Heart and Diabetes
Heart Check Services
Heart disease is the commonest cause of death and disability in the developed world. In New Zealand, coronary heart disease is the most common form of cardiovascular disease (coronary heart disease, stroke and blood vessel disease). Each day approximately 17 New Zealanders – one every 90 minutes – die as the result of coronary heart disease. It is the leading single cause of death in New Zealand, accounting for almost one quarter of all deaths.
Overall, Maori and Pasifika patients are more at risk of suffering from coronary heart disease.
This funded service will provide free access to Electrocardiograms (ECG) and Exercise Tolerance Tests (ETT) to high risk population groups, who cannot afford to pay for this service in primary care; with a focus on prevention and early detection of heart problems.
Hauraki PHO has approximately 7,500 enrolled patients with diabetes. Of these, just over 6,000 are aged 15 to 74 years old. Within this age group, 53% have had their most recent HbA1c under 65mmol (within the past 12 months). The figure for Māori patients with diabetes is 47%.
The diabetes service at Waikato DHB has changed its criteria and is now only seeing patients with type 1 diabetes so all referrals will be returned to the referring GP. The diabetes specialty nurse at Hauraki PHO is available to educate, advise and support our practice partners to provide a plan of care for these patients. This may include phone advice, medication management, diabetic consults and in-house practice teaching, offering practical advice and support when starting your patients on insulin. Group education for diabetics using the DESMOND model will also be offered this year to your patients to assist in decreasing HbA1c across the rohe.
The Wintec level 7 paper is funded through this contract and the diabetes specialty nurse provides support and mentoring to practice nurses to upskill their clinical knowledge in diabetes.
Podiatry Services for Patients with Diabetes
Practices may contract with a local podiatrist and claim for these services using the HPHO Podiatry Advanced Form in Medtech or Evolution.
Patients must be:
- Eligible to receive publicly funded services and
- Diagnosed with type 1 or 2 diabetes and high risk foot disease as defined in the Diabetic Foot Screening and Risk Stratification Tool * and
- Be enrolled with a Hauraki PHO general practice and
- Be referred by any member of the general practice multidisciplinary team
*New Zealand Society for the Study of Diabetes 2014. Diabetes Foot Screening and Risk Stratification Tool