ConnecT The newsletter of Counties Manukau
District Health Board. June 2005
Let’s Beat Diabetes Message
Twelve months of community consultation,
partnerships and collaboration all came
together on May 25th, with the launch of the
from the Counties Manukau community
into developing the plan
• The strong buy in local and central organi-
Let’s Beat Diabetes Plan: A five year plan to
prevent and manage Type 2 Diabetes in
Counties Manukau, at the TelstraClear Pacific
sations have to Let’s Beat Diabetes
• The action that is already taking place as
part of Let’s Beat Diabetes.This includes
Stadium in Manukau.
More than 150 local organisation represen-
tatives and community members gathered to
the Community Action Fund, Manukau City
Council and the inclusion of healthy urban
design concepts at Flat Bush and the
As the year flies by, it is exciting to see so
celebrate the launch and the positive spirit collaboration with major players in the food
many developments really taking shape
and enthusiasm associated with the plan.The industry to make the food environment in
around our organisation and community.
plan, officially launched by the Minister of Counties Manukau healthier.
One of our most rewarding achievements
Health, the Honourable Annette King, is The launch was opened with a karakia and
recently has been the launch of the Let’s Beat
aimed at long-term sustainable changes to mihimihi by Whitiora Dunne Cooper,
Diabetes plan.The Honourable Annette King,
prevent and/or delay the onset of diabetes, supported by the Whare kura o Piripono
Minister of Health, spoke at the event which
slow disease progression, and increase the kappa haka group.The blessing of the plan by
was attended by over 200 people and
quality of life for people with diabetes.The Whitiora Dunne Cooper and Pastor Chris
entertainment was provided by a number of
plan has already gained international Sola was particularly special.The night
cultural groups giving the event a definite
acknowledgement at the recent World Health concluded with entertainment by Drums of
Counties Manukau flavour! Television One also
Organisation Assembly meeting in Geneva. the Pacific, who not only had the entire crowd
ran a headline news story the same night
The key points from the Ministers speech out of their seats doing the Cook Islands
outlining the issues our community is facing
include: tamure (hula dancing) but also had the
with diabetes.The Board and I are extremely
• The importance of tackling the diabetes Minister of Health and other speakers
pleased with the work done to bring the plan
epidemic in Counties Manukau performing solo on stage!
to this point and we sincerely thank all the
• The importance of the significant input
individuals who have given input to us to
ensure this plan meets your needs.This is the
beginning of a five year long journey to
manage diabetes in our community and I
invite you to be actively involved. We all have
an important role to play for the sake of our
children and grandchildren.
The facilities projects are continuing to take
shape with Hawkins Construction now
confirmed as the main contractor.Today sees a
crane going up in front of the Adult Medical
Centre at the Middlemore site as the next two
levels are developed – exciting stuff!.
Directly above the Emergency Department,
work is about to begin on the National Burn
Centre.The Centre will contain 12 beds and
two burn isolation rooms in ICU and will
cover all phases of burn treatment.There will
also be a gymnasium, active daily living
kitchen and separate outpatient area within
the unit.The Centre will provide treatment and
Health Minister Annette King and CMDHB chairman Pat Snedden. Continued on page 4.
If you have a story you would like included in Connect please contact the Editor via e-mail: firstname.lastname@example.org
Patient Flow Programme
What is this all about? identify possible improvements, implement Ambulatory Services. Her role is to lead the
the ‘quick wins’ or easy changes straight programme, lead the process and to be
The Patient Flow Programme is about
away before coming up with a ‘future state’ responsible for the day-to-day running of the
making the journey through our hospital
or what would be a better way of doing programme. She will also run the bed
quicker and easier—from a patient’s
business, before making major change management workstream.
perspective! The programme recognises that
recommendations to the Steering Group and Justine Patterson will lead the Acute
a patient’s time is valuable and as important
being involved in the implementation of Admission & Transfer Workstream on a part
as our own. We want to identify areas that
those changes. It is anticipated that the time basis. Justine is a familiar face around
hold patients up, either within teams or from
entire process for each workstream will be many different parts of Middlemore
one area to another. We also want to look at
approximately a twelve to eighteen month Hospital, having been in a variety of roles in
what (if anything) can be removed within
process once all the approved recommen- nursing (including Coronary Care Charge
our processes, which will lead to our staff
dations have been implemented. Nurse) before joining the Medicine, Acute
having more time to spend on important
We are also working with various NZ DHB’s Care & Clinical Support Business
aspects of patient care.
including Canterbury, Waitamata and Improvement Team.
The programme isn’t run by management
Auckland who are at various stages of Jenny Pooley will return from maternity
and changes won’t be identified by
similar programmes to see what we can leave in mid June to lead the Pre-Admission
management. All information and discussion
learn. Elective patient processes also on a part
is developed in the workstream groups
time basis. Jenny was most recently the
which will consist of hands-on staff Who’s involved?
Service Manager for Radiology and prior to
members. The Steering Group consists of Brad Healey
that had a hand in both nursing and
(GM Acute Care, Medicine & Clinical
What will the programme cover? management roles that included MSC,
Support), Chris Fleming (GM Surgical &
The programme will be divided up into Anaesthetics, Orthopaedics and Emergency
Ambulatory Services), Ian Brown (Chief
smaller workstreams. These will be; Acute Care.
Medical Officer), Dale Oliff (Director of
Admissions & Transfers, Bed Management,
Nursing), Jenni Coles (Intermediary Care How to get involved…
Diagnostics, Discharge Planning and Pre-
Change Manager), Mary Seddon (Head of Contact programme Manager Kara Pugh
admission Elective Processes. These
Quality Division of Medicine) for more information or requests to be
workstreams will be led by a Workstream
The Programme Manager is Kara Pugh. included in one or more of the workstreams
Leader and will comprise of ‘coal-face’ staff
Kara has been seconded from the Quality & (xtn 7663 or e-mail
who work in these areas daily. These groups
Risk Manager position within Surgical & email@example.com).
will map out what currently happens,
Community Based Rehabilitation
The Assessment,Treatment & Rehabilitation In the first 12 months of operation, as the will help to reduce this sense of abandonment
Service is pleased to announce the Community service evolves, the team will work predomi- and to smooth the transition to home. It will
Based Rehabilitation initiative is up and nantly (but not exclusively) with patients over also support carers of stroke patients at home,
running. 65 years of age, who have a diagnosis of and reduce carer stress.”
CBRT provides rehabilitation to older patients stroke. The patient is provided with equipment
with a diagnosis of stroke. The team The team will work mostly within the services and support; and given access to other
functions to support early discharge from Mangere, Papatoetoe, Manukau, Howick and relevant services that help with stroke rehabili-
hospital and prevention of admission from the Otara catchment areas. tation like GP’s, practice nurses and support
community. The service includes comprehensive, multidisci- agencies like the Stroke Foundation.
Community Based Rehabilitation is a process plinary assessment in the patient’s home by a CBRT is a priority 1 initiative in keeping with
of relearning old and developing new skills that team including a doctor, physiotherapist, nurse, the CMDHB's goal to enhance and expand
maximise independence and quality of life, in occupational therapist, dietician, speech- community initiatives.The service is also in
the patients own environment. language therapist and social worker. keeping with the "life after stroke" Stroke
“Most patients prefer to be at home, if A client-centred approach is used by the team, Foundation guideline, which is a guiding
possible. Community home based rehabilitation to help develop a day-to-day rehabilitation document for services throughout New
is often more relevant to the person in the programme to suit the patient’s needs. Zealand.
home environment as their tasks are more Doctor Green says “Patients often feel Please contact Dr Geoff Green, at the
meaningful” says CMDHB Geriatrician, "abandoned" when they are discharged home Assessment,Treatment and Rehabilitation
Doctor Geoff Green. with a disability such as a stroke.This service Department for further information.
2 J UNE 2 0 0 5
Horse Primary Health
riding Care Workforce
There are lots of initiatives currently taking Targeting high school students for
place to help address some of the workforce a career in health
issues in primary care in Counties Manukau. Health care as a career has a bit of an image
Below is an update on a few of the initiatives problem with high school students these days.
from the CMDHB Primary Health Care To help address this, a DVD and poster
Workforce Development Action Plan. profiling primary health care workers has been
produced. It targets Year 9 & 10 students and
NGO, Community and Primary Care
focuses on communicating the range of health
career options available, portraying health as
CMDHB has recently distributed workforce
a fun and interesting sector to work in, and
questionnaires to NGO, community and
encouraging students to take science. A BIG
primary care providers and their staff within
thank you to all those people who gave their
Counties Manukau.This census will provide
valuable time to be interviewed for this
vital information for planning purposes for the
health workforce needs in the Counties
For queries or feedback on any of the items
Manukau district. It will provide a snapshot of
On Monday 14th March 2005 a group above please contact Bronwyn Anderson,
the size, demographics, competencies, skill
of 11 people ventured away from the Project Manager Primary Healthcare
levels and location of employment. It will also
hustle and bustle of Auckland to the Workforce Development on 09-262 9566 or
inform short, medium and long term
Sea-View safari Camp in Katikati for at firstname.lastname@example.org.
workforce planning initiatives.
an adult riding adventure. This group It is vital that all organisations contacted get
was made up of consumers and involved in this census to assist us all to
support staff from the Intensive work together to achieve ways
Community Team (ICT). The ICT to meet our future workforce
supports persons experiencing mental needs.The final report will be
health issues. publicly available (at a top-level
Why horses? The benefits of horse only and not identifying any
riding have been extensively researched individual responses). If you
and shown to increase concentration, would like to participate in this
motivation, promotion of reminiscence census and have not yet received a
(which is alertness and emotional well survey please contact Hamish
being). The camp was overnight which Crooks at 4PM Consulting on 09-
allowed time to relax, play sport, swim, 263 6385 or at
play the guitar and sing in addition to email@example.com.
the two hour horse trek.
All group members enjoyed this GP Locum Scheme
adventure and we worked well as a GPs have highlighted a locum doctor
team. service as a high priority to allow them
We look forward to planning more time-out to upskill, take leave, etc. We
adventure based activities. are currently looking for a locum to help
Many thanks to the CMDHB for us pilot test this locum doctor scheme
allowing us to make this happen. around South Auckland. We are looking
to recruit this position by the end of June
Haidee St John for a 4-month fixed term contract with
Occupational Therapist ICT Kowhai CMDHB.
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Message form the CEO, continued from page 1 A new initiative to give the public greater successfully in the Waikato district and we
access to health information is about to go look forward to making it available for our
rehabilitation for the most severe burn patients
live. You will soon see the new Webhealth community.
from across the country as well as continue to
kiosks around the region in some shopping In the next issue of Connect, I will review our
provide a regional burn service for the northern
malls, libraries and other public areas.The achievements for the 2005/2006 year. All the
region.The Cardiac Catheter Laboratory
kiosks will give the public access to up to date best for the coming winter weeks.
modification designs have been completed and
health information on line. In some areas, there
the first stages of work are underway. I will
will also be assistance to help people become
update you in the next Connect as work is
acquainted with the computers and how to use
expected to progress at a rapid rate from here
them. Webhealth is already running Stephen McKernan
ORL summer studentship student Healthline
Danuta Young wins Wallath prize telephone
Counties Manukau residents can now
access free health advice over the phone.
Healthline, incorporating PlunketLine, is a
24 hour, toll free service that can be
accessed from a landline or cellphone.
The initiative is funded by the Ministry of
Health, and run by McKesson Ltd in
partnership with St John and Plunket.
Healthline is being rolled out across the
country after a successful pilot
programme in Canterbury, West/East
Coast and Northland.
Calls are answered by Registered nurses
Brian Jones, Auckland Medical Research Foundation; Danuta Young, Medical student and prize or specially trained Plunket Nurses, who
winner; Associate Professor Wouter-J.F. Ten Cate, Supervisor and ORL Consultant; Associate can assess a person’s condition, and
Professor Merv Merrilees, Head of School of Anatomy, University of Auckland. recommend the best course of action. Self
care may be recommended or the nurse
ORL consultant Danuta Young is a 4th year Fiji this July. It is the second time that an
may direct the caller to their GP, nearest
medical student at the South Auckland ORL project has won the prize. Henry Kwok
Accident and Medical, or emergency
School of Medicine. Supervised by Associate previously won for his project 'Temporal department.
Professor Wouter ten Cate, Danuta conducted Bone Resection and QOL" supervised by The service means people who are worried
a study on the accuracy of Otomicroscopy in Professor Randall Morton . about health symptoms can get helpful,
the Diagnosis of Paediatric Middle Ear Many Otolaryngologists rely at least in part on accurate advice, without necessarily having
Effusions. otomicroscopy to determine the presence of to make a time to see the doctor. It also
Danuta conducted the project as part of the fluid within the paediatric middle ear.The aim provides a valuable service for people who
University of Auckland Research Office of this study was to determine the accuracy of live in remote areas who are unsure about
Summer Studentship Programme, with otomicroscopy in diagnosing paediatric middle making the trip to other health services.
funding from the Auckland Medical Research ear effusions. 67 children receiving Healthline general manager, Michelle
foundation. tympanostomy tubes at the Manukau Surgery Branney says “Healthline is about getting
ORL Consultants Mr. Zahoor Ahmad and Centre, were included in the study. the right care, at the right place at the
Professor Randall Morton, were members of The findings of the study indicated that right time.” She also says the service
the research team and Vicki Dixon from the otomicroscopy can be a highly accurate offers locations where after-hours services
Audiology Department at MSC was of method of diagnosing middle ear effusions in can be accessed.
invaluable assistance for the data collection. children. Otomicroscopy was found to be more Plunketline Chief Executive Paul Baigent
Danuta Young was recently awarded the accurate compared to tympanometry. Data says the “Healthline partnership, with its
Faculty of Medical and Health Sciences indicates that the potential value of increased technology and service levels, is
Wallath Prize for the top-scoring summer otomicroscopy for health professionals set to become a valued service to family
members of all ages throughout New
studentship in a clinical discipline for this dealing with otitis media with effusion, as well
project. The study will be presented at the as for the otitis media with effusion screening
Healthline, incorporating PlunketLine can
International Meeting of the Australasian program in New Zealand, should be further
be accessed on 0800 611 116.
Society of Paediatric Oto-rhino-laryngology in explored.
4 J UNE 2 0 0 5
Tamaki Oranga is changing District
As a service we are changing our approach to which staff can base their practice with
the way we care for individuals with mental clients.
illness. We are really excited about the change
Where is Tamaki Oranga now?
and the difference it is making for clients with
mental illness as well as staff at Tamaki
Tamaki Oranga is a minimally secure
Tamaki Oranga is halfway through making
the changes needed to perform inline with the
MOH Blueprint. Staff are incorporating
principles of the Recovery model in their
inpatient unit with 20-beds for men based in Phase One (Plan Development) of the
practice, and we have had success in
Bairds Road Otara. It was established in District Strategic Plan review for the next
developing individual and collaborative
1999 after the disestablishment of Villa Six five years is now complete after three months
programmes for clients that focus on
at Kingseat with the intention of providing of consultation with the community and
community based activities, education, and
long-stay accommodation and rehabilitation CMDHB stakeholders.
to men who have experienced long-term Over this time Community Liaison Manager
We’ve forged successful links with community
difficulties with mental illness who could not Tony Kake, spoke with nearly 500 people,
based services that provide ongoing opportu-
live well in the community. Currently Tamaki about issues that Counties Manukau
nities for clients at Tamaki Oranga. Early
Oranga is undergoing an enormous change, community’s face, to be taken into consid-
changes have already resulted in measurable
moving from an extended-care unit to an eration in the strategic plan.
outcomes, such as shorter lengths of stay for
intensive recovery focussed unit. The following outcomes were determined
In 1998 the Ministry of Health (MOH) from the feedback:
published the Blueprint for Mental Health. Where Tamaki Oranga is Heading 1. Improve society’s response to health need
This was a National Mental Health Service Our vision is to receive funding and staffing to 2. Improve child and youth health
Development Plan which set out what kinds support individual programs and community 3. Reduce the incidence and impact of
and what levels of service are required for activities that enable each client to spend a priority conditions focusing on:
different groups of people. large part of his day out of the centre. It is • Diabetes
For Tamaki Oranga to meet the MOH expected that all clients will spend less then • Cardiovascular disease
Blueprint guidelines and to provide the best 18-months at Tamaki Oranga before moving • Chronic respiratory disease
possible service to consumers, we need to into a less restrictive environment. When • Cancer
develop a practice based on the principals of clients leave Tamaki Oranga it is expected • Mental health
recovery and incorporate these into the that they would have developed skills to 4. Reduce inequalities in health status
planning for clients. An intensive recovery enable them to continue to live well with and 5. Improve health sector responsiveness to
approach was identified as been more cost without the presence of mental illness. individual and family/whanau need
effective in the long-run in that it reduces The re-branding of Tamaki Oranga into a 6. Improve the capacity of the health sector
length of stay (LOS) and time spent on recovery centre is to be road-showed in the to deliver quality services
waiting lists. Specific training in the recovery community from July 05. We want to increase Tony Kake says Phase Two (Consultation)
approach and other areas has been (and the links Tamaki Oranga has with the will start mid-July.This will involve wide
continues to be) offered in order to up-skill community, normalise its presence, what it is consultation throughout the Counties
staff. With a unit that is staffed 24-hours a we do, and who our clients are.The road-show Manukau District through formal presen-
day, you can imagine how difficult this has will focus on decreasing stigma for clients at tations, public meetings and media releases.
been. Even with such difficulties, staff have Tamaki Oranga and de-bunking myths about It’s hoped consultation will be complete by
managed to undertake training, and a new the service. the 19th of August where a sub-committee of
framework and language has been provided on elected representatives will hear submissions.
“Kiwi Life” session
Nau Mai, Haere Mai - New migrants and The session includes the basic fundamentals years and still haven’t seen a doctor”. He says
settlers have a new way of getting to know the and terminology we use in New Zealand, he talks about all aspects of health, from the
Counties Manukau health system. which in most cases, is extremely different to differences between Eastern and Western
Community Liaison Manager Tony Kake, hosts a migrants home country. medicine, to how New Zealanders’ pay for
a monthly session at Highland Park Things we take for granted like, what is a GP, their healthcare.
Community House, to give an overview of the a PHO or the number to call for emergency The “Kiwi Life” session aims to make new
health system and answer people’s questions. services, can all be very foreign to some settlers comfortable and aware of the services
Tony Kake says “it’s all part of the migrants. we offer, and present the options available to
orientation service available to new migrants” Tony Kake says “some people who attend the them.
to acquaint them with life in New Zealand. session have been in the country for three
J UNE 2 0 0 5 5
Exciting new equipment for opthalmolgy service
invasive. It is repeatable and can document improvement and deterio-
ration in the eye, which often saves the need for repeated Fluorescein
Now that the Manukau SuperClinic has an OCT and a state of the art
digital fluoresein angiography camera, it lacks nothing in its ability to
provide world class medical retina service. It also makes the CMDHB
Ophthalmology department very attractive as a centre for medical
retina, both to potential retina specialists and to industry looking for
cooperative research trial sites“.
This is particularly important and timely as the department is currently
in the process of recruiting a medical retina Ophthalmologist.
Vic Middlemiss - Ophthalmology Service Manager
The Ophthalmology department at Manukau SuperClinic is very
pleased to announce the arrival of a new item of diagnostic equipment.
We have recently acquired an Optical Coherence Tomography (OCT)
apparatus.This has been generously donated by The Southern Trust via
the South Auckland Health Foundation and follows on from the Trust’s OCT image of a normal retina
sponsorship of a digital eye camera in November 2004.
CMDHB Ophthalmologist Mark Donaldson explains the importance of
acquiring this equipment and outlines what it does.
“The OCT has become an extremely important diagnostic tool for
medical retina over the last 2-3 years. It uses a laser technique to build
a cross-sectional image of the retina.This shows the 12 cellular layers
and provides for accurate measurement.
The images generated from this device give much more detail than can
be gained clinically and supplement Fluorescein Angiography to a great
OCT image of a detached retina
extent.The OCT doesn’t require a dye injection and is completely non-
Respiratory medication review clinic
The Respiratory Medication Review Clinic is a containing current medical and medication rehabilitation programme were identified as a
new service development at Middlemore history, drug related problems and recommen- motivated group who would benefit from the
hospital based on the principles of pharma- dations.The report is peer-reviewed before it’s service. We have extended our service to
ceutical care. In 2002, a medication review sent to the patient’s general practitioner (GP) accept referrals from other health profes-
clinic was piloted in the dialysis centre at and community pharmacist.The report is also sionals involved in the care of respiratory
Middlemore hospital.The positive outcomes entered into Soprano medical documents on patients.
from this pilot encouraged us to further Concerto. Currently, eighteen patients have been
evaluate the effectiveness of this service for In order to use data from the reviews for reviewed with positive feedback from patients
other patient populations with chronic research into the improvement and and GPs. A minimum of fifty patients are
diseases. Patients with chronic respiratory development of the clinical pharmacy service, required for the results of this clinic to be
conditions, such as asthma and chronic written consent is obtained from the patient at published.
obstructive pulmonary disease, often present the start of the review process. Patient and Referrals can be made on the standard
with other co-morbidities and take multiple GP surveys are also conducted for this referral form, and sent via fax or internal
medications. purpose. mail.
Please send referrals to:
The Review Process The Referral Process
Judith Ling / Rajesh Babu
The reviews aim to identify drug related At present, the majority of patients are
Pharmacist, Medicines Information
problems, provide medication education to referred to the Respiratory Medication Review
patients, update medication profiles and liaise Clinic by the Pulmonary Rehabilitation
with primary care providers.The pharmacist programme co-ordinator, Lorraine Forbes-
conducting the review generates a report Faulkner. Patients attending the pulmonary
Internal fax: 8057
6 J UNE 2 0 0 5
Counties dietitians celebrate
and plan at the gardens
Twenty three CMDHB dietitians recently Vivian Tompson and Franica Yovich, began a An important part of the team day involved
enjoyed a team day in the delightful needs assessment in the primary health care planning for next year. From an original list
surrounds of the Botanic Gardens, reflecting setting.This exciting initiative aims to develop of over 50 projects submitted, a theme of
on highlights from the past year. a programme to “train the trainers” in safe practice emerged. Groups of dietitians
Renal dietitians have developed new large- obesity management. worked together to identify standards of care
print meal guidelines to improve patient As a team, dietitians received training and that will be a priority for updating in the
understanding of their dietary needs. Bahee engaged in Professional Supervision for the coming year.
Manickavasagar has adjusted recipes first time. With the enacting of the HPCA Not all of the day was hard work.Team
provided by Pacific Island patients so that Act in September, our continuing competency building games and eating delicious food were
they meet dietary needs for chronic kidney programme became compulsory.This also on the programme, the latter being
disease. Once photography is complete, the energised us to document our professional particularly important for dietitians!
long awaited renal cookbook will be a reality. development activities and develop portfolios.
Diabetes dietitian Lynne Ferguson has It has been a big year!
arranged for food photographs to be printed
for patients who learn best visually. Patient
education material was also prepared in the
eleven main languages spoken by our
Counties Manukau community.
Trisha McCord, dietetic assistant, joined our
dietitians working with adults in Home
Healthcare. We developed this new role in
response to difficulties in dietitian
recruitment.The role, together with
development of best practice caseload
management by dietitian Sandra van Lill, is
enabling more effective patient intervention
A return to work programme has seen our
community paediatric dietitians involved in
the re-training of Catherine Wheeler,
returning after a number of years raising a
family.This is a particularly important
initiative given our difficulty in recruiting
experienced paediatric dietitians.
This year two public health nutritionists,
New HRC Grant for DHB researchers
A multidisciplinary research programme, led with 10-15% of these patients developing and intense scrutiny by specialised assessing
by Dr Pamela Melding of the Mental Health unanticipated cognitive problems post- committees.
Services for Older People at Waitemata DHB operatively that could be permanent.This 3- Those taking part in the project include Dr
has received a grant of $721,000 from the year study addresses a major health issue for Pamela Melding, Dr Francois Stapelberg, Ms
Health Research Council of NZ.The grant will older people. By identifying patients most at Snezana Mitrovic-Tosovic, Dr Richard
be used to investigate the incidence and risk risk for POCD, future patients may be better Worrall, Professor Rocco Pitto, Associate
factors for postoperative cognitive decline informed and anaesthetic or surgical Professor Paul Merrick, Mrs Joanna Stewart,
(POCD) in older New Zealanders having techniques may be modified to reduce any Professor Keith Wesnes.
elective joint replacement surgery.The study risk. (Mental Health Services for Older People,
will be conducted at Counties Manukau DHB The HRC received 250 applications in its Centre for Clinical Research & effective
and managed through the Centre for Clinical annual project round and awarded a total of practice.)
Research and effective practice (CCRep). 75 contracts.These were chosen in a two-step Project Title: Post operative cognitive decline
Up to eight thousand older patients have process involving local and overseas expert in New Zealand: what are the risks?
elective joint replacement surgery every year, referees who work in the same research area,
J UNE 2 0 0 5 7
CMDHB supports the Body
Odyssey Health Festival
Webhealth Launch Maraerobics
www.webhealth.co.nz The DHB also supported a “Maraerobics”
The new Counties Manukau Webhealth event during the health festival- Maraerobics,
website was launched on the 26th of May, being aerobics instructed mainly in Maori.
and to celebrate, there were performances The idea of the event was to promote
from Dawn Raid Entertainment, Nathan King physical activity in a fun way. Around 2000
(lead singer of Zed) and reggae band Three tamariki/children attended but they weren’t
Houses Down. the only ones in on the action- health board
Webhealth has been specifically developed to members Pat Snedden, Paul Cressey and
provide another avenue of access for people Manukau Mayor Sir Barry Curtis also got
to connect with Health and Social Services. involved.
Community Liaison Manager Tony Kake says CMDHB staff on the recruitment drive!
Health Careers Expo
“there are around 1,000 organisations The Body Odyssey Exhibition triggered
already linked to the Webhealth website, and CMDHB and Manukau City Council to use
were encouraging more to register”. the event to highlight health directions,
Mr Kake says the website gives people an activities, issues and progress in the region.
opportunity to find health or social service The Health Careers expo at the TelstraClear
organisations that are specific to their needs. Pacific Events Centre went ahead on
The website gives people information about Saturday the 28th of May, with CMDHB
various services available in Counties staff out in force to get young people excited
Manukau, any costs associated with the about a career in the health industry.
service, any cultural specific services, or There were around 15 stalls featuring
location. different organisations, with various
For more information visit the website or call educational institutions represented to show
0800 WEBHEALTH. the health-sector courses they have on offer.
Body Odyssey – a great
Women’s Sexual Health learning experience
For a patient, understanding how the body
works is an integral part of managing self care,
integration project and for children with chronic illness, an
excellent way of developing coping strategies.
This understanding took on a new dimension for
The Women’s Sexual Health project has include primary, school health, at-risk a group of seven young patients in the Kidz
commenced as part of the overall Sexual young, and Maori and Pacific youth.The First hospital, when they visited the Body
Health plan for the CMDHB. Women's Sexual Health integration project Odyssey exhibition at the Telstra Clear Pacific
The women's sexual health integration is sponsored by Nettie Knetsch (GM Events Centre.
workstream was identified in response to Women's and Kidz First) and Keith The young people visited during the exhibitions
the need to address a number of issues- the Allenby (Clinical Director of Women's ‘Teen week’.They were supported by nursing
increasing incidence of sexually transmitted Health). and hospital play specialist staff as they took in
infection, abortion rates in the Auckland Manager of the project Lesley Powell, is the larger than life models of the body and
region and increase in teenage pregnancy currently consulting with stakeholders to explored its functions.
rates. The project will explore ways of identify possible gaps in service delivery. Hospital Play Specialist Carol Bolton says “the
delivering to more woman, culturally The project will identify recommendations computer programmes were brilliant tools for
appropriate services which are accessible and propose pilot models of care for understanding the special functions of our
to improve the uptake of sexual health implementation in early 2006. bodies and the self care required.” She says
assessment, screening and contraceptive If you have any feedback or would like to “it was a special way for the young people to
usage. know more about the projects aims, please gain further essential knowledge that they
Gilli Sinclair is overseeing the various contact Lesley Powell. 09) 2760044 ext require, so they can manage the challenges of
sexual health plan workstreams, which 2852. chronic illness and in doing so, work towards
meeting their optimum development in life.”
8 J UNE 2 0 0 5
National Burn Centre
the National Burn Centre.
Sophie gets a “What you’re about to build here is far better
National Burn Centre
Middlemore than where Sophie was treated in Australia. I receives a Lions share
encourage all New Zealanders to get behind
welcome this wonderful facility,” he says. of support
Sophie’s visit to Middlemore was featured on People normally expect to receive birthday
Remarkable burn survivor Sophie Delezio paid
‘Close Up’ with the public generously gifts, but Lions clubs around the country were
a special visit to Middlemore Hospital in May
responding with donations for the Centre. happy to give to a worthy cause on their 50th
to show her support for the planned National
Burn Centre. birthday.
Accompanied by her parents Ron and Carolyn Burns breakthrough The Lions, who have been raising funds for a
high-dependency unit in the planned National
and brother Mitchell, 4-year-old Sophie toured
the site of the new facility and laid her stake beckons Burn Centre, presented a $300,000 cheque to
on what will be known as ‘Sophie’s room’. the South Auckland Health Foundation at
The plans are complete and building is about
The young girl was injured in a horrific their 50th anniversary celebrations in April.
to begin but the South Auckland Health
accident in December 2003 when a car Foundation executive director, Pam
Foundation still needs support for the
careered through the wall of her Sydney- Tregonning, was thrilled to accept the
National Burn Centre.
based childcare centre. donation for the high-dependency unit which
The Foundation is $200,000 short of its $1.5
With full thickness burns to 90-percent of her caters for critically ill patients.
million fundraising target for New Zealand’s
body Sophie’s chances of survival were slim “This is an outstanding achievement and we
dedicated burn treatment facility.
but in what has been hailed a medical miracle, are delighted with their contribution,” she
Plastic and burn surgeon and clinical leader
the young girl lived. says.
of the Centre, Stephen Mills, is urging the
Sophie’s parents shared their phenomenal All ten Lions districts across New Zealand
public to contribute.
story with the New Zealand public on TV1’s supported the project with the Auckland,
“It’s going to be a wonderful new facility
then ‘Holmes Show’ last year, raising an Waikato and Bay of Plenty districts adopting
which will help us provide optimum care for
amazing $230,000 for the National Burn it as their major fundraiser.
our country’s most severe burn sufferers. But
Centre. Mike Smith, Lions District Governor for the
we still need more support - please help our
The funds will support a paediatric room in Waikato region, says it is an excellent example
patients by making a donation,” he says.
the new facility where children like Sophie will of a national collective effort bringing about
For more information about the fundraising
be treated. results for a good cause.
campaign contact the Foundation office on
Ron Delezio says they were thrilled to visit “It’s wonderful that Lions could present such
270 8808, ext 8400 or visit www.burn.org.nz
and blown away by the outstanding plans for a superb gift on their own birthday!” he says.
A burn could happen at any time to any of us.
The National Burn Centre fundraising tally leaps ahead with a
$300,000 donation from New Zealand’s Lions Clubs. Executive
director of the South Auckland Health Foundation, Pam Tregonning,
Sophie and Mitchell Delezio are full of smiles during their visit to accepts the cheque from Lions Club representatives Philip Wyatt and
Middlemore Hospital. Geoff March. Photo courtesy of the Manukau Courier.
J UNE 2 0 0 5 9
company rally to
Fighting fire and limiting fire damage to
buildings and homes is a job Wormald takes
But while buildings can be repaired with
relative ease, often the damage to people by
fire has more lasting effects.
To help ease the pain of serious burns
Wormald staff are supporting the National Kidz First Neonatal Intensive Care Unit is another incubator better off thanks to the support of
Burn Centre fundraising campaign. the Yi Jin Cantonese Opera group. Pictured from left are members Helen Wu, Elaine Leung, Kin
The company presented a $10,000 cheque to Yip and Grace Kan. Photo courtesy of Howick & Pakuranga Times.
the South Auckland Health Foundation in
by the Langham Hotel, Auckland.
May and say this is just the beginning of its
Singing the way to The leadership category was one of six
Sean Aucamp, Wormald marketing fundraising success awards presented in the 2005 Counties
Manukau District Health Board's Leadership
coordinator, says they are supporting the
Local and international opera singers joined Nurse Awards staged at Middlemore Hospital
National Burn Centre because a burn could
together to stage a concert in support of our in May.
happen at any time to any one of us.
most fragile newborns. Ms Stickland, who is the district health
“Our main aim in raising this money was to
The Yi Jin Cantonese Opera, held in March, board’s clinical nurse educator for emergency
aid in the treatment of burns patients and to
was an outstanding success raising $35,000 care, says she is delighted and honoured by
promote fire safety awareness,” he says.
for the Kidz First Neonatal Intensive Care the win.
Unit. “It was a surprise to be nominated and an
The funds will be used to purchase an even bigger surprise to win,” she says.
incubator for the new facility which is due to “When you go through your nursing training
open later this year. and working career, you see other deserving
The fourth annual opera event – and the people being honoured and think it would be
second in support of Kidz First – was the nice to be like them. It seems my turn has
biggest yet attracting 700 people. come and it is really lovely to be recognised.
South Auckland Health Foundation executive Now I’m looking forward to staying at the
director, Pam Tregonning, was among the Langham Hotel, Auckland with my partner
guests on the evening and says it was a and taking in a show – without our three
magnificent show. kids!”
“It really was an elaborate performance with Ms Stickland started nursing in 1976 and
some amazing artists performing.The later moved into her current work area –
resulting donation is fantastic and we’re very nursing education.
thankful for the group’s support,” she says. “Anyone coming to work in the hospital’s
emergency department gets an orientation
Nurse wins luxury programme which I oversee but I am also
involved in professional development and on-
break at Langham floor training,” she explains.
Middlemore Hospital’s acting clinical nurse
South Auckland Health Foundation Community Hotel, Auckland director,Tracey Mitchell says this year’s
Relations Officer, Nicki Winn, is delighted to Middlemore Hospital’s Janice Stickland is leadership awards attracted 116 nominations
receive a $10,000 donation from the General in total.
looking forward to putting her feet up in style
Manager of Wormald NZ, Keith Blind. “Janice won the Langham Hotel, Auckland
after winning a leadership award sponsored
1 0 J UNE 2 0 0 5
leadership award in recognition of her
excellence in daily practice and for being
someone that makes a difference. She is a
Easter treat FreshED
very deserving winner who maintains dignity from Buddle
and respect for patients, families and fellow
staff members at all times. Janice leads the
team exceptionally democratically and is a
mentor to many.”
Ms Stickland’s prize – a Five Star Fling
package in an Executive Room - was
presented to her on behalf of the Langham
Hotel, Auckland by the hotel’s business
development manager, marketing communi-
cations, Amanda Drummond.
8-9 July 2005
Great South Road,
Langham Hotel, Auckland leadership award You may be aware that along with current
recipient Janice Stickland (centre) with the workforce shortages in the health sector,
hotel’s business development manager, marketing there are predictions of a critical shortage
communications, Amanda Drummond and of health workers in the future. The
Counties Manukau District Health Board’s upcoming FreshED festival is a great
director of nursing, Dale Oliff (right). Nine-year-old Julieana Poto-Tangata enjoys opportunity to talk to our potential future
a visit from the Easter Bunny during her stay workforce about the range of health
at Kidz First. Julieana was one of many careers available and what working in
patients to take part in Easter activities health is really like.
hosted by staff of the Auckland office of law
Described as "cool, sassy & refreshing",
firm Buddle Findlay. The firm’s Child
FreshED will have more than 6,000 6th &
Health Foundation has also donated $15,000
7th form students attending over the two
for a BRM 2 monitor for the hospital’s
Neonatal Intensive Care Unit. days. CMDHB will be holding several
health careers workshops and a stall and
we are looking for health workers and
tertiary students who relate well to youth
Winter woollies wanted to come along and talk to the school
students about what they do.
If you are interested or know of someone
The winter nip is in the air which means it’s the benefit of Counties Manukau children who might be we would love to hear from
time to stay warm. up to the age of two. But we need more so you. The more the better, and it is a great
And what better way to do so than to stoke please get those needles moving. opportunity to reach this audience in a
up the fire, pour a cuppa and get knitting! Deliver your knitted goodies to the setting that is fun and interactive. You
The South Auckland Health Foundation is Foundation’s community relations officer might also catch some of the free live
seeking new knitted or crocheted goods to Nicki Winn - Support Building 30, level 2, entertainment such as brotown on stage!
help boost the stocks of its wool Rm 237. For more information on the festival check
programme through the winter months. To find out more about the Foundation’s out www.freshed.co.nz
Already more than 200 volunteers donate wool programme please contact Nicki – Ph If you would like to help or can suggest
beautifully knitted clothes and blankets for 270 8808 or ext 2074. someone else who can please contact
Bronwyn Anderson or Akesa Burling.
J UNE 2 0 0 5 1 1
Kiaora kotou and a belated greetings New Starters,
to the six new midwifery graduates Appointments,
Human Resources: Farewell to Tess
Richardson who has resigned from her role as
RMO Consultant at CMDHB to take up a
new opportunity with Contract Negotiation
Services (CNS). Tess has made a
tremendous contribution to CMDHB during
her time here.Tess will be leaving on Friday
15th July, and we wish her well for the future.
Delivery Suite It is with great delight that
the Women's Health Management Team
welcomes Melissa Brown to the role of
Delivery Suite Midwife Manager. Melissa
brings a wealth of experience from across the
Tasman and will be an asset to the service.
Intensive Care Medicine A warm
welcome to Catherine Simpson, who has been
Rebecca McGinty, Sarah MacDonald, Megan Penrose, Amelia Ofahengaue, Heather Tennent, appointed to the position of Clinical Head of
Annabel Pepler (absent). the Department of Intensive Care Medicine.
Catherine is well known within CMDHB
The Women’s Health service historically opens two
having been a Specialist in both Emergency
intakes throughout the year for a structured one year
Care and Intensive Care and we are very
midwifery new graduate programme.This twelve fortunate that she is keen to progress into this
month commitment offers the opportunity of role.
consistent senior support and consolidation and This position has previously been very ably
development of practice and confidence. filled by Tony Williams who is now ready to
Counties Manukau is a dynamic and hectic “hand over the reins" and to devote more of
environment for a new midwife, witnessing and his time to research.Thank you to Tony for his
supporting pregnancies and arrivals of approximately contribution over the past few years as
7,000 babies annually, with approximately 1,000 of Clinical Head.
these birthed in community units. Counties Manukau Ward 19 Farewell to Anne Nicholson who
provides the exciting prospect of providing Lead has moved to MSC-Recovery, Sharon Kumar
Maternity Care to over 52 percent of primary care At one of the three compulsory “Update who is moving back to Australia, and Andrew
women, one of the highest in a New Zealand facility. Days” for Midwifery New Graduates. Gilhooly, who is transferring to ICU. Ward 19
Heather Tennent and Megan Penrose would like to thank all 3 staff for their hard
This prospect allows new midwives to genuinely work
mastering the practice of managing work.They will be missed and we wish them
in collaborative partnership with the women and
shoulder dystocia at birth, under the all the best.
whanau of our communities and provide midwifery guidance of Delivery Suite Charge CCP Update: Competent: Mohini Lal.
led care, with an emphasis on ensuring an opportunity Midwife Betty McGregor. Advanced Beginner: Melanie Olliff.
for a ‘normal’ child birthing experience.
All new graduate midwives are given the fortune of
Tamaki Oranga Ronnie Kirkwood is a new
starter for Tamaki Oranga, in a newly
experiencing an unbending five to six month
established position as OT assistant.
experience in our hectic delivery suite, three to four Manukau Surgery Centre Farewell and
months in the high risk/antenatal ward and a three best wishes to Moira Jones, and Michelle
month placement in either a postnatal ward or Meyer who is going to England for her big
community unit.This rotation allows thorough consol- OE. Welcome to Anne Nicholson from Ward
idation of the whole spectrum of the childbirth 19 and Lilly Beth Que who has transferred
experience and the relevant practice, skills and from MSC2.
knowledge required. Felicity Noble has achieved competent level in
Congratulations to these six midwives on their CCP, Congratulations to Eva Squire who had
successful appointment to these sought after positions a beautiful baby boy Bobby born on 7th May.
and commend them on their choice of employment Burns Unit Welcome to Linda Jackson, who
and career path. Counties Manukau is a dynamic and comes on board as the new CNE for Plastic
And Sarah MacDonald and Heather
colourful community which brings significant Surgery and Burns. Linda comes to us with a
Tennent demonstrating their skills with
wealth of experience and we look forward to
challenges and accompanying professional rewards. shoulder dystocia scenarios, following
having her as part of the team.
Best Wishes to you all and ‘welcome’. Betty’s presentation.