Public consultation: Ethical Framework for Resource Allocation During Times of Scarcity

NEAC have developed a draft Ethical Framework for Resource Allocation During Times of Scarcity.

NEAC’s Framework is a high-level guidance document for the health and disability sector that would help health workers and policy makers consider ethics when deciding how to allocate resources. It sets out four essential ethical principles, and four Te Tiriti principles, that medical staff, service planners and policy analysts should consider when responding to a pandemic.

The Framework adds an equity lens to decision making and assesses how equity sits alongside other ethical principles and Te Tiriti. Equity as a concept recognises different people have different levels of advantage and so require different approaches and resources to get equitable health outcomes.

In a resource allocation setting, this means that health workers and policy makers should consider how resources can be allocated to mitigate the adverse consequences of pandemic response measures while at the same time avoiding or minimising growth in inequity from those measures. 

NEAC seeks feedback on:

  1. Whether the Framework captures the ethical tensions in resource allocation in times of scarcity.
  2. Whether the Framework helps decision-makers understand the ethical implications of making decisions.
  3. Whether the Framework helps decision-makers consider equity when responding to COVID-19.
  4. Feedback on the Te Tiriti Principles and their application to resource allocation decisions.
  5. Any further comments and suggested changes for NEAC to consider for the final draft.
  6. What ethical issues or areas of work you think should be covered in a substantial review of Getting Through Together.

How to have your say 

You may give feedback on your own behalf or as a member of an organisation.

You can contribute your views by:

  1. completing the Online consultation form
  2. tracking changes and adding bubble comments on the document directly and sending it back to neac@health.govt.nz

The closing date for feedback is 15 July 2020. 

If you have any queries, want to organise a zoom meeting with the Secretariat and a member of NEAC to discuss the Framework, or no longer wish to receive consultation emails from NEAC, please contact the NEAC secretariat (neac@health.govt.nz). 

Background

NEAC recognise that this Framework for Resource Allocation only addresses a small part of pandemic ethics, and is currently focused on COVID-19. 

NEAC is the author of the 2007 document Getting Through Together: Ethical Values for a Pandemic (Getting Through Together). Getting Through Together considers the ethical issues which may arise during any pandemic. NEAC are commencing a substantial review of Getting Through Together, which will build on the work in developing this Framework.

NEAC believe that Getting Through Together needs to be updated for two reasons. 

The first is to consider ethical issues not covered by the 2007 document, including use of digital technologies, specific guidance on public health interventions and the impact on routine standards of care, and consideration of equity.

The second relates to the structure of the document. The current document is difficult to use when considering the real COVID-19 pandemic. The target audience of a pandemic ethics document are decision-makers, government and the public. Accordingly, the document should be clear and easy to navigate.

The consultation asks for your views on ethical issues on pandemic ethics more generally, to inform NEACs future work on pandemic ethics.

Publishing information

  • Date of publication
    17 June 2020
  • Ordering Information:
    Only soft copy available to download