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Tēnā koutou Last week we communicated that St John had received notification from one of our three unions, that its members will be withdrawing labour from 6am on 25 November until 6am on 26 November. We have now received a further notification that this union’s members will be withdrawing labour for a second period from 6am on 28 November until 6am on 29 November – two periods of 24 hours. continued...
As noted, this union’s members represent about 40% of paid ambulance personnel nationally, and this action involves the full withdrawal of labour by members working in our Clinical Support, Ambulance Communications, Emergency Ambulance, Patient Transfer Services and Event Medical Services. We can now confirm that the impact will be most noticeable in Auckland, Waikato, Bay of Plenty, and Canterbury. We have put plans in place, including rostering other ambulance staff to cover the strike action and undertaking additional clinical triage in the Ambulance Communications Centre. We anticipate this will mitigate much of the anticipated impact, however we will still need support to reduce demand on services through these periods. We have developed specific advice for the most impacted stakeholders. Can you please support by cascading these to your medical facilities.
We will continue to provide updates as new information is available. Please let me know if you need anything in the meantime. Ngā mihi nui Andrew Andrew Mumford NDAP BSc MBA MNZIM Communications Lead | People and Organisational Strategy REGISTERED NURSE - Ngā Kaitiaki Manawanui Whai Ora service 2 Full-Time Positions Available Hauraki Primary Health Organisation partners with its network of 19 general practice clinics across the Hauraki and Waikato rohe to deliver high quality primary health care services to an enrolled population of 66,000 patients. We are seeking to recruit two Registered Nurses to join our team. Click here to view the Seek Advert Click here for the Full Job Description Click here for the Application Form Please send all Application to lynne.courtney@haurakipho.org.nz Closing date Friday 11th December 2020 Kaiawhina Full Time Position - North Waikato Hauraki PHO supports 19 General Practice clinics across the Hauraki and Waikato rohe and is seeking to appoint suitably qualified Kaiawhina to work alongside the Registered Nurse (RN) in the Long Term Conditions (LTC) Team. Click here to view the seek advert Click here for the full Job Description Click here for the Application Form Please send all application to lynne.courtney@haurakipho.org.nz Closing Date: Friday 11th December 2020 Sport NZ Ihi Aotearoa has announced $7m of new investment over the next four years to improve wellbeing outcomes for Māori. This new plan will see the government agency invest in new organisations who contribute to Māori physical activity outcomes. The plan will focus on four specific intiatives:
This is part of the $265m sport recovery package for Sport recovery after the impact of Covid 19 For more information, please see the following link. https://mch.govt.nz/sport-nz-invests-additional-7m-new-plan-m%C4%81ori-wellbeing Ngā mihi nui, Suzanne Suzanne Moorhouse Diabetes Nurse Hauraki PHO Suzanne.moorhouse@haurakipho.org.nz Primary Mental Health Practitioner Full time position - Hamilton/North Waikato Hauraki PHO supports 19 general practice clinics across the Hauraki and Waikato rohe and is seeking to appoint a suitably qualified person to fulfil the above role for our enrolled population. This position provides primary mental health advice and information, coordination, assessment and counselling services concerning the care of specific individuals with a mild to moderate mental illness. A focus is on youth and people suffering AOD/mental health dual diagnosis. Click here to view the seek advert Click here for the Position description Click here for the application form Please send all application to lynne.courtney@haurakipho.org.nz Closing Date Friday 11th December 2020 Metformin adherence in people with type 2 diabetes impacts on HbA1c outcomes. This study was conducted on Waikato practices in 2019. Of 1595 patients across 10 practices, those who had more prescriptions for their metformin in the 18 month study period, were likely to have a better HbA1c. Note that none of the practices were with Hauraki PHO. However, the outcomes show that Māori received fewer follow up prescriptions for their metformin in the time period. Further study is required to find solutions to the issue, but the use of electronic reminders, knowledge about the medication and fees are likely to be contributing factors. For the full article, follow this link. https://www.publish.csiro.au/hc/pdf/HC20043 Suzanne Moorhouse Diabetes Nurse Hauraki PHO Ph: 0276086978 Suzanne.moorhouse@haurakipho.org.nz Care and protection concerns raised for vulnerable unborn babies, children and young people under the age of 18 years by Waikato DHB staff result in a Report of Concern (RoC) to Oranga Tamariki – Ministry for Children. A copy of the RoC is also sent to the Waikato DHB Child Advisory Protection & Education team (CAPE) for consideration of a National Child Protection Alert as part of a Ministry of Health nationally agreed framework. A Child Protection Alert is a national health alert that draws attention to information recorded in the past that may or may not be relevant to the current health of the individual. These alerts are seen nationally via the medical warning system and should always be interpreted in the context of the current presentation. The presence of a CPA does not necessarily mean that the individual is still at risk. If you are uncertain, always seek advice. To avoid parents delaying treatment due to this health alert, parents are unaware the alert exists. If a parent/guardian asks if an alert exists, this should be addressed honestly. Most children and young people referred to Oranga Tamariki by all DHB staff nationally, result in a CPA but some cases may not. If on any presentation you have concerns about child protection, the absence of a CPA should not be regarded as evidence that the individual is not at risk now.  Contact Waikato DHB Child Advisory Protection & Education team (CAPE) at childprotection@waikatodhb.health.nz with any queries The 2016 MoH Family Violence Assessment and Intervention Guideline-Child Abuse and intimate partner violence can be accessed via: https://www.health.govt.nz/publication/family-violence-assessment-and-intervention-guideline-child-abuse-and-intimate-partner-violence The aim is one immunisation, unless a second dose is requested by client or is considered advisable in the clinical discretion of the vaccine administrator. Details are required on NIR for monitoring and reporting. Although the immunisation records are a little patchy for this age group, general practices are in a unique position to be able to directly identify patients that are potentially under immunised. See the communication material which has been created to aid the campaign, and to be used in general or direct communications. Click here for more information Tēnā koutou katoa, I hope this email finds you all well. As you are probably aware, a precautionary health notice was announced over the weekend to Glen Afton and Pukemiro communities in the Waikato district regarding the fire at the Puke Coal landfill in Pukemiro, near Huntly: continued...
Precautionary health guidance provided to Pukemiro and Glen Afton communities A precautionary health notice has today been given to all residents living within three kilometres of Puke Coal’s construction and demolition landfill in Pukemiro. A fire has been burning at the site since August. A preliminary public health assessment was completed late yesterday based on a report from ESR (the Institute of Environmental Science and Research) which referenced a similar event overseas. It indicated there was potential for increased levels of dioxins in the environment as a result of the landfill fire. Testing has not yet been done locally as it requires specialised equipment which is on its way from overseas. The scale and quantity of plastic material in the Puke Coal fire is not well understood at this stage. This makes it difficult to compare directly to the overseas example. Waikato Regional Council Resource Use acting director Brent Sinclair, who is leading the Incident Management Team for the landfill fire, said although the presence of dioxins had not been confirmed, and as a precautionary measure following advice from the Waikato DHB public health unit, it was recommended that pregnant and breastfeeding women seek accommodation outside of the affected area, at least three kilometres from the site of the fire. “This is the recommendation by Waikato DHB’s public health unit and it holds until environmental testing shows dioxin levels aren’t elevated or until we know the fire is out and no longer a risk.” The levels of dioxins observed in the overseas event were treated as a potential risk for unborn and breastfeeding babies. While unproven, the risk noted related to possible fertility issues for a child once they’ve grown up. “if there is potential risk then we will take a precautionary response,” said Mr Sinclair. A team of people today went door-to-door in the community surrounding the landfill to ensure everyone received the precautionary guidance. This is not a densely populated area, and the guidance is expected to apply to only a small number of people. Waikato District Council Chief Executive Gavin Ion said today’s welfare response team advised some members of the Pukemiro and Glen Afton communities to find other accommodation. “This is a precautionary approach because we promised the community we would do everything we could,” Mr Ion said. “We have acted quickly on the recommendation from the public health unit because we said that as soon as we had new information to share, we would. We acknowledge this may cause stress to our communities, but we want to ensure you are kept safe. “Those who are moving elsewhere for the time-being are asked to call Waikato District Council on 0800 492 452. For those that don’t have friends or family to stay with, let council know and we will help. Waikato Tainui have said they’re also here to help and are standing up their 0800 TAINUI number.” Mr Sinclair also acknowledged the stress the community had been under since the fire broke out. “We know this precautionary notice won’t help the stress you are feeling. However, please remember, our advice has always been to stay out of the smoke and away from the odour, and that message remains for everyone.” Waikato regional Council has been monitoring for airborne inhalable particulate matter (PM10 and PM2.5) in Glen Afton and Pukemiro and the results have been within World Health Organisation guidelines. Waikato Regional Council, with support from the Waikato District Council, has a formal investigation underway into potential breaches of the Resource Management Act (RMA) in relation to the landfill site. Two abatement notices have been issued to the landfill landowner. The Waikato District Council has been out door to door advising any pregnant and/or lactating/breastfeeding women in the area to evacuate the area due to the potential health risks associated with the fire, however not all residents were home. Waikato District Health Board, Strategy and Funding, have sent communications to GPs that they do not charge a co-payment to any residents who are enrolled with their practice and present for a fire related consultation. The DHB will meet the co-payment costs to the practices for these patients. We have also asked the Emergency Management Team at the Waikato District Council to advise us of the supports they have in place for LMC midwives in the case of women needing to relocate out of area to ensure that midwifery care is not disrupted; for example, what travel assistance will be made available to the LMC midwife if the woman relocates and the LMC is able to continue to provide care. We will share the updates with you as we receive them. Any women or LMCs who have any questions can contact Richard Wall (Medical Officer of Health, Waikato DHB) directly on (07) 8382569 or email health.protection@waikatodhb.health.nz and The Waikato District Council are providing women with relocation support. There is further information on the two flyers that I have attached to this email for you. Click here for the Puke Coal Health Notice Thank you. Ngā mihi, |
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