March - Manaia Health PHO

PO BOX 1878
WHANGAREI
PHONE 09 4381015
Manaia Health PHO
Newsletter
Serving the people of
Kaipara and Whangarei Districts
MA R C H
2 013
Practice Nurse Clinical Leaders Group
INSIDE THIS
ISSUE:
Practice Nurse
Clinical Leaders
Group
Pg 1
NDHB Warning
Children’s Day
2013
Epilepsy NZ
Onerahi Resource
Day
Pg 2
Whakamana
Hauora New
Leaders
Diabetes Self
Management
Ian Smedley
NDHB Warning
Pg 3
Staff Changes at
Manaia PHO
Smoking Cessation
Pg 4
Administrator Day
CEO Message
PHO Configuration
Pg 5
Pg 6
Healthy Homes
Pg 7
Quality Corner
CME Programme
Community
Directory
NDHB has just given a warning to clinical staff regarding coronavirus. A
novel coronavirus has been responsible for a number of recent deaths in
the Arabian Peninsula. It would be prudent to exercise strict aerosol precautions with any patient presenting with respiratory symptoms that has
come from the Arabian peninsula in the last 10 days. Queries can be directed to David Hammer, Clinical Microbiologist at NDHB.
Children’s Day 2013
Free Heart Checks
Free Pertussis
The Practice Nurse Clinical Leaders’
Group meet monthly to work together on quality improvements, to
share information, new initiatives
and ideas, and to support each other
in their leadership roles. The group
recently developed a new ‘Welcome
to your newborn’ letter to engage
with and encourage parents to enrol
early at their General Practice, and to
immunise on time. The Clinical Leaders Group meet each month with the
Immunisation NIR Coordinator to ensure communication, systems and documentation are robust so that
every immunization event is recorded and counted.
“Improving patient health outcomes through Practice Nurse Clinical
Leadership development.”
If your practice is not represented on this group, and you wish to find
out more, please contact Mary Carthew 021 2724072.
Pg 8
Children’s Day was a hit this year, with higher
numbers in attendance than ever. An estimated
1500 people visited The Pulse during the 3 hours
that the event took place. The buses from Kamo,
Otangarei, Onerahi, Maunu and Tikipunga were
well utilised. 15+ stalls were set up around The
Pulse field, which included for the first time, the NZ Army and the NZ
Fire Service, bringing with them the Kitchen Fire Display which enthralled the kids, many going back two or three times to see the inferno.
This Children’s Day also saw the introduction of the Children Rights
Game developed by Hannah Mitchell, as part of the Child and Youth
Friendly Whangarei project. This game introduces children’s rights in an
easy to understand way, and involved all the organisations set up at
Children’s Day to “play”. Old favourites, the Pulse Pool, Te Uri Hou’s
Waterslide and Child, Youth and Family’s BBQ were, of course, popular.
A big thank you to all the sponsors and participants of Children’s Day
and their generous donations of time and prizes. It was another day to
be proud of.
PAGE 2
New Field Officer, Epilepsy NZ for Whangarei
Epilepsy New Zealand has a Field Officer based in Whangarei who visits people living with epilepsy and their whanau anywhere in Northland, to provide
education about their condition and support. This is a free service available
to anyone. This service can really help someone either newly diagnosed with
epilepsy and feeling afraid and daunted about their future, or someone who
has been living with unmanaged seizures for a long period of time. Frequently after working with an Epilepsy NZ Field Officer the person with epilepsy is able to manage their condition well and become seizure free.
Free “Understanding Epilepsy” seminars are also available for staff and patients in a number of venues throughout Northland. Offsite training can also
be arranged anywhere in Northland.
My contact details are Margaret Dunn, Field Officer.
Phone 09 4385498
Free phone 0800 20 21 22
Cell 027 291 6869
email [email protected]
Website: www.epilepsy.org.nz
Onerahi Resource Centre Expo
An excellent expo was held by Onerahi Resource Centre to link local residents with
what is available locally, many stalls were
available to show local residents what was
on offer. Manaia PHO had a stall promoting
healthy eating, smoking cessation, immunisations, Whakamana Haoura, CarePlus and
Diabetes. There was even a fruit fairy to
help the children make healthy fruit kebabs.
Whakamana Hauora New Leaders Training
Six new trainers have been trained to become
Whakamana Hauora Leaders within Manaia
PHO. They will be providing courses for patients with long term conditions throughout
Manaia PHO. Whakamana Hauora is a 6 week
free self management course for 2 ½ hours
each week.
If you or anyone you know is interested in attending one of our free courses
please contact Manaia PHO
Diabetes Self Management Course Reminder
This free programme is run for 2 1/2 hours a week for six weeks and is designed to help people:

Understand their condition

Learn skills

Gain confidence in managing their condition
The next Diabetes Self Management course will start on Monday 6th May to
17th June from 1.30—4.00pm. To enrol contact Audrey Jellick at Manaia
PHO.
MANAIA HEALTH
PHO NEWSLETTER
PAGE 3
Introducing Ian Smedley—Youth Business Project
Proposed Whangarei Youth Space.
A Centre of Excellence, Innovation and Leadership
For many years young people in Whangarei and service providers with a youth focus have advocated for a dedicated
Youth Space in Whangarei to cater for young people aged between 12-24 years. Services, information and activities are
not always accessible in a “youth friendly” environment resulting in a low engagement with services.
In late 2012 the Manaia team completed a comprehensive
business case supporting the establishment of a Youth Space
in Whangarei. This was submitted to ASB Community Trust which granted
funding for the establishment phase of this very worthwhile project.
The goal of the Youth Space project is to develop a youth friendly space that
is universally accessible for young people, which combines the interconnected elements of health and social service provision, youth development
and information sharing as well as recreational activities. The project will involve youth in design, governance and evaluation. A Project Manager, Ian
Smedley, has been appointed and he is working with a wide range of stakeholders including funders, potential service providers and partners during the
establishment phase.
Manaia Health is the current “custodian” of the project having worked closely
with inter-sectoral groups and a dedicated Youth Space Youth Group during
2012. Governance will transfer from Manaia to a new structure at the completion of the Youth Space establishment phase.
The key next steps for the project are: the establishment of a legal entity and
governance structure, identifying an appropriate facility; developing a sustainable business model; securing partners / service providers and confirming
funding.
For more information and or to see the business case, go to the Manaia
website: www.manaiapho.co.nz or contact Ian – [email protected]— or
phone 09 438 1015, mobile 021 241 7054
Update of Staff Changes at Manaia PHO
Shelley Crawford, Abuse Prevention Coordinator, Whakamana Whanau’s,
contract finished and Shelley left on 25th January 2013. Shelley has returned
to North Tec and is tutoring on the Bachelor of Applied Social Sciences. Please
direct all inquiries about family violence, including support with policy and
tools to help practices recognise, respond and refer, to Ngaire Rae, Health Promotion Manager.
Carolyn Jones, Primary Options Coordinator, NPHOS, resigned and left on 12
February 2013 to take up a new position in Auckland.
Bernie Hetaraka, Youth Health Project Coordinator finished on 1 March 2013
to take up her Vodafone Fellowship in Youth Health Leadership. Bernie will
still be involved with the Youth Space Project that Manaia PHO is leading.
Judy McHardy, B4 School Check Coordinator has resigned and finishes on 28
March 2013.
Rae Jones has been appointed as the new B4SC Coordinator. Rae will be supported in this role by Rachael Hetaraka who has been appointed to the position of Child Health Programme Leader for Manaia PHO. Rachael will remain
responsible for immunisation outreach services and is tasked with integrating
and developing primary care child health services. These new roles commenced on 18 March 2013.
Ian Smedley, Project Manager, Whangarei Youth Space Establishment commenced work on 13 February 2013.
MANAIA HEALTH
PHO NEWSLETTER
Smoking Cessation Update,
Well done to all practices
PAGE 4
We want to acknowledge all the effort practices have put in to providing and
documenting smoking cessation brief advice given. Supporting people to
stop smoking is one of the most important contributions we can make to
health outcomes for our population.
Remember
It's
The
Offer
That
Counts
A recent systematic review (Aveyard et al, 2011) found that giving people
medical advice to quit smoking increased the frequency of quit attempts by
24% and that following this with an offer of treatment, regardless of a person's readiness to quit, motivates an additional 40-60% of people.
We strongly recommend that all practitioners always document when they
Ask and give Brief Advice. There are a range of supports you can utilise
when updating your records and documenting that you have provided advice:

Dr Info has full patient lists of patients who smoke without advice.
These can be printed out and patients contacted by phone and offered brief advice and cessation support.

The PHO can provide a tailored query builder to help identify patients who have smoking documented in their notes but where the
required classification was not completed.

A list to identify patients who have been given a script for NRT,
Champix, or Zyban in the last year and for whom no smoking intervention recorded is also available on Dr Info.

There are quick links to the correct classification codes through the
patient dashboard or through daily notes (type smoke and right click
text for classifications)

A smoking questionnaire is available to be given to all patients at
reception. On completion the questionnaire can then be given to
the Nurse or GP by the patient to discuss smoking and provide brief
advice. This must then be recorded.
Remember: when you record “stopped smoking” you also need to record brief
advice given if they were previously recorded as a smoker. A decline response to smoking cessation support also counts as an offer of brief advice
and must be recorded.
Some things to remember when talking to people about Champix:

Have the dinner tablet around 5-6pm so it doesn’t interfere with
their sleep.

Once they have been smokefree for a few weeks they could try having just one tablet per day, then the Champix lasts longer.
I have permission to share a testimonial with you from two patients at Ngunguru Medical Centre where I work as a practice nurse (my other job 3 days a
week). They are happy for you to read their story, which is the insert enclosed in this newsletter. Annie Mullenger, Smoking Cessation Coordinator
Admin Professional Day: 17 April
17 April is the day we officially celebrate the men and women who keep our
businesses and General Practices running smoothly, who often work behind
the scenes, who give their best to keep services patient friendly, organised
and efficient.
On behalf of the 93,000 enrolled patients, Manaia PHO wishes to acknowledge
the administration professionals in your General Practice. A big thank you to
the Receptionists, Admin staff, and Practice Managers whose welcoming presence can have a significant positive impact on each patient’s experience of accessing their medical centre.
Please show your appreciation for your own admin ‘super heroes’ by acknowledging them on Admin Professional Day
MANAIA
HEALTH PHO NEWSLETTER
PAGE 5
CEO Message
Kia ora
As this is our first newsletter for 2013, I want acknowledge and welcome
all the new staff who have joined the wider PHO – administration, nurses,
and doctors, in our PHO office, in our member General Practices and in Ngati
Hine Health, Ki a Ora Ngatiwai and Te Ha Oranga – who are part of our
Manaia whanau. Twelve new GPs have joined our General Practice teams
over the past few months and we will profile these doctors in our next newsletter.
Improving our immunisation rate for children is a huge national objective, with the target set to have 95% of our 2 year olds fully immunised on
time and 85% of our 8 month old children fully immunised. Manaia PHO has
been behind most of the rest of the country in this area and last year we put
in a huge effort to increase our immunisation rate. We ended the year
with 89% of our 2 year olds fully immunised and 87% of our 8
month old children fully immunised. This improvement is the result of a
huge effort by our General Practice teams and Outreach Immunisation
teams. We have also seen a significant systems improvement with early
“pre-call” and “re-call”. I acknowledge all who are involved and encourage
you to keep up the good work, to get to our targets. The target is not the
end in itself but the health of our children fully immunised certainly is.
The other two health targets of focus are: CVD risk assessment of targeted
patients and smoking brief advice and/or cessation support (smoking
ABC).
The target population for cardiovascular disease risk assessment is: Maori
and Pacifica males aged over 35; Maori and Pacifica females aged over 45;
Males of any other ethnicity over 45; Females of any other ethnicity over 55.
We have 40,000 patients in this group. To date approximately 25,000 or
68% have been risk screened. The target is to reach 75% by 1 st July.
The target for smoking brief advice and cessation support is 90%. Currently
approximately 50% of our current smokers are recorded as receiving brief
advice and/or cessation advice. Again, we wish to acknowledge the huge
amount of work happening within our practices in the area of CVD risk assessment and management, and smoking ABC.
There is some white smoke coming out of a chimney in Tikipunga announcing the establishment of a new General Practice. Te Whareora o Tikipunga will open its doors in early April, located in the Tikipunga Shopping
Centre on Kiripaka Road. The practice team will be led by Dr Aniva Lawrence. We warmly welcome Te Whareora o Tikipunga, Aniva and her team
to Manaia Health. Given the very high doctor to patient ratio in Whangarei,
our health needs and the move to locate more health services from the hospital into the community, the establishment of another practice in our community with a whanau focus is truly welcomed.
While opening new Health Centres is rare, we also acknowledge and congratulate Te Aroha Noa Medical Centre which has just celebrated 20 years
of special service to our community. Thanks and best wishes to the Te
Aroha Noa team.
Manaia PHO is served by a great Board of Directors. We have nine directors: three are appointed by our shareholder Whangarei Healthcare Ltd;
three are appointed by our shareholder Terenga Paraoa Ltd; two are appointed from our Community Advisory Group; one is appointed from Kaipara
Care in Dargaville.
Since Kaipara PHO merged with Manaia PHO two years ago, Dr Scott
Davidson has been the Kaipara appointee on our Board. Scott has resigned
and has been replaced by Shannon Price. Shannon is the Clinical Manager
of Te Ha Oranga in Dargaville. Shannon has worked as a Nurse in a number
of settings including prisons, outback Australia and hospitals. We welcome
Shannon to our Board and acknowledge Scott with much gratitude for his
huge contribution over the past two years.
Chris Farrelly
MANAIA
HEALTH PHO NEWSLETTER
PAGE 6
Future PHO Configuration in Northland
The DHB is considering a change in PHO configuration in Northland and is
about to commence stakeholder and public consultation of four options:

Maintain 2 PHOs – Manaia PHO and Te Tai Tokerau PHO;

Move to a single PHO with primary care governance;

Move to a single PHO with joint DHB/primary care governance;

Move to a new primary care structure within the DHB without PHOs,
with direct DHB management of primary care.
The consultation document will be available on the DHB website - http://
www.northlanddhb.org.nz/. Locality consultation meetings will take place in
Kaipara in the week of 22nd April, and in Whangarei in the week of 29th April.
We encourage all interested people to attend a consultation meeting or make
a submission to the DHB.
Free Healthy Heart Checks
Free healthy heart checks are available at all 22 General
Practices throughout the Manaia PHO for the next few
months. “We have a population that is at high risk and may
be put off having a healthy heart check because of the cost,”
said Jayne Hill, “So for a limited time we are offering free
healthy heart checks.”
Free healthy heart checks are available to Maori and Pacifica men aged 35+
and Maori and Pacifica women aged 45+. Checks are also free for men aged
35+ and women aged 45+ with diabetes or with risk factors such as smoking,
high blood pressure, obesity, family history of heart disease or diabetes. For
all other people the checks are free for men at 45+, and women aged 55+.
Free healthy heart checks at your General Practice are being advertised on
several radio stations in Whangarei until Easter. Practices may experience a
higher demand for these free checks because of this.
A healthy heart check (or cardiovascular risk assessment) will give patients
information on how to reduce their risk of having a heart attack or stroke in
the next five years. Every 90 minutes a New Zealander dies of heart disease.
Many of these deaths are premature and preventable and we urge people to
contact their family doctor or nurse for a healthy heart check today.
For further information or comment, contact Jayne Hill, Clinical Project Coordinator, Manaia PHO on 021 761 668.
5000 Healthy Homes Insulated in Tai Tokerau
Planning is underway to celebrate the 5000 homes that have
been insulated in Tai Tokerau through the Healthy Homes Programme. This is fantastic news for all those that have been involved in the programme, and especially for whanau that have
benefited from this initiative.
Rates of admission to secondary health services in Tai Tokerau have reduced
for families who have had their home retrofitted by Healthy Homes Tai
Tokerau. Over the past 12 months a total of 501 referrals have been received with fifty per cent of these being approved for insulation.
I strongly encourage all health practitioners to continue to prioritise the importance that this programme can make to the lives of whanau in Northland,
and encourage all health providers and especially General Practices to continue to send referrals through.
I am available to visit your practice and/or organisation to share the data
that has been collected over the past 12 months and/or support new staff with the referral pathway to Healthy Homes.
Heoi ano ra,
Melanie Dalziel, Regional Health Coordinator
MANAIA HEALTH
PHO NEWSLETTER
PAGE 7
Free pertussis & flu vaccinations for women
A reminder to all GPs and Practice Nurses: this year the MOH and Pharmac
have funded the pertussis vaccine, enabling it to be free of charge for all pregnant women, between 28 and 38 weeks gestation.
The optimum time for administering the vaccine is between 31 and 36 weeks
gestation, but if a pregnant woman presents to you between 28 and 38 weeks
gestation, please offer her the opportunity to be immunised. Pregnant women
should be offered the vaccine every pregnancy to gain the optimum passive
immunity response for the baby. The flu vaccine is also fully funded for pregnant women, and should be offered to all pregnant women from 12 weeks gestation, throughout this current flu season. NB: By the end of March women
will also be able to be immunised through the maternity units.
Information is available on: IMAC: http://www.influenza.org.nz/?t=890 and
MOH : http://www.health.govt.nz/
Quality Corner
It’s all about communication. At Manaia PHO we want to know your
thoughts and so are looking increasingly to ask your opinion using
quick online surveys. No longer will we be posting out paper-based
surveys when there is this cost-effective method to gain you
thoughts. We won’t be sending out heaps of email requests, but we do encourage you to engage in this initiative. This could be an answer for General
Practice too….alternative to paper-based surveys that you may be conducting
with your patients. I have already set up the RNZCGP Cornerstone patient
questionnaire using this system and while you still analyse the findings, the
programme collates and graphs the feedback. For the basic survey package
the annual subscription is $25 per month or $300 per year, which is very reasonable for all the time it saves. Go to http://www.surveymonkey.com
For instruction on how to use Survey Monkey, contact Linda Holman,
[email protected]
Did you know….
The Health & Disability Commissioner is working with DHBs throughout New
Zealand to introduce the Health Passport initiative into Hospitals. A Health
Passport is a booklet that is to assist:

Those who have a medical condition (e.g. Alzheimer’s
Disease)

Those with an impairment (e.g. visual impairment, cerebral
palsy)

Those who have a particular communication or support
needs

Those who visit hospital frequently
The Passport contains information that an individual wants to
share with others about how they can be supported and communicated with,
most effectively. It helps hospital-based health professionals make appropriate and safe decisions.
Workforce Development
There are four new Registrars involved in the RNZCGP programme that commenced in December 2012, and we welcome them into the North.
Rachel Roskvist, Tom
Pei Yu Gao, Lynne
MANAIA HEALTH
PHO NEWSLETTER
Herd, Eleanor Regeling,
Harvey
PAGE 8
CME Programme has changed –
New Venues and Dates
The CME programme has commenced with a number of changes to the programme so please keep checking what is coming up to keep abreast of those
changes. Here is the updated calendar:
Workforce Development Programme 2013
Topic /
Dates
Session Type
Venue
Speaker(s)
Thursday
Ratu Room
COMBINED
Immunisation
14th March
Manaia PHO
Wednesday
Insulin Initiation
Ratu Room
GP TARGETED
27th March
Dr Nicole McGrath Manaia PHO
Wednesday
Bariatric Surgery
COMBINED
Zion Lion Park
10th April
Dr Shaun Purkiss
Thursday
Parkinson’s
Ratu Room
GP TARGETED
9th May
Dr Barry Snow
Manaia PHO
Wednesday
Ratu Room
NURSE ONLY
Clinical Guidelines
15th May
Manaia PHO
Advanced Care
Wednesday
Planning
Ratu Room
COMBINED
19th June
Dr Stephen
Manaia PHO
Jennison
Wednesday
Insomnia
Ratu Room
GP TARGETED
17th July
Dr Alex Bartle
Manaia PHO
Skin Infections/
Thursday
Ratu Room
NURSE ONLY
Eczema
th
18 July
Manaia PHO
Pauline Brown
CVD–Heart Failure
Wednesday
Ratu Room
COMBINED
Dr Stephen
21st August
Manaia PHO
Jennison
Tuesday
Dementia & EPOA
Ratu Room
GP TARGETED
17th Sept
Dr Suzanne Duff
Manaia PHO
Cervical Screening
Wednesday
Ratu Room
NURSE ONLY
update/Women’s
18th Sept
Manaia PHO
Health
Wednesday
Ratu Room
COMBINED
Child Health
16th October
Manaia PHO
Wednesday
Psychotropic
Ratu Room
GP TARGETED
20th Nov
Drugs & Psychosis Manaia PHO
Thursday
Ratu Room
NURSE ONLY
TBC
21st Nov
Manaia PHO
Wednesday
End of Year
Ratu Room
NURSE ONLY
11th Dec
Celebration
Manaia PHO
Community Directory Health & Social Sector Support Services
This directory contains a comprehensive list of services available within our
community that work in the field of family Violence and includes all contact
and referral details. It is available on the front page of the Manaia PHO website. The link is below.
http://www.manaiapho.co.nz/sites/default/files/u5/ManaiaCommunity%
20Services%20DirectoryPublic24thJan2013.pdf
MANAIA HEALTH PHO
NEWSLETTER