Contact any of the following
for Further Jen Udy Judy
Harris Margaret Hearn Rachael Sullivan Merryll Frear Cherry Waldron Chris Tipa Julie Palmer
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All nurses are invited to the next meeting scheduled for:
Wednesday, 2nd March 2005
Conference Room, Community Health
NB: NOTE DIFFERENT TIME
Lunch & meeting at midday(March only)
Agenda
Blessing/Welcome
Apologies
Previous Minutes
Matters Arising
General Business
Presentation by Jacci Whippy & Team
NIL Report &
An activity based on addressing disparities in health
Other
Dept/Service News/Panui
Facilitation of next meeting
MINUTES OF THE PREVIOUS MEETING
MINUTES OF THE NURSE PROJECT MEETING HELD ON WEDNESDAY, 2nd FEBRUARY 2005 AT 12.15, CONFERENCE ROOM, COMMUNITY HEALTH, DARGAVILLE HOSPITAL
Present: Dawn Miller, Viv Andrew, Celeste Sherman, Karen Franklin, Veronica Polkinghorne, Lin Snape, Kate McLaren, Jacci Whippy, Shannon Price, Margaret Hearn, Geoff Nickerson, Cherry Waldron, Deborah Ashley-Smith, Susan Harris, Chris Tipa, Julie Robertson, Mary Munn, Julie Palmer & Raewyn Fowlie.
Blessing of Kai: Geoffrey
Welcome/Greeting: by facilitator Margaret Hearn
Apologies: Glenis Turner, Rachael Sullivan, Laurene Tahu.
Previous Minutes/Matters Arising:
Accepted as true and correct with the amendment that Shannon Price was present. Roxanne Kelly has agreed to speak with each nurse group/service re 10,000 Steps and Green Prescriptions – Mental Health included.
Business:
PowerPoint presentation by Margaret Hearn, Kaipara CARS:
· CARS team has access to direct referrals to visiting Geriatrician & Pharmaceutical Reviews. Information flyer handed out.
NIL Report:
· 3rd NZNO PHC Nurse Conference, 5th-6th August 05. Theme: Community – Pulse of the Future.
Call for abstracts by 4th April. Good opportunity to present the Rural Perspective, which is often overlooked.
KCI have funds available to support presenters including registration, travel and accommodation.
KCI can also offer admin support – contact Julie for further details.
· Pilot Funding has become available for Elective Services – 25 days to respond with only 4 months to spend any funding. No amount identified on the paperwork. Discussion ensued with two possible projects highlighted for further investigation i.e. Maternal Mental Health Pre/Post natal – currently managed by non-specialist staff, and - Co-ordination of O/P appointments to reduce DNA’s. Julie to contact the MOH to define criteria. If Maternal Mental Health does not qualify, investigate funding elsewhere.
Suggestions for subcommittee as follows: Midwives, Plunket, June Henwood, Celeste Sherman, Jacoba Puharich.
· Julie shared an excellent resource find in the “Health Services Journal” from the UK. A recent edition compiled and categorised 30 Innovation Finalists, with many of the projects being “transferable” to local conditions. Julie will photocopy the information for those interested, or point them towards the website.
Report from the KCI Board Nurse Rep:
· Interesting position at Governance Level, with lots of “nuts & bolts” and financial involvement.
· NPHO’s currently negotiating with DHB for an increase in nos and funding of free diabetes annual checks.
· KCI’s new SIA proposals have been sent to the MOH for final approval (see Cherry or KCI staff for further details)
· Reminder to nurses to utilise this position to take matters to the Board.
Dept/Service News/Panui:
· June Henwood has accepted the Acting Clinical Nurse Manager position at Te Ha for 6 months.
· Care Plus is changing its name to Access Home Health, bringing it into line with the national name.
· Chris brought the group up to date with the NPHO’s Mental Health Proposal i.e.
New Team put together at the MoH to re-assess original proposals.
$2.4 million coming to Northland over a 2 yr Pilot Project period.
100 packages of 6 counselling sessions coming to the Kaipara
Also a 0.5 FTE PHC Mental Health Co-ordinator for Kaipara
$100,000.00 for establishment of a secure PHC Mental Health website.
NPHO’s meet with DHB/MOH next week to discuss further.
· Positions Vacant:
1.0 FTE Reg Nurse for Kaupapa Maori Services, Mental Health
1.0 FTE Tamariki Ora Nurse, Te Ha O Te Oranga
1.0 FTE District Nurse, Northland Health
Practice Nurse Manager for Dargaville Medical Centre
· Koru Midwives will be moving from premises in town to the annex on Monday.
· Powhiri for new Manager of Pharmac on 7th Feb, 10,00am at a marae in Whangarei. Contact Jacci for details.
Other
· Facilitator for the March meeting – Geoff Nickerson
· Venue – to remain the same.
· Apologies from Deb for the March meeting.
Meeting Closed: at 1.40pm Next Meeting: Wednesday 2nd March 05.
Note change of time for this meeting - Noon – 1.00pm - Lunch Provided.
JULIE'S COLUMN
Tena Koutou/Greetings
I have just attended a 2 day workshop in Taupiri, near Hamilton where the Ministry of Health Nursing Innovations Researchers held their second of three, data gathering workshops.
The purpose of the workshop was:
· To establish and maintain support for project development and to understand change and barriers to change;
· To collect evaluation data from each innovation projects and the whole initiative;
· To promote organizational learning within and across innovation project teams and between the innovation project personnel and the stakeholders.
I found this to be a very valuable learning experience. The Te Tai Tokerau Nursing Innovation is robust and working well. It is directly linked to the Primary Health Care strategy vision that
· People will be part of local primary health care services that improve their health, keep them well, are easy to get to and coordinate their ongoing care.
· Primary Health care services will focus on better health for a population, and actively work to reduce health inequalities between different groups.
Two initiatives are now underway already this year in Kaipara which will respond to this issue:
· An application is being forwarded to the MOH to fund a project that will address DNA’s at the Dargaville Outpatient Clinic. This proposal is the result of great collaboration and team work between Celeste Sherman, Sandra Bradley of Medical Records, Jen Udy and Julie Robertson, the Pediatric Liaison Nurse. In the last year more than 145 DNA’s occurred which causes the extending of OP waiting lists and in turn delays access to secondary services. Another reason for addressing this issue is that it is important to improve access to services in localities where people live, particularly those living in rural area.
· In collaboration with the Mental Health team, NH, Koru Midwives and Te Ha, we are starting to look at what can be done to address the issue of maternal mental health services in Kaipara. This is an issue which impacts directly on mother child relationships and the wellbeing of both is important.
· Another part of this initiative that is brewing is the offer by Francis Hughes, Professor of Nursing at Auckland University specializing in Mental Health, to come to Kaipara to do a workshop with the nurses here to raise awareness on identifying stress, anxiety and mental health disorders in our patients and identifying strategies to address these needs. Both international and NZ research suggests that around one in four people who present in general practice have a mental health disorder.
An action arising from the Innovations Workshop included a letter being sent to the Minister of Health on behalf of all the Nursing Innovation Pilots expressing concern, and requesting her urgent attention be given to the issue of addressing pay parity for those nurses who work in Primary care but not covered by the MECA negotiations. This will be followed up by a group planning to meet with her at the Primary health Care Conference in March to further lobby for action on this important matter.
Marie Oldridge and her team of Wound specialist Nurses have agreed to do a Wound care seminar here in Dargaville, I will be organizing that so that as many Kaipara Nurses as possible can attend, and will let you know in the next Korero the dates and venue.
Earlier this month (on a very hot and humid afternoon) a workshop was held with representatives from organizations that provide Health Promotion (HP) in Kaipara. The purpose of the workshop was to establish a local network of HP providers that will link together and ensure HP opportunities are maximized. In addition, the small PHO HP budget will be able to be accessed by HP organizations to add value to existing or planned HP projects.
A Kaipara ‘HP Events’ calendar will be circulated to HP providers in Kaipara so people know what is being planned and who they can link in with. If you would like information related to any of the above, please contact me.
The MeNZB campaign has gone extremely well in Kaipara, thanks to the cooperation and commitment of nurses at DMC and Te Ha and the Kaipara Immunization Team. The school campaign is not far off, good luck to all the Public Health Nurses for their part of the campaign.
It’s already the end of February; it looks to be a cracker year ahead, I look forward to working with you to make Kaipara a healthy environment for all to live.
Kia pa to ra
Julie
NORTHLAND CANCER SOCIETY
MISSION: To reduce the number of people who develop or die from cancer
and ensure the best quality of life for people with cancer
This Cancer Society Mission steers the functions of the Cancer Society in Northland in two very distinct directions.
1 – Health promotion and early detection and
2 – Care and support of people and their families when a cancer diagnosis is made.
Health Promotion Activities in Kaipara
The Cancer Society has three key areas of focus
a. Smokefree
b. Sunsmart
c. Healthy Eating and Healthy Exercise.
For the last three years our main activity in the Smokefree area has been our annual Smokefree Speech competition for Year 7 & 8 school students. Dargaville Intermediate has twice won a section at Regional Finals level. The 2005 the Speech competition is under review nationally so we will be replacing this with a Smokefree Poetry Writing competition aimed at the same group of students.
This summer Sally McGunnigle, the NCS Health Promoter, has been working with the Kaipara Community Health Trust and the Health Promoting Schools team and together they have introduced a Hats in Schools programme. Free hats are being supplied to all children attending Primary Schools in Kaipara district. Sally also works closely with schools that wish to develop Sunsmart and Shade policies.
Support to People with a Cancer Diagnosis
Adrienne Taylor, one of our four Liaison Nurses, provides a support and information service to people in the Whangarei and Kaipara areas. The target group are those who have been given a new diagnosis of a new cancer or a recurrence of an existing cancer. Referral can be through a medical practitioner, practice or other primary health nurse or by self-referral. Referrals are made in the first instance to Daffodil House. Adrienne will visit with these people in hospital in Whangarei, at Daffodil House, at a GPs surgery or in their own homes. At times she works with a family member rather than the patient themselves, particularly when the patient is in denial or in some instances does not reside in Northland. Her main focus is to ensure that they have the information they need to understand their diagnosis and treatment options, supporting them as they work through their initial reactions to the diagnosis and the associated grief / anger / depression and in some cases refer them on to counselling support. She will also ensure they are accessing any financial assistance that might be available to them and understand the Travel and Accommodation allowances.
Monthly Support Groups
Adrienne facilitates a very active cancer support group in the Community Health centre at Dargaville Hospital. Members are very supportive of each other both at these monthly meetings and between them. Meetings are held on the 2nd Thursday of each month from 10 – 12MN. Women with breast cancer are welcome to attend these meetings but there is also a specific Breast Cancer Support Group that meets quarterly. Same venue and time on the 4th Wednesday of February, May, August and November. We also have a small group of women who have had breast cancer who are available to speak to newly diagnosed women who would like to contact others who have experienced and survived this diagnosis.
Accommodation Support
All Kaipara people will need to travel to access treatment. The Cancer Society has subsidised accommodation available in both Whangarei and Auckland for those requiring an overnight or prolonged stay during cancer related hospital appointments or treatments. In Whangarei this is at Motel Villa Del Rio and in Auckland at Domain Lodge. There is no cost the patient and one support person if the patient has a Community Services Card and provided Ministry of Health registration forms have been completed. If they do not have a CSC there will be a cost of $25 per night for the support person only. Domain Lodge bookings can be made through the Whangarei or Auckland Oncology Service, with Adrienne or through Daffodil House. Whangarei bookings through Daffodil House.
( The general public can stay at Domain Lodge during work related or holiday trips to Auckland, thus financially supporting the Cancer Society)
Subsidised Massage Services
Adrienne can refer people who are particularly stressed by their diagnosis for therapeutic massage to assist them to cope with their stress.
The Cancer Society also provides referral for lymphoedema massage where this oedema is related to a cancer diagnosis and treatment.
Unfortunately these services are currently Whangarei based.
Look Good …. Feel Better Workshops
These workshops are held from 10 – 12 MD at Daffodil House on the 1st Wednesday each alternate month from February. They are available to any woman with a recent cancer diagnosis and aimed at giving these women a boost by providing tips on makeup and information on wigs available to those who will loose their hair as a result of their treatments.
The Cancer Control Council
You may have read in the newspapers that the Minister of Health has approved a proposal to establish a National Cancer Control Council. This group of experts in areas of cancer prevention, diagnosis and treatments and of palliative care for the cancer patient will report directly to the Minister through a newly appointed Advisor. The group would also focus on workforce development and research into new initiatives. Through this group it is hoped that New Zealand will have a clearer picture of the associated statistics, types of cancers, outcomes for patient groups and equity of access to services throughout the country.