2016 May CM Health Connect+

A COUNTIES MANUKAU HEALTH PUBLICATION | MAY 2016

After the storm

CM HEALTH STAFF PROVIDE MEDICAL ASSISTANCE AFTER CYCLONE WINSTON

SUDI DEATHS

DROP BY 30%

New DIALYSIS CLINIC OPENS IN MANGERE

LOOKING AFTER YOURSELF IT’S YOUR TOP PRIORITY THIS WINTER

Win tickets

TO THE DIVERSITY BALL

Contents MAY 2016

2 3

Looking After Yourself It’s your top priority this winter Having a relationship with your family doctor It’s good for you and the whole whaanau

4 After the Storm 5 Tropical Cyclone Winston FROM THE CEO Free poster 7 Are your patients in safe hands?

9 Minister opens unique dialysis unit 10 We quit smoking together 11 Safe Sleep for Baby 12 SUDI update In the News 13 Rheumatic fever rates drop Recruitment Strategy 14 Values refresh Staff Notices 14 Win tickets to the Diversity Ball | Work Updates From the Middlemore Foundation

With the colder months approaching, winter planning gets into full swing, with a focus on staying well and healthy.

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That’s the theme for May’s Connect+ and who better to be ‘guest editor’ than Dot McKeen, manager, Middlemore Central. Dot knows that the cold weather brings more chills, ailments and respiratory problems, all of which significantly increase demand for the services we provide. The infamous ‘Dot Days’ tells us when our hospital reaches capacity, spurring into action a range of activities, both within the hospital and primary care to help ease the pressure.

As we brace ourselves for the next few months, there’s a real emphasis on working together to share the winter load. The key messages this year are to stay warm and dry, eat well and see your GP early if you start to feel unwell.

This winter we also encourage staff to look after themselves and their whaanau – take regular leave if you can and make sure you get some rest and relaxation. By putting yourself first, you are more able to look after others. And don’t forget to get your free flu vaccination this year, which will be available from 4 April.

Once again thank you for the amazing job that you do and happy reading.

Connect+ is produced by Counties Manukau Health. If you have something to share or would like Connect + delivered straight to your inbox please contact pennyarrowsmith@middlemore.co.nz.

Sign up to our eUpdate at eepurl.com/bWGr0z EDITOR IN CHIEF: Paul Patton | EDITOR: Penny Arrowsmith

Geraint and Dot

Looking after

yourself IT’S YOUR TOP PRIORITY THIS WINTER.

Our guest editor for this edition of Connect + is Dot McKeen.

Dot is the manager of Middlemore Central, the team that look after the dayto-day hospital operations and planning. Coming from an emergency nursing background, Dot progressed into a management role initially through the expansion of the Emergency Department into the 120 bed Emergency Care complex, then picking up other services such as Intensive Care, RMO (Registered Medical Officers) office, Daily Operations Unit, OneStaff and Emergency Response.

Y

ou may have seen in the Manukau Courier (22 March) that Middlemore Hospital was at capacity or over capacity several times in the past month. As the manager of the team that looks after hospital bed management this does not bode well for the year ahead and it’s concerning that this is happening while we are still in autumn.

While there are times where we cannot predict the number of patients we know that winter will bring us increased numbers of patients as more people stay inside and may spread their germs. However, with the number of people that are arriving at Emergency Care it is perhaps a good time to remind everyone of how we can manage common winter ills.

First and foremost – look after yourself.

If you are not feeling well , keep your germs at home and don’t come to work. The last thing you want at work is a colleague who turns up sneezing and sniffing and spreading their sickness. Do yourself a favour and look after yourself and your

colleagues. Get better before you come back to work.

Getting your flu shot is one of the best things to you can do to keep healthy this winter season. Everyone who works at CM Health can get a free shot, starting on 4 April – and a free cup of coffee. Getting a flu shot will protect you, your patients and your familyand will mean that you will not spread the influenza virus. This means that you will protect those around you who are more vulnerable.

Balance your life style and plan to take some time off work for yourself. Not many employers would encourage you to take leave, but we do. Staying healthy and fit means taking time to care for yourself, having a good life-work balance and getting refreshed and reinvigorated. Why not plan to have a vacation or a stay-cation at home.

Treat yourself and book a long weekend.

Other things like hand hygiene, cough etiquette and the use and disposal of tissues all help prevent germs to friends and family.

Look after yourself to look after your friends, family and patients.

COUNTIES MANUKAU HEALTH | 2

BY: HELEN LILEY

Having a

relationship with your family doctor IT’S GOOD FOR YOU AND THE WHOLE WHAANAU.

R

Helen Liley is as a family doctor in Howick, a GP liaison for CM Health and a clinical editor for Auckland Regional HealthPathways.

She is passionate about helping families get the right care for them. She explains why your relationship with your family doctor is so important, and how family doctors can care for your whole family.

3 | CONNECT + MAY 2016

ecently I was chatting with my friend about her experience with her family doctor and the team at her medical practice. She’s been visiting the same practice for years and she remarked on how special this relationship is. Her doctor and the practice nurses know that she has several complicated medical conditions and that she looks after her elderly parents as well. They never fail to ask how her mum and dad are doing, and to check that she’s coping emotionally with everything.

I was reflecting on this conversation recently, and the special relationship between family doctors and their patients.

When you visit your family doctor or nurse they take in the whole context – your family life, work life and leisure activities. You are more than just bones, muscles and organs! We like to look after your mind and your body, and that of the whole family. The doctors and nurses at the clinic all get to know you and your whole family really well. And because we know you, your family and the whole medical history we take into account your whole situation before providing advice on your care.

The team at your family doctor's clinic helps you manage ongoing health issues like asthma, arthritis and diabetes, and we diagnose new conditions or illnesses. The best thing you can do to look after yourself is to see your family doctor or nurse regularly for check-ups when you are well, and visit your doctor early on if you start to get worse. And remember to go to the chemist to fill your prescriptions and repeats.

In my clinic we see a lot of people who were born overseas, and some people have different understandings of when to go to hospital and when to visit a family doctor like me. The best advice I can give is that if there is

an emergency then that’s where you should be – at the emergency department at Middlemore hospital. For everything else you should see your family doctor or nurse, or even visit your local chemist. If you have a slight illness or small injury your local chemist will have lots of helpful advice. Remember, the emergency department is just for emergencies.

If it’s late in the evening and your family doctor is closed there are out-of-hours clinics that you can visit Otherwise, if you have an issue that you would like help with but do not think you need to see a doctor your local chemist can provide some health advice.

As you’ve probably heard, at most family doctors now it’s free for kids under 13 years old, and in case your child is sick when your family doctor is closed, many after hours clinics also offer free appointments for under 13s.

Stay well this winter With winter coming there will be lots of bugs and viruses around. Here are three things you can do to keep well this winter:

1. Get your flu vaccine. The flu is much worse

than a normal cold. It can make you really sick and it spreads really quickly.

2. Keep warm by closing the curtains before the sun goes down and wearing warm clothes.

3. Make sure you pick up all your prescriptions – and remember to take them!

If you don’t have a family doctor you can find a full list, and compare their fees at healthpoint.co.nz/doctors/southauckland If you need to see a doctor late at night and it’s not an emergency you can see an after-hours doctor, find out more at afterhoursnetwork.co.nz

Updates

BY: DAVID KEMEYS

FROM THE MIDDLEMORE FOUNDATION

O-Arm gives surgeons vital Support the drive for new tool Jim-Jams A million dollar ‘O-Arm’ has been secured by the Middlemore Foundation for our talented surgeons.

The circular imaging device surrounds the patient and delivers detailed imaging that allows for 3D reconstructions and robotic positioning, and delivers less radiation than a CT. While especially useful in spinal surgery, the O-Arm can also be used in a range of injuries to the face, wrist, and lower limb fractures.

Consultant Orthopaedic Surgeon, Alpesh Patel praised the new technology, which gives spinal surgeons levels of accuracy during surgery, not previously possible.

The Middlemore Foundation partnered with the New Zealand Rugby Foundation, which supports players who are injured playing the game. Former All Blacks Anthony Boric and Bryan Williams were at the unveiling.

Recently Middlemore was chosen as a Regional Acute Spinal Cord Impairment Service. This means that we will see a significant increase in patient numbers as the service covers the upper two thirds of the North Island.

The Lion Foundation, one of the Middlemore Foundation’s most significant and longstanding supporters, contributed $300,000 towards the O-Arm. Support was also given by the New Zealand Community Trust,the Grassroots Trust and North and South Trust.

Special thanks also to Medtronic, who supplied a device for demonstration and training and made valuable suggestions throughout the process.

Help us right now.

Text KIDZ to 5144 to donate $3.

Jammies in June is set to enter its fourth year, off the back of a hugely successful 2015 campaign.

Our partnership with the Herald on Sunday last year, lifted the result beyond anyone’s expectation, with 10,000 pairs of pajamas collected and distributed, and a significant amount of money raised.

This year we’re going to rise to the challenge and do even better.

In Counties Manukau kids experience high rates of preventable respiratory illnesses, rotavirus and streptococcus throat infections, which can lead to rheumatic fever.

New flannelette pyjamas and other ‘winter warmers’ like clothing, blankets, slippers and socks, are gathered and distributed through Kidz First Children’s Hospital, community programmes and schools

Update on Doctors’ Pioneering Fundraiser The eight doctors who took on The Pioneer cycling challenge from Christchurch to Queenstown raised more than $8000, but at a cost.

The seven-day “not for the faint-hearted” ride, covered 546 kilometres and by the end Dr Wes Bevan was in hospital with rib fractures and a punctured lung, Dr Graham Morton was on a drip suffering severe dehydration, and others had been treated for blisters, cuts and bruises.

Morton said doctors Andrew Wong, Simeon Eaton, Mark Moores, Andrew Gordon, Craig Birch and Julian Dimech joined himself and Bevan for the event, and while they were “enthusiastic riders” they were far from seasoned.

“We knew there were going to be tired muscles and sore bodies but it was much harder than we imagined. But raising money for Kidz First Children’s Hospital along the way was a great motivator.”

Everyone who donated to the fundraiser went in a draw to win a bike. The winner chose to present it to Kidz First patient Mathew Nom, 11, from Gisborne, who has been a patient in the National Burn Centre since October.

“It’s simple for anyone to take part.

Just gather up PJs or winter warmer items in your department and call the Foundation to have them collected and distributed.”

Stella Cattle from Middlemore Foundation.

COUNTIES MANUKAU HEALTH | 4

AFTER THE

Emergency Medicine nurses Michelle Peperkoorn and Helen Pooley, Emergency Medicine doctor Chip Gresham and Pacific Health Development general manager, Elizabeth Powell, were recently deployed to Fiji along with 10 other New Zealanders, on behalf on the NZ Medical Assistant Team.Emergency Care nurse, Michelle Peperkoorn, was based on the HMS Canterbury, and provided support to local health team on Vanua Balavu and many other smaller islands.

“It was an amazing trip. I met some incredible people working hard to overcome the effects of a terrible storm. I saw a completely different Fiji. The northern Lau island group is remote and the people live mostly by fishing and growing small crops such as copra and taro to trade.

I met families who had little before the storm and now have nothing.

“Wherever we went we were greeted by people smiling and proud and happy we were there. Even in the most dire circumstances I was invited into their homes where they shared what they had. It was a very humbling experience.”

The Ministry of Health says that NZMAT’s response to Tropical

Cyclone Winston was their largest deployment yet, with four teams deployed encompassing nurses, surgeons, anaesthetists, emergency medicine specialists and a health planner.

The New Zealanders provided surgical teams to assist the Fijian staff at the Colonial War Memorial Hospital in Suva and medical teams to assist on Koro Island, to the east of Fiji’s main island, Viti Levu. They provided outreach primary and public health care where a number of health facilities and homes had been severely damaged or destroyed.

Dr Chip Gresham was based on Koro Island providing mobile medical clinics for people who had been injured during the storm.

“Our team was dropped off by helicopter on Koro Island with seven days of ration packs, water and a tent along with medical supplies. We were designed to be light and fast allowing us to be very mobile and enabled us to reach each village on the island and provide acute medical care. Most of the care was infections and I&Ds of abscesses from trauma sustained during the storm.

“While the amount of damage to the island and buildings was staggering, the thing that had us all in awe was the resilience of the Fijians. Always smiling and happy and kind,

storm

5 | CONNECT + MAY 2016

“The general population were so pleased to see us and so grateful that we were there that it was a truly humbling experience.”

HELEN POOLEY, INTESIVE CARE NURSE

despite what they had been through” says Gresham.

Peperkoorn adds “People had run out of their normal medications and were suffering from exacerbations of chronic conditions like diabetes and hypertension. Cleaning up debris from the storm left people with back pain and infected cuts and scratches.”

“Outbreaks of diseases like dengue fever and gastrointestinal complaints often follow in the wake of natural disasters but the local health team had done an excellent job of avoiding this.”

Pacific Health Development GM, Elizabeth Powell, was deployed as a liaison to coordinate our health response within the Fijian Ministry of Health and New Zealand’s Ministries of Health and Foreign Affairs and Trade.

“CM Health, through its Pacific Health Development Team, is responsible for the considerable logistical planning and support required to enable the team to deploy.

“A disaster of this magnitude brings many organisations together, with very differing agendas, command structures and requires effective communication, healthy relationship management, a good knowledge of the country and culture as well as always remembering the purpose for being in the country.

“Organising foreign health and other volunteer organisations into a cohesive group is a logistical challenge that the NDMO and the Ministry of Health achieved through having robust emergency management plans in place and effective people to implement the response. In my liaison role I was privileged to have been included into the Minister of Health’s team responsible for all clinical outreach response.”

What is NZMAT?

•• NZMAT is a civilian-based disaster medical assistance team comprising of clinical and allied staff that include doctors, nurses, paramedics, allied health, and nonmedical members such as logisticians.

•• It was established in the wake of the 2010 Christchurch earthquakes and the 2009 tsunami and coordinates medical responses to disasters.

•• Counties Manukau Health has worked alongside the NZ Health Ministry since 2012 to build capacity and train health workers for deployment readiness.

•• Since their establishment, NZMAT has deployed to the Phillippines, Solomon Islands and Vanuatu.

BY: PENNY ARROWSMITH

COUNTIES MANUKAU HEALTH | 6

Cover your mouth and nose with a tissue when you cough or sneeze

Protect your family/wha-nau from inFLUenza

www.health.govt.nz/influenza

Stay away from others if you’re sick

Wash and dry your hands often, especially after coughing or sneezing – use soap or hand gel

Put your used tissue in a lined rubbish bin or in a plastic bag

January 2006. 06/2014. Code HE1716

The Ministry of Health acknowledges the work of Regional Public Health, Capital & Coast District Health Board and Hutt Valley District Health Board in producing this material.

BY: PAUL PATTON

Dr Stephen Mcbride, Clinical Head of Infectious Diseases.

“Things were stagnating a bit for us,” says Rebecca Findlay, Hand Hygiene Coordinator at Counties Manukau Health. “We were without a Hand Hygiene Coordinator for six months and hadn’t achieved the new national target of 80% for two consecutive audit periods.”

To help boost its hand hygiene performance, CM Health has just rolled out a “Safe Hands?” campaign, featuring an eye-catching

9 | CONNECT + MAY 2016

image of a handprint covered in microorganisms, accompanied by the tag line, “Are your patients in safe hands?” The new resources include staff posters, station posters, “rub before you glove” mini-posters, sanitiser bottle labels and a screensaver.

The latter has already been installed across all CM Health computer screens and the nurse call monitors.

The new campaign was initiated by Rebecca, Dr Stephen McBride, Infectious Diseases Consultant and Clinical Lead for Hand Hygiene at CM Health. Rebecca approached Paul Patton, Head of the Communications Team, who commissioned design company, Make Ready. “Over the last several years we’ve made our promotional material ourselves, so this was the first time we’ve been able to get it done professionally,” says Rebecca.

“We’ve never had a budget for this, so we approached the Director for Hospital Services, Phillip Balmer, who supported us in this campaign.”

Due to positive staff feedback CM Health has offered to make its promotional material available to DHBs throughout the country.

Minister opens unique DIALYSIS UNIT Health Minister Jonathan Coleman recently opened the new Toto Ora Dialysis Unit in Mangere, Auckland.

“This is the first dialysis centre of its kind in New Zealand with Counties Manukau DHB partnering with international specialist provider Diaverum,” says Dr Coleman.

“To meet the projected six per cent annual growth in the number of people needing dialysis, the DHB has entered into a 10 year contract with Diaverum to provide additional community dialysis.

“As a result, patients will no longer have to travel to other parts of Auckland to get their dialysis as they will be able to receive care closer to home.

PATIENT WHAANAU

feedback

The care received by the nurses was very good, they listened if you said something and responded accordingly and they were very helpful.”

“This service agreement is unique and I congratulate Counties Manukau DHB for its innovative, cost effective approach to providing more dialysis capacity.

“Diaverum operates in 20 countries and has a strong track record of working in partnership with public healthcare providers across Australia, Europe, Saudi Arabia and Latin America.”

The $2.9 million unit is funded by Diaverum who also employ the nursing and technical staff. Medical oversight is provided by DHB nephrologists and allied health.

Toto Ora Dialysis provides 30 dialysis chairs and space for up to 120 patients a week. It provides the same quality of care to patients, with similar staffing models as Middlemore and Manukau Super Clinic community dialysis units.

"I had every confidence in the staff and they all explained what was to happen and why.”

The whole team worked very well together to ensure I was very well looked after and my condition was always improving.

They were striving for getting my health ready for discharge and home.”

COUNTIES MANUKAU HEALTH | 10

BY: JANET HALEY

Break the habit Do it for you and your family!

Let’s face it giving up smoking is hard. Many people have tried to quit, given up and then tried again.

This was Chantelle and her husband Kharlos, until three months ago when they decided to stop smoking together.

For Chantelle, after 12 years of smoking, enough was enough. “I woke up one day and said this is the day I quit,” says Chantelle. Five days later Kharlos would follow Chantelle’s lead – his motivation was saving money to buy their first home. “I used to smoke a packet of 20-25 tailor-mades a day. At $25 a packet, that’s an expensive habit,” says Kharlos.

Both made contact with the CM Health Smokefree team who came to their aid with QuickMist mouthspray patches, gum, lozenges and some good advice. “We both felt fully supported by the team and were able to work things out at our own pace,” says Chantelle. “If we had any concerns, the team was more than happy to give some advice.”

In the early days, there were temptations and Chantelle and Kharlos, did ‘slip up’ one evening, when they were out having drinks with friends. While they were disappointed with themselves, they gave up smoking the next day. “I couldn’t get over the foul taste of that first cigarette after days of not smoking,” says Kharlos. “I woke up the next morning, put a patch on and haven’t smoked since. I’ve been smokefree for seven weeks now and the thought of smoking doesn’t even cross my mind. I now have a new routine – one that doesn’t include smoking. That’s made a huge difference.”

“I have now finished the programme and can proudly say I’m smokefree,” says Chantelle.

Chantelle’s advice for others wanting to quit is to really want to give up. “Don’t let it control you, it’s your body, you teach it what to do not the other way around… Break that habit, Do it for you”!

For more information on smokefree services or smokefree advice Call 0800 569 568 or Email smokefree@middlemore.co.nz

11 | CONNECT + MAY 2016

“I can play with the kids without telling them to go away from my yucky cigarette or have to get off the trampoline after five minutes because I am puffed. My asthma has also improved, which is good news as we head into winter.

I feel better than ever.”

BY: ESTELLE MULLIGAN AND ADRIAN TRENHOLME

Haumarutia te moe a te pēpi Make every sleep a safe sleep for baby

In the last five years Counties Manukau has made great progress in reducing our rates of SUDI, with a 30 percent decrease in deaths.

That is 21 lives babies’ lives saved. But over the last five years 41 babies still died. So while it is heartening to know that that we’re saving lives, we still have much more to do.

Counties Manukau still has the highest SUDI rate in New Zealand with Maaori babies, being the worst affected. They are four times, and Pacific babies two times more likely to die from SUDI than other babies.

Our Safe Sleep Intervention programme offers a Pepi-pod or wahakura to newborns of whaanau who don’t have a safe place for baby to sleep. Referrals are from midwives and other health professionals.

CM Health works in collaboration with Whakawhetu and

Many of these baby deaths are preventable if whaanau follow the PEPE messages:

P E P E

lace baby in his or her own baby bed, in the same room as a caregiver liminate smoking in pregnancy and protect baby by having a smoke free whaanau, whare and waka osition baby flat on his or her back to sleep, face clear of bedding ncourage and support exclusive breast feeding and gentle handling of baby.

the Ministry of Health to provide online workshops about SUDI prevention for all whaanau and health workers. SUDI Workshops are available at whakawhetu.co.nz/sudi-training

What is SUDI? Sudden Unexpected Death in Infancy (SUDI) is when a baby who was considered to be well, dies suddenly and unexpectedly.

SUDI can be further divided into deaths that remain unexplained after considering all factors, deaths from other reasons (like heart disease, meningitis, pneumonia or other infectious diseases), and finally the largest group, where an unintentional suffocation – a problem with breathing has occurred during sleep in an unsafe position or place.

SUDI is the leading cause of preventable death of babies in the first year of life.

Image: Fairfax NZ

In the news

More than 40,000 high risk young people have accessed the sore throat drop-in service.

BY: SAMANTHA SMITH, FAIRFAX NZ

Rheumatic fever rates

drop by almost half Cases of rheumatic fever nationwide have almost halved, thanks largely to programmes running in Counties Manukau and Northland.

Ninety-eight people were hospitalised with rheumatic fever for the first time in 2015, compared with 177 in 2012.

That's a 45 percent reduction. Rates for Maori are down by 54 per cent and those for Pacific people fell by 27 percent.

Public health physician Pip Anderson says the Counties Manukau District Health Board is on track to achieve its target ...

Public health physician Pip Anderson says the Counties Manukau District Health Board is on track to achieve its target by 2017.

More than half the national reduction was in the Counties Manukau and Northland district health board areas.

Counties Manukau public health physician Pip Anderson​ says a range of initiatives have been used to tackle rheumatic fever which starts as a sore throat and can lead to lifelong heart problems.

"There has been the very successful school-based health service called Mana Kidz, running in 61 schools."

Mana Kidz was launched in July 2012 offering throat swabbing clinics in South Auckland schools.

"Some GP clinics have also been funded to offer sore throat clinics where a person aged 4 to 19 can drop in and have their

13 | CONNECT + MAY 2016

sore throat assessed and treated, if necessary, for free."

The Ministry of Health has provided $5.16 million to the health board for prevention work in the 2015/2016 financial year, Anderson says.

"In addition the board has contributed the cost of the lab tests - about $1 million - and funds to ensure that the school-based programme can deliver more than just sore throat management."

The number of swabbed throats that require treatment depends on the time of year, Anderson says.

"In November last year there were 17,433 swabs taken through the school-based programme. Of those, 1066 required treatment. There were also 655 people assessed through free sore throat clinics of whom 70 required treatment."

Anderson says Counties Manukau Health partnered with several organisations "who have been working incredibly hard across a number of areas to achieve this result".

"It's testament to the skill and dedication of the registered nurses and whanau support workers across primary, intermediate and secondary schools, as well as across a number of primary care organisations."

The ministry has given Counties Manukau Health a target of achieving a two-thirds reduction by July 2017.

"At present we look on track to achieve this and the board intends to continue with rheumatic fever prevention activity," Anderson says.

matter what you do. Every employee plays an important role in contributing towards the wellness of our community.

RECRUITING TO OUR VALUES

•• Kind | Manaakitanga – Care for other people’s wellbeing.

This is large part of being who we are and what we look for when growing our team. Our people are compassionate and caring, they support physical, cultural, spiritual and emotional needs. For us, kindness goes a long way in our team and our community.

Our values run through the fibre of our organisation, making it important that we recruit new talent who embody them. As we look for new talent to join our organisation, we will incorporate our values through the recruitment process, from attraction, screening, interviewing and employment. We want new talent coming into the organisation to identify with these values and join us in our goal of making CM Health a great place to receive healthcare and to work.

•• Valuing Everyone | Whakawhanaungatanga – Make everyone feel welcome and valued. At CM Health, we do not take anyone for granted, we value everyone no

•• Together | Kotahitanga – Include everyone as part of the team. We are a team, working towards a common goal.

Together we want to improve the patient experience of the care we provide and make CM Health a great place to work for our staff.

•• Excellent | Rangatiratanga– We are safe, professional, always improving and innovating what we do at CM Health.

We want to inspire others. We want to be the best healthcare provider.

If our values resonate with you, visit our website www.countieshealthjobs.com to find out what opportunities are available.

STAFFotices

n

STAFF PERKS

motown on!

G E T

Y O U R

GET YOUR MOTOWN ON!

Win two tickets to the Diversity Ball

We want to hear your stories – when have you seen someone from CM Health go above and beyond for their patients or colleagues? Send us your story to be in the draw to win two tickets to the Diversity Ball, one for you and one for your C O USimply N T Isend E S us M N Udescribing K A U Hthe E situation A L T H and colleague. an Aemail I to V in E order R S toI get T the Y jobBdone.

A LExtra L lengths they Dwent points will be given for including our organisational values – excellence, kindness, valuing everyone and together.

F R O M M O N D A Y 2 3 M A Y 2 0 1 6 * Send your entry to communications@middlemore.co.nz by 4pm, Friday 27 May to be in to win. *No bookings or pre sales prior to this date.

General VIP ticket announcement General tickets include arrival drink | dinner | show and dancing.

From 6pm-1am.

VIP

VIP tickets (limited seats) as per normal ticket, plus: prestigious seating right by dance floor | dedicated waiter | one additional free drink | first for meal service.

This year we are pleased to announce a new VIP style ticket.

These tickets are very limited, but open to all staff. These very Tickets must be paid for and names confirmed on or before Thursday 23 June tickets booked but not paid for go back into poolextras for others waiting for tickets - noadmission exceptions. specialanytickets include allwillthe same as general but also include your own dedicated waiter, prestigious seating L A N G H A M H O T E L B A L L R O O M 3 S Y M Ofloor, N D S San T , additional G R A F T O N , free A U C Kdrink L A N D and 1 0 1 0having your right by the 8dance meal served first.

Tickets go on sale Monday 23 May.

Staff purchases are limited to one ticket and one ticket for partner.

6-7pm arrival and pre-dinner drinks, 7pm - 1am dinner, show and dancing. Cash bar available.

For all bookings and ticket sales from Monday 23rd May 2016 call or email Christine.Lockhart@middlemore.co.nz ext 8287

LET’S BE HEALTHY TOGETHER Find delicious, healthy recipe ideas, health advise and free activities for the whole family at the Healthy Together Counties Manukau Facebook page: facebook.com/ healthytogether

Fancy a night out at the theatre?

Check out our great $12 standard movie ticket offers at Hoyts Cinemas. Catch up on the latest romance, comedy, horror movies and much more!

Please note: This does not include online booking, 3D, LUX, Xtremescreen or DBOX sessions. Not available with online bookings or in conjunction with any other offer.

Valid for staff members only – please present your staff ID to make the most of this fantastic opportunity!”

CONGRATULATIONS TO OUR WINNERS Thank you to everyone who entered our competition to win one of four Club Physical gym memberships. Congratulations to Rosemary Gittos, Jessie Hackford, Faye Cruz and Ron Blaza, who will each receive a one year membership. Look out for their tips for staying fit in the next issue of connect+.

COUNTIES MANUKAU HEALTH | 14

FLU Tanya Wilson MIDWIFE MANAGER

YOU COULD COME IN CONTACT WITH INFLUENZA ANYWHERE, ANYTIME. GET IMMUNISED. THE VACCINE IS FREE FOR ALL STAFF.