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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Page 1
Nursing Group contact details
Agenda & Quote
Page 2
Minutes of the Nurse Project Meeting held 7th December 05
Page 3—4
Nil Report
Powhiri Panui for Te Ha’s new
Nurse Practitioner, Helen Topia
Pages 5
Copy of Cherry’s Annual Report for 2005.
Page 6
Info from Marcus Liddell re PHO membership, CSC/HU cards and script charges
Agenda
Blessing/Welcome by
Marion McCahon
Apologies
Previous Minutes
Matters Arising
General Business
NIL Report
Open Forum—Dept News/Panui
Facilitation of next meeting
1st March 2006
Minutes of the Last Meeting
MINUTES OF THE NURSE PROJECT MEETING HELD ON WEDNESDAY, 7th DECEMBER 2005
AT 12.15, CONFERENCE ROOM, COMMUNITY HEALTH, DARGAVILLE HOSPITAL
Present: Jen Udy (Facilitator), Deborah Ashley-Smith, Celeste Sherman, Marion McCahon, Zoe Tipa, Viv Andrew, Judy Mardon, Laureen Tahu, Pam Baldwin, June Henwood, Margaret Hearn, Marilyn Archibald, Cherry Waldron, Dot Johnson, Chris Tipa, Raewyn Fowlie, Simone Matthews.
Apologies: Rachael Sullivan, Glennis Turner, Julie Palmer, Julie Hobson, Julie Robertson, Gail Williams, Mary Munn
Previous Minutes: True and correct
Matters Arising:
Script Costs Marcus has sent information to Cherry re script coding, costs, benefits of cards etc. Copy available in the next Korero or from the KCI office.
Accreditation: DMC passed as of Monday.
Avian Flu – See Gen Business
Business:
Presentation by Simone Matthews – SAGES Co-ordinator:
The part-time Co-ordination position is funded through MSD for 3 years. Sages means – older, wiser person.
Currently have 14 Sages who have gone through training with 10 more signed up for training in Feb 06. Sages are volunteers but get paid for expenses ie. travel, ph etc. The Sages offer support to families in need i.e. parenting skills, babysitting, housework, advocacy with other services, connection to the community etc. Ngati Hine in Whangarei are operating a similar programme.
Referral process – referrals accepted from all. Form available. Co-ordinator will visit to see what needs are and link in with suitable Sage. No time limit for the service – as long as needed. Ofcourse some Sages have more time than others. Brochure and information available at the door.
Avian Flu – Pandemic Planning – Jen Udy:
National planning is driven by the MOH with Whangarei determining the Northland plan for all sites.
Gloves, gowns, masks etc ordered and are to be stored onsite. Vaccine will be available to frontline Ruth McKenzie, DHB, is managing the pandemic project.
GP College has a 1 page handout that is available from the ward.
Still lots to be worked through in the New Year i.e. site lockdown procedure, staffing, etc.
Te Ha have been advising their clients to keep a box of food aside and rotate items in it.
Report by Cherry Waldron – Nurse Rep on the KCI Board:
Cherry recapped events throughout the year and wished everyone a very Merry Christmas. A copy of her report will be circulated in the next Korero.
NIL Roles – Chris Tipa:
NPHO’s have approached the DHB re extending the NIL roles which are pilot projects with contracts due to expire July 06. A response is expected at the NPHO’s meeting on Monday.
Discussion ensued regarding the role. Te Ha have found Julie a valuable resource. Chris endorsed the feeling that the NIL JD cannot be prescriptive and needs to have a wide brief, especially in Kaipara.
Once Chris has heard back from the DHB, he will feedback to the nurses. This group and the DHB Board will not meet again till Feb 06 but this still gives time for collaboration re support of the position.
NP Position at Te Ha – June Henwood:
Interviews took place last week. The interview panel included Janet Maloney-Moni, NZ’s first Maori nurse practitioner. Appointment will be made later this month.
Other:
Pam suggested that the NIL role could include increasing public knowledge re nurse led clinics ie. her services plus asthma, diabetes etc. Jen wonders if the role should be KCHTs to run a similar community newsletter as Hauora Hokianga.
Lab – Jen advised that she is waiting to hear from the DHB re the tender process.
Photos of the recent Health Expo hui run by Ringa Atawhai, and attended by Te Ha, NH and other health professionals, were circulated.
Acknowledgement of Deborah Ashley-Smith for passing exams towards NP status and to other local nurses who are also working towards it. Maureen Allen has been instrumental in encouraging many Far North nurses to strive towards this achievement.
Reminder of Pot Luck dinner to be held at Deborah’s place tonight.
Meeting Closed: at 1.50 pm
Next Meeting: 1st February 2006 - Conference Room, Community Health, Dargaville Hospital – Marion McCahon to facilitate – Lunch provided.
Julie's Column
Tena Koe and Happy New Year to you all
I hope you have been able to enjoy a break and the beautiful weather. Welcome back to work. This is the third and last year of my contract as Nursing Integration Leader for Kaipara.
The objectives of this role are to:
To provide primary health care nursing leadership within the PHO environment which facilitates co-ordination and integration of primary health care services within a defined geographical boundary
To lead change management processes to ensure the contribution of primary health care nursing services are recognized and optimized
To support effective teamwork across the range of primary health care nurses and other health professionals
To ensure clear and consistent outcomes of each project are identified and evaluated
All Nurses in Kaipara are warmly invited to attend the next Project Nurse Meeting on Wednesday February 1st to discuss what issues should be addressed over the next 7 months of this contract. Ongoing funding of the NIL roles by Northland District Health Board is yet to be decided. Reports from both the Nursing Innovations Evaluation Team and other key stakeholders in Primary Care across Northland will provide feedback as to whether the NIL roles have made a difference and should continue to be funded.
In my opinion, the NIL roles have been important at both local and regional levels in facilitating a connected and well informed PHC Nursing workforce, supporting workforce development, and establishing needs based PHC services.
The purpose of Integration is to improve the delivery of health services to our population in Kaipara. By communicating effectively with our colleagues, and by sharing our resources, knowledge and skills, we ensure patients receive the right care at the right time from the right person. You may be aware of people in this community who don’t receive the care they need. Please come to the Nurse Project Meeting so that we can collectively look at how those people could be better served.
LOOKING BACK
In April 2003 a group of Nurses from across the Kaipara health site attended a 2 day Forward Planning Workshop at Omapere in the Hokianga. The purpose of the workshop was to identify issues which the Nurses considered to be priority, and could set the agenda for the NIL and the Project Nurse Group for the following 3 years.
The outcome of that workshop was the identification of the following key issues
The development of an integrated PHC Nursing Organization under the umbrella of the PHO which includes Nurses from Te Ha, DMC, DN and PHN’s.
Development of an integrated IT network in Kaipara which enables members of the PHC Team to communicate, liaise, plan and monitor patients care more effectively.
Development of a PHC Nursing Pathway and Professional Development program which ensures Nursing skills/competencies and knowledge are appropriate to the needs of the community.
Development of Nurse Led services/clinics which meets the needs of the community with a focus on Child, Family, Chronic Care management and obesity making use of such GP support strategies as Standing Orders and Telephone Triage.
These issues reflected national, regional and international Nursing agendas. The progress made to address these priorities has taken place in the context of a dynamic Northland PHO environment, complemented by the Northland Nursing Innovation. I think it is important at this time to feedback to those who participated in the workshop, what has taken place in Primary Care in Kaipara since that time. The following is a snapshot.
What’s happened in Kaipara since the Omapere workshop?
We do not have an Integrated Nursing Organization employing nurses in Kaipara. This is a model which has gained some traction in other parts of the country, and the benefit of having a Primary Health Organization providing Primary Health Care Services can be seen to make sense. However, there is a view that PHO’s aren’t meant to be “providers” and if they do, they risk duplicating services which are provided by other organizations.
Prior to, and since the workshop, we do have nursing services that come together regularly in a range of forums (formally and informally) to work on common issues i.e. PHO Governance, Immunization, Asthma and the elderly to name a few.
We don’t have shared IT networks, yet. However, there is considerable IT infrastructure development taking place which will enhance appropriate sharing of data among Nurses, GPs and across organizations in the future. Some examples of IT successes which have been developed at both regional and local levels include: A Diabetes database based at KCI PHO for all Northland PHO’s. Good quality information is now starting to impact on funding and planning decisions for Diabetes care in Northland.
With the advent of the National Immunization Register, Imms data is more accurate, and will lead to better planning and delivery of Imms services. The new Mental Health Coordinators around Northland are logging into a shared IT Network. This means Nurse Led services are able to undertake electronically secure messaging to GPs. This model has also been approved for a “virtual” regional Asthma nursing network.
The PHC Nursing Scholarships have enabled local Nurses to take up Post Grad Studies. Assisted by networking with Manaia PHO, NH, the Rural and Allied Consortia, and other education providers, more training and education opportunities have been made available to Kaipara Nurses resulting in a more informed and educated Nursing workforce. E.g. training opportunities for Care Plus (Chronic disease management), Immunization and Cervical Smear takers courses. Increased awareness of Continuing Medical education (CME) has also seen uptake by Kaipara Nurses on topics of interest to them.
Some new Nurse “clinics” have been established i.e. Care Plus, Nutrition and physical activity for Diabetics. Established Nurse Clinics such as Diabetes, Asthma, Immunization (MeNZB) and Outreach services continue.
Funding has been made available for 5 specialist/ Nurse Practitioner Positions, based in Iwi Providers in Northland. Te Ha has appointed a Nurse who is completing her Masters and nearing NP status, resulting in more Nurse led services in Kaipara.
In 2005, following on from the visit by the Director Of the National Nursing Center Consortium to NZ, a New Zealand National Nursing Consortium (NZ-NNC), linked to the US has been established to support the establishment of Nurse Managed and Nurse Led Primary Care and Public Health programs across NZ.
There have been some major developments and achievements, and at the same time some things haven’t changed much at all. At the heart of this community is a very caring, committed and experienced nursing workforce.
I look forward to seeing as many of you that are able to attend on Wednesday 1st February to consider nursing projects/ initiatives or developments to meet the needs of both this community and the nurses who work here. If you are unable to attend, please contact me directly.
All the best for a great 2006
Julie Palmer
Nursing Integration Leader
Panui
Te Ha O Te Oranga O Ngati Whatua
would like to invite you to a Powhiri welcoming our new Nurse Practitioner Helen Topia.
TE RA / DATE: Tuesday 31st January 2006.
TE WAHI / PLACE: Naumai Marae.
TE HAORA / TIME: 10:00 am.
To assist with catering numbers, please phone
Te Ha O Te Oranga O Ngati Whatua Reception
on (09) 439 1690.
Annual Report from Cherry Waldron
Annual Report from Nurse Rep on KCI PHO—Cherry Waldron, December 2005
Quote from Democritus: Happiness resides not in possessions
And not in gold
The feeling of happiness
Dwells in the Soul
It is December again and with the above though in mind, I want to wish every one a very HAPPY CHRISTMAS. So to recap on the events of the year:
Back in November 2004 the integrated Te Ha and DMC immunization team was held in high regard by the DHB and the MOH. Both centres were receiving their 1st batch of MeNZB vaccines and the Chronic Care Management “Care+” was becoming a reality. Congratulations to the success of the MenzB campaign and many thanks to all the Kaipara nurses for their effort. Thanks also to the patience of the staff as we diligently began on the Care+ journey. It has been quite an undertaking for both projects as the nurses and administration already have other full and comprehensive roles. KCHT were only just entertaining the idea of employing a full time manager/CEO.
In December 2004, the Services to Improve Access proposals were on the agenda, also gaining positive feedback from the DHB. Our very own Nursing Integration Contract was selected from one of four nationwide to be the centre of a case study and the feedback from all the team was greatly appreciated and valued.
We launched into the New Year 2005 with little ado and so moving into March saw KCI offering financial support to the Heartland’s Community Expo, a greatly successful day with exposure to the many of the valuable services in the Kaipara for both the public and the service providers. Also this month, we wished Trish Crompton all the best and goodbye, a loss to both DMC as Nurse Manager and the PHO as the Treasurer. New horizons for KCHT with Deborah Evans at the held of the new venture of 34 units purchased and now undergoing refurbishment before being rented to folk least able to afford housing etc. Sunhats in schools within the Kaipara were launched on a river trip before finding homes on our primary children’s heads. Still a busy time for the nurses with the MeNZB uptake well in the swing—definitely in preference to Care+ - which was still waiting in the wings.
One door stays ajar, but others open with the Regional Mental Health Project being approved as was the ability of KCI to oversee and provide technical support for Diabetes free annual checks aided by new software. Secondary nurses received the wage increases they deserved and the PHO hoped to alleviate the Primary Nurses’ insecurity by sending a supporting letter to the MOH.
Pam Baldwin and I attended the Primary Health Conference in Wellington and this provided a great deal of insight into other primary health areas and some details on the roll out of chronic care management.
April was pretty much business as usual, except for an issue regarding PHO registration . Clients were not necessarily aware that each time they traveled away from the local PHO and signed up in another, they lost their local status, only to be totally confused on return. Nursing support/advocacy was offered to these clients when requested. Many thanks to DMC and Te Ha who were very accommodating regarding this matter and outstanding accounts were cleared up.
Some issues were discussed and resolved in our area regarding script access and charges. Please see detail on accommodating paper.
Over the year there has been several organizations applying and gaining Society Membership which allows access to Primary Health Care funding and knowledge of incentives available. Many groups have been the receivers of Health Promotion packages with some very worthy community projects getting off the ground, e.g. Maternity Liaison group, KCI Spider Boards for HP displays, Parenting for fathers etc.
The northern PHO must have been experiencing global warming in May as the meeting room was so hot and stuffy, the upshot being a discussion on air conditioning!!
The Health Shuttle has been used to the maximum, with many trips to Whangarei and the local medical centres for health appointments. Such a great asset assisting in breaking down one of the barriers to accessing health care.
All in all, this was a rather busy year. In closing now, I wish to mention how privileged I feel to have had the support of the Kaipara team in giving me an opportunity to experience the Position of Nurse Representative. Thanks also to my PHO members for their support and patience over the last 2 years. This position does take almost a year to “learn the trade” so to speak.
Merry Christmas to all and “Keep a friend sober to drive”.
Quotation
By Florence Nightingale
Nursing is an art:
and if it is to be made an art,
it requires an exclusive devotion
as hard as any preparation,
as any painter’s or sculptor’s work;
for what is the having to do with
dead canvas or dead marble,
compared with having to do with the living body, the temple of God’s spirit?
It is one of the Fine Arts:
I had almost said,
The finest of Fine Arts.