Hauora Kokiri SEPT 2021 - Pinnacle Practices
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Hauora Kokiri SEPT 2021
Health locality network taupŌ and turangi
robin.chan@lakesdhb.govt.nz, natalie.clarke@phcl.health.nz, anthony@thct.co.nz, pen.blackmore@pinnacle.health.nz
Thanks always to Dr Lisa Hughes Rotorua GPL for her collaboration
LOCALITY NETWORK VACCINATION TRIUMPH
“Be a doer! Heather Lang Manager COVID-19 Immunisation
Karawhiua!” Says Programme extended “A massive thanks to all the
Anahera from amazing admin, clinical, observation, security, and
Tuwharetoa at the logistics teams for their mahi over an incredible
Taupō vaccination two days. A heartfelt thanks to everyone.”
drive through effort
on Saturday.
The Tuwharetoa led
vaccination effort at
Hirangi Marae was featured on tekarere 1.
As of the 6th of Sept 61% of Taupō eligible
population has received dose 1 and 38% has
received dose 2.
Drive through Friday 1164 vaccines
administered, Saturday 1280 vaccines
administered Primary care colleagues from General Practice in
action!
Great partnership between Tuwharetoa Health,
Pinnacle Health, Lakes DHB, St John, Taupo COVID-19 vaccines resume in Taupo from
District Council, Taupo Civil Defence, Senjo Tuesday at the COVID-19 Immunisation Hub,
Security, and many volunteers! Totara Street and in the southern lakes region in
Turangi at PihangaHealth
Cheeky Lakes
DHB
Vaccinators
demonstrating
alternative
vaccination
sites.
The team at Pinnacle health celebrating a successful
day of Vaccination.
Pg 1
As we tentatively poke our heads out in
From the desk of Natalie Level 2, I have to reflect on this
Clarke, Pinnacle GP achievement and wonder what else we can
Liaison achieve as a network in the near future.
Watch this space…..
Pan(dem)icking. Verb. To
turn your operating
systems upside down and
inside out in response to THUMBS UP
entering Level 4.
Hilary Morrish-
Well teams, time is a relative variable since Allen from
entering Level 3/4 2021. Again, we were Pihanga Health
left to ponder…’What day is it?!?’ for military
precision in
But this time around we definitely had a setting up the
much smoother and coordinated transition Turangi Drive thru
than 2020. 1 point Taupo/Turangi, 0 points vaccine clinic
Delta variant.
What took us weeks to figure out in 2020
(virtual health, red/green streaming,
Zooming), we accomplished overnight in
2021. Ka Pai to of our resilient health teams
and affiliated providers for making this
possible.
What really stands out for me is the
strengthening of our existing health teams
in Taupo/Turangi. We are coming into our
own as network because we are focused MANAGING COVID 19 IN GENERAL
on better communication. I am still blown PRACTICE
away by the collaboration efficiency
demonstrated during the drive thru This great webinar produced by the
vaccination rollout. Canterbury Primary Response Group
discusses how mild to moderate COVID-19
With Pihanga Health and Tuwharetoa illness was managed in general practice in
Health paving the way in Turangi, Ontario, Canada.
contributing valuable input to the Taupo
effort…It turned out to be an historical Recorded here if you missed it!
joining of forces (DHB, TDC, PHO, Primary
Care), executed with logistical precision
and even the weather held up. A bit of an
‘IronMan’ win for health care, in my
opinion.
Pg 2
Haere rā to Dr Rachel Lynski we will miss you.
HOSPICE WEBINAR SERIES
Hospice New Zealand is excited to offer a
webinar-based education opportunity,
designed for healthcare professionals with an
interest in palliative care. Thanks to the
Cancer Research Trust NZ, your staff can
access this free of charge. Access these
lectures via webinar on the first Thursday of
every month from 7.30 to 8.30am. If you have
any questions or feedback, please include it
in the post lecture survey, or contact Jacqui
“Thank you to all the healthcare staff at Taupo
Hospital and in primary care in the community.
Swain (jacqui@hospice.org.nz)
It has been a pleasure to work with such a
friendly and professional group of people. I
have loved my time in Taupo Hospital but am
also looking forward to the new opportunities in
the South Island. All the best for the future.”
MENTAL HEALTH RESOURCES
Pandemiconium has taken its toll on Mental
health. There are a number of services
providing free support for our community
PRIMARY CARE QUICK REFERENCE GUIDE
Please find some useful resources for Mental
Health and Wellbeing Support in the Lakes
district during Levels 2 - 4 for youth and adults
here:
https://www.healthpoint.co.nz/public/mental-
A summary of information for community
health-specialty/lakes-district-covid-response-
healthcare providers involved in assessing and
free-mental/
managing undifferentiated respiratory illness
and queries regarding COVID-19 risk and need
for testing (including general practice,
PSYCHIATRISTS CELL PHONE community pharmacy, Hauora Māori and
urgent care providers). Updated 6 September
027 214 8162 is active as from today – GPs 2021
can phone 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
their goals for improved health and wellbeing or
HOSPITAL VISITING HOURS lifestyle or behaviour change. They offer
continuity of care as well as emotional support
At Alert Level 2, our visiting hours are 11.00am and guidance. They can also help people
-1.00pm and 4.00pm to 7.00pm. Visitors navigate other services and to get access to
welcomed between these hours are as follows; any social and cultural support they may need.
* Maximum of one visitor per patient for each Karina and Troy continue to work across all
designated visiting period Covid lockdown levels using the MOH
* One continuous support person with a guidelines to keep everyone safe.
birthing woman and a second as a visitor
during visiting hours Karina has been going on ‘virtual walks’ with
* SCBU/Mothercraft babies – a support one of her clients, in separate neighbourhoods
person in hospital and a second as a visitor and talking on the phone together, keeping
* Patients under 16 years – a support person their motivation levels and whanaungatanga
in hospital and a second as a visitor strong.
* Two visitors with a patient receiving end-
of-life care
* Support Person permitted for certain HIPS GO VIRTUAL DURING LOCKDOWN
theatre patients, i.e. Children – under 18 years;
* Maternity; Vulnerable persons i.e. special
needs; Planned Care – discretionary;
Emergency/ Trauma – as determined by the
clinical team
* Outpatients - to ensure social distancing
can be achieved please only bring one support
person where essential.
MEET OUR HEALTH COACHES
Health Improvement Practitioners based across
the four general practices in the rohe have
moved quickly to virtual consults during
lockdown, and feedback from tangata has
been really positive, with several commenting
how easy the platform is to use, and also
being a little surprised at how effective video
consults are, in fact just as helpful as face to
face ! Doxy.me is an excellent platform that
some of the general practices use, and is the
preferred platform for HIPs, as it is easier to
(Waiora Manaaki), Karina Laws and Troy Taylor use, uses a virtual waiting room to manage
appointments easily, and is more secure than
Both come from primary mental health Zoom, or Skype. We see telehealth as a great
backgrounds and have completed specialist method for connecting with tangata outside
health coach training. They help patients with lockdown too !
self-management support and with achieving
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SPOTLIGHT ON MYOCARDITIS patients who would benefit from surgery
are able to access publically funded
The benefits of vaccination with the Pfizer services at the time of assessment. We are
COVID-19 vaccine continue to greatly unfortunately experiencing an increasing
outweigh the risk of both COVID-19 number of patients, Orthopaedics in
infection and vaccine side effects, including particular, being re-referred within a very
myocarditis. In fact, you’re 15 times more short timeframe of being returned to GP
likely to develop myocarditis if you catch care. We are therefore seeking your
Covid-19 as viral infections are a common support to assist in managing your
cause. patients’ condition and expectation by only
re-referring when there is a major
Symptoms of myocarditis can include new deterioration that warrants consideration of
onset chest pain, shortness of breath and further review.
an abnormal heartbeat. It’s important that
anyone who experiences these symptoms Maori Fit for Surgery – Korowai Initiative.
in the first few days after vaccination seeks Lakes DHB has secured a small amount of
medical attention promptly. funding via the MoH to explore new ways
of working in conjunction with primary.
https://www.health.govt.nz/news- Korowai Aroha has offered their support to
media/media-releases/clinicians-reminded- work alongside our preoperative
be-aware-myocarditis-and-pericarditis- assessment clinic team to focus on long
symptoms wait patients, yet to be pre-assessed for
surgery. This project is in its infancy
currently and we look forward to provide
you with an update as this progress.
SURGICAL SERVICES NEWS
Breast Reduction Surgery – Correction from
Inpatient Waiting Times. Orthopaedics and last Newsletter. Breast reduction surgery is
General Surgery in particular continue to not currently provided at Lakes DHB and is
experience the pressures from the effects facilitated via Health Waikato as our tertiary
of the initial lockdown in 2020 and long provider for those people that meet their
term staff vacancies. Whilst Orthopaedics service entry criteria. In order to access this
is now fully recruited, returning to a service, referral must be via the General
sustainable position of being able to treat Surgery Department at Lakes District Health
patients within four months will continue to Board who will assess against the Health
be challenging and take time. Patients Waikato access criteria. If appropriate a
continue to be scheduled according to their referral will then be sent to Health Waikato.
priority and our focus remains on reducing This does not mean Health Waikato will
the length of time patients are having to automatically accept the referral.
wait. We are employing a number of
strategies to achieve this to ensure timely DOCTORS NEEDED
access to assessment and treatment.
Taupō Hospital has a number of locum
Patients returned to GP care who do not shifts available for both Emergency and In
meet the threshold for surgery. In working patient unit. Contact Robin or Mariska.
within a constrained resourced
environment, you will be aware not all
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VENTURO
ST JOHN TAUPO/LAKES
Urology services. Lakes District Health
Board is working closely with the Directors Pleased to announce several
of Venturo to establish a new long term collaborations and
agreement for the provision of Urology partnerships to extend our
Pre-Hospital access to referrals, pathways, and
Services. Venturo has kindly agreed to
community care for patients in the Lakes area.
continue with service provision while the
new contract is finalized. The Aged Residential Care pathway has been
initiated by the DHB and St John to ensure that
patients from Aged Care Facilities are
prioritised to receive care in the community.
NEW LOCALISED HEALTH PATHWAYS This pathway provides a mandate to consult
with the lead physician involved in patient care
and to ensure that all avenues of community
care have been exhausted prior to admission -
where necessary working directly with the
receiving department. This is not to create a
barrier to tertiary care, but instead support the
• Diabetes pre-pregnancy planning
right care being provided to the patient at the
• Covid vaccination preparation and right time.
after care.
• Nausea and vomiting in pregnancy –
note ondansetron is now a 3rd line
choice due to new fetal risk data
• Useful websites – winz, acc, dhbs,
moh, starship guidelines, dermnet
and other links
NEW NAME FOR MIDLANDS
HEALTHPATHWAYS
In conjunction with Pinnacle Health, we’ve
Our Health Pathways site is going to be established an electronic referral process for a
updated from the Midland Region Community range of community healthcare needs offered
HealthPathways to Te Manawa Taki by their service, where Paramedics have
Community HealthPathways. The information identified the need as a part of their
for your DHBs, PHOs, etc. will remain the same assessment, and the patient is safe to remain
and there will be no changes to how you can at home. This includes access to the
easily access the site. community pharmacist, dietician, peer support,
social worker, nurse practitioner, health coach,
Te Manawa Taki is the name gifted to the and exercise consultant. These referrals are
Midland Region by the partnership between the included as a part of our assessment,
Midland Iwi Relationship Board and the management plan, and documentation, so that
Midland Region DHBs. The meaning of Te the patient’s relevant care providers are aware
Manawa Taki is ‘Beating Heart’ . of the referral.
Our current technological project is working
Pg 6
with the DHB to setup a process for the year. The team cover Taupō, Turangi &
electronic transfer our completed patient care Mangakino and specialise in helping older
records when handing over a patient. people stay active and independent at home
Previously this has been a process of printing and doing the things they love.
records at the hospital to provide to the lead
clinician receiving the patient, where as over
the next couple of months we hope to be able Just before lockdown #2, Jess, our
to implement a fully electronic secure transfer Occupational therapist, was starting a normal
in the emergency department, eliminating the day of visits in Turangi, getting a coffee of
routine need to print these documents. course! She was waiting in line when she heard
a familiar voice behind her. She turned around
We’ve been working alongside the Lakes DHB and was greeted by a gentleman in his 80's,
to support the latest Drive-Through Vaccination sitting on his mobility scooter with a huge smile
Centres, providing an Ambulance and clinical on his face. I don't know who was more
staff to be onsite. By providing the acute delighted about this chance meeting Jess or
medical support for any adverse events, we the gentleman!
hope to free our DHB partners to focus on the
vaccine delivery process, to ensure optimal This gentleman spent 9 months in a rest home
uptake in the community. So far we’ve in 2020 and was desperate to go home. Reviva
provided this support in Taupo and Rotorua, got involved, we made a rehab plan and
and hope that we can continue to support worked really hard with our patient and the rest
these events as required. home staff to see if independence at home was
an option. We worked with his whānua, the
Ngā Mihi, Pihanga team, Tuwharetoa Health and Enable
NZ to make this happen. Naturally, the rest is
George Clicquot BHSc (Paramedicine) history as our story shows! He has been at
Territory Manager - Lakes | Central East home, getting coffee and cruising around the
neighbourhood for nearly a year now.
We absolutely love transitioning people home,
where they can be with their whānau, their
REVIVA: GOOD NEWS STORY beloved pets and prize possessions. It's
always hard work but so rewarding for
everyone involved to see the person back in
the place they love.
Reviva offers an easy referral process for older
people that are at risk of falls, scared of falling
and also falls prevention community classes.
Feel free to get in touch for a chat if you'd like
to know more about our services.
The Reviva team are also very proud to be
finalists in the Great Lake Taupō Business
awards - wish us luck!
The community rehab team for older people
Ngā Mihi,
started in 2008 with just a physio and a laptop.
Catie
13 years later, we employ 9 people. We have
Physios, OTs and rehab coaches, seeing
thousands of people in their own homes every
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