Hire more frontline nurses
Pitched as more frontline nurses to staff wards and ease pressure on an overstretched system.
The Policy: National Nurses and Midwives Policy — 2023 Election →
What it does:
- The aim: grow the nursing workforce and fill vacancies.
The result — kept on headcount, but the system is mishandling the workforce:
- Numbers did rise: about 78,700 nurses held practising certificates by March 2024, up more than 9,000 on a year earlier, with roughly 3,000 added FTE — so on headcount the promise is kept (Health NZ).
- But it leaned on imported nurses while exporting our own: the internationally-qualified share rose from 36.4% to 42.6%, even as about 12,000 NZ-registered nurses signed up to work in Australia in a single year — a 53% jump — drawn by higher pay and better conditions (a 38-hour week versus 40, plus overtime and holiday rates) (The Conversation, Kaitiaki).
- The graduate paradox: at the very same time, Health NZ could not employ the graduates it had trained. Only about three in five new graduates were hired (against the usual 80–90%); roughly 720–770 were still job-hunting in early 2025; Christchurch Hospital hired 28% of applicants in 2025, down from 84% in 2023; and 62% of nursing students said they would look overseas if they could not get a job here. The Spinoff asked how a chronic shortage became "too many" (The Press, University of Auckland).
- Experienced migrant nurses get stuck in red tape: the OSCE that replaced the old CAP can cost about $3,500 per attempt, with registration, verification and travel often totalling $20,000–$30,000+, and researchers have documented internationally-recruited nurses left without positions or support — some unable to work as nurses while they wait.
The bonding debate, and the smart fixes:
- NZ runs a Voluntary Bonding Scheme (up to about $14,100 over five years for hard-to-staff roles), and National promised $22,500 off student loans for nurses who stay five years — but the NZNO notes that removing first-year fees-free leaves graduates with bigger loans, so the net effect is close to the status quo, and none of it eases the roughly 600 hours of unpaid placement that strain students during study (RNZ, Te Whatu Ora).
- The quick wins critics point to are unglamorous but cheap: employ the graduates we already train, speed up and subsidise registration for experienced migrant nurses, fix pay and conditions to retain staff, and support students during study — rather than halting graduate hiring during a shortage and leaning on costly overseas recruitment.
Verdict: more nurses on paper, so kept — but achieved by importing nurses while losing our own graduates to Australia and trapping experienced migrants in process; the fastest gains lie in employing and keeping the nurses New Zealand already has.
This overview is summarised by AI from public sources. It may contain errors and is a guide, not the definitive record — we welcome corrections.
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Key milestones
Minister confirms a net gain of 54 nursing FTEs over two years
RNZ reported that Health Minister Simeon Brown confirmed in Parliament, after repeated questioning from Labour health spokesperson Ayesha Verrall, that the net increase in Health New Zealand full-time equivalent nursing staff between the quarters ending March 2024 and March 2026 was 54. The Government has regularly cited a figure of more than 2,000 additional nurses, and RNZ reported that Prime Minister Christopher Luxon continued to use a figure of 2,100. The two numbers differ because the larger one counts from an earlier starting point, before the March 2024 snapshot, and treats part-time staff differently. Verrall said the figures indicate frontline roles were reduced by not replacing nurses who left, pointing to nursing vacancies left unfilled across Health New Zealand. The Government's position is that the wider health workforce has grown since it took office.
Nursing headcount up about 9,000 in a year
Around 78,700 nurses held practising certificates by March 2024, with roughly 3,000 added FTE.
Reliance on overseas nurses called unsustainable
Researchers warned NZ dependence on internationally-qualified nurses, the IQN share rising to about 43%, is not sustainable.
About 12,000 NZ nurses register for Australia
Australian regulator data showed a 53% jump in NZ nurses registering across the Tasman for higher pay and better conditions.
Graduates shut out despite the shortage
Only about three in five new graduates were hired; hundreds were left job-hunting, many saying they would head to Australia.
Cutting graduate nurse hours called wrong-footed
Academics criticised moves to cut new-graduate hours and training during a workforce shortage.
Migrant nurses face a costly registration bottleneck
The OSCE replacing CAP can cost about $3,500 an attempt, with total costs often $20,000-$30,000+; some recruited nurses were left without positions.
Bonding scheme criticised as tokenistic
Nurses and students said a post-study loan write-off would not fix the shortage and ignored hardship during training.
Sources
- National official policy page ↗
- Health NZ — health workforce plan 2023/24 in review ↗
- Health NZ — nursing workforce analysis ↗
- Health NZ — nursing careers ↗
- University of Auckland — wrong-footed move to cut grad nurses hours ↗
- Te Whatu Ora — Internationally Qualified Nurses CAP Fund ↗
- The Press — hundreds of graduate nurses miss out on jobs ↗
- Kaitiaki — internationally-qualified nurses behind 12,000 surge to Australia ↗
- Journal of Advanced Nursing — promises without positions (IQN recruitment) ↗
- Te Whatu Ora — Voluntary Bonding Scheme ↗
- RNZ — nurses sceptical National bonding scheme will fix shortage ↗
- The Spinoff — how did a chronic shortage become too many? ↗
- The Conversation — NZ reliance on overseas nurses is not sustainable ↗
- NZ Herald — nurses pay: NZ vs Australia ↗
- The 54 Nurses: dodgy stats and the real health workforce data (RNZ) ↗
