Hidden in plain sight: A critique

Authors

Keywords:

allied health, healthcare, interprofessional collaboration, model of practice, social work

Abstract

INTRODUCTON: In 2020, the Health and Disability Sector Review (H&DSR) for Aotearoa New Zealand was published (Simpson, 2020). It called for widespread structural change and reform within the health and disability sector. As a response to this report, Allied Health Aotearoa New Zealand (AHANZ) sought advice from the New Zealand Institute of Economic Research (NZIER) as to how their membership could contribute to addressing the issues raised in the H&DSR (Simpson, 2020). The resultant report, Hidden in plain sight (HiPS) is the focus of this critique (Hogan, 2021).

APPROACH: An overview of HiPS (Hogan, 2021) is presented along with an analysis using a strengths, weaknesses, opportunities and threats (SWOT) framework. Some of the critique offered is from social work literature based on research conducted in Aotearoa New Zealand.

CONCLUSIONS: What becomes evident is: 1) that the proposed change is general practice- centric; and 2) HiPS has not considered the wealth of experience of interprofessional collaboration that is already occurring within the sector. What at face value appears a positive response to the proposal of the H&DSR lacks substance when subjected to robust analysis.

Author Biographies

Mary James, Faculty of Health, University of Canterbury

Mary has a social work career in government, health and community organisations as well as in private practice. In 2019, she completed her Masters in Health Science (palliative care) at the University of Canterbury. Mary is currently teaching at Te Pukenga/NMIT. Mary is working towards her Doctor of Health Science in palliative care at the University of Canterbury. 

Isabel Jamieson, University of Canterbury

Isabel Jamieson (RN, PHD, BN, MNurse(Melb), CertAT) is a senior lecturer, at the University of Canterbury (UC), Faculty of Health. She is the coordinator of the Master of Health Sciences (nursing) and Doctor of Health Sciences programs. Her areas of research include the healthcare workforce, nursing students' readiness to practice, the graduate nurse experience, and career change. Her clinical background was perioperative nursing (operating theatre). Isabel has a passion for nursing and supporting students to succeed.

Kate Reid, University of Canterbury

Kate is a senior lecturer in the Faculty of Health at the University of Canterbury. Kate's experience is in the field of palliative care and oncology nursing in a range of roles from clinical practice, management, governance, education and research. She has a particular interest in supporting health professionals and community development to enable people to live until they die and to provide compassionate end of life care.

References

Auckland University of Technology. (n.d.). National Centre for Interprofessional Education and Collaborative Practice (NCIECP).

Auckland University of Technology. https://ncipecp.aut.ac.nz/

Beddoe, L. (2011). Health social work: Professional identity and knowledge. Qualitative Social Work, 12(1), 24–40. https://doi.org/10.1177/1473325011415455

Best, S., & Williams, S. (2019). Professional identity in interprofessional teams: Findings from a scoping review. Journal of Interprofessional Care, 33(2), 170–181. https://doi.org/10.1080/13561820.2018.1536040

Centre for the Advancement of Interprofessional Education (CAIPE). (2022). Centre for the Advancement of Interprofessional Education (CAIPE). https://www.caipe.org/

Döbl, S., Beddoe, L., & Huggard, P. (2017). Primary health care social work in Aotearoa New Zealand: An exploratory investigation. Aotearoa New Zealand Social Work, 29(2), 119–130. https://doi.org/10.11157/anzswj-vol29iss2id285

Dormer, R. (2014). Whānau Ora and the collaborative turn. International Journal of Public Administration, 37(12), 835–845. https://doi.org/10.1080/01900692.2014.917101

Giles, R. (2016). Social workers’ perceptions of multi-disciplinary team work: A case study of health social workers at a major regional hospital in New Zealand. Aotearoa New Zealand Social Work, 28(1), 25–33. https://doi.org/10.11157/anzswj-vol28iss1id113

Hobbs, E., & Evans, N. (2017). Social work perceptions and identity: How social workers perceive public and professional attitudes towards their vocation and discipline. Aotearoa New Zealand Social Work, 29(4), 19–31. https://doi.org/10.11157/anzswj-vol29iss4id378

Hogan, S. (2021). Hidden in plain sight: Optimising the allied health professions for better, more sustainable integrated care: NZIER report to Allied Health Aotearoa

New Zealand (AHANZ). New Zealand Institute of Economic Research. https://www.alliedhealth.org.nz/ uploads/8/8/9/4/88944696/hidden_in_plain_sight_final_23_06_2021.pdf

International Federation of Social Workers. (2014). Global definition of social work. https://www.ifsw.org/what-is-social-work/global-definition-of-social-work/

Lévesque, M., Negura, L., Gaucher, C., & Molgat, M. (2019). Social representation of social work in the Canadian healthcare setting: Negotiating a professional identity. British Journal of Social Work, 49(8), 2245–2265. https://doi.org/10.1093/bjsw/bcz005

McNeil, K. A., Mitchell, R. J., & Parker, V. (2013). Interprofessional practice and professional identity threat. Health Sociology Review, 22(3), 291–307. https://doi.org/10.3316/informit.741222152200410

Ministry of Health. (2001). The primary health care strategy. https://www.health.govt.nz/system/files/documents/ publications/phcstrat_0.pdf

Ministry of Health. (2009). Gap analysis of specialist palliative care in New Zealand: Providing a national overview

of hospice and hospital-based services. https://www.tewhatuora.govt.nz/assets/Publications/Palliative/palliative-care-gap-analysis-09-amended-v4-jun10.pdf

Ministry of Health. (2021). Kaiā whina workforce plan 2020-2015. https://kaiawhinaplan.org.nz/wp-content/ uploads/2021/10/Kaia%CC%84whina-Workforce-Plan-2020-2025.pdf

Nancarrow, S. A., Booth, A., Ariss, S., Smith, T., Enderby, P., & Roots, A. (2013). Ten principles of good interdisciplinary team work. Human Resources for Health, 11(1), 1–11. https://doi.org/10.1186/1478-4491-11-19

Nancarrow, S. A., Smith, T., Ariss, S., & Enderby, P. M. (2015). Qualitative evaluation of the implementation of the interdisciplinary management tool: A reflective tool to enhance interdisciplinary teamwork using structured, facilitated action research for implementation. Health & Social Care in the Community, 23(4), 437–448. https://doi.org/10.1111/hsc.12173

Nolte, J. (2005). Enhancing interdisciplinary collaboration in primary health care (EICP) initiative. www.eicp-acis.ca

Payne, M. (2004). Social work practice identities: An agency study of a hospice. Practice 16(1), 5–15.

Ryall, T. (2009, February 27). Health Minister’s speech to launch the National Centre for Interprofessional Education and Collaborative Practice https://www. beehive.govt.nz/speech/health-ministers-speech- launch-national-centre-interprofessional-education-and- collaborative

Simpson, H. (2020). Health and disability system review: Executive overview: He tirohanga whānui. https:// systemreview.health.govt.nz/assets/Uploads/hdsr/health- disability-system-review-final-report-executive-overview. pdf

Social Workers Registration Board. (2023). Social Workers Registration Board’s annual report 2022-2023. https:// swrb.govt.nz/about-us/

Treasury New Zealand. (2019). The living standards framework: Dashboard update, 12 December 2019 (1988580633;9781988580630;). https://www.treasury. govt.nz/publications/tp/living-standards-framework- dashboard-update

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Published

2024-06-15

How to Cite

James, M., Jamieson, I., & Reid, K. (2024). Hidden in plain sight: A critique. Aotearoa New Zealand Social Work, 36(2), 99–110. Retrieved from https://anzswjournal.nz/anzsw/article/view/1155

Issue

Vol. 36 No. 2 (2024)

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Original Articles

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