Ministry of Business and Innovation - Occupation Outlook

Occupation Outlook | Main MBIE Site

Healthcare Workers

Job Prospects

Job Prospects... At a glance

Employment opportunities for healthcare support workers are good due to increasing demand for their services from an ageing population. Work opportunities can be found in both the public and the private sectors, but wages are often low.

How to become a health support worker

What they do

Health support workers are sometimes also called caregivers community care workers or healthcare assistants. Collectively they are often called the Kaiāwhina workforce. They provide assistance, support and care to aged and disabled people in their homes, in residential facilities and hospitals. Health support workers work under the direction of a regulated health practitioner such as a nurse or a doctor.

Their tasks may include:

  • accompanying aged and disabled persons during daily activities
  • assisting clients with their mobility
  • preparing food for clients
  • arranging social activities
  • performing housekeeping tasks such as vacuuming and cleaning
  • assisting in personal hygiene and dressing
  • providing companionship, friendship and emotional support.

Qualifications needed

Health support workers are normally required to complete New Zealand Level 2 or 3 qualifications after starting employment. Formal qualifications may be substituted by at least one year of relevant experience. Many employers encourage and support health support workers to complete formal qualifications as part of their role.

Many health support workers are also required to complete an in-house training programme provided by employers. This may involve basic care, health and safety procedures, and training on how to handle medical equipment. They may also need a first-aid certificate and/or a driver’s licence (although this usually isn’t needed to start out).

Health support workers in aged and disabled care can obtain qualifications such as:

  • Certificate in Health Care Assistance/Support
  • Certificate in Aged Care

Cost of study

Certificate in Healthcare Assistance/SupportCertificate in Health, Disability and Aged Support*
$1,650 over 17 to 18 weeks $650 over 17 weeks

*This course can be free for students that meet Youth Guarantee criteria. National certificates can cost up to $4,000 in fees for 22 weeks.


Average costs in 2018 for a domestic student. Costs vary between institutions. First time students may be eligible for fees-free
tertiary education for their first year of study, which will reduce the total cost. For more information about fees-free eligibility, go to Some polytechnics may have a zero-fees scheme. Further costs include materials, textbooks, and accommodation.The StudyLink website provides general budget advice for students, and the Sorted website provides helps with detailed budget planning.

Rents vary from place to place. Estimated market rents by region, city and suburb are available on the MBIE Tenancy Services website.

Tenancy Services:

Where to study

There are a number of polytechnics, institutes and private teaching establishments that provide Level 3 or 4 qualifications relevant to this occupation. A list of schools providing relevant qualifications is available at Careers New Zealand.

Completed qualifications

The number of students completing qualifications related to healthcare assistance has remained steady for a few years, indicating that a good supply is still needed.

Qualification completions chart

Source: Ministry of Education

Income and employment prospects


The income of  health support workers employed by district health boards depends on their experience. Those new to the occupation earn about $37,000 a year, whereas those who have gained two to three years' experience can earn between $39,000 and $43,000 a year. These rates are based on full time work, while many in this occupation are likely to be working part time and earning less.

Pay rates for health support workers working in private and non-profit sectors vary from organisation to organisation. This, plus the extensive use of part time work means that wages can often be lower than what is outlined below.

Average Earnings
First year Two to three years
$37,000 $39,000-$43,000

Source: District Health Boards/New Zealand Nurses Organisation, 'Nursing and Midwifery Multi-Employer Collective Agreement (MECA)', 24 August 2015 - 31 July 2017.

Employment and skill shortages

Health support workers’ employment

HistoricProjected Growth
2006 2013 2023 2028
37,692 41,325 41,250 41.890
  1.3% 0.0% 0.3%

Source: Statistics NZ Census and MBIE projections. Percentages are compound annual growth rates.
*Growth projections are for the broader category “Personal Carers and Assistants”.

The number of health support workers was fairly stable between 2006 and 2013. Employment is expected to be quite stable out to 2028. Many people work in this occupation, which means there will usually be many openings for new workers.

Many health support workers have flexible hours and may have to work late nights or very early mornings. This can also mean they will be paid penal rates if they have a collective agreement.

Employment chart

Source: Statistics NZ Census and MBIE projections

Where to find job vacancies

Healthcare assistant vacancies are advertised through websites such as Trade Me Jobs, Seek, and Kiwi Health Jobs.

Trade Me Jobs:
Kiwi Health

Career path

Health support workers who have not had the opportunity to gain formal qualifications and would like to go further in a health support role can obtain further training and higher qualifications. Doing further study may increase opportunities for healthcare assistants to work with the elderly and people with disabilities in the public or private sector, or in hospitals. Some employers will support their employees in doing further qualifications as employers must be able to show that their staff is appropriately qualified.

Related occupations

The following occupations are related roles or alternative titles. Some of the roles may require a higher level of skill than entry-level health support workers.

  • Caregiver
  • Healthcare Assistant
  • Home Care Support Worker
  • Hospital Orderly
  • Nurse Aide
  • Nursing Support and Care Worker
  • Personal Care Assistant

Other information


More information for healthcare assistants is available on the Careers New Zealand website and through the "Just the Job" videos.

Careers New Zealand: 
Just the Job video clip: A Career as a Community Health Worker
Just the Job video clip: A Career in Community Healthcare
Just the Job video clip: A Career in Mental Health
Just the Job video clip: A Career as a Public Health Programme Coordinator
Just the Job video clip: A Career in Public Health Promotion
Just the Job video clip: A Career in Community Care and Support


The Australian New Zealand Standard Classification of Occupations (ANZSCO) is the official classification of occupations in New Zealand.

The occupation of health support workers has been coded to the following ANZSCO code for the purpose of this report:

4233 – Nursing Support and Personal Care Workers