18 Sep 2025

Health Minister Simeon Brown blames doctors' union for failed pay talks

5:26 pm on 18 September 2025
Health Minister Simeon Brown in Auckland.

Health Minister Simeon Brown. Photo: Calvin Samuel / RNZ

  • A 48-hour strike by senior doctors is to go ahead.
  • Health NZ has asked the Employment Relations Authority to override bargaining and dictate the terms of a settlement.
  • The health minister has accused a union of "putting politics ahead of patients" and highly paid doctors of "cancelling care".

A 48-hour strike by 5500 senior hospital doctors will go ahead next week after their union spurned Health NZ's latest pay offer.

Health NZ acting chief executive Dr Richard Sullivan said as all bargaining efforts had been exhausted, Health NZ was now applying to the Employment Relations Authority (ERA) to "fix the terms" of a settlement with the Association of Salaried Medical Specialists (ASMS).

"We are very disappointed to have to take this step, but we have been in bargaining with ASMS for over a year, we have attended 11 days of formal bargaining, a number of informal meetings, mediation, six days of facilitated bargaining and accepted the invitation to binding arbitration, which the union refused.

"We believe the application for fixing is the best way forward to ensure certainty for New Zealanders."

Either side can apply to the ERA to fix the terms and conditions of a collective agreement if it can prove there has been a "serious and sustained" breach of good faith and all reasonable alternatives have been used up.

It means the ERA has the final say on what is included in the collective agreement, which becomes a binding and enforceable agreement just as if it had been agreed, ratified and signed by the parties.

Sullivan said officials were "frustrated and disappointed" by the union's response to the new package put forward this week, which totalled $160 million over a 16-month term.

"The package put forward this week would have cost taxpayers an additional $31m over four years when compared to the offer made to senior doctors at the end of July.

"These increases are in addition to the $5900 annual step increase senior doctors receive until they reach the top of the 15-step pay scale.

"We are disappointed ASMS has chosen not to progress bargaining on the basis of this improved package, which we consider to be a fair and reasonable way forward."

Based on the impacts of the 24-hour strike in May, it was estimated the longer action on 23 and 24 September would disrupt care for more than 13,000 patients, Sullivan said.

Contingency plans were in place to ensure care for those who needed it urgently, but disruptions to hospital services would continue for a week.

Health minister accuses union of walking away from patients

Health Minister Simeon Brown blamed the union for the stalemate, after it refused his recent request for it to enter binding arbitration.

"The ASMS union is putting politics ahead of patients, while Health New Zealand continues to engage in good faith.

Senior doctors were "among the most well-remunerated public servants, with many also working in private practice", Brown said, with an average pay of $343,500, including overtime and allowances and "generous conditions".

"Let's be clear: this strike is a choice. It is a decision by some of the most well-paid public servants in New Zealand to walk away from patients and cancel care."

Association of Salaried Medical Specialists executive director Sarah Dalton, pictured in 2024.

ASMS executive director Sarah Dalton. Photo: LANCE LAWSON PHOTOGRAPHY / Supplied

ASMS executive director Sarah Dalton said Health NZ's offer represented a "real pay cut" for senior doctors and dentists at a time when staff shortages were critical.

"ASMS made it clear that the strike notice would not be lifted unless there was a sufficient movement on the initial pay offer. This did not occur."

Health NZ had been unable to give accurate financial costings about its offer and there were errors in the position it tabled, which it was meant to update before bargaining resumed today, she said.

"It did not do so."

The union had offered to meet again before strike day to make more progress, but Health NZ had not taken up this offer.

"ASMS members are not walking away from patients - they simply know it is critical to have a pay offer that is competitive and continues to attract the medical workforce to New Zealand."

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