This report presents the findings from the first two phases of evaluation of the new graduate nurse (NGN) employment scheme through the Very Low Cost Access (VLCA) initiative. Report findings highlight that: VLCA practices receiving 12 months funding for a NGN had high or very high proportions of high need enrolees the initiative had helped to grow the Māori and Pacific nursing workforce VLCA practices were well prepared for the arrival of the NGNs and had a good induction process to support them the NGNs had been well integrated into practices and were valued members of practice teams the NGNs had helped to increase time available to support patients’ social needs, staff available for appointments at the practices and performance on health targets all of the NGNs who responded to the survey intended to remain in primary care following the end of the initiative.