Service Profile: who we are
Transcription
Service Profile: who we are
2013 Annual Report Ko Kahurānaki te pae maunga, tātai maunga tū tonu, tātai tangata ngaro noa, ngaro noa. Ko Ngaruroro te awa tipua e whakairoiro i a Heretaunga Haukunui, Heretaunga Ararau, Heretaunga Takoto noa Mauri ora ki te mana Māori o Heretaunga. Tihei Mauri ora E aku nui, e aku rahi, e ngā mauri tū o ngā mātua tīpuna, tātou rā kua whakautu nei te karanga o ngā whānau puta noa ki Heretaunga, aku whakatamarahi ki te rangi, kia ora tātou katoa. The opening of our 11-bedroomed kaumātua whare Te Ahurutanga in Flaxmere earlier this year was a statement to our community: “We care and we are here to stay”. expansion of our staffing in areas such as Human Resources and Communications, means we have recorded the first annual deficit ($600,000) in our history. Heretaunga Park fulfilled that same role when it was opened more than a decade ago. However, thanks to our foresight, prudent financial management and wise investments, we have the cash reserves and capital base to weather this deficit. We have in place a budget to break even next year and look to returning a surplus again the following year. Both facilities are testament to the vision of our Taiwhenua and the unwavering drive and determination of Alayna Watene as our Kaiwhakahaere Mātua. Alayna’s resignation earlier in the year marked the end of one era and the beginning of another, so it is appropriate we reflect on Alayna’s enormous contribution to the Taiwhenua over 20 years, and her hand in our growth, from the boot of a car and a tractor shed to what is recognised on the national Māori landscape as an exemplary organisation. This was by any measure an admirable feat. There is not a Māori service provider organisation of note in the country who would not know of Alayna and her role in the development of our Taiwhenua. Whilst her heart and focus has always been in Heretaunga, her profile and influence is national and international. We owe a debt of gratitude to Alayna, whom most will credit for the facilities, services and opportunities we make available to our whānau. If you look up ‘wāhine toa’ in the dictionary you should find her name next to it. Her determination, resilience and steely grip on the reigns of the organisation enabled her to drive our growth and success, often against the odds and amidst economic and political turbulence. We wish Alayna well in her future endeavours, through which she will no doubt continue to challenge the status quo and drive growth and innovation. Our investments in future-proofing our organisation through the establishment of the kaumātua whare, purchasing the property in front of ours on the expressway corner, and the We are positive about the future. We have retained our key contracts and, as always, continue to seek new opportunities to deliver on our vision for the future of Heretaunga. Our capacity, capability and reputation for delivery underpin our position as the ‘go to’ organisation for service funders. We will continue to drive our Matariki Whānau Ora programme and develop our services, guided by our aspiration to ‘realise whānau potential’. Alayna has set the benchmark for us in recruiting a new Chief Executive. Our board ‘Te Haaro’ will be working kanohi ki te kanohi – pokohiwi ki te pokohiwi (face-to-face and shoulderto-shoulder) with our new CE as we consolidate and prepare for the future. It will be a constantly challenging, daunting and exciting task. In conclusion, I would like to take this opportunity to publicly thank Marei Apatu for his commitment and dedication in stepping into the role of Interim CE, followed by Acting CE, and the leadership he has displayed for staff and stakeholders. He tane purotu. Mauri ora ki te mana Māori o Heretaunga Mike Paku. Chairman of the Board of Trustees Contents Mihi and Message from the Chairman Mihi and Message from the Interim Chief Executive 2 Tikanga at the Heart 3 Matariki Whānau Ora 4 Framed Up For Fun 5 Sponsorships, Scholarships and Distributions 6-7 Pēpi and Tamariki 8-9 Rangatahi 10 -13 Kaumātua1 14 -16 Healthcare in the Community 17 Harnessing Talent 18 Mental Health 19 Organisational Development 20 Organisational Highlights 21 Service Profile: Who We Are 22 - 23 Governance24 Financial Report and Summary 25 - 27 Service Directory 28 -29 Date of agm - Friday November 15th Heretaunga Park. 6:00pm Page 1 Ko Heretaunga Haukunui Ararau Haaro Te Kaahu Takoto noa Ringahora E rere te huata hopukia e rere te manuka tomokia – Tēnā Koutou Katoa Stepping into the role of Acting Chief Executive of Te Taiwhenua o Heretaunga in March 2013, my priority for the remaining three months of the financial year was to provide steady leadership, maintain business continuity, and keep the board and stakeholders well informed as TToH moves foward with new perspectives aligned with our Strategic Plan objectives. Achievement of these objectives involved: • Communicating the organisation’s vision and mission; • Assessment of the impacts of funding reductions; • Establishment of the Audit and Risk Committee and the Quality and Risk Management Steering Group; • Finalising the Five-Year Strategic Plan and presenting to the Board for approval; • Revitalised and strengthened relationships with stakeholders; • Establishment of the Matariki Whānau Ora team to ensure expectations are fulfilled. • The opening of the Kaumātua Whare ‘Te Ahurutanga’ in Flaxmere; and • Extending manaaki ki ngā ringa raupa. TToH faces a challenging time in redressing an operational deficit for the year ended June 30, 2013. An action plan to achieve a break-even financial result has been put in place. This includes: • A review of the funding offered for fee-for-service • • contracts, to align them with the Consumer Price Index and successive increases in the costs of business operation; Reducing staff turnover through an improved recruitment approach; and Prompt action in addressing property market fluctuations and changes in government policy. TToH will position itself for change and transformation. The organisational culture, workforce and practice will work through its own processes for improvement while continuing to support the aspirations of whānau as they move from dependency toward empowerment. Tena koutou Katoa Te Taiwhenua o Heretaunga is a kaupapa Māori organisation representing all Māori who live in, or whakapapa to, Heretaunga. There are some common challenges facing most community service providers. Need and acuity are higher than ever, while funding for many programmes has been stopped, pegged, or in some cases reduced to unsustainable levels. For TToH, this has put even more pressure on our frontline services and our kaimahi who are daily faced with the realities of increasing poverty and deprivation. These are the people who see beyond the fine print of contracts to the needs of our whānau. Working with those realities is the kaupapa of TToH – the reason we are here. Our task is to support the whānau and marae of Heretaunga, to pursue their development, and to speak for them where they cannot. Mike Paku Chairman Page 2 Marei Apatu Te Kaihautū There has been no reduction in our energy or commitment to this. Our thanks go to the organisations and individuals we partner with outside TToH – marae, hapū, the Hawke’s Bay DHB, Ministry of Social Development, Ministry of Health, Housing New Zealand, Te Puni Kokiri, Hawke’s Bay Regional Council, Hastings District Council, businesses, schools and our communities. We offer our aroha for your continued support through the partnerships that underpin our moemoea (vision). Te Haaro o Te Kaahu ki Tuawhakarere The View of the Hawk is our Future Tikanga at the Heart Tikanga is one of the key foundations of Te Taiwhenua o Heretaunga. Not only does tikanga help to define us as a kaupapa-Māori organisation out in the community, it is the backbone, the thread that holds together all the other strands of the organisation. Tikanga finds expression in a myriad of ways within TToH -beginning with karakia each morning -- and flows through to the work of kaimahi out in the community. This focus has been maintained even as TToH has grown and developed exponentially during the past 28 years. Last year, a Pou Tikanga (cultural adviser) was appointed to oversee and ensure its ongoing development within the organisation. Most of the 170 staff of TToH are Māori, but there is a significant number of other nationalities among them. To assist those unfamiliar with tikanga, the Pou Tikanga created a tikanga information handbook, named Te Toi Huarewa, which was launched early this year. Te Toi Huarewa encourages staff to set themselves some goals. This can begin with simple steps such as learning to use te reo greetings and farewells in emails and letters. The name Te Toi Huarewa means: Building and Realising Potential. Piki ake kake ake I te toi huarewa, te ara o Tāwhaki The goal is enlightenment Page 3 T T T T TT T Matariki Whanau Ora The launch in June of a new programme named Matariki Whānau Ora signalled the beginning of far-reaching change within Te Taiwhenua o Heretaunga and the way it interacts with whānau. Matariki Whānau Ora is a new approach to supporting whānau, based on working with whānau collectives rather than individuals, and helping them to achieve planned goals leading to a stronger family unit. This change has already required a re-focusing of the way TToH works, both internally and externally. Work is progressing on many fronts, including the integration of various service areas to allow more streamlined service delivery, administration, information management, Population Profile These statistics for all Heretaunga Māori aged 15 and over are drawn from the results of the 2006 Census, the latest information available. They portray an under-educated and low-income population predominantly employed in lowskilled jobs. These are among the factors that culminate in the health, social and education challenges that Te Taiwhenua o Heretaunga is working hard to redress. Among this demographic: • 53.8 percent have never married • 28.2 were married at the time of the Census • 17.9 percent were separated, divorced or widowed • 31.2 who have never been married were living with a partner Page 4 monitoring and reporting. This is likely to include a single point of enrolment to all TToH services. The Matariki Whānau Ora approach is commonly referred to as “wraparound”. Under the guidance of a Matariki Whānau Ora kaitakawaenga, who will monitor and maintain oversight of their progress, the whānau identify all the challenges and barriers confronting them, then map out a Development Plan to address all these issues. The kaitakawaenga helps the whānau access all the services and information they need to achieve their collective goals set out in their plan. The goal of this process is to strengthen the whānau and enable them to forge ahead as a self-sustaining and supportive group. This is in contrast to the traditional, compartmentalised and fragmented model of service provision, in which individual members of a whānau engage with multiple agencies that lack an overview of whānau circumstances. TToH has appointed four kaitakawaenga and an information analyst to its Matariki Whānau Ora team, and is working with Te Puni Kokiri to implement the programme. • 45.4 percent had no formal qualifications (compared with 39.9 per cent of Māori across the country). • 23.4 percent had a post-school qualification • The median income was $18,800 ($20,900 for all Māori) • The biggest single income grouping was for those with annual incomes of $10,000 -$15,000 • The second- biggest group had incomes of $15,000 - $20,000 • The third and fourth-biggest groups had incomes of $5000 - $10,000, and $1000 - $5000 respectively • The unemployment rate was 10.4 percent (11 per cent all Māori) • The most common occupation was “labourer”. Giving Back Many low-income clients of TToH receive support from the Hastings Foodbank, so TToH staff like to give something back to the foodbank. Collections are done twice a year. Above: TToH kaimahi George Edwards and Jimmy Green with the most recent donation from TToH staff to the Hastings Foodbank . Left: School Attendance officers Paul Drower and Ruth Fa'afuata run a free sausage sizzle during a Rangatahi Services promotional roadshow. Page 5 2013 Sponsorship, Tertiary Scholarships, Marae and Community Distributions Te Taiwhenua o Heretaunga supports a wide range of individual, group and community endeavours. In the year to June 30 it allocated $294,620 to community development. Of this, $125,000 was channeled through the community development wing of TToH, Te Manaaki Taiao; another $104,000 was distributed to marae; $34,295 was used for community causes; $4,325 to sport, and $27,000 to tertiary scholarships. Community Development Distributions Te Manaaki Taiao Sport Sponsorship Marae Community Tertiary Study Awards Tertiary Scholarship Recipients 2013 Name Course name Learning Institute William Makea Bachelor of Commerce-Economics/Finance Major Victoria University Sonia Paul Bachelor of Applied Social Sciences EIT, Taradale Jarrod Edwards Bachelor of Social Sciences- Major Psychology Waikato University Candice Wisnowsky Bachelor of Health Science in Oral Health AUT, Auckland Laurae Blake Bachelor of Early Childhood Education Te Tari Puna Ora o Aotearoa Kiwa Huata Bachelor of Business AUT, Auckland Page 6 2013 SUPPORT FOR COMMUNITY GROUPS & EVENTS, TERTIARY STUDY AWARDS & MARAE DISTRIBUTIONS Month Recipient Sponsorship Approved Jul-12 Ashton Robinson Te Kura Kaupapa Maori o Ngati Kahungunu Ngati Kahungunu Iwi Inc. Aug-12 Aurora Akauola Mahakui Akauola Janna Vaughan Sep-12 Ngati Kahungunu Iwi Inc. Waiata Maori Music Awards Jordan Pearse Event Venue Amount (includes GST if any) 250 1,000 NZ Under 17 Mixed Touch Team - Development Tour National Secondary Schools Kapa Haka Competition Sydney, Australia Whangarei Ngati Kahungunu Iwi Inc. 2012 Sports Awards - Category Sponsor 2012 International Va'a Sprint Championships 2012 International Va'a Sprint Championships World Muay Thai Kickboxing Championships 2012 Koroneihana Waiata Maori Music Awards Under 21s Canoe Polo World Championships Waipukurau Calgary, Canada Calgary, Canada Russia Ngaruawahia Hastings Poland Touch NZ Development Squad International Sports Karate Association - 2012 ISKA Round V Wellington Gold Coast, Australia 250 100 International Sports Karate Association - 2012 ISKA Round V 2012 Oceania Youth Tournament Gold Coast, Australia Churchill, Melbourne 100 150 Raukura Matthews National Manu Korero Competition Nelson 150 Ngati Kahungunu Iwi Inc. Ngati Kahungunu Iwi Inc. 2012 Sports Awards - Tickets Waipukurau 300 Dec-12 HB Softbal Association Jan-13 Te Kura Kaupapa o Mangateretere Feb-13 Waitangi Festival at Clive North Island Under 15 Tournament Ngati Kahungunu Primary Schools Kapa Haka Festival Waitangi Day Counties Hastings Clive Under 13 Central Region Softball Tournament Lower Hutt Mar-13 Kiana Tahau HB Under 15's Girls Touch - 2013 National Championships Tauranga 75 Waipatu Maori Catholic Club Ngati Kahungunu Iwi Inc. Apr-13 Cranford Hospice May-13 Waipatu Club HB Maori Secondary Language Teachers Assoc. Jun-13 Kahungunu Asset Holding Ltd Wananga Te Reo Awards 2013 N/A Wananga 2013 HB Secondary School Kapa Haka Competition Hastings Hastings Hastings Ohakune Hastings 950 3,450 200 250 500 Tautane Station Open Day Herbertville TOTAL Kahuranaki Marae Kohupatiki Marae Fundraiser for Centennial Celebrations Centennial celebrations Hastings Hastings 1,000 500 Waimarama Marae Timoti Karetu celebrations Hastings 1,000 Taraia Marae Waipatu Marae (Aunty's Garden) Waipatu Marae Carving Tools Kai on the Marae Wananga Hastings Hastings Hastings 250 805 1,200 TOTAL 4,755 Mateus Marsh Kaedyn Jessup Tahau Kiana Jessup Tahau Oct-12 Aaliyah Ah Kiong Chrystal Jessup MARAE SPONSORSHIP TERTIARY STUDY AWARDS MARAE DISTRIBUTIONS 2013 Awards 6 Recipients 1,265 800 800 800 2,600 1,275 500 200 1,000 16,310 150 440 33,865 First year payment 27,000 TOTAL 27,000 Houngarea Marae 7,000 Kahuranaki Marae Korongata Marae Mangaroa Marae Matahiwi Marae Mauwhango (Whitikaupeka) Marae 7,000 7,000 7,000 7,000 2,000 Mihiroa Marae Omahu Marae Trustees Oruamatua Marae Ruahapia Marae Runanga Marae Taraia Marae Te Aranga Marae Te Awhina Marae Waipatu Marae Waimarama Marae Winiata Marae Waipatu Marae Waimarama Marae Whitikaupeka Marae Winiata Marae TOTAL TOTAL 7,000 7,000 2,000 2,000 7,000 7,000 2,000 7,000 7,000 7,000 7,000 7,000 7,000 7,000 2,000 104,000 169,620 TOTAL 104,000 TOTAL 228,907 Page 7 Pepi and Tamariki - Babies and Children The outstanding results received by the Tamariki Ora programme within TToH’s Taiora Clinical service were acknowledged through a prestigious regional health award last November. Award for Outstanding Work The team won the category of Commitment to Reducing Inequalities in the Hawke’s Bay District Health Board’s 2012 Health Awards. TToH was also co-winner of Team of the Year for its involvement in the Safe Sleep programme. The TToH Tamariki Ora team is dedicated to giving babies and children a safe and healthy start in life through a wide range of health checks and services, and developmental monitoring, followed up by referrals whenever necessary. Among its top priorities is ensuring that every tamaiti is enrolled with a GP. The team has made a significant contribution to the achievement of a 97 percent immunisation rate among under-2s in Hawke’s Bay, including many tamariki in hardto-reach communities. Of the 987 children enrolled in TToH’s Tamariki Ora, 92 percent live in areas of highest deprivation. Tamariki Ora is open to children from birth to five years, throughout Hastings, Napier and Central Hawke’s Bay. Say Ahh Rhuematic Fever prevention Say Ahh is a programme in which TToH is partnered with the Hawke’s Bay DHB to combat rheumatic fever in Flaxmere, historically an area with one of the highest rates of the disease in the country. Page 8 Rheumatic fever, which can result in permanent heart damage, is caused by strep throat infections. The Tai Ora Clinical team from TToH works with Peterhead, Flaxmere and Irongate schools, providing free throat swabs and follow-up antibiotics for those children who test positive. In the year to June 30, 2210 swabs were done, of which 309 returned a positive result, with follow-up antibiotics provided. There have been no cases of reheumatic fever among Flaxmere school children since the Say Ahh programme began. Other benefits of the programme include: • enrolment of families with a GP • referring families to Healthy Homes to get assistance with home insulation and improved living standards; • Referral to the Mobile ear nurse for pathway to tonsillectomy; • The application of Whānau Ora values to help families achieve personal goals and whānau aspirations; and • Integrated health-promotion activities including referral to smoking cessation programme Aukati Kaipaipa; hand washing and teeth cleaning. In-Home Immunisations Early in 2013, Tamariki Ora was one of a select few organisations invited by the Ministry of Health to feature in its new immunisation-promotion booklet. This provided an opportunity to showcase our Tamariki Ora in-home immunisation service and profile TToH more generally to a nationwide audience. In-home immunisations have proven to be an effective way of ensuring tamariki get them on time, whether or not they are enrolled with TToH. In the year to June 30, TToH Tamariki Ora nurses administered 853 immunisations to tamariki, many of them in hard-to-reach population groups. This was an admirable achievement by a small team, and made a significant contribution to Hawke’s Bay’s success in lifting its immunisation rate for under-2s to 97percent. Page 9 Rangatahi - Teenagers Rangatahi are the largest single demographic within the Māori population of Heretaunga. Of the 16,236 who identified themselves as Māori during the 2006 Census, 47 percent were aged 19 or younger. Generating Aspiration A strong relationship between Te Taiwhenua o Heretaunga and the University of Otago came to the fore in June with the staging of a three-day Science Wananga for 30 rangatahi from three Hastings schools. A recognised need for more Māori scientists was the rationale behind the wananga, which was targeted at pupils in Years 8 and 9 at Hastings Intermediate, Flaxmere College and Hastings Boys’ High School. At this stage of their education, these rangatahi still have flexibility in their choice of study paths. The goal of the wananga was to expose them to a range of science careers, particularly in environmental science. The wananga was based at Matahiwi Marae, where the rangatahi stayed over with Otago University tutors, who ran recreation and discussion programmes in the evenings after dinner. Attendance Service At the beginning of 2013, Te Taiwhenua o Heretaunga took up a new contract with the Ministry of Education to provide a School Attendance Service across a wide stretch of the East Coast from Tutira to Wairarapa. This contract, which has seven Attendance Officers across wider Hawke’s Bay and another two working for a service partner in Wairarapa, has linked up with 173 schools. The new, integrated attendance service takes a wholistic, whānau ora-style approach to resolving truancy by addressing the root causes for children not attending school. This can include calling on a wide range of support services to empower whānau to resolve the issues that are resulting in their children missing out on valuable learning. This is a very different approach to the truant-focused service of the past, and one that has created some challenges as all partners make the transition from quick-fix to deeper understanding and longer-term solutions. Page 10 Statistical profile Results from the 2006 Census (the last one for which statistics are available) show there were 16,236 Māori living in Hastings District (Heretaunga). 1. They constituted 23.8 per cent of the district’s population 2. 36.1 percent were aged 15 or younger 3. Another 11 percent were aged 15 – 19, meaning 47 percent of the Māori population of Heretaunga is aged 19 or younger 4. Just over half the Māori population is younger than 25 5. The median age among all Heretaunga Māori was 22.3 years 6. Only 4.1 percent were older than 65 The TToH Attendance Service has grown in its understanding of what is effective, and is looking forward to introducing the wraparound elements of Matariki Whānau Ora to the Attendance Service. Youth Service TToH is an accredited Youth Service provider, offering support for rangatahi aged 16-17 who are not in education, employment or training (NEET); those who are receiving the Youth Payment; and young parents aged 16-18. The staff of our Youth Service work hard to connect with their young clients at every level. In May they took a roadshow to the plaza by Hastings clocktower, where they set up activities including a crossfit challenge, a free sausage sizzle, and a point for rangatahi to register themselves for any support they might need. Page 11 Robert Feck, 19, had no idea he was suited to early childhood education until he was given an opportunity through Whakaakoranga to do some work experience at Te Tirahou. He is now studying for his Level 3 Certificate, then intends to go on to Level 4 studies. Foundation Learning Whakaakoranga is a self-directed, 20 week, full-time training course that aims to prepare learners (akonga) for entry into employment or further training and education. As a Foundation Focused Training Opportunity (FFTO) course, it also seeks to improve levels of literacy and numeracy. Most akonga are referred by Work & Income New Zealand, having been deemed at risk of developing long-term benefit dependency. During the 20 weeks, akonga have the opportunity to achieve 18 unit standards (51 credits) that focus on preparing them for work such as CV writing, interview skills and techniques, computing skills, budgeting, measurement to solve problems, interpreting statistics, career planning, planning Page 12 for learning, and workplace health & safety to name a few. Akonga also complete a three-week work experience placement in their industry or position of interest. Whakaakoranga launched this programme in 2012. Of the 21 akonga who were enrolled; 86 percent of completed 14 weeks training minimum; 81 percent passed at least 3 unit standards; 38 percent went into further training at Level 2 or above; and 52 percent went into paid employment. These results demonstrate the benefits of using strong networks to support better outcomes for whānau.` • • • • Home Base for Teen Parents Te Whare Karamu has continued to perform as a centre of excellence, acclaimed by audit and welfare authorities. The whare provides warm and secure family-style accommodation for up to six residents aged 17-19, and their babies, with 24-hour care, supervision and guidance by experienced house parents. In signing up for Te Whare Karamu, these young parents enter a programme designed to teach them life and parenting skills, prepare them for independent living with their babies, and support them in ongoing education or training. The high quality of this programme has produced some outstanding successes among our graduates during the past year. Page 13 Social Housing Te Ahurutanga - Affordable Comfort Te Ahurutanga, a 10-bedroomed kaumātua whare designed and built by Te Taiwhenua o Heretaunga, opened some months ago to acclaim from politicians and community alike. The whare, a joint venture between TToH and Housing NZ -- and managed by TToH -- was built to provide affordable housing for kaumātua whose only income is National Superannuation. Housing Minister Dr Nick Smith, who attended the Naming and Blessing of Te Ahurutanga, said the whare could be a blueprint to resolve a significant problem within the country’s housing stock. Many elderly are living alone in three-bedroomed State houses. Those houses could be used by families, but there is often nowhere else for the elderly occupants to go, particularly when they do not need, or want, to go into expensive rest homes. Page 14 Modelled on the internationally-successful Abbeyfield concept, Te Ahurutanga was built to cater for kaumātua who are still able to live semi-independently. Each resident has a spacious room with en suite bathroom, and access to shared living and recreation areas. A live-in housekeeper provides them with two meals a day. Residents prepare their own breakfasts and weekend meals in the communal kitchen, and are expected to help with the chores and gardens. The spacious and modern design of Te Ahurutanga provides comfort and security for residents, with an ever-changing outlook on to beautiful Flaxmere Park. . Takaputai Walker - a master carver passing on his skills. Mary Paki, the first resident of Te Ahurutanga, and her daughters Elaine Paki, Angela Robinson and Evelyn Savage. Page 15 Keeping Our Kaumātua Healthy TToH provides a multi-faceted programme to keep kaumātua fit, healthy and engaged with their communities. Gym sessions, tai chi, stretching, music, entertainment, outings and lunch are provided, along with health checks and monitoring. TToH is also funded by the Ministry of Health to provide kapahaka for over-50s. Known as Taikura, this is designed to provide a good workout requiring concentration, coordination and stamina. The oldest participants in Taikura are in their 90s. Page 16 Taking Healthcare to the Community Tai Ora Clinical – Mobile Nursing Significant change has been made to Tai Ora Clinical’s Mobile Nursing Service contract to reflect the current trends of increased general practice and mobile nursing out in the community. Accordingly, nursing knowledge and skills have increased to meet the needs of whānau out in the community, which has seen the Mobile Nursing Service contribute to a wide range of improvements in community health. These include rates of cervical smears, breast mammography, cardiovascular monitoring and treatment, flu immunisations, tamariki immunisations, rheumatic fever prevention, health monitoring and checks, health education and promotion, and referrals to other services for assistance with specific issues affecting the quality of life for whānau. Over 50 per cent of New Zealanders have difficulty understanding standard health information. (Ministry of Health, 2010). A health literacy screening tool has been implemented to assist whānau in this respect. Taitokerau inter-tribal, quit-smoking challenge that took place from March to June. Their waka included a 71-yearold woman who had been smoking for 60 years. The Porangahau team (waka) came first-equal with another waka of Kahungunu from Te Reinga, winning them $3750 each. The Porangahau waka put their prize money toward marae improvements. Our Aukati Kaipaipa programme featured in a Ministry of Health newsletter named Turning Point as a successful provider. The Ministry also used TToH reports as exemplars for other smoking-cessation providers. On the Horizon • The Mobile Nursing team have been awarded a contract to provide nurse-led clinics at the Ministry of Social Development site in Hastings. Taiora Nurse Clinic Hub will commence on November 1, 2013. A new reporting template is currently being developed for quality documentation and control. This template will mean that whānau enrolled in the Mobile Nursing Service receive a specific, individualised, high-quality nursing care plan. The Mobile Nurses are part of Health Hawkes Bay PHO respiratory pilot project for those whānau who have Chronic Obstructive Pulmonary Disease. This project is to identify those who could be better managed at home in order to reduce avoidable hospital admissions. • • Tai Ora Community – wero The TToH Aukati Kaipaipa smoking-cessation programme supported 240 whānau to give up smoking during the year to June. This included a team of nine from Rongomaraeroa marae at Porangahau who entered the Ngāti Kahungunu – Te Kahungunu Hikoi Whenua Kahungunu Hikoi Whenua is a programme provided under contract to the Hawke’s Bay DHB to promote healthy living through smoking-cessation, healthy eating and exercise. Kanikani Pai Tinana (exercise) at Camberley and Mayfair drew 2259 participants in the year to June. Kaiwhenua (gardening at Aunty’s Garden, Waipatu) and My Kai (cooking) drew 80 participants at Camberley and Mayfair. Page 17 Harnessing Talent Standing: Chris McKenna, Isabella Te Whaiti, Haeata Climie, Tanya Saunders, Julia Ebbett, Sally Houliston. Front: Ani Tomoana and Menzie Wikeepa. The development of a workforce able to meet the requirements of Te Taiwhenua o Heretaunga is a key focus of the organisation. Ongoing work is being done to identify career paths, and to provide opportunities for staff to gain experience and skills that can equip them for new roles within TToH . Recently, there has been a focus on secondment of staff from one part of the organisation to another. This will also assist with the integration of services. The scope and complexity of TToH contracts and services continues to expand, requiring staff to hold more formal qualifications. TToH has contributed to this by upskilling some staff through on-the-job study and training. It has also employed some new specialist staff to work in Page 18 areas such as People and Performance, Quality and Risk, and Process Improvement. These approaches to workforce development have placed TToH in a sound position to advance its Five-Year Strategic Plan and an organisational transformation leading into the provision of Whānau Ora-style services. The benefits of TToH’s commitment to staff development were exemplified by the Family Start programme. All of its staff have achieved or are working toward qualifications. Tai Ora Clinical celebrated its own success when six Registered Nurses were presented with professional development medals by the Hawke’s Bay District Health Board’s Director of Nursing, Chris McKenna, and the board’s Practice Development Educator, Sally Houliston, at a fullstaff meeting at TToH. Mental Health Oranga Hinengaro has overcome some significant change and challenges in relation to staff recruitment and retention during the year, but has gone on to achieve several National KPIs for the first time ever. Hinengaro services were audited against the new Health and Disability Service Standards. The Technical Advisory Services (TAS) team provided both verbal and written comment that TToH was “fully compliant in 97 per cent of the areas reviewed”. Oranga Hinengaro has clear intentions of maintaining these high standards, whilst also developing in other areas such as child, adolescent, and family mental health services. Demand for these services continues to grow. - Oranga Hinengaro With a shift in focus and resources at political level, (through initiatives such as the Youth Mental Health project, the Green Paper and Improving The Transition documents), Oranga Hinengaro is looking to position itself firmly alongside governmental plans to better-meet the needs of our whānau. Consumer Representation A panel of former clients of Oranga Hinengaro has been established to provide consumer feedback to the service. Named Te Ao Taunaki, the seven-member panel provides a channel for the views and comments of current clients (whaiora), who also and makes submissions to Oranga Hinengaro policy. Page 19 Organisational Development Five-Year Strategic Plan A Strategic Plan has been created to chart the course of development within Te Taiwhenua o Heretaunga during the next five years. The report contains five strategic priority areas – Kainga, Matauranga, Mahi, Oranga and Building Our Organisation. Each of these priority areas contains a comprehensive set of action points, strategies and target dates. Implementation of the 2013-14 section of the plan is already well underway. Kainga relates to: • Vibrant and connected communities • Healthy Homes • Affordable Housing Options Matauranga relates to: • Skilled and Qualified Whānau Mahi relates to: • Sustainable Employment Page 20 • Prosperous Living • Thriving and Prosperous People Oranga relates to: • Healthy Environment • Healthy Population Building Our Organisation relates to: • Developments across the organisation. These include scope of service delivery, planned growth, a culture of continuous improvement, information technology and risk management. For the first time, TToH took the step of seeking feedback from staff and involving them in the implementation of the Strategic Plan. This is expected to have multiple benefits, including contributions of information from the frontline, identifying leadership potential, and ensuring staff have a good understanding of the processes and change that will be part of achieving the Strategic Plan’s goals. Organisational Highlights A reorganisation of services in late 2012 marked a refocusing of Te Taiwhenua o Heretaunga in preparation for complex and challenging organisational transformation in tandem with the implementation of its Five-Year Strategic Plan and the Matariki Whānau Ora programme. Part of this development was the addition of new roles such as Quality and Risk Assurance, and People and Performance, to assist TToH to new levels of efficiency, performance and structural robustness. Ranga Toopu (Operations Support) was formed, to provide a diverse range of expertise and support for other TToH services. It will play key roles in the transformation of TToH through implementation of the Five-Year Strategic Plan and the integration of TToH services. Highlights included: • Overseeing the construction and opening of Te Ahurutanga, • a whare offering semi-independent living for up to 11 kaumātua; The developmentof a new performance management system; • The installation of GPS in the TToH vehicle fleet; • The establishment of new panels overseeing quality and risk assurance, clinical governance and health and safety; • A review of information technology systems; • Assistance with the implementation of Matariki Whānau Ora, TToH’s whānau ora programme. Looking ahead: • Promotion and administration of Te Ahurutanga; • Promoting occupancy of the RCR and Pakline buildings in Omahu Rd, adjacent to Heretaunga Park, which have been purchased by TToH; • Implementation of strategic plans to increase the use of Heretaunga Park conference facilities and Alfalfa Catering; • Overseeing the development of information technology to ensure TToH is able to engage effectively with the community, funders, marae and whānau. Hauora Heretaunga: Hauora Heretaunga is working hard to ensure that $360,000 of cuts to DHB contracts do not affect essential services provided by TToH to some of the most vulnerable children and whānau in Heretaunga and wider Hawke’s Bay. It has implemented an improved leadership structure with team leader positions for community nursing positions and a broader scope for the Clinical Governance Committee. Our medical and dental centre provides free healthcare to under-25s, which means there are 2300 tamariki and rangatahi receiving free care each year. Looking Ahead: • The service is now expanding, and has opened its books to the general public. We have capacity for another 800 - 900 patients. Tautoko Whānau me Whakaakoranga: Already running a collection of high-profile and successful programmes, Tautoko Whānau me Whakaakoranga now has responsibility for the implementation and development of the Matariki Whānau Ora programme, which will become the navigational heart of TToH’s integrated service structure. Te Tirahou Early Childhood Education Centre Te Tirahou earned a glowing report from the Education Review Office after another year delivering high-quality preschool education to tamariki. Three more staff graduated with bachelor degrees in ECE and TToH continued to offer work experience at Te Tirahou for other students. Te Tirahou is a kaupapa Māori-based establishment, accepting tamariki aged three months to five years. It encourages strong involvement by whānau. The excellent outcomes achieved by Te Tirahou are particularly notable in the context of the high-needs communities it serves. However, this is another area of service-provision in which the actual costs of providing the high-quality expected by funders and community alike is not reflected in current funding levels. TToH has drawn on its reserves to support Te Tirahou. Family Start Our Family Start staff shone in an audit by the Ministry of Social Development , which was so impressed it offered a further three-year, high-trust contract renewal. This occurred against a background of other providers having to re-apply for their contracts, or being awarded only 12-month renewals. A challenge facing most, if not all, Family Start providers is the current model for funding. There have been no CPI increases for the past six years despite significant increases in costs during that time. TToH has had to carry those extra costs of service-provision by using its own reserves. Page 21 Service Profile: who we are Te Taiwhenua o Heretaunga employs approximately 170 permanent staff and 15 casuals across five main services – Operations Support, Finance, Medical and Dental, Social and Education, and Mental Health. Ranga Toopu services include people and performance, support services, quality assurance and risk, process improvement, marketing and communications, information technology, and strategic project management. Hauora Heretaunga is the medical and dental service. Its staff include six GPs, three dentists and five practice nurses. Tai Ora Clinical is the community clinical service under the wing of Hauora. It has 22 staff including the manager, 12 nurses, six kaiawhina and one social worker. This team administers the award-winning Tamariki Ora programme. Tai Ora Community has 10 staff including the manager, and specialises in health promotion and disability support. Tautoko Whānau me Whakaakoranga is responsible for Family Start; the Matariki Whānau Ora programme, the Early Childhood Education Centre Te Tirahou, at Heretaunga Park; foundation-level education programmes; the school attendance service for an area covering Tutira to Wairarapa; a range of other youth-focused early-intervention programmes; teen parent support programmes, and the teen parent home Te Whare Karamu. Oranga Hinengaro a Te Matou a Maui offers a range of wraparound-style, kaupapa Māori-based mental health Page 22 Senior Management Team The senior management team of Te Taiwhenua O Heretaunga comprises: Marei Apatu (Acting Chief Executive and Te Kaihautū) Nathan Harrington, GM of Operations Support (Kaiwhakahaere Ranga Toopu) Patrick Le Geyt, GM of Health Services (Kaiwhakahaere Hauora) Brett Harris, GM of Social and Education Services (Kaiwhakahaere Tautoko Whānau me Whakaakoranga) Ry Stinton, GM of Finance (Kaiwhakahaere Putea) services from Wairoa to Central Hawke’s Bay. It has a staff of 39 including three clinical psychologists, five nurses and five support staff. It administers the Ararau Residential Care programme, which operates three houses at Flaxmere; and a day programme to promote client recovery and independence. Te Manaaki Taiao is the community-development wing of TToH, assisting marae in their development plans, providing a channel between marae and the board of trustees, and representing TToH in regard to environmental and local government issues. 11 11 10 10 7 6 5 4 3 2 General Practitioners Mental Health Nurses Practice Nurses Clinical Psychologists Social Workers 60 7 Community Health Workers 9 DentistsTherapist/Dental Assistants Team Leaders Clinical Community Nurses Executive 10 Kaiako 16 Management 20 Youth Services 30 Support Services 50 Kaitkawaenga/Kaimahi/Kaiawhina Service Profile Mental Health Social Services Health Other Education staff composition 60 48 40 26 Page 23 Governance Te Haaro is the board of trustees responsible for the governance of Te Taiwhenua o Heretaunga Te Haaro determines the vision for Heretaunga. It also ensures that TToH maintains its high level of performance, is fully compliant with all legal requirements, and is working to fulfil the vision and kaupapa of TToH according to the Trust Deed and tikanga. Te Haaro Board of Trustees Rear: Jaamin Pere, Kellie Jessup, Lisa Tuhi, Paratene Edwards, Koreene Henry, Christine Hilton, Monique Heke Front: Kaye Adams, Kararaina Kire, Mike Paku (chair), Waa Harris (deputy chair), Hemi Panapa. The trustees are elected by 15 marae to provide strategic leadership for Heretaunga, reflecting the needs and aspirations of whānau, hapū and communities. The elections held in November 2012 were a changeover from the previous system of rotational annual elections for sets of trustees reaching the end of their three-year terms. A variation to the Trust Deed at a Special General Meeting at Heretaunga Park on July 11, 2012, initiated an alignment of elections for all 15 seats on the board at the same time every three years. Six new trustees were elected to the board in November 2012. The TToH representative to the board of Ngāti Kahungunu Iwi Incorporated is Te Haaro chairperson Mike Paku. The deputy chairperson is Waa Harris. Te Runanganui o Heretaunga Te Runanganui o Heretaunga is a conduit between TToH and the marae/hapū of Heretaunga, addressing topical, future, environmental and community issues. It is facilitated by Te Manaaki Taiao, the community development wing of TToH, through which other stakeholders have been able to consult with and disseminate information to marae and hapū regarding their strategic and operational plans, projects or policies. Page 24 Absent: Warren Hamlin and Take Mulligan Topics presented to the Runanganui forum during the year included: Ruataniwha pre-feasibility project HBRC TANK stakeholder process Unison power charging and marae solutions Carbon Emission Tax Petroleum, gas and mineral exploration licenses WAI Maori issues Napier City Council and the Hastings DC BTF treatment plants Hapu management plans Rangatahi Science Wananga and Youth Forum • • • • • • • • • The members of Te Runanganui o Heretaunga are: • Omahu marae • Mihiroa marae • Matahiwi marae • Houngarea marae • Ruahapia marae • Waitangi marae • Kaikarakau Lands Trust • Mangaroa marae • Owhaoko Lands Trust • Waimarama marae • Korongata marae • Kuhuranaki marae Financial Report and Summary TToH Financial Performance July 2009 – June 2013 Revenue $12,000,000 TToH revenues have grown slowly but steadily during the past four-year period. $10,000,000 $8,000,000 $6,000,000 $4,000,000 $2,000,000 $0 FTEs at Year-End The year-end headcount has increased throughout the past four years. The largest increase in staff occurred between June 2011 and June 2012. Profits peaked in the year July 2010 to June 2011. Since June 2011, profits have fallen consistently, culminating in the losses in the current year. JUNE - 11 JUNE - 12 JUNE - 13 JUNE - 10 125 JUNE - 11 132 JUNE - 12 151 JUNE - 13 155 JUNE - 10 JUNE - 11 JUNE - 12 JUNE - 13 JUNE - 10 JUNE - 11 JUNE - 12 JUNE - 13 JUNE - 10 JUNE - 11 JUNE - 12 JUNE - 13 180 160 140 120 100 80 60 40 20 0 FTEs Overall Profit and Loss JUNE - 10 $2,000,000 $1,500,000 $1,000,000 $500,000 $0 -$500,000 -$1,000,000 Cash and Equivalents plus Portfolio The cash and investment holdings of TToH increased from July 2009 to June 2012, but declined in the current year as a result of the losses incurred. $6,000,000 $5,000,000 $4,000,000 $3,000,000 $2,000,000 $1,000,000 $0 Vehicle Expenses Despite inflation pressures, the cost of providing vehicles to full-time-equivalent staff has fallen from the peak of 2010-2011 Page 22 $1,850 $1,800 $1,750 $1,700 $1,650 $1,600 $1,550 $1,500 $1,450 Page 25 Page 26 Financial Summary 2012-2013 was a difficult year financially for Te Taiwhenua o Heretaunga. The following financial results were achieved: • For the third consecutive year income remained fairly static. This reflects the increasingly difficult contracting environment in which we operate. • For the second consecutive year expenditure increased by more than 10%. The current year increase was primarily due to an increase in personnel expenses largely related to increased staff numbers. • On 18 September 2012 Te Taiwhenua o Heretaunga entered into an agreement to purchase two commercial properties adjacent to the existing complex (960 and 962 Omahu Road). The contractual arrangement entered into was such that the actual exchange of ownership did not occur until 9 October 2013. The properties were purchased for $2.5m. A valuation completed on 16 July 2013 by Telfer Young assessed the properties to be worth $2.275m. Therefore, an impairment loss of $225,000, being the difference between valuation and purchase price, has been recognised in the current year. The location of the properties means that the buildings have a strategic value to Te Taiwhenua o Heretaunga that is in excess of the market value. • As a result of static income, increased costs and building impairment recognition Te Taiwhenua o Heretaunga reported a net loss of $602,761 for the year ended 30 June 2013. • Despite current losses Te Taiwhenua o Heretaunga is a solid organisation with a strong balance sheet. At 30 June 2013 Te Taiwhenua o Heretaunga held $3.0m of cash and term deposits plus a further $2.6m of financial assets held for trading. An unqualified audit opinion was issued for the year ended 30 June 2013. The current assets of TToH have been built up over 24 years through commercial contracts with government agencies and the investment of the Trust’s financial surpluses. The assets have not been derived either directly or indirectly from Treaty Settlement funds. Legally the assets belong wholly to the Trust and only Te Haaro can use them for the charitable purposes stated in the Trust Deed. TToH has operated successfully for many years and through informed decision making and careful management, the organization will succeed in navigating through the current financial difficulties. Page 27 Directory Te Taiwhenua o Heretaunga provides a wide range of health, social and education services to whānau across wider Hawke’s Bay. Te Taiwhenua services are based at Heretaunga Park, 821 Orchard Road, Hastings. Hauora Heretaunga – Medical and Dental Ph 871 5352 Hauora Heretaunga is a general medical and dental practice open to the public at Heretaunga Park. It provides GPs and Practice Nurses, Dentists (emergency and routine), dental therapists and dental health educators. Tai Ora – Community Health Services Ph 871 5350 • Mobile Primary Nursing and Health Promotion: Nursing, health promotion, education and advice for the whole whānau, including clinical and social support. • Tamariki Ora: Our award-winning home-based nurse service for tamariki from birth to five years. Milestone health checks, follow-up care, in-home immunisations, whānau education. Ph 0800 Tamariki. • School Nursing: Attending to the personal healthcare of tamariki at school, in addition to school-based health education, promotion and advice (Peterhead, Irongate and Flaxmere). • Dental Education (0-12 years): Dental education, promotion, advice and enrolment. The school brush-in programme provides in-school oral health care resources for pupils. • Social Support Service (all ages): Social assessments and support for whānau accessing the community health services. • Aukati Kaipapa (smoking cessation): A quit-smoking programme with a proven record of success, using nicotine replacement therapy, education support and advice. • Safer Environments for Whānau: Community networking and promotion to improve whānau safety in their homes, vehicles, at play, and in the community. • Kaumātua Service (for kaumātua and kuia): A programme designed specifically for kaumātua and kuia, providing health checks and monitoring, and networking with individuals, whānau, marae, community groups and agencies. Page 28 • Kāinga Tautoko (kaumātua and kuia): A programme designed to support ageing at home; empowering kaumātua to maintain their independence using all relevant links. • Injury Prevention • Car Seat Loans Oranga Hinengaro o Te Matau a Maui – Mental Health Services A clinical Hinengaro service to provide Kaupapa Māori Hinengaro assessment, intervention and consultation for whānau in the wider Hawke’s Bay District Health Board region. Criteria: Diagnosed mental illness – hospital, provider or self-referred. Ph 871 5354, ext 700 for Reception, ext 704 for the Clinical Leader. • Ngā Oranga o Te Rae: A community-based service providing one-to-one support to tangata whaiora and their whānau to ensure they receive a full package of assistance. • Arararu Residential: Provision of safe and comfortable accommodation within a home-like setting. The aim of this service is to enable tangata whaiora to live within the community with which they identify. Criteria: Hospitalreferred only, and pre-assessed by NASC. Contact the team manager: Ph 879 4693. • Ararau Day Rehabilitation Programme: This service provides tangata whaiora with a wide range of activities to assist them in gaining independence, overcoming social isolation, and improving their life skills and wellbeing. Criteria: Diagnosed mental illness – hospital, provider or self-referred. Contact the team manager: Ph 879 4185. Tautoko Whānau – Social Services • Family Start: This service identifies families in need of support around the time of their child’s birth. It provides a Kaimahi Whānau to assist families when social and family circumstances put at risk the health, education and welfare of children. Ph 871 5357, ext 813 for Supervisor, or Ext 804 for Administration Support. • Teen Parents (Tuakana Teina): A social, interactive service for young parents who require advocacy and assistance to develop their parenting skills. programmes assisting rangatahi to prepare for training, employment and further education and the achievement of recognised National Certificates. Ph 871 5350, ext 874. • Te Whare Karamu: An acclaimed scheme that provides housing and support for young mothers facing extreme hardship and requiring a stable whānau environment in which to learn to become a confident, capable and independent mother. Ph 871 0629. • Te Tirahou: This is a purpose-built Early Childhood Education centre at Heretaunga Park, providing highquality care and education for tamariki from three months to five years, with plenty of opportunity for involvement by parents/ whānau and the local community. It strives to uphold Kaupapa Māori values and aspirations. Te Tirahou offers 20 free weeks (up to six hours a day) for all three and four-year-olds. Ph 873 7542. Rangatahi - Youth Services • Heretaunga Tiaki Tamariki: A service focused on improving wellbeing and reducing re-offending by Rangatahi aged 8-16, by working intensively with them and their whānau. Ph 871 5350, ext 851 for Senior Kaimahi. • NEET, YP and YPP: TToH is an accredited Youth Service providor of assistance for: • Rangitahi aged 16 - 17 who are not in education, employment or training and have no source of income or family support (NEET). • Rangitahi aged 16 - 17 who cannot live with whanau or guardians (Youth Payment). • Rangitahi aged 16 - 18 who have a dependent child or children, and are the partner of a specified beneficiary (Young Parent Payment). Contact: Rangitahi Services Manager, Ph 871 5350, ext 852 or Admin Support, 871 5350, ext 851. Whakaakoranga – Education • Education and Training: Our private training establishment is NZQA-accredited to deliver free Alfalfa Catering and Café Alfalfa Catering is based at Heretaunga Park, where it also operates a café open to the public five days a week. Alfalfa has a sound reputation for high-quality and creative food, value for money, friendly and reliable service, and the capacity to ensure a worry-free catering experience for all clients, from corporate events to morning and afternoon teas. Ph 876 777 or email [email protected] Heretaunga Park Community and Conference Centre Heretaunga Park has a range of well-equipped facilities available for conferences, seminars, meetings, product launches and exhibitions. Heretaunga Park is conveniently located in Orchard Rd, easily accessed via the Hawke's Bay expressway and Omahu Rd. Ph 871 5350 or email [email protected] A 821 Orchard Road, Hastings P 06 871 5350 E [email protected] W www.ttoh.iwi.nz