Workforce and services

New Zealand Dementia Foundation > Research Radar > Workforce and Services
New Zealand’s Neurologist Workforce: A Pragmatic Analysis of Demand, Supply and Future Projections.


Mitchell, R., Fajardo Pulido, D., Ryder, T., Norton, G., Brodaty, H., Draper, B., … & Harvey, L. (2019).
The New Zealand Medical Journal (Online), 128(1419), 35.

To assess current supply, all New Zealand neurology departments were surveyed to determine the current workforce and estimate the average neurologist productivity. Projections were made based on anticipated retirement rates among current neurologists and the addition of new neurologists from current training positions. We explored several models to address the supply-demand gap. Results: The current supply of neurologists in New Zealand is 36 full-time equivalents (FTE), insufficient to meet the current demand of 74 FTE. Demand will grow over time, and if the status quo is maintained, the gap will widen. 

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Access to Rehabilitation Services for Older Adults Living With Dementia or in a Residential Aged Care Facility Following a Hip Fracture: Healthcare Professionals’ Views.


Mitchell, R., Fajardo Pulido, D., Ryder, T., Norton, G., Brodaty, H., Draper, B., … & Harvey, L. (2019).
Disability and rehabilitation, 1-12.

This article reports the results of a 1998/9 national survey to obtain an overview of patient needs and resources from eleven New Zealand Old Age Psychiatry services.

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Examining Future Demands in Residential Aged Care.


Mitchell, R., Fajardo Pulido, D., Ryder, T., Norton, G., Brodaty, H., Draper, B., … & Harvey, L. (2019).
Kai Tiaki Nursing New Zealand, 16(9), 24-25.

This article discusses key findings of the 2010 Aged Residential Care Service Review, from a nursing perspective. 

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The Dunedin Dementia Risk Awareness Project: A Convenience Sample of General Practitioners.


Barak, Y., Rapsey, C., Fridman, D., & Scott, K. (2018).
The New Zealand Medical Journal, 131(1474), 27-34.

This study developed a unique test of knowledge about brain health. GPs in Dunedin were tested and are very knowledgeable about brain health. This makes GPs uniquely situated to help initiate dementia prevention for older adults.

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South Island Delirium Stocktake 2017.


The results of a stocktake to better understand how delirium is recognised, prevented, and managed across all health service settings in the South Island.

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Residential Care Workers and Residents: The New Zealand Story.


Kiata, L., Kerse, N., & Dixon, R. (2005). 
The New Zealand Medical Journal, 118(1214), 49-59.

The aim of this study is to describe the nature and size of long-term residential care homes in New Zealand, funding of facilities, and the ethnic and gender composition of residents and residential care workers nationwide. The age and turnover of the residential care workforce suggest the industry remains under threat from staffing shortages. While few ethnic minority residents live in long-term care facilities, staff come from diverse backgrounds, especially in certain regions.

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New Zealand’s Psychiatry of Old Age Services. Revisiting ‘The View From the Bottom of the Cliff’—Have We Made Any Progress Since 1998?


Melding, P. (2005). 
New Zealand Medical Journal, 118 (1214), 1-11. 

This article reports the results of a 2003 New Zealand survey of 13 Psychiatry of Old Age services in New Zealand on their administrative structure; access to acute, long stay and day hospital places; staffing levels of the different disciplines; the range of services they provided, and what they considered were strengths, gaps and potential improvements, and compares these to the results of a 1998 survey.

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‘The View From the Bottom of the Cliff.’ Old Age Psychiatry Services in New Zealand: The Patients and the Resources.


Melding, P. & Osman- Aly, N. (2000)
New Zealand Medical Journal, 113, 439-442. 

This article reports the results of a 1998/9 national survey to obtain an overview of patient needs and resources from eleven New Zealand Old Age Psychiatry services.

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Translating Research Knowledge in Dementia Care Organisations.


Alyami, H., Peri, K., Vanderpyl, J., & Cheung, G. (2016). 
Australasian Psychiatry, 24(3), 252–255.

This study invited the members of the New Zealand National Dementia Cooperative to participate in the online survey. A total of 146 (32%) members responded and indicated that, although the workforce had the skills to engage in research and to implement evidence into practice, there was limited organisational support in terms of time, resources, and access to external support.

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A Survey of Memory Clinics in New Zealand.


Cheung, G., & Strachan, J. (2008).
Australasian Psychiatry, 16(4), 244-247.  

The aim of this survey was to identify all the publicly funded memory clinics in New Zealand. The survey found eight memory clinics in New Zealand.

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Research in the Retirement Village Community: The Problems of Recruiting a Representative Cohort of Residents in Auckland, New Zealand.


Connolly, MJ, Hikaka, J, Bloomfield, K, et al. (2021).
Australasian Journal on Ageing, 16(4), 2021; 40: 177– 183

This paper explores issues in recruiting a representative cohort of residents from retirement villages, as background to a study of residents.

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Specialist Mental Health Care for Older Adults in New Zealand: An Exploration of Service Models and Routine Data.


Cunningham, R., Peterson, D., & Sims, A. (2019).
The New Zealand Medical Journal (Online), 132(1489), 30-38.

This study aimed to: 1. Describe service arrangements for older people’s mental health; 2. Describe mental health service use from age 65, where data is available, by surveying DHBs. DHBs vary in funding, access and reporting arrangements for older people’s mental health services. People aged 65–74 were the highest users among older age groups.

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Workforce and Advanced Training Survey of the RANZCP Faculty of Psychiatry of Old Age: Issues and Challenges for the Field.


Draper, B., Reutens, S., & Subau, D. (2010). 
Australasian Psychiatry, 18(2), 142-145.

Members of the Faculty of Psychiatry of Old Age (FPOA) and other psychiatrists who have completed the Certificate of Psychiatry of Old Age were surveyed to describe the work patterns of old age psychiatrists in Australia and New Zealand in order to identify barriers to training and practice.

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Memory Clinic Survey in New Zealand: A Second Look.


Stone, C., Copeland, B., Collier, C., & Cheung, G. (2019). 
Australasian Psychiatry, 1039856219852299.

This study reports an online survey of the 20 District Health Boards (DHBs) that gathered information on memory clinics. The survey found dedicated memory clinics in the seven DHBs with the largest older-person populations in New Zealand. 

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Observations from a New Zealand Memory Team.


Yates, S. (2015).
Journal of New Zealand College of Clinical Psychologists 25(2):25-33

In July 2013, the Memory Team was established to improve dementia services in the Counties Manukau area. This article reviews the referrals received by the Memory Team from July 2013 to February 2015, the assessment and follow-up process for clients/families, and compares the findings with those of other memory clinics/services.

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The Third New Zealand Psychiatry of Old Age Services and Workforce Survey.


Cheung, G., Sims, A., Copeland, B., Collins, C., & Bharathan, S. (2018).
Australasian Psychiatry, 26(4), 405-409.

This study surveyed the Psychiatry of Old Age (POA) services and workforce in New Zealand (NZ) for a third time. Funding varied across DHBs. Specialist services for people with intellectual disabilities and young-onset dementia, and older people with substance use disorder, are generally not provided within POA services.

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