Vol 2, Edition 67, 5 August 2009
 


Pinnacle delivers slimmer QP as promised

Village Clinic practice nurses Jo Rogers and Jennie Falloon. Brett Mead Photography


By Hayley Redpath

Shorter visits and fewer assessors are being trialled as part of new look reaccreditation process, announced Pinnacle staff at the launch of Quality Plan 13 last Monday.

Around 25 nurses, general practitioners and administration staff attended the launch by Pinnacle Group Ltd Quality Manager Hayley Lord and Pinnacle Incorporated Board member and General Practitioner Brendon Eade.

Every year Pinnacle release a Quality Plan ensuring general practices have a work plan for maintaining high quality primary health care services. Earlier, Pinnacle indicated that Quality Plan 13 would be leaner than in previous years.

Practice nurses and doctors spoken to by The PHOnetic after the launch, agreed in general that it was.

“It looks definitely easier than last year but there is still a lot of work to do,” said Village Clinic Practice Manager and nurse Jo Rogers.

Staff spoken to particularly also welcomed a change to the reaccreditation process, or Cycle 2 Accreditation, as it is now called. 

The change is as a result of a pilot project between Pinnacle and the Royal New Zealand College of General Practitioners around the Aiming for Excellence standard.

A sample of practices across the Midland network will be randomly selected each year to receive an assessment from the College. The assessments will be a mixture of full and half-day assessments.

Dr Brendon Eade said it was about reducing the burden for general practice staff.  “Instead of having a full day practice assessment with two independent assessors every three years, practices could be looking at having a half day assessment with one assessor every six years.”

“It’s good news,” said City Medical Centre GP Stu Hockey, who has in the past been vocal in his frustration at some of the reporting requirements from Pinnacle, the College, and other external organisations.

“It was so burdensome when we originally did Cornerstone”

Stu was pleased to see the Quality Plan was now aligning more with the PHO Performance Programme indicators resulting in fewer information collection double-ups.

“It felt like ticking boxes. What I like; is that where we are asked to do something or provide information we are given the tools to do it and the results are useful.”

He and fellow GP Dr Murray Smith were less pleased with a new section in the Quality Plan looking at general practice succession and financial planning. Stu said the subject was “topical” but he remained less than convinced that “filling in a form” was going to help provide answers.

Murray said as a business owner he was already looking at the themes of succession and financial planning and the process didn’t need repeating via the Quality Plan.

Village Clinic practice nurse Jo Rogers and Jennie Falloon said Quality Plan 13 looked better than last year. Jo was pleased that reporting was no longer needed for childhood immunisations, influenza vaccinations, Diabetes Annual Reviews and cardiovascular risk assessments. The data will instead be extracted from the routine Clinical Events Export.

In another new development practices will now receive quarterly reports on their progress towards performance targets. It is welcome news for staff. Earlier in the evening City Medical Centre practice nurse Angela Perrett raised a point that many in general practice did not know what progress they were making on reaching targets, until the end of the financial year.

Subsequently, many in the audience were surprised to learn via Turanganui PHO CEO Keriana Brooking that Turanganui PHO general practices were some of the best in the country for achievement rates in cvd risk assessments.

(The PHOnetic will look at this subject in further detail next week).

Sun sets on Turanga Health promotional vehicle


By Helen Peterson

Turanga Health CEO Reweti Ropiha. Clare Webber PhotographyPromoting healthy living messages via the Turanga Health Rising Suns Basketball team has come to an end after more than five years.

Basketball New Zealand has decided not to sanction the zone two competition resulting in the Rising Suns having no league to compete in.

Turanga Health chief executive officer Reweti Ropiha said the decision was a sad one and effectively ends more than five years of Turanga Health and the Rising Suns working together to promote healthy living messages.

“There is nothing quite like live sport to get maximum coverage for such promotions, and the basketball games were always well supported locally. We have a lot of basketball fans living here.”

Many of the basketballers would visit local kohanga reo, primary and intermediate schools to help spread the positive messages.  These visits provided valuable opportunities to  teach youngsters about healthy living options.

As well as promoting the benefits of not smoking, the basketballers also encouraged people from all walks of life to have a go at a sport with active participation a main focus, said Reweti. 

Turanga health, which focuses on building family wellness for future generations, offers holistic care for the three iwi of this area: Ngai Tamanuhiri, Rongowhakaata and Te-Aitanga-a-Mahaki.

The programmes offered are vast and include smoking cessation, mental health, community injury prevention, asthma, men’s health, well child services, oral health and prevention of drug and alcohol abuse.

“Many of this district’s tamariki have gained a lot from Turanga Health’s promotions which have also been well supported by kaumatua,” says Reweti.

Rising Suns coach and former player is Turanga Health's Population Health Manager Dwayne Tamatea thereby cementing the relationship between the team and Turanga Health.

However, he said his organisation also used kapa haka competitions, waka ama, touch rugby, rugby, netball and hockey to promote healthy living messages.

“We have enjoyed great mileage from the Rising Suns games so at present we are retrenching and considering our options for next year.”

Outreach works well with Primary

 

Planet Sunshine Outreach nurses Jane Edwards and Kellie Deans and social worker Mel Harema. Brett Mead Photography


Since 2005 Gisborne Hospital’s outreach paediatric service team members have worked closely with GPs and other service providers making inroads into improving the health of the district’s younger generation.
 
Paediatric nurses Jane Edwards and Kellie Deans are joined by social worker Mel Harema and together they deliver a multi-disciplinary programme that fosters independence rather than dependence. They say it empowers parents and wider whanau to take a practical role in caring for their children at home.

“A beautiful part of this outreach service is that we see families in their own environment,” says Mel Harema. 

The outreach team sees children who have been discharged from hospital, referred by their GP or been self-referred by their parents.

Jane says visiting a child at home is a privilege. She feels that once she has received the invitation to visit, she is half way there to making a positive difference to a child.

The service assists with a wide variety of health issues including eczema, bedwetting, constipation, asthma and wound care, through to chronic illnesses such as cancer and cardiac and respiratory problems.

From the beginning a number of children who would normally have been admitted to hospital have been able to remain in their own home which is considered a better environment for recovery. Simplifying the medical jargon given during a hospital visit is another key part of the job, says Kellie.

A highlight of the work they say is watching parents gaining the confidence to ring their doctors for prescriptions. In the past getting a prescription for a sick child often involved making a doctor’s appointment and having to wait.

The outreach paediatric service is not a new concept - similar services are running nationwide. Jane worked as part of South Auckland’s Kids First service which has been running since 1992.

Supporting parents is at the core of the outreach paediatric service and going beyond the call of duty is all in day’s work for Jane, Kellie and Mel.
 

Provincial Paradise for GPs


By Helen Peterson

Stu and Coralie Hockey and family. Brett Mead Photography

The fragility of this district’s GP workforce is well known and behind the scenes the Government is scrambling to cement potential solutions such as increasing the number of GP trainee positions in the region. Perhaps it needs to talk to someone like City Medical Centre GP Stu Hockey who is younger than the average GP in this district and remains a rare example of the local boy who returns home for General Practice. For him the decision to come back was simple. He hopes others can be persuaded by the same benefits.
 
City Medical general practitioner Stu Hockey says he is living in paradise and there is nowhere else he would rather be.

The keen fisherman and hunter has  lived in Gisborne for most of his life and says his three boys are now enjoying the idyllic lifestyle he had. 

Coming back to Gisborne after graduating from Auckland Medical School was never far from Stu’s thoughts but the return home was expedited by the arrival of his first son, Carl.

Although Stu’s parents were a huge drawcard for Stu’s return home, it was this region’s rivers, beaches and bush that provided the icing on the cake.

“Gisborne and the East Coast is a great place for people who enjoy the great outdoors. Wonderful fishing rivers, beautiful bush and pristine beaches are right on the back doorstep – it’s fantastic.”

Stu recently turned 40 so what better way to celebrate the milestone than with a hangi on his back lawn! He provided the meat gathered on hunting expeditions and the kumara was dug from the family’s vege garden. All the guests had to do was wear a Swandri and gumboots!

During his childhood years  Stu’s parents taught their three boys the importance of possessing a good work ethic. It was this fastidious approach to his schooling that allowed Stu to gain direct entry into Auckland Medical School where he spent the next six years training to become a doctor. His intention had always been to become a GP and hopefully return home.

During his fourth year of study Stu met and married Coralie who had gained an engineering degree from Auckland University. She financially supported Stu during the last two years of his study.

The road home included several stops along the way to gain experience before working as a GP. Stu worked in Nepal for three months on a medical elective and spent  12 months at Timaru Hospital as a house surgeon.
Coralie and Stu then lived in Whangarei where Stu gained experience in accident and emergency, obstetrics and gynaecology fields.

Thirteen years ago Stu returned home with Coralie and baby Carl and began working at Gisborne Hospital in the paediatric field. Later he took on locum work at both Desmond Road Medical Centre and Kaiti Medical Centre before joining City Medical.

“I enjoy building relationships with people and offering patients continuity of care. Working for City Medical allows me to do this.”

Stu says there are no career disadvantages living in Gisborne. When he wants to up-skill in various areas he attends conferences and seminars and Continuing Medical Education can all be done from Gisborne. He completed the GP Training Scheme while living in Gisborne.

“For a young family the Gisborne lifestyle is great – it’s only 10 minutes to practically anywhere in the city.” Stu and Coralie now have three boys. 

Stu loves his “East Coast Lifestyle” and hopes other young doctors will take the opportunity to enjoy living in provincial paradise.

 

 

 

 

 

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CME Session Reminder, 7am, Thursday 6 August, Turanga Health Boardroom. Speaker Dr Peter McKenzie on Rotator Cuff Problems. 

Arthritis New Zealand Problem Hands Seminar
Guest speaker Occupational Therapist Chris O'Hara, St Andrews Church Lounge, Cobden St, Gisborne, Tuesday 18 August, 1pm and 6pm. For further information or to register contact: Cheryl Morley (06) 868 1996 or Roberta Ruru (06) 868 1060.

Te Whare Whai Hua Matariki Calendar Turanganui PHO is one of many sponsors of this georgeous calendar featuring Tairawhiti babies. If you or your business are interested in buying a Matariki Calendar for $25 each, contact Trina Ogilvy (06) 868 0255.

Photo competition to mark NZNO’s centenary
How do you see your practice? What image would best capture the essence of your relationship with your patients? What is unique about your particular area of expertise?

Nurses are invited to answer the above questions in photographic form, for a competition coinciding with NZNO’s centennial conference on September 16.

The competition is being organised by the co-editors of Kai Tiaki Nursing New Zealand, Anne Manchester and Teresa O’Connor, who were inspired by a similar idea organised by the Australian Nursing Federation to mark the 75th anniversary of its federal office. Click here for more information.

Tairawhiti District Health Board meeting, Tuesday 25 August, 10am, Morris Adair Building, Gisborne Hospital.

Community and Public Health Advisory Committee/Disability Support Advisory Committee meeting Tuesday 18 August, 9am/11am, Morris Adair Building, Gisborne Hospital. 

Hospital Advisory Committee
meeting, Monday 24 August, 10am, Morris Adair Building, Gisborne Hospital. 

Visit www.tdh.org.nz for all TDH meeting agendas. 

The PHOnetic is produced on behalf of Turanganui PHO by Redpath Communications Ltd with photographs by Brett Mead Photography.

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