Policy and Advocacy Library
The Policy and Advocacy Library is the culmination of the collaborative work of RACP members and comprises a comprehensive range of evidence-based, published RACP position statements, policies and submissions.
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This RACP submission is supplementary to the RACP’s previous submission on the draft Framework1 which highlights that Te Tiriti o Waitangi is an absolute commitment to pursuing health equity for Māori, which should not be subsumed under other concerns.
This supplementary submission focuses specifically on the ethical issues outlined in the NEAC Framework and has been developed by the RACP Ethics Committee. It should be read in conjunction with the previous RACP submission.
This RACP submission to the Royal Commission for Aged Care focuses on the impact of COVID-19 on the aged care sector. Physicians address firstly, serious concerns about Residential Aged Care Facilities (RACFs) and secondly, experience relating to hospital and community care. The RACP will work with all levels of Government to improve services for older persons, and specifically medical care, so that the harm and potential for harm to older people related to COVID-19 is minimised and high quality, responsive and timely care becomes the sustainable standard.
The Northern Territory Regional Committee has developed the Election Statement to identify and advocate for its priority areas. The statement makes NT-specific recommendation on priority areas drawn from existing approved College positions.
The RACP believes that the Framework is well written and competently describes the tension between ethical considerations. However, the application of these considerations in the examples does not prioritise equity, and instead leaves decisions to be made simply on the perspective of the clinician. This has the possibility to exacerbate systemic issues in health and should be revised.
The RACP broadly supports the changes proposed by the Council as they update the Statement to better reflect the realities of the Aotearoa New Zealand health system, make it more readable and accessible to a wide range of people. This is reflected in the addition of the summary box and the general move towards the use of concise language. The Statement in this form better reflects the purpose of the Council to protect patients by making resources easier to access, and easier to interpret.
This submission addresses the Royal Commission’s questions on the role of primary care providers in natural disasters, air quality, and future research priorities. The RACP supports the integration of health arrangements in preparing for and building resilience to natural disasters. Further, we recognise the impact that the increase in extreme weather events is having on health and wellbeing, and that this is connected to climate change. We recommend the urgent development and implementation of a national climate change and health strategy to support health sector preparedness and resilience, and urgent action to mitigate climate change to reduce future health impacts.
The RACP strongly supports the Plan, but believes that relatively minor amendment, including reference to Whānau Ora and increased responsiveness to specialised health services would improve its effectiveness and relevance over the coming years.
The RACP and its Australasian Chapter of Addiction Medicine (AChAM) provides feedback on the proposed amendments to the Controlled Substances Act 1984
Child health and young adult medicine
The RACP believes that the Guidelines, as they are currently drafted, do not properly reflect the push towards healthcare equity in Aotearoa New Zealand. We believe that centring equity and whānau wellbeing is key to the Guidelines effectively contributing to the healthcare system in Aotearoa New Zealand.
Terms of Reference for the establishment and maintenance of a reference group of the college to be known as the Covid-19 Expert Reference Group