Hauora Kokiri July 2021 - Pinnacle Practices
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Hauora Kokiri July 2021
Health locality network taupŌ and turangi
robin.chan@lakesdhb.govt.nz, natalie.clarke@phcl.health.nz, anthony@thct.co.nz
TURANGI VACCINATION HUB
booking of appointments through to the vaccination
process, have all been very clear and easy for whanau.
Kaimahi from Tuwharetoa Health, Pihanga Health and
Lakes DHB have enjoyed the chance to work closely
together to provide this valuable service to the
community and all look forward to many more
opportunities to collaborate again in the future.
Bookings for the Turangi Vaccination hub can be made
by calling 0800 WHARIKI (0800 942 7454) or by going
to www.thct.co.nz and following the instructions. The
Turangi Vaccination Hub will be open until late July to
allow for whanau to receive their first and second doses
in the same place.
Willow Salvador (Tuwharetoa Health), Justine Pereka-Owens
(Lakes DHB), Anthony Hemopo (Tuwharetoa Health), Hilary TAUPŌ’S OWN DR JEREMY WEBBER IS APPOINTED THE
MorrishAllen (Pihanga Health), Kay McRae (Lakes DHB)
CLINICAL DIRECTOR OF RURAL HEALTH
Since Monday 21st of June, the Turangi Covid It is a privilege to represent the rural health community
Vaccination Hub has been open for whanau in and at a national level. Specifically to be able to share the
around Turangi. The Vaccination Hub was opened at the real life challenges of delivering
Turangi Delta, to ensure that the Turangi community equitable health care to a patient
would have the opportunity to access Covid19 living at the base of Ruapehu as
Vaccinations as easily as possible. Tuwharetoa Health, an example. I am passionate
alongside Pihanga Health, Lakes DHB, and Te Arawa about rural health and the
Covid Response, have collaborated to provide opportunity to be involved in a
vaccinations to anyone in Turangi over 16 years of age Health Reform of this scale is
who want them. unlikely to be repeated in my
career. Typically rural health
Close to 1000 people have been vaccinated in the first practitioners tend to sit quietly in
week of the hub, and the response from whanau has the corner and get on with their mahi, but I look forward
been very very positive. The whole experience, from the to being their voice at a forum where we can influence
change.
Pg 1
FROM THE DESK OF NATALIE CLARKE
Lakes DHB is now vaccinating at Tier 3 and is asking
Kia Ora! This year there has been people with the following to book a Covid vaccination
significant focus around Diabetes
management. There will be many • Over 65-year-old
resources to access coming down • Coronary heart disease
the pipeline- from online tools to • Hypertension
webinars. • Stroke
• Diabetes
Our recent GP CME was successful in • Chronic respiratory disorders
kicking off the topic with Dr. Nic
• Renal disease
Crook’s recent talk on Type 2
• Cancer
Diabetes management, featuring Jardiance.
• Pregnant people
Take home messages* Become familiar with the special
authority criteria, consider risk of DM ketoacidosis, please encourage eligible patients to contact :
significant benefits for patients with CHF and covid.imms@lakesdhb.govt.nz or ring the administration
Cardiovascular Disease. call center on 0800 115 117
On the horizon:
Lakes DHB has been working closely with both local iwi
Pinnacle will be bringing out a series of webinars around Te Arawa and Ngāti Tūwharetoa to partner around the
Diabetes management featuring Dr. Ryan Paul approaches needed to ensure all Māori have the
opportunity to be immunised. Māori health providers are
There will be 2 new tools available in early July within vaccinating in a range of settings around the rohe.
BPAC for assessing Hauora, wellbeing, in patients with
Diabetes. The tools will be using patient distress scores in Most Aged Care Residents have received their first doses
order to take a more holistic approach to patient in May and their second dose in June
management
The Lakes COVID immunisation team was vaccinating
Prof Hayden McRobbie will be working with the Pinnacle about 860 people per day from June to meet the national
team to initiate SMAs (Shared Medical Appointments) targets. The shortage of vaccines has reduced the
for patients new to Jardiance numbers being vaccinated currently. But from the end of
July they are aiming to vaccinate 6000 per week across
Check out the link from the NZ Society for the Study of the DHB.
Diabetes for DM2 management
Group 4 — being vaccinated from 28 July
Everyone aged 16 and over
https://t2dm.nzssd.org.nz/Management-Algorithm.html
The vaccine rollout for Group 4 will be in age bands
The first age band is people aged 60 years and over. The
Ngā mihi, next age band will be everyone aged 55 years and over.
Natalie Bookings for this age band will open 2 weeks later, on 11
August. Everyone else will follow in age bands through
until the end of 2021.
TAUPŌ COVID 19 HUB
The exact start dates of other age bands depend on the
timings of our vaccine deliveries. We'll announce new
The Taupō COVID-19 hub is up and running at 6/29
start dates as soon as deliveries are confirmed.
Totara Street. The clinic is open 5 days a week, Tuesday
to Saturday. The clinic and call centre are extremely
busy.
Pg 2
X-RAY TAUPO HOSPITAL
GP AFTER HOURS INFORMATION TAUPŌ
Taupo GP’s are on-call from 5p to 10p weeknights and
8am-10pm sat and sun.
Taupo does not offer walk in x-rays. All patients must
ring and make appointments. Chest x-rays are
performed within 24hrs unless otherwise stated. When
THUMBS UP patient requires a Chest x-ray please give the request
form to patient to make appointment and bring to
Radiology
DO NOT also fax/email the requests forms to radiology
as well. Only fax/email a CXR request if you are
requesting an appointment to be booked for a later date.
We also have text alerts in place. The text alerts will be
sent to all patients with a valid mobile phone number 2
days prior to their appointments. This will hopefully
reduce the amount of DNA’s that we experience. It
would be greatly appreciated if you could check your
Thumbs up to ELIZABETH TASI for another awesome patient’s mobile numbers and correct these on the
evening with our pacifica community covid vaccine Radiology requests if they need updating.
rollout.
If you require to speak to a liaison Radiologist please
1st dose done and dusted. continue to access this service as you do currently
Next dose 24th July 6pm Taupo nui marae. through the hospital switchboard 07-348 1199 and
Thank you for all who turned up. request to be put through to the liaison Radiologist,
Huge thank you the amazing team of health Julie Whitehouse
professionals that volunteered their time to come and Julie.whitehouse@lakesdhb.govt.nz
support the community and making them feel safe.
Thank you the Lakes DHB staff for vaccinating.
PSYCHIATRISTS CELL PHONE
A successful evening with 120 doses done.
Thank you to our beautiful Tokelau community for
027 214 8162 is active as from today – GPs can phone
suppling the supper
this number and will have direct access to a
psychiatrist. There maybe times when they are with a
patient and may need to phone you back.
Pg 3
PERINATAL PROVIDER HUI ADDRESSING INEQUITY IN STROKE TREATMENT
When: 21st July 2021
Time:12-2pm
Location: Wai-Hina Hub, Parent Centre Room.
A small presentation around perinatal support led by
Tina Berryman-Kamp.
The objective of this hui is to network between support
services, Mentoring and upskilling, Meet and Greet.
UROLOGY UPDATE
The current Venturo contract will expire on 30th June
2021. Lakes are in the process of recruiting 2 Urologists
and other staff to develop a Lakes DHB based service.
Elective procedures will be carried out at Southern Cross Te Manawa Taki
Hospital with some acute services at Rotorua hospital. Friday 24 September 2021
Both outpatient services and minor procedures are Venue: Te Puia, Whakarewarewa Valley
expected to be available in Taupo. All current patients Closing Date for applications: Tuesday 10th September
requiring services after the 1st of July will transferred to 2021 (Limited Spaces)
the new DHB service. A transfer of care process will be waverley.brinkler@lakesdhb.govt.nz
managed with Venturo.
ANDY KLAVA LEAVES
HOSPICE FUND RAISER! WHAT A SCREAM!
Lakes DHB fare welled Radiologist Andy Klava last
week after 17 years working for Lakes DHB.
Andy took on the Clinical Director role in 2017 has
also been Head of Department and a strong voice for
Choosing Wisely.
Chief Executive Nick Saville-Wood acknowledged
Andy’s contribution to the Radiology Department
over many years. He said Andy strongly supported
good clinical governance and how clinicians can have
input in the decision making process in the
organisation. Nick noted Andy’s leadership along with
Barbara Hochstein and Greg Hunt in the early days of
the department when reviews were done and
decisions had to be made about the best model of our
community.
Daring dancers from Taupo Hospital volunteered
along with other community members for a
#Fabulous fund raising event at the Great Lake Centre
on the 3rd of July. A great night was had by all and Taupō Hospital Goes to Winter Beds as of first of
Hospice gives a special thanks to over 30 sponsors, 40 July. It is a long term goal of the TIPU to stretch to 15
backing dancers, and 8 local lead acts. There were beds year round and we are making some significant
over 390 attendances and Hospice is confident that gains in terms of medical and nursing staffing toward
this will be its highest grossing fundraising event yet. this goal.
Pg 4
RSV HITS LAKES Extended Care team) and supports Tane who
have co-morbidities or Tane who are at risk of
We are now seeing high rates of RSV infection in developing co-morbidities.
the BOP and Lakes areas.
The Tane have health
Clinical Microbiologist Michael Addidle says as we checks provided by the
have had no infants exposed to RSV since the Pinnacle Nurse
Level 4 lockdown in March 2020, we now have a Practitioner, and
high degree of susceptibility in the infant support from Health
population. Improvement
Practitioners and Health
At Taupō hospital we are asking parents and Coaches .
caregivers to keep all children at home, unless Exercise consultants
they are presenting as a patient. provide one pool based
and one land based
Viral bronchiolitis is a clinical diagnosis. Peak exercise session per week with Friday being kept
severity is usually at around day two to three of for the chew and review group.
the illness with resolution over 7-10 days. The Over the 10 weeks further education is provided
cough may persist for weeks. Bronchiolitis most by a Dietician, Clinical Pharmacist and variety of
commonly occurs in the winter months, but can other health and wellbeing practitioners.
be seen all year round. Bronchilitis is usually self- The Tane particularly value the Kaupapa Māori
limiting, often requiring no treatment or components, learning and performing a haka,
interventions. learning taiaha, and the art of whaikōrero , all
aspects contributing to improvements in their
Risk factors for more serious illness wellbeing.
• Gestational age
RAISING THE PROFILE OF ORGAN DONATION for a day of whakawhanaungatanga, shared learnings
and experiences.
Lakes District Health Board is planning two hui early in
July to talk about organ donation. Te Tumu Waiora or ‘to head towards wellness’ is a
The first is on Monday 5 July, to discuss the donation model of care that has been in place in Taupō for two
and transplant process for Māori. This hui aims to years now, supporting general practice with whānau
gather feedback, cultural issues, attitudes and packages of care.
barriers about organ donation for Māori. The model puts health and wellbeing at the heart of
Then on Wednesday 7 July, a similar hui is to be held general practice. Health Improvement Practitioners
in the Rotorua Hospital atrium. (HIP) and Health Coaches (HC) work as part of the
Both hui will feature stories from those who have general practice team.
received and donated organs. This model allows for a ‘warm handover’ meaning
anyone of any age whose thoughts, feelings or
Te Wānanga o Aotearoa behaviours are impacting on their health and
2 Depot Street, Mangakakahi, Rotorua wellbeing can see a HIP or
Date: Monday, 5 July 2021 a Health Coach quite quickly, often the same day.
Time: 5.30-6.30pm
Kai provided.
RSVP to: ulrike.buehner@lakesdhb.govt.nz WAIATA AT TAUPŌ HOSPITAL
wananga/gathering every Thursday morning for
PALLIATIVE SPECIALIST ADVICE whakawhanaungatanga and to sing waiata (some of
which involves the more courageous getting stuck in with
For palliative medicine specialist advice: actions too!)
phone Waikato Hospital on (07) 839-8899 and
ask for the on-duty or on-call palliative specialist For many this is supporting the Te reo Maori classes that
we have begun here in the last 6 months, and allows for
further embracing a kaupapa Maori perspective on our
consider contacting Dr Denise Aitken at Lakes
lives and work… music-is-medicine
DHB by phone (07) 348-1199, or by
email denise.aitken@lakesdhb.govt.nz
TE TUMU WAIORA WĀNANGA KI TAUPŌ
Open invite to anyone from the Taupo community health
arena who is keen to come along – 0915hrs every Thurs
in the Taupo Hospital cafeteria, runs for about 20mins,
guaranteed to have you feeling good for the rest of the
day
Health Improvement Practitioners and Health Coaches Nga mihi nui!
from the Pinnacle Midlands Health Network, Leigh & Alex (kaiwhakahaere)
Te Arawa Whānau Ora, Health Hawkes Bay, RAPHS
and Tuwharetoa Health recently met at Wairakei
Pg 6
SARs-CoV-2 IgG SEROLOGY TESTING
TAUPO MATERNITY UPDATE
Please note effective 14th June, SARS-CoV-2 IgG
serology testing will be available at Pathlab.
This assay can potentially be used to assess vaccine
response and to detect previous infection.
This is a quantitative IgG assay performed on the
Abbott Alinity platform. However, as it is still not clear
exactly what level of antibodies confers reliable
protection against COVID-19 post-vaccination, we will
report positive and negative IgG results in a
qualitative manner in the first instance, along with
qualifying comments as below:
It has been a challenging time for the Taupō maternity
unit. Due to workforce pressures it has been unable to Positive
maintain a 24/7 service as hoped. The unit is actively “IgG antibodies to SARS-CoV-2 spike
recruiting and will continue until our vacancies are filled. protein DETECTED. This result indicates prior exposure
The DHB is committed to providing a maternity service in to SARS-CoV-2 or vaccination. Antibody levels peak
Taupo. approximately 2 weeks after infection or second dose
of vaccine, with variable duration of measurable
Things are looking up with some new appointments. The antibody. The presence of antibodies is likely to be
clinical Midwife Co-ordinator role will be shared between associated with current protection from
Heidi Exenberger and Theresa Enright. Yasmina Thebus symptomatic COVID-19 infection, but a true
will be the team’s new administrator. serological correlate of protection has not yet been
established.”
The current arrangement for the next few weeks is
closing the unit from a Friday night 23:00 to a Monday Negative
morning 07:00. This arrangement had been in place since “IgG antibodies to SARS-CoV-2 NOT detected. A
the 14th of June. The unit is open to LMCs and the on- proportion of mild cases of COVID-19 do not produce
call midwifery arrangement is in place 24/7. durable antibodies. The presence of antibodies is likely
to be associated with current protection from
symptomatic COVID-19 infection, but a true
GET REAL FOR MENTAL HEALTH serological correlate of protection has not yet been
established. Absence of measurable antibodies after
The team are funded by Lakes DHB to deliver primary vaccination does not necessarily imply lack of
mental health counselling for young people. The team immunity.”
includes local psychologists and youth workers who
actively engage with young people in environments Please ensure relevant clinical history and COVID-19
familiar to them. They currently have 15 staff working for vaccination status (including date of vaccination) is on
them and the team is led by Michelle Woodfield who is a the request form.
clinical psychology (Primary MH). REAL has a presence at Please note - this assay is not currently funded, the
all intermediate and secondary schools in Taupo and cost to the patient will be $45.
Turangi and have a walk in office on Tuwharetoa street.
Taupō
NEW CEO FOR TAUPŌ HOSPICE
079055060
Email: southernlakes@real.org.nz
Address: 111 Tuwharetoa Street, Taupō 3330 Karlynne Earp was born in Taupō and
has recently returned home after spending the
Pg 7
past year living in Singapore. The previous 33 Excellence in Health Care” Programme
years were spent in the Auckland Community 2010 UoA CMDHB
working as a Registered Nurse Manager, Funeral
Celebrant and Supervisor.
She brings to the Lake Taupō Hospice her
experience as a Health Professional and her CLINICAL PEARL: NOW IS A GOOD TIME TO QUIT
passion for celebrating life.
No evidence to suggest that quitting smoking
• Having Project Managed and led (sustainable) – resulted in worsening mental health compared
National, regional, and local, collaborative health with continuing to smoke. In addition, there was
projects for the past 20 years. Lets’ beat evidence to suggest that negative mental health
diabetes, school-based health services and more symptoms (depression, anxiety and stress)
recently, (since 2012) leading End of life Advance decreased, while positive symptoms
Care Planning (ACP) teams from project status to (psychological quality of life and quality of social
business as usual, in primary, secondary and interaction) increased, in people who stopped
community care settings, including Hospice. smoking compared with those who continued to
smoke. Taylor GMJ, et al. Smoking cessation for im-
• Her operational management skills working as a proving mental health. Cochrane Database Syst Rev 2021,
Issue 3
senior Clinical Nurse Manager for one of New
Zealand’s busiest hospitals. Awarded “Leading
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