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Welcome to the Winter edition of Connect. We are now only days away from one of the

most exciting developments in health care today.

Ko Awatea brings together the best international expertise with local leadership to ensure we have the skills, capacity and relationships to meet the health and healthcare challenges of now and the future.

Ko Awatea is the beginning of our new way to deliver healthcare…. recognising our present method of health delivery is not going to work long term. Currently, despite best efforts, demand for healthcare services continues to outstrip our ability to supply it. This means re-examining how we do everything - re-thinking how we think about things; re-thinking about our community and how we connect with them. And re-thinking how primary care will be the new engine room of healthcare.

Simply, just becoming the most efficient version of today will not deliver what is needed for tomorrow.

It is essential to improve the health of our population not only for equality, but for the long-term viability of our health services – and it is clear we need to adopt several things.• Weneedtobemoreproductiveandself-

reliant• Weneedtoimprovehealthservicesto

individual patients by eliminating harm,

improving quality, reducing errors and improving the patient experience

• Weneedtodothesethingswithinabudgetwhich is not growing at the same rate as our population and the demand for health services

• Weneedtoredesignourhealthservicestoprovide more community-based care.Whileweunderstandwhatthedriversfor

demand are, we have in the past not had a great impact in reducing the increasing pressures on our hospital. However, we know that by using the very best knowledge that has been developed by the very best minds in heath care internationally and by developing and using the best of our own people, we can influence the health outcomes for our population. For example, we know that chronic disease (diabetes, heart and lung disease etc,) obesity, smoking, population growth and an aging population put extra demands on our system. And on the social side, poor education, poor housing, unemployment and poverty contribute to poor health outcomes. By working much closer in partnership with other agencies and by developing the very best practice in terms of patient care in hospital and at a primary care level, we can substantially reduce costs, improve patient care and experience while at the same time improving their health.

Whilewecannotsecondguesswhatallfuture solutions will look like, we will be in a position to be able to properly assimilate and testthepossibilities.Wewillbeinapositionto know what the best clinical pathways are and we will be able to deliver these to our community in a way that they want. Our local Ko Awatea partners include Auckland University, AUT and MIT. Our international partners include the prestigious Institute for Healthcare Improvement in Boston, Sir Muir Gray, one of

the UK’s leading Public Health Physicians and Professor of Public Health at Oxford University, the Jongkoping County in Sweden who have the highest performing health system in Europe and the Dartmouth Atlas Project Group. For some of these partners, it is the first time they have entered into these international agreements, such is their confidence in Ko Awatea.

Our Staff and Our CommunityTwenty-first century healthcare should be provided mostly in the community, by people who know the best way to manage the illness and who have easy access to all the tools and information they need to be able to provide this care. This is where Ko Awatea comes in. The very best way to prepare for future healthcare is to equip and invest in our staff and our community with the skills they need to be able to provide these services. Not only will we need a more highly-skilled workforce, we will need a workforce which will truly reflect what our community looks like and sounds like. Ko Awatea, through working with educational institutions such as Auckland University, AUT, MIT will have students on-site and they will be able to choose a health future and train in their own community. Through these collaborations and our international partnerships, we will be putting together a programmes and opportunities to engage our staff and students – and community – to provide them with the skills, desire, knowledge, support and confidence to change and improve the way we deliver healthcare.

I would also like to take this opportunity to thank all for the hard work which is reflected in our continued high ranking in the national health targets that were published last week. This is a major achievement for a large hospital such as ours, especially given how busy we have been. So thank you for all of your efforts that have allowed us to achieve so well.

Best wishesGeraint A Martin CEO, CMDHB

From the CEO

JUNE 2011

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Meet the board

A one-stop-shop for jobs in the health sector.

That’s the vision for a project underway to develop New Zealand’s most comprehensive health job site. People looking for jobs in health can now search and apply online at a new health sector job portal.

Kiwihealthjobs.com provides details of clinical and non-clinical job vacancies for people starting their careers in health or seeking further opportunities.

“This is a first for the sector and has grown out of a real need to bring NZ health job opportunities together under one roof. This will make it easy for job seekers to find that ideal health job , they just have to visit Kiwihealthjobs.com,” says Gavin Woolley,GMHumanResourcesTaranakiDHBandproject lead for the portal.

All job vacancies at the 20 DHBs and the New Zealand Blood Service (NZBS) will be advertised on the central job board. Job seekers can:• searchforvacanciesatonecentralpoint;• accessemployerandlocalinformation;• findoutaboutprofessionalregistrationinNew

Zealand; • registerforjobalertsandshareroleswith

friends;

• applydirectlytoemployerswhentherightjobcomes along. Clicking on the link takes job seekers directly to the employer’s website. The 20 DHBs and NZBS national General

ManagersHRgroupdevelopedthewebsitetobringtogether information currently posted on a wide range of job websites. Over time, the portal will become the main point of advertising for DHBs and the NZBS, who will also be able to communicate directly with job seekers in priority workforce groups through the central site.

“There are so many interesting and varied jobs and careers in the NZ health sector,” said Prof Gregor Coster, Chair of CMDHB and DHB Chairs.

“It is fantastic seeing them advertised in the one, easy to use website. This is great for applicants, health recruiters and the public health system.”

The job portal is live now. Visit www.kiwihealthjobs.com, bookmark it, tell all your friends and join us on Facebook and Twitter.

To find out more contact kiwihealthjobs@healthcareers.org.nz.

New Zealand’s largest health sector job board

In each issue of Connect we will profile two board members so that you can get to know them better.

Arthur AnaeArthur is proud to represent New Zealand’s most multicultural city, Auckland, and has been elected to Auckland Council. His determination as a District Health Board Member is to ensure that health services provided for the people of Counties/Manukau are second to none and to use all his business knowledge and political experience to ensure that health services are provided equally to all people based on their immediate needs.

WehavethemostdiverselypopulatedcityinNew Zealand and need representation to reflect that.Weallneedtounderstandandrespectour cultural differences and work together to provide the best services for all our people equally. To do this we need to find ways to keep our most talented people in NZ to provide the services for the people of Counties Manukau.

His focus has been on the young and elderly who depend on the political process to be there for them immediately when they need it. The working community should be protecting themselves with tax deductible Medical Insurance, leaving Public Hospital beds for the young and elderly in the first instance.

Bob WichmanBob has been on the CMDHB board for the last 6 years. He believes that CMDHB provides the best medical health care in New Zealand, and is proud to be part of that achievement.

He will continue to work to make our level of health care even better. As a Manukau resident, father and grandfather, it is his ambition to ensure that the residents of Counties Manukau will always have the best healthcare available in NZ.

Being a non-healthcare professional, he believes that he is able to add an essential outside perspective, something that is extremely important to the balance of any board of directors. He has been a Manukau City Councillor for 14 years, in the past being the Chairman, Economic Development and the Chairman of Corporate Governance.

Healthy lungs study“We have been watched enough, please do something” (quote from Maaori parent whilst consenting to be part of the respiratory study that led to Healthy lungs).

Admission rates to hospital for lower respiratory infection(LRI)inchildrenunderoneinCMDHBareextremely high, with poverty being a key driver.

Supported by a project grant from the Health ResearchCouncil,theHealthyLungsStudyisacollaboration between primary care, community services and secondary and tertiary services. Leading the study are Dr Adrian Trenholme, Paediatrician at Kidz First and Dr Cass Byrnes, PaediatricRespiratorySpecialist,Starship.

The study aim is to reduce respiratory morbidity in South Auckland children by adapting the Cystic Fibrosis model of care following hospital admission withLRIundertheageoftwoyearstodetermineifthis decreases the presence of Chronic Suppurative Lung Disease at age two-four years.

The study is a 24 month randomised control trial enrolling 400 children under two admitted to hospitalwithsevereLRItoeitheran‘intervention’or‘control’group.Allchildrenwillreceiveinitialandfinal outcome assessments.

The cystic fibrosis model advocates regular review for deviation from normal health and early treatment/preventative care with a focus on respiratory health. The intervention group will attend one of three community respiratory clinics every three months, staffed by a research study GP/Nurse Practitioner, study clinic nurse and community health worker. Children with ongoing respiratory problems will be referred to secondary or tertiary care for further management as needed.

Thecontrolgroupwillreceive‘usual’carei.e.GPreview for family directed health concerns.

To date, 11 children have been enrolled into the study and the first community clinic has been held. Kirstin Davey and Jo Smith are two of the Kidz First ResearchNurseswhoarerecruitingpatients.Kirstincomments, “I am very excited to be part of the study team as we feel it may make a change for thehealthofourchildreninthecommunity”.“Weare really pleased to be involved in collaborative and innovative research to improve child health in South Auckland.” Says Jo.

Lyndsay Le Comte- Healthy Lungs Project Manager, CCRep

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Way,wayatthebackoftheMiddlemorehospitalsite,so far away in fact people have been known to leave a trail of breadcrumbs so they can find their way back, you’ll find the CMDHB clinical coding team.

Clinical coding I hear you say, what’s that? Well,weareadedicatedteamoftwentyoneadministrative professionals whose role it is to translate inpatient clinical documentation into code form to describe a patient’s complaint, problem, diagnosis, treatment or reason for seeking medical attention. This information is then used for funding, research, clinical indicators, benchmarking and planning to name just a few. The coding system we use was developed in Australia and is a modification of the International Classification of Diseases 10th Edition. Our current version is the 6th Edition of this modification with plans to move to 8th Edition sometime around 2013. This coding system is used throughout New Zealand.

Clinical coders are specialist trained and it can take up to two years before a coder can work completely autonomously. Most coders have a clinical background and whilst this helps with anatomy, physiology and medical terminology it certainly isn’t the main pre-requisite. Equally important is that a clinical coder has an inquisitive mind, thinks logically, is methodical in their processes and has an eye for detail. They also have to be able to decipher clinicians’ handwriting which is an art form in itself.

Whilstourfocusisonperformingasateam,everyone codes across the range of specialities offered at CMDHB. This system works well and gives allcodersa‘littlebitofeverything,’keepingtheminterested and challenged. Coder education and individual audit is also a regular part of our coder de-velopment and has shown that audit and education does make a positive difference to coding quality.

Clinical coding

The data we generate is used both internally and externally therefore deadlines are an important part of what we do. Aside from our monthly reporting target set by the Ministry of Health, we also have pretty tight internal reporting deadlines which are necessary to ensure managers and clinicians are able to make informed decisions about the inpatient services we provide to our community. As we code from clinical documentation, it is essential that a discharge summary is completed for all events and that we have the patient record sent to us as soon

aspossibleafterdischarge.Werelyonmanyofourcolleagues to ensure this process is a smooth as possible. From ward clerks to patient information clerks, administrative staff in the services and our colleagues in clinical records, we rely on them all to ensure charts get to us in a timely manner.

Welovevisitorsandwelcomeanyonewhohasan interest in what we do to come and visit us, anytime. If you would like to know more about who we are and what we do please don’t hesitate to contact Shona Trubshaw, Clinical Coding Manager.

Clinical Coding team staff from left to right.Standing: Dorothy Benney, Siva Thatipamula, Susanne Chaney, Christine Forbes, BrendaHarrison,PaulaGilroy,KateJorjoliani,TagaPalelei,ChrisRodley(Auditor/Educator),EricMapper,MariaAhLam.Sitting:TessAcosta,SyvonneIbarra,VerenaNadlang,HeideRata,GinaDelMonte,VineetaDeva.Atfront:ShonaTrubshaw(Manager). Absent: Mamatha Praveen (clinical coder), Penina Sola & Lucy Samani (Admin Assistants).

In a New Zealand first, the National Hauora Coalition (NHC) has gained the first national Primary Health Organisation (PHO) agreement. The coalition will integrate 6 PHOs representing 65 medical practices and from 5 DHBs into one PHO. The practices come from DHBs in Auckland, CountiesManukau,Waikato,Taranaki,Whanganuiand are primarily catering to high-needs patients.The coalition is keen to extend its reach into more high-needs areas such as Northland, Bay of Plenty and the central region in the future, but in the meantime wants to consolidate and prove that they can deliver the health outcomes that are needed right now, such as the broad-based health and socialoutcomesdescribedintheWhaanauOraprogramme.

NHC’sChairman,SirWiraGardiner,isveryclearthat most of these practices have been delivering Whaanauoraprogrammesforalongtime,buthave not put the name to the activities. “The practices who have elected to contract with us

have been aware of the need for joined-up health, social and inter-sectoral activities for high-needs patients and have in fact, been doing this for a long time,” he said. “Now the activities that do deliver such benefit to the high-needs patients will be recognised and properly funded. Further, the wonderful outcomes that these committed people are achieving can be properly measured.”

There are an estimated 1.4 million high-needs New Zealanders, so there is enormous scope for a PHO that can deliver quantified and measured outcomes. NHC hopes to be delivering services to one million of these mostly Maaori, Pacific and low socio-economic disability and aged care communities by the end of 2012. The NHC intends tobeginitsWhaanauOrarolloutbydeliveringjusttwo of the programmes – Mama Pepi Tamariki (mother, babies and children) and Oranga ki Tua (the management of long-term conditions).

SimonRoyal,CEOforNHC,saysthatthecoalition is developing a framework for measuring

outcomesfromWhaanauOraprogrammesandisontracktodeliver2,500WhaanauOraassessments.“WearecontractedtohaveeightdemonstrationsitesforthetwoWhaanauOra programmes running by the end of June, which we are well on the way of achieving,” hesaid.“Whileweareclearlyoperatinginthehealth sphere at present, doing this properly as WhaanauOrameansthatwewillbetouchinghousing, social services, justice, education and economic development, to name a few. This will be challenging, given it is our intention to remain lean and light on our feet.”

Counties Manukau DHB will be the lead DHB that will contract with NHC in terms of the national contract. NHC is also supported by The Ministry of Health’s stated commitment to, “Better, Sooner, More Convenient” healthcare for all New Zealanders and the need for more integrated family health care which is easy for all people to access.

National Hauora Coalition goes truly national

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Counties Manukau District Health Board (CDMHB) is always working towards providing the best and most innovative healthcare. For the past 15 years CMDHB staff have participated in our Science Fest which gives an opportunity for staff to present papers and posters which talk about new ways of providing care to patients and examine technological advances.

Dr. Don Mackie, co-chairman of the Clinical Management Executive Committee, says that Science Fest (an initiative of the Clinical Governance Executive Committee) is where innovative projects, clinical audit, and research studies can be shared with colleagues in a supportive and social atmosphere to celebrate health excellence at (CMDHB).

The Vision of Counties Manukau talks about working in partnership with its communities to improve the health status of all. Integration and quality improvement are vital to achieving this vision, and Science Fest aims to recognise and share some of the excellent work that staff are achievingintheirareas.Weencouragereportsfrom the whole Counties Manukau health community, including primary care.

In addition, this year we added a new award recognising initiatives focussed on developing the workforce, without which it is impossible to deliver high qualityhealthcare.Westronglyencouraged people working in this area to enter, and had more than 20 entries in this new category.

Science Fest 2011 was held at the Telstra Clear Events Centre on 14 April and was a great night, with oral presentations followed by dinner. The 10 oral entries chosen to present on the night came from a pool of 43 entries, plus there were 53 poster applicants.

A big congratulations to the 2011 Science Fest winners:

ReSeARCh SeCtiOn:

Oral Presentation: Andrew Hill - The Effect of a Perioperative Psychological Intervention onPostoperativeRecovery:ARandomizedControlledTrial

Poster Presentation: Claire O’Brien, Elaine Chong, Elham Hajje, Doreen Liow - Two hypoglycaemic packs containing novel glucose treatments compared with conventional treatment of mild - to moderate hypoglycaemia in

ORAL PRESENTERSResearch SectionAndrew Hill - The Effect of a Perioperative Psychological Intervention on Postoperative Recovery: A Randomized Controlled Trial

Mark Bolland - Do calcium supplements increase the risk of cardiovascular events?

Chinthaka Ushan De Silva - Audit of hip fracture care and post operative outcomes in the elderly South Auckland population.

Adrian Trenholme - Respiratory outcomes for young children in South Auckland 12 months after admission to hospital with lower respiratory tract infection.

Secondary Health SectionSimon Bainbridge - The Greeting Song: How people attending a Community Mental Health Centre prefer to be greeted and how they see themselves

Andy McLachlan - The Development of a Nurse Chest Pain Service (Winner)

Primary Health SectionLisa Cartledge & Rudy Bakker - Missing Links; the SASI project (Winner)

Dr Richard Hulme - Risk Stratification and Reducing the Impact of Chronic Obstructive Pulmonary Disease (COPD) in High Needs Populations in Primary Care in South Auckland

Community and Public Health SectionSusan Sliedrecht - Sex, Intimacy and Internet Technology

Paula Seymour - A Comparative Study of the Use of Three Fall Risk Assessment Tools in the Community Setting

Workforce DevelopmentVicky Harris - Together we can out Gouty Arthritis

Debra Fenton - Increasing support for breastfeeding mothers through the introduction of Breastfeeding Advocates on Maternity Ward

Dr Tane Taylor - Learning Environments

Tanya Maloney, Cassandra Laskey - Champions of Recovery (Winner)

Caroline Tichbon - High School Health and Science Acadamies

Peoples Choice AwardAndy McLachlan - The Development of a Nurse Chest Pain Service (Winner)

CCRep Young Investigators AwardClaire O’Brien - Two hypoglycaemic packs containing novel glucose treatments compaered with conventional treatment of mild - to moderate hypoglycaemia in conscious patients with diabetes mellitus in a general medical ward - a pilot study

POSTER SECTIONResearch SectionRajeshni Naidu - Review of Supplementation of Paediatric Burn Patients with trace Elements and Vitamins

Claire O’Brien, Elaine Chong, Elham Hajje, Doreen Liow - Two hypoglycaemic packs containing novel glucose treatments compaered with conventional treatment of mild - to moderate hypoglycaemia in conscious patients with diabetes mellitus in a general medical ward - a pilot study (Winner)

Nicola Corna - Level 3 and 4 home sleep studies in a New Zealand multi-ethnic patient group; an analysis of factors influencing study failure

Helen McLauchlan - Identifying apiration and reducing pnuemonia in stroke patients using cough reflex testing

Alka Garg - Development of an Extemporaneous Formulation of Oxandrolone and Stability Evaluation of it

Stuart Barnard - Is there a role for renal artery duplex ultrasound

Yu-Min Lin - Acute delirium in older adults in acute orthopaedic wards: assessment of feasability of routine use f confusion assessment method (DAM)

Shaheen Mannan - Evaluating prescribing patterns in patient with Parkinson’s disease at Middlemore hospital

Secondary Health SectionJulie Carroll - Multi-Agency Centre - Centre of Excellence for children young people affected by abuse and neglect (Winner)

Alka Garg - Multi-disciplinary tiered approach to the management of burn itch

Frances James - Listening to local voices: The establishment of a multi-disciplinary chronic pain service at CMDHB

Heather Lewis - Hospital Acquired Pressure Injuries - At what cost?

Mark Fisher - Improving the assessment of driving safety in MSHOP clients

Ian Hutchby - How are we doing?

Andi Chapman - Stroke Engagement with Tangata Whenua

Jodie Hahn - Power of Motivation

Alieke Van Middelaar - Smoking and Bony Non Union in the Hand

Heidi Myhr - Partial hand re-plantation - is it worth it?

Allan Cumming Sneha Shetty - Keeping you involved: Copying letters to patients

Rhen Padona - To Fall or not to Fall - that is the challenge

Sarah Little - Patient Safety - It All Starts Here - Pressure Points

Sarah Little - Enhancing Nursing Care- Reducing Patient Harm in Kidz First Surgical Care

Pat Mead - Implementing the WHO Surgical safety Checklist at CMDHB

Russell Murphy - Hikoi O Te Oranga (Journey to Wellness)

Diana Edwards - Sink or Swim - Overcoming the Challenges Facing Survivors of Trauma

Ian Kaihe-Wetting - AIDING Patient and Family/Whaanau Experiences

Ailsa Bunker - Eliminating Waste in Phlebotomy Morning Rounds

Sue Beaumont-Orr - Do we have enough?

Vina Singh - Pressure Care Equipment Decision Tree

Doreen Liow/Anh Nguyen - Effectiveness of inhaler education by Pharmacists in Asthma and Chronic obstructive pulmonary Disease (COPD): For patients admitted to Middlemore Hospital

Changa Kodippiliarchchi - Improving the storage of temperature sensitive medications

Sanuri Govender - Acid and Coke in Histology

Courtney Rose - Smokefree Interventions in Emergency Care

Charmaine Flynn - Nurse Quality Improvement Process in Middlemore Cardiac Catheter Lab - ACUTE PREDICT PROJECT

Manar Al-Murrani - Administration Errors at Middlemore Hospital

Friend Maviza - ABO Haemolytic Disease of the Fetus and Newborn: Risk Factors associated with its laboratory incidence at Middlemore Hospital

Primary Health SectionCynthia Otene - Please take off your shoes (Winner)

Sandra McDonald - Quality Nursing Student Placements in General Practice

Community and Public Health SectionPriya Shahi - NGO Community Resources Available in CMDHB Area

Diana Hart - Investigation of the Incidence and effect of Tubing Condensate During Bi-level Ventilation in the Home

Nicola Anstice - Review of pre-school vision screening referrals in the Counties Manukau Region (Winner)

Sasini Wijayaratna - Diabetes in Pregnancy in the Counties Manukau District Health Board

Workforce DevelopmentKate Smallmani - Train the Trainer in Diabetes Prevention

Dr Joanna Fitchi - Enhancing Education for First Year House Officers at Counties Manukau District Health Board

Alka Garg i - Safe Prescribing

John Morrison, Lesley Kerri - Promoting Mental Health Aged Care to our Future Nurses (Winner)

Tracey Tomblesoni - Enhancing the experiential component of staff selection: recruitment and orientation of Psychiatric Assistants for Tiaho Mai Acute Mental health inpatient unit

Ana Smith, Cheryl Youngi - To sink or swim: effective on-the-job training for new hospital play specialists

Andrew Hill: The Effect of a Perioperative Psychological Intervention on Postoperative Recovery: A Randomized Controlled Trial

ORAL SECTION WINNERS

Lisa Cartledge & Rudy Bakker: Missing Links; the SASI project

Susan Sliedrecht: Sex, Intimacy and Internet Technology

Shadi Gadalla: Increased cigarette smoking in Maori does not seem to affect the incidence of Acute Myeloid Leukaemia in NZ

John Morrison, Lesley Kerr: Promoting Mental Health Aged Care to our Future Nurses

Cynthia Otene: Please take off your shoes

Nicola Anstice: Review of pre-school vision screening referrals in the Counties Manukau Region

Julie Carroll: Multi-Agency Centre - Centre of Excellence for children young people affected by abuse and neglect

Benjamin Ng-Wai Shing: Complications Related to Obesity in Primary Total Hip Arthroplasties and Total Knee Arthroplasties in Maori and Pacific Island Population

POSTER SECTION WINNERS

Tanya Maloney, Cassandra Laskey: Champions of Recovery

Effectiveness of Hypoglycaemia Packs Compared to Conventional Treatment for Mild-to-Moderate Hypoglycaemia on a Medical Ward –A Pilot Study

Claire O’Brien, Elaine Chong, Elham Hajje and Doreen Liow: Two hypoglycaemic packs containing novel glucose treatments compaered with conventional treatment of mild - to moderate hypoglycaemia in conscious patients with diabetes mellitus in a general medical ward - a pilot study

Andy McLachlan: The Development of a Nurse Chest Pain Service

CATEGORY:RESEARCH

CATEGORY:PRIMARY HEALTH

CATEGORY:WORKFORCEDEVELOPMENT

CATEGORY:COMMUNITY &PUBLIC HEALTH

PEOPLES CHOICE AWARD:

CATEGORY:RESEARCH

CATEGORY:WORKFORCEDEVELOPMENT

CATEGORY:COMMUNITY &PUBLIC HEALTH

CATEGORY:PRIMARY HEALTH

CATEGORY:SECONDARY HEALTH

CATEGORY:SUMMER STUDENT POSTER

SUMMER STUDENT POSTER WINNERS

CCREP YOUNG INVESTIGATORS AWARDEffectiveness of Hypoglycaemia Packs Compared to Conventional Treatment for Mild-to-Moderate Hypoglycaemia on a Medical Ward –A Pilot Study

Claire O’Brien: Two hypoglycaemic packs containing novel glucose treatments compaered with conventional treatment of mild - to moderate hypoglycaemia in conscious patients with diabetes mellitus in a general medical ward - a pilot study

CATEGORY:SECONDARY HEALTH

Andy McLachlan: The Development of a Nurse Chest Pain Service

SCIENCE FESTApril 14th 2011TelstraClear Pacific Events Centre, ManukauScience Fest 2012, Start thinking about your application now!

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SCIENCE FEST 2011

WINNERS 2011

Science Fest 2011conscious patients with diabetes mellitus in a general medical ward - a pilot study

SeCOndARy heAlth SeCtiOn:

Oral Presentation: Andy McLachlan, June Poole,ChrisAldridge,SelwynWong,AndrewKerr- The Development of a Nurse Chest Pain Service

Poster Presentation: Julie Carroll - Multi-Agency Centre - Centre of Excellence for children young people affected by abuse and neglect

PRiMARy heAlth SeCtiOn:

Oral Presentation:LisaCartledge&RudyBakker - Missing Links; the SASI project

Poster Presentation: Cynthia Otene - Please take off your shoes

COMMunity And PubliC heAlth SeCtiOn:

Oral Presentation: Susan Sliedrecht - Sex, Intimacy and Internet Technology

Poster Presentation: Nicola Anstice, Dr Anmar Abdul-Rahman,JenniSpink-Reviewofpre-school vision screening referrals in the Counties ManukauRegion

WORkfORCe develOPMent SeCtiOn:

Oral Presentation: Tanya Maloney, Cassandra Laskey-ChampionsofRecovery

Poster Presentation: John Morrison, Lesley Kerr - Promoting Mental Health Aged Care to our Future Nurses

Peoples Choice Award: Andy McLachlan, June Poole,ChrisAldridge,SelwynWong,AndrewKerr- The Development of a Nurse Chest Pain Service

CCRep young investigators Award: Claire O’Brien, Elaine Chong, Elham Hajje, Doreen Liow - Two hypoglycaemic packs containing novel glucose treatments compared with conventional treatment of mild - to moderate hypoglycaemia in conscious patients with diabetes mellitus in a general medical ward - a pilot study

Summer Student Poster Prizes: Benjamin Ng-WaiShing,KimSimon,KevinKarpik-ComplicationsRelatedtoObesityinPrimaryTotalHip Arthroplasties and Total Knee Arthroplasties in Maaori and Pacific Island Population

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The Counties Manukau Dental team from the AucklandRegionalDentalService(ARDS)featuredat the Botany Community Day in March as one of more than 70 organisations at the event.

The team have been at most of the big communityeventslatelyincludingWaitangiDay, Moana Pasifica, and Botany Community Day promoting free child and adolescent dental services from age 0 up to and including 17 years.

A team of 10 including Dental Manager, Clinical Team Leader, Dental Therapists and Oral Health promoters attended the Botany Community Day event to talk to parents about their children’s dental care and especially to enrol preschool children to access dental appointments at an earlier age and prevent early childhood caries.

Oral Health Promoters also focussed on getting adolescents up to and including 17 years enrolled in free dental services.

A popular feature of the enrolments for children was being given a toothbrush and toothpaste pack . Parents and children were also able to have a look inside the Mobile Diagnostic to allay fears and check out a modern dental clinic.

Our dental team had a very successful event with Oral Health education chats to many families,

Counties Manukau dental team

CountiesManukaustafffromtheAucklandRegionalDentalService.Lefttoright:NgarimaMeleIoasa,PreschoolOralHealthCoordinator. Ofeira Leiu, Dental Therapist. Shaneel Prakash, Dental Assistant and Josephine Prasad, Dental Assistant. Photo courtesy of the Howick Pakuranga Times.

On Monday, 2nd May a project started that allows all GPs in the greater Auckland region to receive Electronic Discharge Summaries and MedDocs letters/reports electronically. The infrastructure that has been developed will allow other documents to be sent electronically to GPs in the future.

Over the past six months, a small team of very dedicated staff have been working hard on thisproject.TheseincludeTrudieWhimp,fromthe healthAlliance GPHelpDesk who has worked tirelessly with all the GP practices in the Auckland region to ensure that their Practice Management Systems (PMS) are set up to receive the documents. This has involved contacting 400 practice managers and sending a test document through to them to make sure it worked before it was turned on for them.

MarcWesseling,theIntegrationSpecialistfor healthAlliance IS, has set up the messaging system that allows the letters to go electronically to the GPs. He also set up a process for identifying any letters that could not go electronically, so that these can be printed and posted to the GP. There is a very small number of GPs in the region who cannot receive the letters electronically yet. Leonie Stephenson, Team Leader for the Clinical Transcription Service, has made changes to a large number of templates

to ensure that the GPs can clearly see that the electronic letters come from CMDHB. In the past many of the letters were printed out on CMDHB letterhead.

This project was a “Thriving in Difficult Times” initiative, and there are significant benefits/savings for both the DHB and the GP practices. CMDHB is expected to save approximately $1,500 per week in postage alone. Other savings are expected, though have not been quantified at this point, including reduced use of stationery such as envelopes and paper, as well as toner. This is expected to reduce non-typing time for each typist by approximately 30-45 minutes per day. Further, the GPs will no longer have to scan the MedDocs documents into their PMS system. The GPs receive the documents shortly after they have been approved by the typists, rather than waiting several days for the posted hard copy to arrive

The letters about patients who do not have GPs are rejected by the messaging system. These are now easily identified, and the Patient Information Service Business Support Team telephones the patients to check if they have a GP, and explain why it is important to have a GP.

The transcription staff are certainly happy about this as it saves them a lot of time, and they are able to focus more on the typing tasks.

GPs receive clinic letters electronically

397 children and 112 adolescents were given a new toothbrush at the event, and we netted 87 new preschool enrolments and 13 new adolescent

enrolments in free dental services.0800 TALK TEETH (0800 825 583) www.letstalkteeth.co.nz

TrudieWhimp,fromthehealthAllianceGPHelpDeskworkedtirelessly with all the GP practices in the Auckland region.

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what’s hot and what’s not.Fans of the SAHF page can write comments,

share photos and videos, and find out details about the latest fundraising events.

The page creates a platform for fundraising groups to share ideas, successes and even a bit of friendly competition.

Secondary school students are a prime target for SAHF’s Facebook communication and there is the potential to develop them into long-term supporters and donors.

In comparison to other nations New Zealand organisations and businesses are reluctant to jump into social media networks, possibly because they fear losing control of communications.

However, quite the opposite is true.

Organisations can share precise messages rather than hoping mainstream media will report the facts correctly.

Negative comments can also be managed and connections can be established with other like-minded organisations, sponsors and businesses.

It is reported there are more than 500 million active Facebook users and more than 50 per cent of them log into the site every day means the tech-trend cannot be ignored in a contemporary media mix.

Visit the Foundation’s Facebook page and let us know what you think.www.facebook.com/pages/South-Auckland-Health-Foundation/177295045656132

ASSUMING today’s youth only hibernates in dark hideaways where their only contact with the world is via computers and mobile phones is misguided conjecture.The reality is numerous teenagers and young adults regularly put up their hand with offers to help South Auckland Health Foundation (SAHF).

Not only are the volunteers cheerful, competent and enthusiastic – they also connect with youngsters who are vulnerable or have a need.

Students who may well come from challenging homes and neighbourhoods are excited by the prospect of helping another family in need.

Their support and enthusiasm is a valuable resource for the Foundation and it is important the organisation connects with the young adults on their terms.

Facebook is a user-friendly and interactive form of media that can build positive communications channels with younger philanthropists.

Ratherthanfearingthetechnology,therearemassive opportunities to embrace it – warts and all.

A two way conversation with Facebook fans keeps SAHF in touch with supporters and identifies

New generation of philanthropy

TOOLORTRASH:Facebookisauseful communication forum for South Auckland Health Foundation

Knitters have a ballWANDERINGthroughaprisonisnotaneveryday occurrence for many handcraft enthusiasts but recently more than 120 women downed their knitting needles and spent a day on the inside.

A few good-natured men accompanied the knitter natter women when they ventured within thesecuritygatesofAucklandRegionWomen’sCorrectionsFacility(ARWCF)atWiri.

HELPFUL HINTS: Michelle Peterson discusses kitting with Moira Malcolm, Helen Bennett and Margaret Norwood from HowickInnerWheel.

CONNECT I PAGE 7

on the exterior doors and hot water cylinder wrap.

There are no catches or gimmicks – the preventative health measure is backed by Auckland’s three district health boards.

Make a difference with Snug homesFar from being an imaginary family – this

scenario is happening right now in all Auckland

suburbs.South Auckland Health Foundation (SAHF)

is working with Snug Homes to improve the living conditions of the city’s most vulnerable residents.

Families engaged in Snug Homes also receive a visit from a nurse and community worker to assess and address other health and lifestyle issues.

To make a donation or for more information go to www.sahf.org.nz or phone (09) 270-8808.

Coughs and sniffles are expected during winter months but for some families their damp, cold homes make the season unbearable.

Imagine a typical Auckland couple who work hard raising their three children.

An unexpected accident left the dad on ACC and the family struggles to pay doctor’s bills, power bills and groceries.

Paying for home improvements was a pipedream and the cold, damp house had no insulation.

Cleaning mould off ceilings and walls was a never ending battle.

Dad and two of the children had endless respiratory problems and asthma which were aggravated by the substandard home they lived in.

Whenwinterturnedreallynastyandtherewas no money to pay for a visit to the GP the baby became so ill she was admitted to Kidz First Children’s Hospital.

Insulated homes are easier to heat, drier and healthier, and the family’s health can immediately improve.

Simple home improvements can transform Aucklanders’ lives from illnesses and despair to a healthy prognosis for a positive future.

Snug Homes Auckland is a regional health board initiative that provides free home insulation for approved applicants throughout greater Auckland.

Low income families with a community services card can apply to have insulation fitted in their home for free.

The initiative also includes draught stopping

Knitters have a ballNo the folks hadn’t committed heinous

crimes requiring mass imprisonment. Rather,thewomenareallenthusiastic

knitters for South Auckland Health Foundation and the visit was an unique opportunity for them to meet women inmates who also knit for babies and children.

PrisonmanagerAgnesRobertsoninvitedthevolunteerstoARWCFsothehandcraftexpertscould swap knitting stories and learn a little more about each other.

Agnes says the two groups never met despite making thousands of items.

HIGHPROFILE:Themediaregularlyreports on the health effects of substandard housing.

“It’s a great programme. The prisoners feel they are giving something back to the community,” Agnes says.

“Some are mothers who know the cost of buying good, quality items to keep baby warm and healthy but they didn’t know where all the wool and knitting came from and the ladies on the outside didn’t know what happens once they send it in.

“This meeting was about giving both sides a better perspective and to get them just that little bit more connected.”

The women prisoners meet to knit twice a week but much of their work is done in their cells.

The visit included a tour of low security facilities where knitting nanas could see the business enterprises and education centres that operate within the prison.

There was also an opportunity to share lunch, a cup of tea and to catch a glimpse of the inmates’ living quarters.

The experience was greatly appreciated by knitter natter guests and they learnt about a side of life few women encounter.

Donations of wool or knitting are always greatly appreciated. Phone (09) 270-8808 for delivery details or find out more about the wool programme at www.sahf.org.nz.

Free insulation - immediate impact on health

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Formed in 2009, the South Auckland Special Interest (SASI) Mental Health group is made up of health workers from the District Health Board and Primary Health Organisations. As a group we felt that a collaborative joint forum for health professionals from primary and secondary mental health sectors would be an ideal way to enhance the menu of professional support available.

Wehavesetupabimonthlyscheduleofinformal evening forums which follow different butspecificmentalhealththemes.Weutilizepredominantly local guest speakers and offer resources for attendees to take away.

Our initial thoughts were to offer this to nurses and doctors in primary and secondary mental health care. However, it is apparent the interest was wider than initially conceived and we very quickly progressed the forums to be relevant to all health professionals. Attendees to date have included social workers, Plunket, psychologists, counselors, NGO staff, OTs. GPs, Practice Nurses, and Mental Health nurses from secondary care.

In setting up the SASI group we conducted a literature review that provided the evidence to pursue our efforts to stage a collaborative project.

Some of the evidence we gathered include:

• MentalIllness(includingalcoholanddrugmisuse disorders) accounts for 11% of the total global burden of human disease and is rising(WHO2001)

• 30%ofclientsvisitingGPswillpresentwitha mental health problem (Primary Mental health. A review of opportunities 2002)

• PhysicalandMentalHealthareintrinsicallylinked(Baron2003,WHO2008)

• MentalHealthshouldbeaccessiblewitha strong emphasis on early intervention and promotion. (Primary Mental Health Evaluation 2009)

• Thereisaneedforgoodlinkagesbetweenprimarycareandotherlevelsofcare(WHO1998).

• Primarycareeducation,healthpromotion,developing mental health networks, making links with non statutory mental health services and developing links between primary and secondary care are fundamental to the development of relationships between primary and

secondaryservices(RegelandRoberts2002)

• Consultationandliaisonbetweenprimaryservices and other secondary health services as key strategic directions for mental health. (The Blueprint for Mental Health 1998). After two very successful years of

evenings, we are now embarking on consistent bimonthly forums and are attracting around fifty health professionals persession.WeholdalloureveningsattheManukau Super Clinic Conference rooms from 5-30 pm with an informal gathering and food before our first presenters at 6-00pm.

Sessions conclude at about 8-30pm.This year to date we have focused on

• 9March–AmphetaminesandPsychosis

• 11 May - Depression.

The coming sessions this year will include

• 13 July – Sleep Disorders.

• 14 September – Suicide.

• 9 November – Domestic Violence.The current membership of the organising

groupincludesRudyBakker(EastHealthTrust), Marina Banks (Procare Health Ltd), WayneHussey(CMDHB),ItagiaIoasa-Martin(Mangere Community Health Trust), Indu Senarath (East Tamaki Healthcare), Janine Thomas (Te Hononga), Maitera Tutahi (CMDHB).

FromlefttorightwehaveInduSenarath,ItagiaIoasa-Martin,RudyBakker,WayneHussey,LisaCartledge,andMarinaBanks.

“SASI” South Auckland Special Interest - mental health group

Celebrating creating a better future The Counties Manukau District Health Board’s Creating a Better Future strategy hopes to build a healthier future for the people of Counties Manukau.Recently,though,wehavebeenreflecting on the past – the past ten months to be exact.

Creating a Better Future (which promotes healthy eating, physical activity, being smokefree and safe alcohol use in order to reduce the burden of disease diabetes, cardiovascular disease, chronic respiratory disease and many cancers place on our community) has just published Our Stories. This is a collection of inspiring success stories and colourful photographs which showcase and celebrate the progress made by our community through the strategy in its first ten months from July 2010. It captures stories from individuals who are inspiring others by committing to healthier lifestyles, community groups which are hard at work providing new initiatives for their members and partner organisations that are offering a range of health services. Electronic copies of Our Stories are available at www.betterfuture.co.nz or you can request a hard copy by emailing katie.wylie@middlemore.co.nz.Wewouldlovetoshareourstories,andsuccesses, with you.

CONNECT I PAGE 9

Sudden unexpected death in infancy (Sudi) - Recent Prevention Work Activities.

Counties Manukau has one of the highest rates of SUDI in the country. Over the last year, momentum has been building nationally and locally to find more effective ways to reduce the number of SUDI deaths and ensure our Mokopuna receive the best protection possible. As a result there have been some significant activities in Counties Manukau recently.

Maaori SIDS (based at University of Auckland Tamaki Campus) provided an exciting occasion with their new brand launch that took place at Papakura Marae on 6 April 2011. It was beautifully hosted and presented, with wide attendance by those those keen to support the new brand and the fresh approach. At the launch, Kodi Hapi, the General Manager, acknowledged the achievements under the Maaori SIDS brand, and paid homage to those who had gone before. Kodi said that whilst the Maaori SIDS brand is no more, the Spirit that has carried the kaupapa lives on in the new brand: Whakawhetu:NationalSIDSpreventionforMaaori.

Whakawhetu,asanationalkaupapaMaaoriorganisation is dedicated to supporting whaanau to nurture and protect their babies from the risk of SUDI through strengthening the services they engage with. They provide policy advice, disseminate evidence-based information, deliver

training and education and strengthen existing workforcedevelopment.Whakwhetuarealreadyleading a national project, in partnership with TAHA and Change For Our Children, which is the development of a SUDI Toolkit for health professionals working with whaanau with children.

Another important development is the collaboration that has emerged in South Auckland in the form of a South Auckland SUDI Prevention Steering Committee. The committee comprises a wide range of stakeholders with a passion for child wellbeing, who have come together to strengthen SUDI prevention strategies and share knowledge and information for the reduction of SUDI in the Counties Manukau area. The Committee is convenedandsupportedbyWhakawhetu(formerlyMaaori SIDS).

The committee has identified a number of priority issues and is currently working to progress these. Priorities identified so far include awareness raising and consistent messages, effective engagement, research and post SUDI protocols. These priorities are being fed into a regional SUDI strategy that seeks to maximize SUDI prevention efforts in the region. The committee aims to have a draft strategic plan in the next 12 months.

Counties Manukau DHB are also busy working to raise the profile and understanding of SUDI prevention within the hospital and community

teams, and primary care providers. Champions have been identified and education sessions have been provided, with more planned. However there remainsmuchmoretodo.Weneedtoreducethenumber of our precious children who die in their first year of life from potentially preventable causes; and we need to better support whaanau who suffer suchlosses.Ratherthanjustwatchingthisspacefor more reports of activities in the area, please take some action yourself and visit the Change For Our Children website: www.changeforourchildren.co.nz to complete the five minute Safe Sleep Essentials training module, which will provide a certificate on completion. To get the key messages, whaanau can alsoaccessSUDItalkcardsontheWhakawhetuwebsite: www.whakawhetu.co.nz. Professionals who work with whaanau can view the online fact sheets on SUDI, health workers can complete the online education programme and clinicians can complete the certificated online SUDI case study.

Rememberallofusbelongtofamiliesandhavea responsibility to help reduce SUDI. You don’t need to be a health professional to spread the SUDI prevention messages and share this knowledge to benefit our children, whaanau and community.

Safe sleep = face up + face clear + smokefree, every time and place a baby sleeps.

Sudden Unexpected Death in Infancy

WhakawhetuteamwithguestsandsupportersoutsidethewharenuiatPapakuraMarae.

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OnApril13,2011CCRephostedtheOfficialOpening Function of the Middlemore Tissue Bank at the Auckland Museum. The function was to pay tribute to those who contributed to the creation of the Tissue Bank and to also engage with the cancer community. Speaking at the function,DrStuartRyan,GeneralManagerofCCRepsaid,“Todaywecelebratethismilestoneand look forward to the journey in front of us”. Dr RyanalsopaidtributetotheFreemasonsRoskillFoundation (Founding Sponsor), the Leukaemia and Blood Foundation and the Counties Manukau DHB that hosts the tissue bank facility.

The idea for a tissue/tumour bank began three years ago and has gathered considerable momentumsincethattime.DrRyanandDrSamar Issa, the founding Clinical Director of the Middlemore Tissue Bank, have together brought the idea to reality. Dr Issa also thanked Daphne Mason (Curator) for her hard work in establishing the operational capability within the Middlemore Tissue Bank.

Guests included cancer researchers, senior medical consultants and representatives of the community. Professor Gregor Coster had the privilege of declaring the Middlemore Tissue Bank open.

Withavisionof‘SeekingTomorrow’sCure,DrRyanconcluded,“Weoweittothosewholivewith cancer every day, and to the donors who have shown their faith in us, to be guardians of their tissue for future use.”

Middlemore tissue bank opening

(L-R)DaphneMason(Curator),DrSamarIssa(ClinicalDirector),AngelaKnox,DrLucyPemberton.

GovernanceCommittee(L-R):DrAnneThompson,DavidMace,GillCossey,PruEtcheverry,SirBruce Slane. Absent: Adina Halpern.

WhitioraCooper,MatuaTeHira,Hon.NanaiaMahuta,BernardTePaa,WhaeaTaue,KarlaRika-Heke

(L-R)A.ProfHilaryBlacklock,DrSamarIssa(ClinicalDirec-tor), Pru Etcheverry.

CONNECT I PAGE 11

Counties Manukau District Health Board (CMDHB) has used various initiatives to improve Asian peoples’ accessibility to mental health services since late 2007. In one of the recent activities TeRawhitiCommunityMentalHealthCentreset up a promotion stall at the Botany Town Centre, in which 78 people from the general public participated in the quiz and prize draw in the first four hours. The aim was to help the general public to understand how they can refer themselves to mental health services and the services that Mental Health Foundation, Yan Oi

Sei and SF Auckland provide. CMDHB Mental Health Service also sponsored

a free health talk (Cantonese) organised by the Hong Kong University Alumni Association New Zealand and promoted its services to over 120 Chinese speaking participants in April. The free health talk invited highly respected consultant psychiatristDr.SaiWong,clinicalpsychologistMs. Meggan Lam and Associate Professor Elsie Ho as the guest speakers on three mental wellbeing topics.

If you are interested to be part of the Asian

Improving access to mental health services among Asian communities

service development or you want to find out more information on any Asian service development activity, please contact Kitty Ko (Asian Mental Health Service Development Coordinator) on 5380723 or kos@middlemore.co.nz.

From left to right: Mario Tang and Queenie Ip (Chinese Youth Trust), Associate Professor Elsie Ho and Kitty Ko.

The long-standing issue of the provision of after-hours medical care in Auckland has been successfully progressed by a Primary Care-led consortium, which represents Primary Health Organisations and Accident & Medical Centres across Auckland. The Consortium will co-ordinate the establishment of a low-cost, easily available after-hours service across Auckland. This approach is regarded by all parties as the best way forward as primary care is the key to the future of health delivery.

The government has been very clear that the delivery of “Better, Sooner, More Convenient” healthcare is a key outcome for the benefit of all New Zealanders and that it was necessary for DHBs and Primary Care to work together to deliver this. Quality of healthcare, access to good healthcare, when required, is needed to positively impact on the demand for acute hospital services, which are unsustainable long-term at the current rate of population growth.

RonHooton,whoisCEOofProCare,thelargestPHOinthemetro-AucklandRegion,isverypositiveabout the role of Primary Care in the future

delivery of healthcare and in the decision-making processaroundafter-hoursservices.“Wedoneedto look at different ways of delivering health to our communities and the co-ordination of the after-hoursprojectisakeysteptowardsthis.Wecanprevent hospitalisations with timely and affordable after-hours care in general practice, so it makes absolute sense to do this,” he said.

Over the next six weeks, primary care will be working cooperatively to develop the model of primary care which will best deliver after-hours care. It will include at least ten clinics across Auckland and will include subsidised low-cost access to high needs populations. Further, the plan will include plans for a telephone triage service, including an overnight service for rural areas.

Lead DHB spokesperson, Geraint Martin from CMDHB is very keen for a new way of working to be developed by the people who will have the responsibilityofimplementingthestrategy.“Weare working closely with primary care as the funders of the services, but primary care will have the ultimate responsibility to deliver these services. It is right that they should decide which model

works best for them,” he said. “It is also really exciting to strategise on ways of delivering, better care, more patient-focussed care in different ways that really work well for the consumer.”

The new service plans are due to be finalised by June 30th.

Wearecurrentlyintheprocessofconsideringhow to progress recognising the BSMC environment and the fact that critical to its intent is the ability of the primary healthcare sector to configure itself to operate as a key engine room of the health system and swiftly demonstrate substantial progress on health system provision priorities such as access to services, quality of services, integration of services and the ability of services to positively impact acute demand over time. The successful, sustainable delivery of after hours care is a strategically important domain of care that requires strong ownership and accountability from primary health care providers toprogressdeliveryofBSMC.Withinthiscontext we are considering the most appropriate implementation approach.

Auckland after-hours services

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Nursing & midwifery awards

The Nursing & Midwifery Awards are held each year on 12th May in conjunction with International Nurses Day and International Midwives day. They are funded by the Director of Nursing and Director of Midwifery and are a‘thankyou’tothosewhogoaboveandbeyondintheareasofleadership,professionalism, and patient care.

TheAwardsareopentoRegisteredNurses,RegisteredMidwives,EnrolledNurses, Health Care Assistants, Patient Care Assistants, Hospital Aides, PsychiatricAssistants,Orderlies,CommunitySupportWorkers,WhaanauSupportWorkers,CommunityCareGivers,CommunityHealthEducatorsandCommunityHealthWorkersinbothPrimary&SecondarycareandANYONE(usually peers) can nominate them for an awar.

This year we asked Esme Green to return and present her awards associated with care and compassion at the bedside. Esmé Green is a retired RegisteredNurse,whowasMiddlemoreHospital’sfirstTraineeNurse(apinkhat) in 1947. Esmé has established a fund, to be made available through theSouthAucklandHealthFoundation,forRegisteredNurses.Thecriteriaforthe awards include: working in a clinical setting who consistently show and maintain the tradition of good nursing practice at the bedside – holistic practice with quality outcomes for their patients. These practices will encompass quality time at the bedside, using good communication skills, being respectful and maintaining patients’ dignity, empathy of patient needs, treating people with compassion whilst demonstrating excellent nursing practice and showing professionalism in patient approach and presentation. Esme is passionate about care and compassion-the Scholarships must be used by the successful applicants to support their own professional development. For example to: • obtainfurthereducationandtraining• gainexperience,skillsorknowledge• undertakeresearch.

Guestkey-notespeakerwasRonPatterson,ProfessorofHealthLawandPolicy at the University of Auckland and previous New Zealand Health and DisabilityCommissioner2000–2010.Ronisrecognisedinternationallyforhisexpertise in regulation of patients’ rights and healthcare quality improvement. This was a very timely address with key messages around patients and families care.

Thanks to all for a successful Nursing and Midwifery Awards.Congratulations to all nominees and the following winners:

GRAduAte nuRSe/MidWife AWARdMentalHealth PrudenceLam NewGrad,TuiWardPHC & Community Jolene Kant New Grad, ETHCMidwifery Samantha Lauchlan New Grad, ALBUNursing Aranui Paniora New Grad, MSC Level 2MOSt vAluAble PReCePtOR AWARdMentalHealth GeorgeMonk RN,Awhinatia,MentalHealthPHC&Community SushelaChandra RN,ETHCMidwifery Lynette Lane Midwife, MaternityNursing PravinDeo RN,Ward8,SurgicalbeSt SuPPORt PeRSOn AWARdMentalHealth NancyDally ClinicalAssociate,TuiWardPHC & Community Anamafi Paletua Clinical Family Navigator, ETHCMidwifery Maria Gillott HCA, MaternityNursing SteveShunmoogum HCA,AT&ReXCellenCe in CliniCAl PRACtiCe AWARdMentalHealth FionaBell RN,AcuteInpatientPHC & Community Karen McCormick Practice Nurse, East Health TrustMidwifery Gemma McGary Community MidwifeNursing SuzanneMarshall RNWard8SurgicaleXCellenCe in CliniCAl PRACtiCe AWARd - SeniORMentalHealth JuneHastings RNHuiaWard,TiahoMaiPHC&Community LorraineHall CNS,Community(AT&R)Midwifery Ann Konz Charge Midwife, ALBUNursing Kathryn McLean CNS CardiologyQuAlity iMPROveMent AWARdCatherine Hocking Quality Facilitator Critical Care ComplexReSeARCh AWARdPat Crogan Nurse Coordinator Quality ImprovementleAdeRShiP AWARdVina Singh Charge Nurse Manager National Burn CentreAGed RelAted ReSidentiAl CARe AWARdVal Sugrue CEO Baptist Home and Hospital MAnukAu inStitute Of teChnOlOGy PReCePtOR AWARd - nuRSinGAntoinetteStickney RegisteredNurse KidzFirstMedical,KidzFirstLynneJohnstone RegisteredNurse DualDisibilityService,MentalHealthuniveRiSity Of AuCklAnd leAdeRShiP/innOvAtiOn AWARd - nuRSinGAnnie Fogarty Clinical Nurse Director Acute CareAuCklAnd univeRSity Of teChnOlOGy - MidWifeRyBerylGreenhalgh RegisteredMidwife ALBUeSMe GReen SChOlARShiPS fOR PROfeSSiOnAl develOPMent - nuRSinGBridgetO’Brien DistrictNurse-ContinenceOrakauRdHomeHealthCareDianaHart NursePractitioner RespiratoryOutreach,MedicineMediCine SeRviCe AWARd To’aFeretti ChargeNurseManager RenalDialysisSuRGiCAl & AMbulAtORy CARe SeRviCe AWARdPACU team, Middlemore HospitalkidZ fiRSt SeRviCe AWARdGillianGibbs RegisteredNurse KidzFirstMedicalACute CARe SeRviCe AWARdTo the Nurses in ICU Christchurch Hospital and To the Nurses in EC Christchurch Hospital Adult RehAbilitAtiOn & heAlth Of OldeR PeOPle SeRviCe AWARdVanuFaasisila ChargeNurseManager Ward23ARHOPMentAl heAlth SeRviCe WARdRubashneeNaidoo RegisteredNurse Whirinaki,MentalHealthnuRSinG PROfeSSiOnAl develOPMent unit SeRviCe AWARdNursingProfessionalDevelopmentUnit-WholeTeamWOMenS heAlth SeRviCe AWARdKaren Scorringe After hours Co-ordinator MaternitydiStRiCt nuRSinG SeRviCe AWARdPeggyWilliams ClinicalNurseCoordinatorHomeHealthCaredirector of nursing Special AwardsKerrill Shuker Bed ManagerMeg Goodman Primary Health Care Nurse Specialist

Esme Green scholarship winners Diana Hart (left) and Bridget O’Brien (right) with Esme (centre).