Supervisory responsibilities of specialists

The public hospital system in New Zealand is heavily reliant on junior doctors for the day-to-day provision of medical care to hospital patients. Specialists have supervisory responsibilities for junior doctors during the day, as leaders of clinical teams, and after hours when they are on call. Due to changes in the health system over the past 20 years, there has been a change in the nature and level of specialist supervision required. Under the Code of Health and Disability Services Consumers' Rights, where aspects of clinical care are delegated to junior doctors, specialists have a duty to provide supervision with reasonable care and skill and in accordance with professional standards.