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ATHE OFFICIAL

MAGAZINE FOR AUCKLAND DHB

FEB/MAR2017

Inside KaPaiWhānauphotospread Tipsforgettingfitandhealthyafterthefestiveseason InterviewwithDavidRobothamofTheCommitted Newnurseandmidwifeuniforms

New year, new you?

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CEO ColumnStaying connected

AilsaClaireChiefExecutive

AbelatedHappyNewYeartoyouall.Ihopeyoumanagedtotakesometimeofftorecuperateandbewithfamilyorfriends,orareplanningtodososoon.

IspentmostofChristmasandNewYearrelaxingathomeandatthebeach.Itwasgoodjusttohaveabreakandtospendtimewithfamilyandfriends.

OnChristmasDayIcameintothehospitaltosaythankyoutothosewhowereworking.Iwasimpressedwiththeatmospherecreatedforourpatientsandtheprofessionalismofstaffdealingwithwhatturnedouttobeaverybusyperiod.Parentsandfamiliesofpatientsalsocommentedonthis,andthegreatcaretheirlovedonesweregetting.ThanksmustalsogototheheroiceffortmadebyourcateringservicetogiveemployeesandpatientsaniceChristmasdinner.Itwasamassiveeffort!

EarlyintheNewYear,Igottoexperiencethehealthsectorontheotherside,whenmydaughterhadmajorsurgery.Asafamilywearesogratefulforthehigh-calibrepublicly-fundedhealthservicewehaveinNewZealand.Whilstitwaspainfulformydaughterandstressfulformeasthepersonsittingbesideher,everythingwentwellthankstotheskillofourpeople.

We’vealsohadpublicendorsementofourservices.IntheFebruaryeditionofNorth&SouththeeditortalkedveryhighlyaboutherexperienceinourEmergencyDepartmentinhereditorial.It’sgreattoreadthis.

Soontoanewyearand2017issettoprovideuswithgreateropportunitiestoworkcloseracrossmetroAucklandwithourChair,DrLesterLevynowbeingthechairofallthreeofAuckland’sDistrictHealthBoards.WearedependentoneachotherandweneedtoworkasateamtoservethegreaterAucklandpopulation.Ilookforwardtousdoingthatforthebenefitourpatients.

On the cover:NicolaRowlandsmakesthemostofthefreebootcampsofferedtoAucklandDHBstaff,asshewarmsupwithEdenFraserofDomainFitness.

“I liked the excellent communication skills of the team on ward 97. They are very clear on what’s best for their patients, and reassuring. It’s always good to be treated with fairness and to feel 100% supported.”

– A patient

“Hi there. My mokopuna was admitted in the early hours. He went into PICU at Starship. We were there for two weeks. I must say the nurses are fabulous 24/7. Brilliant staff. Lots of love and care for children. Thank you for caring for my moko. Also the team in Ronald McDonald house, you ladies sure know how to make a whānau welcome. Awesome service to all our whānaus. Nga Mihi Starship team.”

– Grateful whānau

“Thank you all for your kindness and service. And to a nurse in particular, who was holding my hand before getting general anaesthetic. There was no better way to let me know everything was going to be ok.”

– A patient

news in brief news in brief news in briefConversations that Count Wednesday5AprilisConversationsthatCountDay2017,anationaleventtocelebrateAdvanceCarePlanning.Justlikeplanningthingstodoonyour‘BucketList’,planningforthecareyouwantinthefutureneedn’tbea‘doomandgloom’discussionwithyourfriends,lovedonesorcareteam.AdvanceCarePlanningisabouttakingthetimetothinkaboutwhat’simportanttoyou,talkaboutitandwriteaplanthatcanbeusedinthefutureifyou’renotabletotellyourcareteamwhatyouwant.Watchoutforeventsandpostersintherunuptothedayorgotowww.advancecareplanning.org.nztofindoutmore.

Retail changes YoumayhavenoticedthatthefloristhasclosedatAucklandCityHospitaltomakewayforabiggerPlanetEspresso.YoucanstillpurchaseflowersforfriendsandlovedonesjustdownthecorridoronLevel5atMakete.OverattheGreenlaneClinicalCentre,MuffinBreakhasbeenundergoingarevampandisopeningasJamaicaBlue.Thisispartofongoingupgradestoensureourretailspacesworkbestforyou.

Flu vaccinations It’salmostthattimeofyearagainwhenweneedtotakestepstoprotectourselves,ourfamilies,andourpatientsagainsttheinfluenzavirus.It’simportantforeveryonetoknowthatinfluenzaisnotjusta‘badcold’andthatitcanleadtoseriouscomplications.Planningiscurrentlyunderwayforthisyear’sprogramme.WatchoutfordatesineNovaandmakeanoteofwhenyoucangetyourFREEfluvaccination.

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ReverendRogerPymblessesthename‘AwhiOra–SupportingWellbeing’,attheservice’sblessingandgiftingceremonylatelastyear,whichtookplaceatRuapotakaMaraeinGlenInnes.TheTāmakiMentalHealth&WellbeingInitiative’snewcommunitysupportserviceconnectslocalGPclinicswithNGO supportworkers. This enablesGPs to introduce these supportworkers to peoplewho are experiencinghealthandsocialchallenges,sotheycanwalkalongsidetheperson,andassisttheminachievingtheoutcomesthatmattertothem.Theprojecthasmovedfromprototypephasetopilotphase,andaspartofthis,hasbeengiftedthename‘AwhiOra’–SupportingWellbeing’,bythelocalcommunity.Moreinformationonpage16.

BeautifulnamegiftedtoTāmakiproject

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Ananonymousdonorhasgiven$1.4mtotheUniversityofAuckland to help cancer patients access new treatmentsdevelopedthroughfirst-in-humanoncologydrugtrials.ThedonationspeedsupjointUniversity-DHBplansforNewZealand’sfirstunitspecialisinginthistypeofcancerresearch.This Cancer Phase 1 Clinical Trials Research Unit will bemanagedbytheUniversityandAucklandDHB.ThejointinitiativeseesstafffromtheUniversity’sFacultyofMedical and Health Sciences (FMHS) and Auckland DHB’sRegionalCancerandBloodServiceworkingtogetherontrials.DeanoftheFMHSProfessorJohnFrasersaysit’sagenerousdonationthatwillhelpimproveoutcomesforcancerpatientsbyenablinggreateraccesstonewtreatments.“Thisisanexcitingopportunitytotrulyintegratetranslationalandclinicalresearchprogrammes,”hesays.DrRichardSullivan,AucklandDHB’sDirectorofCancerandBlood,saystheunitwillhaveaspecialistinfrastructureandgovernanceframework.“This issowe’reabletosafelydeliverthesefirst-in-humanstudies,” he says. “It’ll bedesignedand run to thehighestpossible standards expected of accredited Phase 1 unitselsewhereintheworld.“First-in-humanstudies involvetheadministrationofsmall,butcautiouslyescalating,dosesofadrugincarefully

Major donation kick-starts specialist cancer research unitmonitored patients. Once a dose has been established asoptimal,thedruggetsfurthertestedinPhase2and3studiesinlargernumbersofpatients.“Phase1studiesrequireahigherlevelofexpertiseaswellasmore rigorousoversightandmonitoringcompared to laterstagehumantrialresearch.”Phase1trialsaredeliveredbyclinicalresearchcoordinatorsandresearchnursesoverseenbyprincipalinvestigatorswithgovernanceoversightprovidedbya researchmanagementteam.Richard says the unit and associated developments willalsoprovideanexcellent framework fornew research intopersonalisedmedicine.“PatientsinPhase1andlaterphasestudieswill likelyhavetheirtumourandothersamplescollectedandstoredthroughatissuebankfacilityandanalysedusingagenomicsplatform.“Apurpose-builtCancerPhase1ClinicalTrialsResearchUnitrepresents one of three platforms for a future IntegratedCancer Centre based at Auckland City Hospital. Besidestheresearchunit,theseareatumour-tissuebank,whichisalreadyinoperation,andaconsolidatedgenomicsresearchplatform,”hesays.TheintegrateduseofresourcestoenabletheseinitiativeswasoneofthedriversbehindtheestablishmentoftheUniversityandDHB’sAucklandAcademicHealthAlliancein2011.

ProfessorJohnFraser,DeanofAucklandUniversity’sFacultyofMedicalandHealthSciences.

VisitHIPPO–Ourorganisation–Projects–SafetyManagementSystem(Datix)forinfoandFAQs

localheroesOur

LocalHeroAwardwinnersGodsonJohnson(top left)andHelenaWhyte(centre) receivingtheirawardsfromChiefExecutiveAilsaClaire.NikkiMills(top right) receivingherawardfromMargaretWilsher.

Well done to every one of our nominees:BeatHoneggerCourtneyMarshDebbieCribbDeborahLawtonDickOngleyHeatherChikwehwa

JaneDanielaJanicePolimaJoKingMarcVanDenHeeverMargaretColliganMeganConnolly

Pleasekeepyourstoriesaboutourlocalheroescomingin.Tonominategoto:

www.adhb.health.nz.

OliviaPereliniPauloMapaPipShirleyPraveenLataRebeccaStitt

Congratulations to our December and January local heroes: GodsonJohnson,ClinicalPhysiologistRenal;HelenaWhyte,SeniorStaffNurse,AdmissionandPlanningUnit;andNikkiMills,PaediatricENTSurgeon.Godson received three nominations: “I have received asecondcomplimentonthecarethatGodsonhasdeliveredinrecentmonths.ThemostrecentemailshowedthatGodsonmostcertainlydemonstratesthevaluesofAucklandDHB...”- Colleague“Godsonpracticespatient-first care.Weare receivingverygoodfeedbackontheservicethatheprovidesfrompatientsand their family. One patient even asked if Godson couldcome and see him back in the ward as he enjoyed theconversation that they shared. Godson made them feelimportantandthatresultedinapositivepatientexperiencewhilestayinginAucklandCityHospital.”- Colleague“He iswonderful and always putsme at ease and smiles,hence I’ve nick-named him Smiley!! A very dedicatedmemberofstaff.”- PatientThecolleaguewhonominatedHelenasaid:“Helenabought120 appreciation gifts for the staff (from fundraising sheorganisedthroughouttheyear).Shemakesbeautifulbaskets

forraffles;shesuppliescondimentsandappliances forthestafftearoom;sheispartofthesocialcommitteeandbuyscards and thoughtful gifts for staff leaving, babies born,bereavements, weddings, and engagements. She does atremendousamount(behindthescenes)thatgoesunnoticedandwewould loveherefforts tobeacknowledgedandtoshowherwereallycare.”

Nikki wasalsonominatedbyacolleaguewhosaid:“Iwasin a very difficult situation. Before Iwent home, I had totrytohelpamotherandbabywhoneededspecialisthelpso that thestaffover theweekendwerenot facedwithabiggerchallenge.Nikkiansweredthephone(onherdayoff)andwithout hesitation (even though itwas now6.30pm)she came to the ward. Her manner was empathetic,compassionateandaboveallhighlyskilledandprofessional.Nikki listened intently, explained everything, and withconsent and discussion performed the procedure. Thewomanandherpartnerwerethrilledandverygrateful.Thenight staffwerealsograteful,aswithout intervention thiswould have made their job exceedingly challenging. Thiswasanoutstandingactofhumankindnessforamotherandbabyinneed.”

SanchiaLogieTheresaLavakulaVivPearceWalstonMartisWillShen

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local heroes is kindly supported by A+ Trust

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Thank you to everyonewho joined us inDecember to bringmusic,danceand joyacrossoursites.Wehadgreatchoirsandperformersfromourcommunity,andsomeadorableborderprotectionpuppiesin-trainingfromtheMinistryofPrimaryIndustries.Theward Christmas decoration competition is always amazing, andthisyearwasnodifferent.Hugeeffortswentintothedecoratingandtheresultsbringingsomeholidaycheertoourpatientsandstaff.Theemployeesineverywardthatenteredshouldfeelproud!Youcantakealookatsomeofthesemomentshere,andseeplentymoreonourAucklandDHBFacebookpage.

KapaiwhānaubringsChristmascheerforanotheryear

1.DevineMercyChoir.2.Thirdplace-gettersLabPLUSputthescienceintoChristmaswiththeirChemistree.3.AnelfbeingtreatedonWard72.4.VolcanicCityVoiceschoir.5.IndiancedancingupastormatAucklandCityHospital.6.Asha,oneoftheMPIborderprotectiondogs.7.AwesomepohutukawaflowershandmadeonWard81.8.MargaretDotchin,AnnaSchofield,AilsaClaireandJoyceForsythegivingtotheMission.9.Ward77wonoverthejudgeswiththeiruniquetropicalChristmasbeachcompletewithhammockandpalmtrees.

“IjustwantedtotouchbaseafterourexperiencessinginginthehospitalbeforeChristmasandsayhowmuchweallloved

beingallowedaccesstothehospitals.IknowthemembersofbothStonefieldsChoirandVolcanicCityVoicesabsolutelylovedbeingabletocontributesomeChristmascheerandfounditallveryrewarding.IalsowantedtosaythatourfirstexperienceofsinginginthewardsonthatMondaynightwas

beyondourexpectations…”Kate Bell, Musical Director

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GIVING Many Aucklanders once again looked to the Auckland CityMissiontohelpthemthroughtheholidayseasonin2016,andourpeopleatAucklandDHBweretheretolendahandtoo.We’d like to sayahuge thankyou toeveryonewhodonatedfood,gifts,coinsandtoiletries.Thankstothegenerosityofourstaff,patientsandvisitors,wehittheambitioustargetof10,000items set by our Chief Executive, Ailsa Claire. In fact, by 23December,wehadcollectedover10,700itemsforAucklandersinneed.Aspart of the campaign,we created the ‘Can-do good’ pop-upshoptomakegivingthat littlebiteasier.Thepop-upshoptravelledaroundAucklandCityHospitalandGreenlaneClinicalCentre,allowingpeople todonatemoney,which theMissionwouldthenusetobuyfoodandothernecessities.A roundof applause for the teamswho kindly ran the shop:Communications, Consumer Liaison, HR, InformationManagementAnalysts,StarshipMedicalSpecialities,andsomeofourNursingLeadership.Togetherweraisedmorethan$3000.They may have lost their voices and had sore feet, but theInformationManagementAnalyst teamagreed itwasagreatteameffort!Onceagainahugethankyoutoeveryonewhodonatedtime,coins,foodandgifts.Whatanincredibleresultweachieved!

Clockwise from top left: TheInformationManagementAnalystteam(L-R)PhillMidgley,VanessaNgan,NathanBilling,JulieTan,ZainabSalman,MilenaValbuena.ColleenGibbsandthebountyforAucklandCityMission.TheOccupationalHealthandSafetyteamatGreenlanewiththeirgiftsfortheMission. (L-R) JoyceForsyth,NurseLeadClinicalSupport,MargaretDotchin,ChiefNursingOfficer,andBrendaClune,NurseDirector,AdultMedical,runningthepop-upshop.Ward61withtheirwardcollectionbox.

the true meaning of the holidays

NEW YEAR, NEW YOU?The festive season often leaves us feeling sluggish and our clothes fitting a little tighter, and with that comes resolutions about losing weight and increasing fitness. Moving towards a healthier lifestyle is a great thing to do, but it’s important to make ‘healthy’ changes in the right way.

HEALTHY EATINGAccording to the Ministry of Health, being healthy improves your quality of life and your sense of wellbeing. It also means you are more likely to be around longer for your whānau.Some key tips from the Ministry of Health on healthy eating:* Eat from the four food groups – this means eating a variety of nutritious foods, including:

Plenty of vegetables and fruit Grain foods (mostly whole grain and those naturally high in fibre)Some milk and milk products (mostly those that are low and reduced in fat)Some legumes, nuts, seeds, fish, eggs or poultry, or red meat with the fat removed

Choose and prepare foods that are:Made with unsaturated fats instead of saturated fatsLow in salt (sodium), or if using salt, ensure it is iodisedMostly ‘whole’ or less processed

If choosing packaged foods, look at the food product as a whole – some foods may be low in fat but high in sugar or salt. Compare the food labels of similar foods and choose those that are lower in saturated fat, sugar and/or salt, and with the highest amount of fibre per 100g of food. Kristen Clarke, Community Liaison Dietitian for Auckland DHB, says weight loss is a slow process if it is to be sustainable long term. “It’s important to see your weight loss journey as a lifestyle change rather than a quick-fix. If you eat the right balance of foods from the four food groups, and have appropriate portion sizes, then you should begin to lose weight, while continuing to receive the nutrients and energy your body requires to perform.” *www.health.govt.nz/your-health/healthy-living/food-and-physical-activity/healthy-eating

GYM MEMBERSHIPSAuckland DHB is partnering with Domain Fitness to help support your health and fitness goals, with a number of offers for employees.

Gym membershipsA limited number of free and subsidised memberships are still available for Auckland DHB employees at the Domain Fitness gym on Carlton Gore Road. Go to www.domainfitness.co.nz to get your membership.

Boot campsBoot camps are held every Tuesday and Thursday at Greenlane and Grafton. Greenlane: Meet outside Oasis Café at 5pm (if you are a bit late and can’t see anyone around, try the lawn by the nets at Cornwall Park Cricket Club next door). Grafton: Meet at Domain Fitness Gym at 4.30pm.The boot camps are open to all Auckland DHB staff – there is no need to book, just turn up!

Other classesFree spin classes are now available from 4.30 to 5.30pm on Monday at Domain Fitness. Booking is essential, email: info@domainfitness.co.nz Yoga classes are available from 5.30 to 6.30 pm Thursday at Domain Fitness – no booking is required.

GREEN PRESCRIPTION

EXERCISEIn combination with a healthy, balanced diet, exercise can be an effective way to help with weight management. Eden Fraser, Personal Trainer for Domain Fitness, says there are a number of key steps you can take to get on track after the festive season.1. Set solid goals and stick to them – solid means measurable, for example, “I am going to walk one kilometre every day.”2. Make small changes – big changes can be hard to stick to, but small changes are often easier and can add up to a significant difference. For example, rather than completely cutting out sugar, cut out sugary drinks first. Combining this with other small steps such as a 30-minute jog twice a week will make a big difference to how you feel, which will likely motivate you to make further changes. 3. Don’t be afraid to use personal trainers – they are very good at helping you achieve your goals, as they offer motivation, support and accountability.4. Make time to exercise – the most common excuse for not exercising is “I don’t have time”. Make time. Make exercise a priority and schedule it in. It will give you more energy and ultimately make you more productive.

“The New Year is a great time to reflect and set out new goals, but make sure they are SMART goals,” says Eden. SMART means: S - specific, significant, stretchingM - measurable, meaningful, motivationalA - agreed upon, attainable, achievable, acceptable, action-orientedR - realistic, relevant, reasonable, rewarding, results-orientedT - time-based, time-bound, timely, tangible, trackable“To me, the T is the most important – Time-based. Setting a combination of short-term, mid-term and long-term goals helps breed success,” he says. Auckland DHB is partnering with Domain Fitness to help support your health and fitness goals, with a number of offers for employees.

Green Prescription (GRx) is a free service delivered by Sport Auckland through weekly group-based workshops. These combine exercise and nutrition topics, and the opportunity to meet other people who are also on their fitness journey. The numbers joining the Green Prescription in Auckland have been growing steadily. More and more people are hearing about the success of the programme and asking their GP or health professional to join. Green Prescription numbers always increase around the New Year period, with this year being no different. You are eligible for a Green Prescription if you are:

18 years of age and currently inactiveHave a medical condition that would benefit from an active lifestyle (e.g. obesity, diabetes or CVD)Your medical conditions are stable

Health professionals can access Green Prescription referral forms on the Healthpoint website, and the public can now self-refer online at www.sportauckland.co.nz or by calling 0800 228 48.

Green Prescription case study Essie Samuels is a very recent graduate of the GRx programme. The Onehunga resident tipped the scales at 130kg and was diagnosed as pre-diabetic. She loved fast food and had trouble with asthma from years of chain smoking. “I used to be a size 26. I’ve lost 45kg and can easily fit into a size 16 now. Even my partner calls me a new woman because I’m not the obese, unhealthy person I once was. ”

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OurEmergencyDepartmentTeam–PrettyChill

DrLesterLevy,BoardChair

AtAucklandDHB thereare150peopleemployed tobookpatients’ appointments for clinics and surgery. Withapproximately726,000outpatientappointmentsandalmost26,000 elective surgeries every year, this is no easy task,especiallywhensomeappointmentsget rescheduled foravarietyofreasons.During the RMO strike in 2016 and the planned strike inJanuary2017,weoftenthinkofthedisruptionforpatientsanddoctorsbutpleasealsospareathoughtforourbookersandschedulers.“During the recent planned RMO strikes the work of ourbookers and schedulers increased enormously,” saysMargaretWilsher,ChiefMedicalOfficer.

Thank you to our hidden heroes at Auckland DHB

MargaretWilsherdeliveringFridaysconestosomeofourbookersandschedulers.

“Theywere incredibly busy contacting thepatientswhoseappointmentsweunfortunatelyhadtopostponeduringtheplannedstrikedays,andthentryingtorebookthem.”“As you can imagine, when patients get their muchanticipated appointment cancelled they are disappointedand frustrated. As the bookers and schedulers are givingpatientsthisnews,theyaretheoneswhobearthebruntofpatients’frustrations.”“Iwould like to sayahuge thankyou toeveryoneofourbookers and schedulers for the work they do day-in-and-day-out,butinparticularforgoingtheextramileduringtherecentRMOstrikeplanning.Youareourhiddenheroes.”

InmyroleasChairofAucklandDistrictHealthBoard,Ihavenoticedthatmoreandmorepeoplespontaneouslytellmeabouttheirortheirfamiliesverypositiveexperienceswithourservices.OverthesummerbreakIreadtheeditorialinNorth&SouthmagazineaboutVirginiaLarson,theeditor’smultiple interactions with Auckland Hospital’s EmergencyDepartmentovertheChristmas–NewYearholidayperiod.

Theessenceofhermessagewas thatpeople likeherselfwho are in public affairs journalism often place theirattention on what is not working in society, somethingthoseofus inthehealthcaresectorareverywellawareof. Interestingly she took the opportunity in the mostrecentNorth&Southeditiontouseherpublicforumasanopportunity to sincerely andgenerously complimentourEmergencyDepartmentstaff.

InherarticleMsLarsondetailshowwonderfullyhersonwastreatedinourED,butalsomakesverypositiveobservationsabouthowshesawotherpatientsbeingtreated.Shewritesabout our staff’s unfailingly responsive, respectful andcompassionate care while radiating “supreme calm andquietconfidence.”Herson,thepatient,simplydescribesourstaffasbeing“chill.”

MsLarsonconcludesherarticlewiththefollowingstatement,“So thank you to the ED staff at Auckland Hospital wholandedtheholidayshiftandhelpedthesickandwoundedwithsuchgoodgrace.WhenI’msureyou’dhaveratherbeenhomecelebratingwithyourfamilies–thankyouforbeing,well,prettydarnedchill.”

It isextremelygratifyingtoseeourwonderful,committed,dedicatedandexpertstaffrecognisedinsuchapublicway.The simple reality is that Ms Larson’s experiences withourEDteamarebeing replicatedmany,manytimeseveryminuteacrossAucklandDistrictHealthBoard’sdiverserangeofservices.

Congratulations and thank you to the team in ED for thiswell-deservedrecognitionandthankyoutoVirginiaLarsonforherauthenticeditorialcommentary.

Thank you to every member of the Auckland DHB teamforeverythingyoudoeveryminute,everyhourandeveryday,forourpatientsandourpopulation–inreality,VirginiaLarsonwaswritingaboutallofyou!

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PatientexperiencereportsavailableonlineEachweekweemailinpatientsaweekortwoaftertheyhavebeendischargedtofindoutabouttheirexperience.Thispatientexperiencesurveycoversallthecoredimensionsthatdirectlyimpactonpatientsatisfactionandallowseachindividualtodescribeingreaterdetailtheareasmostimportanttothem.Thekeyareascoveredinoursurveysinclude:

1.Organisation,appointmentsandcorrespondence2.Gettinggoodinformationaboutmycondition andtreatment3.Communication4.Beingtreatedwithrespect(privacy,valuesand culturalneeds)5.Beinginvolvedindecisionsaboutmyhealth andcare6.Feelingconfidentaboutthequalityofmycare andtreatment7.Cleanlinessandhygiene8.Allowingwhānau,familyandfriendstosupportme9.Co-ordinationofcarebetweentheclinic,GPand otherservices

1.Gettinggoodinformation2.Communication(clearanswersIcouldunderstand)3.Beingtreatedwithdignityandrespect4.Gettingconsistentandcoordinatedcarewhileinhospital5.Beinginvolvedindecisionsaboutmyhealthandcare6.Managingpain7.Managingnausea(sickness)8.Feelingconfidentaboutthequalityofmycareandtreatment9.Cleanlinessandhygiene10.Foodanddietaryneeds11.Allowingwhānau,familyandfriendstosupportme12.Co-ordinationofcarebetweenthehospital,homeandother services(includingbeforeadmissionandafterdischarge)13.Meetingmyculturalneeds

OurfullpatientexperiencereportsarenowavailableonthewebsiteunderPatientsandVisitors–PatientExperience.Haveareadtofindoutthethingsthatpatientshavesaidmattermosttotheircareandtreatment.

Topthreethingsthatmattermosttopatients(fromourlatestPatientExperienceReportonDignityandRespect)

Communication Communicationistheaspectofourcaremostpatients(51%)saymakesadifferencetothequalityoftheircareandtreatment.

OUTPATIENTS

INPATIENTS

INPATIENTS

Patient Experience Week

will be held across the region

24-28 April.

Information Mostpatients(67%)saygettinggoodinformationmakesadifferencetothequalityoftheircareandtreatment.

Organisation Formorethanhalfofallourpatients(54%),organisation,appointmentsandcorrespondencemattertothequalityoftheircareandtreatment.

Mydoctorwasreallythorough,wentthroughallmyprevioustestsanddiscussedtheresultsofmyrecentsurgery.Thenwentthroughthedetailsofthefollowupprocedure.Sheansweredallmyquestionsandwasreallyreassuringinherapproach.”

- From a patient experience.

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Quickadviceofappointments;greatcoordinationbetweenoutpatientsandclinicaltreatment;followupfromsupportstaff.”

- From a patient experience.

Confidence Halfourpatients(52%)ratedhavingconfidenceintheircareandtreatmentasoneofthethingsthatmakethemostdifference.

Thenurse…wasverybusylookingafterseveralpatientsyetalwaysappearedincontrolandshowedcareandseemedverycompetent.”

- Patient experience.

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Consistency Fouroutofevery10patients(40%)rategettingconsistentandcoordinatedcarewhileinhospitalasoneofthethingsthatmakesthemostdifference.

ConfidenceTwoineveryfivepatients(44%),saythatfeelingconfidentabouttheircareandtreatmentisoneofthetopthreethingsthatmatterstothequalityoftheircareandtreatment.

Beforeoursonreceived[medication]…thenursecalledanothernursetodoublecheckhercalculations.ItseemedtobestandardprocedureandIfeltreassuredtoknowthedosehadbeencheckedtwice.”

“ IwaskeptverywellinformedofwhatwashappeningateachstageofmystaybyallmembersofstaffandanyquestionsIhadwerealwayspromptlyrepliedto.”

- From a patient experience that was rated ‘Excellent’.

- From a patient experience that was rated ‘Excellent’.

“TheteamIdealtwithwereveryproactiveandproductive.”

- From a patient experience that was rated ‘Very good’.

OUTPATIENTS

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to our recentstarters

ASiniAVaiolaVai,AaronSmith,AbhilashMadathumpady,AkikoHendry,AlanaCleland,AlexLu,AlexandraFleming,AlexandraSvoboda,AlexisStewart,AlineVidoeiraMarubayashi,AlofaTimoti,AmandaWee,AmanyAbouYoussef,AmyMulqueeney,AneSwart,AngelaJones,AngelaSkelton,AnjiniMala,AnnaRainey,AnushriRaj,ApekshaAnamika,AravindChandran,ArielCristanCamacho,ArthChaudhari,AshleighDudley,BarnabasKur,BaruchShahal,BayleighTrimble,BeatriceLeathem,BenitaWilliams,BinalPatel,BiswajitSivananthan,BriarTapp,BritanyLloyd,CaitlinFris,CarloMagnoViana,CarmelJacobs,CarolineMann,CarolineVaka,CaseySmith,CesarJrMaranan,CharmaineFourie,CharmaineMaposua,CherubTamasi,ChidinmaNweke,CindyPosimani,ClaireHempel,ClaireWilliams,ClareStrickland,ClaudineChwieduk,CourtneyFleming,CraigMowbray,DaciaDavison,DantzelTiakia,DarrenQuindor,DavidPongi,DavidSchlager,DeborahVendrig,EdithaAnneBanag,ElenaBuhian,ElisaCartwright,ElizabethCameron,ElizabethSaywell,ElizabethSemu,ElizabethWardrop,EllaMischefski,EmilyClark,EmilyGrant,EmmaBassett,EmmaTaylor,ErinMacaulay,EunaGo,FalepauOpapo,FrancesWard,FrancescaPobar,GeorgiaJohns,GurmejSharma,HanLai,HanieZarei,HannaFontinha,HannahSteedman,HelenBunter,HilaryEason,HuanyiZhou,IanSimperingham,IshitaMali,JacquelinePatton,JamesBlack,JamesMontague,JaneFarley,JanetNiko-Singh,JaniceSands,JanineKumar,JeffPellosis,JenkinEvans,JenniferCulblaith,JennySoudlenkov,JeremySinger,JessicaStanbridge,JoanGriffin,JoannaBotting,JoanneBarningham,JoanneLim,JonathanKing,JonathanLintag,JoshuaForeman,JuanitaWiggill,JudithWhiddett,JulianaJung,KalolaineFuikefu,KathleenCalamba,KimLengTe,KimSanGiorgio,KimSommer,KirstenMcsweeny,KirstieJohnson,KostiMattiKoivisto-Kokko,KristianMisa,KushlinHiggie,LanceMafi,LauraOld,LaurenGlass,LeaBernabe,LeafaitulagiToshin,LeahNicholas,LeinaniAiono-LeTagaloa,LiliSianTaito,LinduKurumparambilLawren,Ling-YenLo,LisaHarris,LorraineLee,LupeLutui,LyudmilaKhoueiry,MaVeronicaDumalasa,MaddisonCooper,MafiFakalata,MandyFish,MargaretCheshire,MargrettArinsol,MariaMedel,MariolaNava,MatthewStevenson,MeganWilletts,MelanieClinton,MeleFehoko,MelissaCheung,MenchuBlacer,MichelleFong,MonikaWalia,MorganThomas,MuniKumar,NavroopKaur,NealAutrey,NicolaHill,NicolaWoollaston,NikitaPereira,OleSchmiedel,PaiganJones,PaigeO’connor,ParamjitKaur,ParvinNazim,PaulaBarlow,PrincessMarcial,PriyaFrancies,PushpanjaliMahadevan,RachelHunter,RaghulVetterkunnelMohan,RavnitaShah,RebeccaBryant,RebeccaCozens,RebeccaMairs,ReneDomingo,RitaFusitu’a,RobertoJatulan,RobynKenworthy,RosalieChang,RosemaryCameron,RosemaryMiller,RuthSmith,SamanthaBecker,SamanthaKimber,SamanthaWallace,SarahChristiansen,SarahJohns,SarahMiddleton,SarahNeall,SarahPrimhak,SaritaDevi,SauYingHayes,SeraRokoika,SharanjeetKaur,SharonMcleod,ShivangniSharma,ShubaGauznabi,Shu-ChuanHsieh,SonelKumar,SophieFranks,SophieSpedding-Dutton,SoyeonAhn,SreymaoChheang,StephanieClark,SuWenWong,SunYoungLee,SusannahFinch,TamannaTamanna,TangruiWu,TasleemShazia,TaueseAsia,TaylaRaeBowers,TayolrEmsden,TeresaCrasto,TupouMalupo,UtufiuNiko,VanessaGarciaHoyos,VanessaMay-Hanley,VeeshayneAlaelua,VictorRoux,WaldiKamffer,WenyaTang,YamunaRathnayakeMudiyanse,YogitaLal,YvonneErasmus,ZaynahAli.

Sustainabilityinthehealthsectorwasthetopicofthisyear’sSustainability Symposium held on 8 December 2016 atAucklandCityHospital.As a large energy user and generator of waste, AucklandDHBisactivelyworkingtoimproveitscarbonfootprint.Witha sustainability programme that is going from strength tostrength,wesawa13percentreductionincarbonemissionslastyearfromthatofthepreviousyear.ThissuccesswasacknowledgedbyAnnSmith,CEO,Enviro-MarkSolutions,inheropeningaddressattheSymposium.Shesaid:“Climatechangeisgoingtobeoneofthebiggestimpactsonthehealthsector.Thehealthsector itselfhasthe largest footprint inthepublicservice,andseeingthesectortakeleadershipandencourageotherstotakeactionisreallygreat.”What then is the linkbetweenchanges in theenvironmentand the impact on the health sector? Experts agree that awarmer climatewill see an increase in the risk of illnessesand death from extreme heat, poor air quality and accessto water. Climate change will likely increase the frequencyandstrengthofextremeeventssuchasfloodsanddroughts,whichthreatenhumanhealthandsafety.According to Dr Joshua Freeman, Clinical Microbiologistfor Auckland DHB, health professionals should not justbe concerned about treating people but also about theenvironmental conditions that are making people sick inthe first place. “Health professionals are uniquely placedtohighlightthehealtheffectsofclimatechangebecauseoftheirspecialisedknowledgeandparticularfocusonhealth,”hesaid.AmongtheguestspeakersattheSymposiumwereDrGeorgeLaking,DrJoshuaFreemanandDrDavidGaller,whoareallfrom theNewZealandhealthcare sector. Theywere joinedbyDrDavidSinclair,PublicHealthMedicalSpecialist;DrRhysJones,PublicHealthMedicineSpecialistandSeniorLecturerinMāoriHealth at theUniversityofAuckland; andDrKateCharlesworth,PublicHealthPhysicianinSydney.If youmissed the Symposium andwould like towatch thepresentations online, please visit Auckland DHB’s page onVimeo.2017 is going to be an exciting time for our sustainabilityprogramme.Tofindoutmoreabout thegreatworkwearedoingortogetinvolved,emailManjulaSickler,SustainabilityProgrammeManageronmanjulas@adhb.govt.nz.

Sustainability in the Health Sector Symposium a success

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Last yearmarked the end of an eraandthebeginningofnewadventuresforPatButcher,whoretiredfromtheroleofManager–HRInformationandPayrollServicesjustbeforeChristmas.A lifetime learner, Pat trained as anurseintheAucklandHospitalBoardprogramme from 1963 to 1966.She worked as a staff nurse in therespiratoryunitatAucklandHospitalbeforetravellingoverseastowork intheUKandAustria.Onherreturnto

NewZealand,Patthentrainedasamidwife.In 1975 she enrolled in the Diploma of Nursing course –testamenttoherforesightaroundtheimportanceofcontinuousdevelopmentandlearning–andbecameSeniorSupervisor intheCriticalCareUnitin1979.In1987Patmadeasea-changeand tookon thechallengeoforganisational management, moving into HR as PersonnelManager.Shehas ledthePayrollandHRInformationSystemsteam formanyyears, ensuring thatall 10,000ofusarepaid,and introducednewtechnology, systemsandprocessesalongtheway.Pat is a much-respected fountain of knowledge about ourorganisationandweareenormouslygrateful forherunfailingcommitment and dedication to our people and our patientsoverherlongyearsofservice.Whennotspendingtimewithherfamilyandherbelovedcat,PatwillbecontinuingtoservethecommunitybyvolunteeringatAucklandZoo.Wearealsoluckytohaveheronhandasacasualemployeetohelpoutintimesofneed.Thankyou,Pat,formorethan53remarkableyears–youareanAucklandDHBtreasure.

Theendofanera

Aftermorethan35yearsofserviceatAucklandDHB,RhonddaPaiceretiredinDecember2016.Rhondda held numerous nursingroles within the organisation. Afterjoining general surgery her careerquickly progressed to Clinical NurseConsultant in the Surgical ServicesUnit. Prior to retirement, Rhonddawas the Trauma Coordinator, apositionsheheldfor22years.Sheisverywellknownbothnationallyand

internationallyforherknowledgeandexpertiseandteachinginthefieldoftrauma.In2014,Rhonddawasthankedforhercontributiontotraumaeducation and teaching by the Royal Australasian College ofSurgeonswhenshewasawardedtheGordonTrincaMedal.Thisprestigioushonourrecognisescontributiontotraumacare.Throughout her career, she has shown an enormous passionforensuringherpatientsandtheirfamiliesreceivethecareandfollow-uptheyneedandshewillgotogreatlengthstoachievethis.Shehasanincredibleabilitytocommunicatewithpeoplefromallwalksoflife,withherstraight-talkingmannerandgreatsenseofhumour.RhonddahasbeenanintegralpartoftheteamatAucklandDHBandwillbemissedforherpassion,driveandknowledge.Wewishherallthebestforamuchdeservedretirement.

Rhonddaretires

Gearingupforcertificationto

HealthandDisabilitySectorStandards

From28Februaryto3March,acertificationauditwillbetakingplaceforallinpatientservices.ThecertificationauditmeasuresAucklandDHB,asaprovider,againsttheHealthandDisabilitySectorStandards, to ensureour inpatient premises andservicesaresafeandappropriate.Theachievementofcertificationmeanswecancontinuetodeliverinpatientcare.Theauditorswillbe talking to staff,patientsandfamilies.Theywillselectpatientsandfollowthemthroughtheirjourneyasaninpatient,andreviewtheirclinicaldocumentation.Overthenextcoupleofweeks,lookforinformationfrom your managers and the Auckland DHBcommunications channels regarding what youshoulddoleadingupto,andthroughouttheauditperiod.

A few key reminders for all staff on wards:TheauditorswillbefollowingparticularpatientsandmayspeakwithyouBeopenandanswerquestionsasbestyoucanExplainhowyourmultidisciplinaryteamworksandhowyouinvolvepatientsandfamiliesinplanningcareSharetheimprovementsyourservicehasachievedEnsuretheenvironmentinyourareacontinuestoreflecttherequiredstandardsforprivacyandconfidentiality,clinicalsafety,anddocumentation

Formoreinformation,search‘Certification’intheA–ZlistonHIPPO,orcontacttheQualityDepartmentonExt21843.

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Nova: How did The Committed come about?David:SamewaythatmostoftheADHBX-Factorshowshavecomeabout.JoeMcDermotte-mailsmewithamessagethathe’shadanotherdreamforashow.Wemeetforcoffeeandtalkabouthisdreamandthingsgofromthere.Joeisagreatbigideasman,butdoesn’tdodetail.That’swhereIcomein.JoewenttoseeTheCommitmentsliveshowinLondon’sWestEndandthoughtitcouldbesomethingwecouldtransfertoAucklandDHB.HescribbleddownaskeletonoutlineandIusedmytalentstoexpanditfrom2-3pagesofscribbleintoafullscriptwhichisKiwi-isedtomakeitrelevanttoAucklandDHB,contemporaryandhopefullyfunny.Nova: Have you always had a passion for theatre?David:Yes,myMumhasalwaysbeenheavilyinvolvedinAmateurDramaticssoIwasintroducedtotheideaofperformingataveryyoungageandithasstayedwithme.Peoplewhothinktheyknowmemayscoffatthis,butIamactuallyquiteshy.OneofthewaysIdealtwiththiswasto“perform”(eitheronstageorinnormaleverydaylife).Nova: How did you prepare for a play like this?David:Ican’ttellyoureally.Isitdownintheeveningsathomewithabigmugofteaandtrytocomeupwithanoutlineofwhatisthestorywearetryingtotell.Thisisaveryskeletonplotwithlotsofgaps.Graduallytheblanksstartgettingfilledinandthesubplotsemerge.Itchangesalmostbytheday–ifIseeorhearorreadanythingthatamusesme,I’lltrytofindaplacetoputitin.ThenthefinalandperhapsmostpivotalbitiswhereIsmoothovertheremainingcrackstomakeitappearlikeaplausiblefinalstory.Nova: What is the toughest thing about getting a project like this done?David:Time,orlackofit.Ourworkinglivesinthehealthsectorarejampackedfromstarttofinish;wealwaysendupworkingearly/lateand,hence,timeathomewithfamiliesisatapremium.That’sthesameforallofus,soaprojectlikethisthaterodesfurtherintothatveryscarcecommodityoffamilytimeishardtojuggle.

Nova: How did you go about selecting the actors for the play?David:JoetellsmewhichpartI’mgoingtobe–andI’veneverarguedwithhimyet.Aproductionlikethisneedsafewstalwartswhohavebeenthere,donethatbefore.WeputthewordoutviaAucklandDHBIntranetandeNovacallingforvolunteers.Wehold“auditions”whichreallyarejustachanceforustomeetpeopleandseewhatskillstheymightholdandhowtheymightcontributetotheshow.Sometimesweseetalentsinindividualsthattheydon’tknowtheyevenpossess!Everysinglepersonwhocametotheauditionsendedupbeinginvolvedandcontributingtotheproductioninsomeway.Nova: Can we look forward to seeing another of your productions at the end of the year?David:Aftertheribbingshegotfrommeonstage,I’mnotsureAilsawillallowmetostillbeemployedheremuchlonger!Butifshedoes,therewillbemore.Nova: Anything else you would like to add?David:Getinvolvedifyouwantto–it’salotoffun!Ifyou’renotcomfortableinthespotlightonstage,thenjustcomealongandsupporttheseshows.AskanyonewhocametoseeTheCommitted,theyleftsimplybuzzingafterhavinghadachancetoreallylaugh,sing,andjustlettheirhairdown.It’sworthsupportingyourfellowADHBstaffmembers–lifeisgood!

TheCommitted

Interview with David Rowbotham, Consultant Gastroenterologist with Auckland DHB and producer of The Committed.

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THE UNIFORMUNIFORM FITTINGS

NEW UNIFORMS FOR OUR NURSING AND MIDWIFERY TEAMS

Lastyearweintroducedsomenewuniformdesignsandaskednursesandmidwivestochoosetheirfavourite.Theuniformsweretrialledby30nursesandmidwives,andthroughaseriesof roadshows,more than2300peoplevotedandprovidedfeedback.Theuniformswererestyledbasedonthisfeedbackandasecondtrialwasheldwiththenewdesigns.The designs were then chosen and we invited nurses,midwivesandhealthcareassistants tovoteon their colourchoices,withmorethan1500responses.MargaretDotchin,Chief Nursing Officer, says the three colour options wereselected to enable patients, visitors and other healthprofessionalstoeasilydistinguishbetweennurses,midwives,healthcare assistants, and to identify the senior nurse ormidwifeincharge.

Dependingonpreference,therearethreetrouseroptionsandthreetunicoptionsinthefemalestylefornurses,midwivesandhealthcareassistants,oneofwhichisanimprovedscrub-style tunic. In themalestyle, there isone improvedscrub-styletunictopandtwotrouseroptions.Uniform allocation0.6–1full-timestaff: 6items–3topsand3pants0.1–0.5staff: 4items–2topsand2pantsBureau: 4items–2topsand2activepantsNurses,midwivesandhealthcareasssitantscanselecttheirallocationfromanycombinationofthestyles.

“We wanted a new design and style that’s contemporary,functional and reflects the professionalism of our highlyskillednurses,midwivesandhealthcareassistants,”shesays.“I’m delighted so many people got involved in providingfeedback and choosing the designs, and I’d like to thankeveryone who has helped Auckland DHB to create a newnursingandmidwiferyuniformthatwecanbeproudtowear.Ican’twaittoseeeveryoneintheirnewuniformslaterthisyear.”Individualfittingsforthenewuniformsarenowunderwayandwecanexpecttostartseeingournurses,midwivesandhealthcareassistantswearingthemfromAugust.Wewillbephasing the uniforms in, starting with adult and women’sservicesfirst.Thank you to everyone who had their say and helped uschooseauniformappropriateforaprofessionalworkforce.

Everymemberofthenursingandmidwiferyteamwillbefitted fornewuniforms, inphaseonewith theexceptionofStarshipChildHealth,MentalHealthnursesandsomeseniornurses.Each individual fittingwill take approximately 15minutes.Chargenurseswillbebookingfittings.Formorephotosandinformationaboutthenewnursingandmidwiferyuniforms,search‘nurseuniforms’onHippo.

MaleSeniorNurse/Midwifetunic

Nurse/Midwifecrossfronttunic

HealthcareAssistantcrossfronttunic

Nurse/Midwifetunicwithcollar

Nurse/Midwifezipfronttunic

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IfyouhaveastorytosharewiththeAucklandDHBTeampleasecontacttheCommunicationTeamonext26556oremailcommunication@adhb.govt.nz.ISSN1178-5373(print)ISSN1178-5381(online)

UpdatefromtheTāmakiMentalHealthandWellbeingInitiativeIn2013, AucklandDHB launched The TāmakiMental HealthandWellbeing Initiative, tohelp createanewexperienceofmentalhealthandwellbeingsupportintheTāmakiregion.TheinitiativefollowsAucklandDHB’slocalityapproach,whichinvolvespeopleindecisionsabouttheirhealthcareandservices.Thefocus isonprevention,wellbeing,early interventionandrehabilitationoflong-termconditions.This locality approach lets the Tāmaki Mental Health andWellbeing Initiative project team partner more closely withpeople,whānau,communities,andprovidersacrossthesystem,toimprovehealthandthequalityofhealthcarebydeliveringsupportthatmeetsthespecificneedsofthecommunities inwhichitisdelivered.The focus of this approach has been to put the design ofsupportinthehandsofthosethatwilluseandprovideit.With the community, the project team co-designed theinitiative’shigh-level vision: “Anexperienceofmentalhealthandwellbeing, focusedonthewellnessof thewholepersonin their family, whānau and community, over the whole oftheir life, supported by integrated services that are relevanttoTāmaki.”Wespokewiththeinitiative’sServiceImprovementManagerCamilleGheerbrant,andProjectManagerOliverCampbell,tolearnhowtheinitiativehasbeenprogressing.

Awhi Ora – Supporting WellbeingThe initiative’sAwhiOra– SupportingWellbeing servicehasnowmoved from prototype phase to pilot phase. AwhiOra– SupportingWellbeingwas co-designed inpartnershipwithmembersoftheTāmakicommunity.Itoffersabroadrangeofpersonalisedsupportforpeopleexperiencingchallengesthatimpacttheirhealthandwellbeing.According to Camille, the service connects local GP clinicswith NGO support workers. This enables GPs to introducethesesupportworkerstothoseexperiencinghealthandsocialchallengessotheyhelpeachindividualachievetheoutcomesthatmattertothem.“Atotalof13primarycarepracticesandsevenNGOsarenowonboard.TheinitiativeisspreadingoutsideoftheTāmakiregion,withsevenoftheprimarycarepracticesundertakingthepilothavinglocationsinotherhigh-needareasofAuckland,”hesays.InNovember2016,ablessingandgiftingceremonywasheldforthename‘AwhiOra–SupportingWellbeing’.Thenamewasgiftedbyamemberofthecommunitywhohadbeensupportedthroughtheservice.

Pictured top right: OliverCampbell,ProjectManagerfortheTāmakiMentalHealthandWellbeingInitiative,greetscommunitymembersonRuapotakaMaraeattheblessingandgiftingof‘AwhiOra–SupportingWellbeing’

Coming up: The whole person – whole-of-life support projectCamille says the Tāmaki Mental Health and WellbeingInitiative team and local community are currently co-designing an extension to the Awhi Ora – SupportingWellbeing service that is alsoperson-centred,providingawhole-of-personapproach. IteffectivelyextendsAwhiOra’snetworkofsupportbeyondtheGPandthementalhealthNGO,toprovideabroaderrangeofwaystosupportpeopleinprimarycare.

Breathing spacesThe project team is now working alongside HEARTParenting(HealthRelationshipsinTāmaki)tosupportthedevelopmentof‘BreathingSpaces’.Oliversays:“Thisisacommunity-driven initiative to create informal meetingspaceswhereparentscandiscusswhatismostimportantforthem,sharestoriesandknowledge,andsupportoneanother.”

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billionValentinecardsaresentaroundtheworldeveryyear.

wastheyearHallmarkproduceditsfirstValentine’scard.

isthenumberofnewecotribinsthatwillberolledoutatAucklandDHBinthecomingmonths.

percentwasthereductioninAucklandDHB’scarbonemissionsfrom2015to2016.thousandisthenumberofpeoplewhocycletoworkacrossAuckland–GivecyclingagothisFebruaryduringtheAucklandBikeChallenge,andbeintowinprizesifyousignuponline.thousandistheaveragenumberofoutpatientappointmentsourbookersandschedulersmanageeachyear.