 $62,726 Diploma in Career Counselling 5 6 $35,883 $23,568 Diploma in Counselling 32 9 $23,78 $0,6 Diploma in Counselling - Level 6 $48,65 $20,832 Diploma in Te Whiuwhiu o te Hau - Maori Counselling 56 7 $406,70 $80,954 Extension Courses - Counselling $68,888 $26,699 Bachelor of Counselling 04 5 $748,056 $333,453 Master of Counselling 32 $25,840 $44,000 Graduate Diploma in Counselling 0 $4,554 $,286 30: Psychotherapist 0: Certificate/Diploma Certificate in Human Development 4 $20,725 $,557 Diploma in Applied Counselling with Psychotherapeutic Studie 32 9 $23,234 $20,399 Diploma in Gestalt Psychotherapy - Novice 3 4 $3,420 $24,500 Diploma in Gestalt Psychotherapy - Senior 0 $,97 $3,800 Diploma in Gestalt Psychotherapy - Stage IIA 6 7 $28,757 $57,000 Diploma in Gestalt Psychotherapy - Stage IIB 4 4 $2,088 $4,800 Diploma in Health and Human Behaviour (Level 5) 75 2 $640,600 $20,00 Diploma in Health and Human Development 2 6 $23,054 $54,86 Diploma in Integrative Psychology (Hakomi) 9 20 $45,360 $3,52 Diploma in Psychotherapy 39 2 $299,473 $2,952 Master of Health Sciences (Endorsed in Child Psychotherapy) 6 3 $72,439 $28,59 Graduate Certificate in Cognitive Behaviour Therapy 2 $7,644 $,98 Graduate Diploma in Child Mental Health 7 3 $62,638 $2,20 Graduate Diploma in Psychosocial Studies 9 5 $42,676 $57,984 GRADUATE DIPLOMA IN PSYCHOTHERAPY 6 8 $4,575 $6,896 Postgraduate Diploma in Development Studies 0 9 $,686 $,25 3: 2444 Psychologists 0: Certificate/Diploma Diploma in Applied Mental Health (Level 6) 7 4 $40,600 $44,50 Diploma in Child and Adolescent Psychology (Level 6) 44 6 $375,000 $7,750 Diploma in Organisational Psychology 2 $4,200 $4,460 Diploma in Psychology (Level 5) $,43,03 $358,299 Qualifications Supply Analysis I The New Zealand Health Sector 35

33 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees 08: Menta3: : PG DegMaster of Applied Psychology 9 $0,85 $4,755 Postgraduate Diploma in Clinical Psychology $492,957 $54,566 Postgraduate Diploma in Health Psychology 5 3 $69,085 $22,722 Postgraduate Diploma in Industrial Org Psychology 3 $30,008 $9,525 Postgraduate Diploma in Psychology $2,003 $4,285 Postgraduate Diploma in Psychology (Clinical) 7 5 $84,82 $33,47 Postgraduate Diploma in Psychology (Community) 7 $76,235 $30,038 08: Mental Health Workers Total $0,896,6 $5,562,226 09: Social Workers : 542 Child Care Worker 0: Certificate/Diploma Certificate in Child and Community Care 5 4 $74,673 $35,355 Certificate in Introductory Health & Childcare 9 $47,78 $35,00 Short Course Certificate in Health Assessment (Paediatrics Level 7) 93 $5,490 $3,20 32: 334 Social Workers 0: Certificate/Diploma Adv Certificate in Social Services 2 2 $8,33 $2,079 Certificate in Community Work $85,769 $27,487 Certificate in Social and Community Work 44 2 $222,439 $22,748 Certificate in Social Services 23 5 $25,084 $53,03 Certificate in Social Work 0 3 $54,029 $3,526 Diploma in Counselling (EQL6) $89,000 $42,000 Diploma in Disability and Community Support 6 4 $29,26 $9,783 Diploma in Social and Community Work $25,42 $2,7 Diploma in Social Work 46 $233,079 $57,588 National Certificate in Social Services $388,852 $267,084 National Certificate in Youth Work 9 3 $95,855 $64,809 National Diploma in Social Services $235,207 $54,785 National Certificate in Mental Health (Mental Health Support Work) $4,395 $76,272 BA Social Sciences & Bachelor Social Work Degree - Year 8 $04,296 $8,000 Bachelor of Social Practice (Social Work) $694,03 $432,924 Bachelor of Social Work $3,03,433 $,705,928 Doctorate in Social Work 3 $44,223 $,904 Master of Social Work 2 22 $74,92 $44,70 Master of Social Welfare 4 $5,77 $42,038 Graduate Diploma in Social Work 30 4 $20,85 $0,38 Postgraduate Diploma in Social and Community Work 22 9 $43,92 $63,480 09: Social Workers Total $6,652,330 $3,796,699 0: Health Administrators 33: Health Administration Master of Health Management $7,75 $3,054 Master of Health Sciences (Endorsed in Health Management) 0 $2,855 $,268 Postgraduate Diploma in Health Informatics 3 $227,350 $63,375 Postgraduate Diploma in Health Management 5 3 $58,746 $2,72 0: Health Administrators Total $296,702 $89,48 36 Qualifications Supply Analysis I The New Zealand Health Sector

34 Health Qualifications Summary of EFTS, Completion, Subsidy and Fees Major Minor Prog Award Qualification Title Instances Qualification was offered Total EFTS Completed Students Total Subsidy Total Fees : Sport/Fitness/Recreation 34: Sport/Fitness/Recreation 0: Certificate/Diploma Advanced Certificate in Leadership and Guiding 6 6 $80,720 $2,340 ADVANCED CERTIFICATE IN OUTDOOR RECREATION 2 7 $60,60 $33,664 Anthropometric ISAK Level 2 0 $829 $,3 Anthropometric ISAK Level 3 $205 $2,340 CAREER ORIENTED SCUBA INSTRUCTOR DIPLOMA $,404,326 $20,967 Certificate in Achievement in Health Promotion 0 2 $50,954 $3,292 Certificate in Adventure Recreation 20 $03,458 $76,0 Certificate in Applied Sport $340,2 $74,348 Certificate in Athlete Development $72,929 $20,660 Certificate in Exercise and Sport Performance (Level 4) 42 8 $225,20 $47,000 Certificate in Fitness - Te Hiranga Whakapakari Tinana 2 7 $6,906 $4,679 Certificate in Fitness and Exercise Science 3 4 $90,898 $54,562 Certificate in Fitness Industry Training(EQL5) 2 9 $60,248 $45,009 Certificate in Fitness Management 3 4 $2,88 $,052 Certificate in Mountain Recreation (Leadership) (Lev 4) 4 4 $0,840 $2,993 Certificate in Mountain Recreation (Lev 3) 2 3 $98,976 $73,437 Certificate in Outdoor Pursuits 9 7 $44,47 $34,27 Certificate in Outdoor Pursuits (Level 3) 8 8 $88,337 $52,256 Certificate in Outdoor Recreation $20,86 $35,025 Certificate in Outdoor Recreation (Assistant Leadership) 0 0 $,54 $,737 Certificate in Ski Patrol 4 5 $92,050 $,804 Certificate in Skiing and Avalanche Safety Management 4 5 $9,324 $5,28 Certificate in Snowboarding and Avalanche Safety Management $94,263 $84,865 Certificate in Sport 3 $5,302 $5,070 Certificate in Sport & Fitness 9 $54,798 $2,50 Certificate in Sport & leisure 23 2 $03,686 $66,275 Certificate in Sport (Sport Performance) 7 7 $35,35 $22,79 Certificate in Sport and Coaching 7 6 $34,32 $7,45 Certificate in Sport and Fitness Management 4 7 $9,676 $5,20 Certificate in Sport Management and Exercise Prescription 7 50 $624,768 $97,92 Certificate in Sport Studies $45,440 $7,844 Certificate in Sporting Performance (Level 3) $243,846 $32,559 Diploma in Applied Recreation (EQL 5) 3 9 $8,409 $27,479 Diploma in Applied Recreation (with Christchurch Polytechnic $5,349 $2,925 Diploma in Applied Sport $27,400 $3,70 Diploma In Applied Sport - Level 4 6 $47,990 $44,00 Diploma in Exercise Science $503,698 $260,996 Diploma in Exercise Science - Level $27,776 $4,905 Diploma in Fitness Training 56 4 $286,28 $72,46 Diploma in Outdoor Pursuits Instruction 6 $29,059 $22,464 Diploma in Outdoor Recreation & Leadership Management 3 7 $67,248 $32,058 DIPLOMA IN OUTDOOR RECREATION LEADERSHIP 35 9 $20,268 $07,520 Diploma in Personal Fitness Training. 4 5 $24,646 $5,405 DIPLOMA IN RECREATION; SPORT & LEISURE 0 7 $2,06 $,558 Diploma in Sport and Fitness Education 7 $5,392 $26,348 Diploma in Sport and Fitness Management 6 0 $29,26 $22,620 Diploma in Sport and Leisure 3 0 $60,09 $38,409 Diploma in Sport and Recreation $932,850 $60,877 Diploma in Sport and Recreation (Level 6) 27 5 $59,579 $03,664 Qualifications Supply Analysis I The New Zealand Health Sector 37