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In this issue OUR  MILESTONES

PAGE ,






Going above and beyond the call of duty


Did you know?


Certification is coming


Fanau Ola Team new uniforms


Patient and Whaanau feedback


Hector Trust stalls add life to hospitals


Free workshop helps residents triage mental illness


Our 2017 milestones


Support for at rIsk pregnant women


“Paying it Forward” at Middlemore Hospital


Staff Christmas plans


Taking the stress out of Christmas


Planning for winter 2018


Latest Quality Accounts released


The 2018 Census is coming


Welcome to the December issue of Connect+. If I was asked to sum up 2017 I’d say revealing, challenging and hopeful. Revealing in that we have cleared the air and recognise that we need additional financial support to ensure our buildings, facilities and services can withstand the growing needs of our population. Challenging in that we have seen unprecedented demand on our services and workforce this year, which has tested our systems, facilities and our resilience. Hopeful as we get to the crux of what our organisation needs to do to get back on track to where it can once again thrive and grow. In between these moments have been demonstrations of enormous effort and goodwill, stories of kindness and compassion and people doing the best they can under sometimes challenging circumstances. Page five sums up the key milestones this year and I encourage you to read it. It showcases the incredible talent, diversity and passion people have for the work they do.

COVER PHOTO: The Junior Doctors pay it forward initiative is well received by staff and visitors. Connect+ is produced by Counties Manukau Health. If you have something to share or would like Connect + delivered straight to your inbox please contact Sign up to our eUpdate at EDITOR IN CHIEF: Janet Haley|EDITOR: Stacy Superfine

As we wind up for the year, please know that your efforts are hugely appreciated by the Board and Executive Leadership Team. If you are taking a break, please stay safe and take the time to unwind and recharge. If you are working over the festive season, thanks for holding the fort and please make sure you take time off when you can. Gloria Johnson Acting Chief Executive

Going above and beyond

the call of duty

Going above and beyond the call of duty is Bibin’s way of life. Not a day goes by where he isn’t offering to help his colleagues, taking charge, or giving 110% when it comes to upskilling his team mates on hand hygiene.

“I’m passionate because it’s such a great team environment here. There is great support from our Charge Nurse Manager, lots of opportunity and we all motivate each other.” Bibin recently took the opportunity to organise a team celebration for a staff member who was leaving their ward. “Bibin sorted everything that was needed. He got the card, gift and arranged everything for the farewell,” says Charge Nurse Manager Irene. When asked what his motivation is for going above and beyond, Bibin said “I love what I do, and I give 100% at everything I do because I feel that I can make a difference by motivating our staff.”

Did you know? Our Food Service Associates Are constantly on the go helping to keep our patients fed and hydrated. They take patients their menus, deliver beverages, morning and afternoon tea snacks and change the water jugs and tumblers.

A FSA does 8000 steps if they do the morning shift, and 12 000 steps if they do the night shift as well.

We go through approx. 220 loaves of bread a day and 16kg of oats/day for porridge.



CHECKUP Certification! It’s coming … 7-9 February 2018 What is certification? Certification can be likened to a warrant of fitness that aims to ensure the hospital is providing safe, effective and appropriate care to the people of Counties Manukau. This is a check of our systems to make sure we have the basics right. Maintaining certification is an integral part of measuring and monitoring quality improvement. For further information about how to get ready, go to the certification page on Paanui.


k c a b d fee The people were outstanding - particularly the nurses and admin staff. Nothing seemed to be too much for them. Always seemed happy. Was more like being in a hotel and I was almost sad to leave!


Fanau Ola team NEW uniforms! Pictured below is the Fanau Ola team of Nurse Case Managers, Social Workers and their respective Team Leads and Manager from Pacific Health Development. The material and seamstress for the Pacific patterned tops were sourced locally. The team have had some lovely comments from patients, families and staff who appreciated the vibrancy and visual identity of the Fanau Ola team. Back Row: (L to R) Sulu Lemalu; Foloi Asiata-Faletui; Leilani Jackson; Doana Fatuleai; Maria Teinakore Middle Row: (L to R) Sitela Vimahi; Delilah Hutcheson; Elina Tameifuna; Arieta Fa’apesolo; Lusini Falemaka Front Row: L to R) Thelma Fatafehi-Finau; Jannette Hennings

Everyone was empathetic, everyone was helpful and everyone was supportive.

Staff were always on hand to assist. If you had to push your buzzer for assistance, there was never a long period of time before it was answered. I was always greeted by a smile. I think the hospital is excellent and the teaching side of the hospital is great. The younger staff were very well treated and would have learnt very well.

Hector Trust Stalls Add Life to Hospitals You thought you were sneaking along for a cheeky biscuit, but every time you support the HECTOR Trust stalls you make a significant difference to your hospital. Stallholders pay the trust a fee when they operate at Middlemore or the SuperClinic.That money gets returned in grants, including the latest, $42,833.21 for equipment needed as part of the renewed Tiaho Mai mental health unit. Only last year trustees provided Oncology with $14,527.66, helping create the Galbraith Infusion Centre. A year earlier the trust took just minutes to be convinced $50,000 would be well-spent redeveloping Bereavement Care – then one trustee, Rebecca Gadsdon-Green, promptly roped in students from her son’s secondary school to paint murals for the facility. Bereavement team leader Ray Wells is a committed HECTOR Trust stall supporter. “We could not believe how generous the trustees were. What has been achieved would never have happened without them.” Established in 1987 by Margaret Gadsdon, the trust supports Hospital Equipment, Comforts, Training, Operating room equipment and Research – hence the name.

Bereavement Care’s Ray Wells, HECTOR Trusts’ Anthony Gadsdon, Nell Gadsdon, Alan Gadsdon and Rebecca Gadsdon-Green, Middlemore Hospital’s Gloria Johnson and Phillip Balmer.

Mrs Gadsdon died in 2005 but sons Alan and Peter continued her work, and in 2008 established the Margaret Gadsdon Endowment Fund for staff to attend training courses. Alan Gadsdon said, as a resident, Middlemore was dear to his mother’s heart, and Mrs Gadsdon-Green said her grandmother believed staff needed support as much as patients.“It’s nice to see Margaret’s idea making a difference,” her daughter-in-law Nell Gadsdon said. “She would be pleased the HECTOR Trust stalls add a bit of life to hospitals, but especially that they mean patient’s lives are made a little better.”

Free workshop helps residents “triage”mental illness A programme teaching Counties Manukau residents to “triage” for mental health is attracting many participants. Sixteen people recently attended the two-day programme, delivered by Counties Manukau Health (CM Health). Attendees were members of the public looking for basic support for loved ones. Programme facilitator Wendy Mihaka says participants are taught a mental health first aid action plan to assist people developing mental health concerns. “They learn how to assess suicidal behaviour, listen and reassure in a non-judgemental way and encourage a person to seek professional help. The course does not teach participants to diagnose or treat mental illness,” she says. Ms Mihaka says attendees are generally surprised about how extensive and valuable the information provided is.She says the workshop, which is free to all Counties Manukau residents, would benefit anyone wanting to learn how to

apply mental first aid. Participants do not need any specific prior education and resources are all supplied. Ms Mihaka would like to see the programme even more widely available to everyone over the age of 18. “If our families, friends, work colleagues and professionals, had the skills of basic mental health first aid to support a loved one, friend or someone in the community, then the supported person wouldn’t feel alone, but would feel heard, would feel worthwhile and would want to seek sound professional advice and support.” Since CM Health began delivering Mental Health First Aid New Zealand/Aotearoa in 2015, it has produced some 700 Mental Health First Aiders. For more, email or phone 0800 338 356.



We had a successful flu campaign this year with 67% of staff members across CM Health vaccinated. Thank you to all our peer vaccinators who helped us achieve this.



Here’s a taste of some of our 2017 milestones…


We celebrated our fabulous Nursing and Midwifery staff at the annual Nursing and Midwifery Awards. Paataka Place opens at Middlemore hospital.


Healthy Together Technology delivered new portable devices and four systems including electronic orders for Radiology on 19 June, patient charts and nursing documentation on 21 August, a major upgrade of the patient information management system on 29 September and a new pharmacy system on 6 December. Kidz First opened its ‘Day Stay’ for two days a week in Kidz First C-Pod. Thanks to the Middlemore Foundation for its support.  | CONNECT + DECEMBER 2017

Our Smokefree team consistently met health targets by offering better help for smokers to quit.


The CM Health Digital team were proud to announce the launch of Paanui in July. A lot of hard work went into creating our new intranet, thank you team!


What a great month of language week celebrations.


Diversity Ball celebrations.


Patient Safety Week celebrations were colourful, bold and informative this year. Congratulations to everyone who entered the competitions and to all our winners.

We surpassed our baseline target reaching 21% reduction in our emissions! Both Middlemore hospital and Manukau SuperClinic have been recertified with the CEMARS certification. The Auckland Rehabilitation Spinal Unit celebrates its 40th birthday!

The Living Our Values Maternity wards Improvement Project celebrates its successes and continues to achieve improved experiences for women, babies and staff.


Ko Awatea held a lot of training sessions this year! Approximately 11,817 staff members attended 1027 sessions. There were also 510 external training programmes. COUNTIES MANUKAU HEALTH |  

Support for

At Risk Pregnant Women

Eseta Nicholls is a woman on a mission. The community health worker is committed to improving health outcomes for at-risk pregnant women and their babies in the Counties Manukau region through education and advocacy. The role began in 2009, when she was employed on the clinical trial, Te Piripohotanga, to study the effects on infants of second-hand smoke in the home. Later Ms Nicholls was involved in a Sudden Unexplained Death of an Infant (SUDI) South Auckland Safe Sleep Study to look at the impact of intervention on the incidence of SUDI. The study found that education along with provision of a baby bed device contributed towards reducing the SUDI rate. Another project, the HUMBA (Healthy Mums & Babies) helps pregnant women with a high body mass index (BMI > 30) make healthier food choices. Ms Nicholls says changes don’t have to be dramatic, or expensive.

An ongoing challenge is reaching women who don’t turn up to appointments, she says. The reasons for this are often complex and require a different approach. “It’s about getting the women to engage, and not saying ‘hey, you didn’t come, it’s your problem.” In several cases, for example, women don’t attend their appointments because of homelessness, Ms Nicholls says. The team also works with the Multi Agency Support Group, MAGs, to support women who have lost custody of other children but are pregnant again and wish to keep their babies. This can be possible where women have made some positive changes, such as leaving a violent relationship. Ms Nicholls sees about six women a day. She says she would like people to understand the extent to which they can support midwives and mothers. “This is using community workers in a way that has never been used before. It is about getting to the heart of it.”

“We have a look in their pantry and make it work for them,” she says. Interventions, if proven successful, are published and then adopted as business as usual. Ms Nicholls says the role has expanded since 2009 and now she is one of three community health workers (Kristine Day and Mele Faka’Osilea are also on the team) who carry out home visits to women with gestational diabetes, reading their blood sugar levels and advising on diet. Pictured: Community health workers Kristine Day and Eseta Nicholls : supporting at-risk pregnant women


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Paying it Forward


Pay it Forward week is a week-long event organised by Junior Doctors Ben, Sarah and Revati at Middlemore Hospital. The initiative encouraged staff to ‘pay it forward’ throughout the week. These actions include anything from buying a coffee for the person standing in the line behind you, completing a task for a colleague to help them out with their day, or even letting someone in the line in front of you when waiting in traffic. It was great to see so many staff members and visitors taking part in writing what they were grateful about on the Pay it Forward board.

House Officers Sarah Correa and Ben Ng-Waishing

Staff Christmas Plans Leilani Jackson, Pacific Cancer Nurse Coordinator “Christmas is a time of reflection for my family and I. It’s a time to look at what we have achieved and learnt in a year’s journey. It’s a time of appreciation for the people who have helped us through the year and to acknowledge those who aren’t with us anymore. This Christmas will be very special as the majority of our immediate family will be together. We’ll celebrate with church in the morning and fun time with the children afterwards. We’ll reflect over what’s happened this year and count our blessings and be merry!”

Luisa Lilo (Clinical Nurse Coordinator Acute Patient Flow), Bernice Lilo (Print Coordinator), and Alisa Ili (Associate Clinical Nurse Manager General/Gynae Middlemore) “Christmas is about being with family, spending quality time together and remembering those who have gone before us. We have a large family, so it’ll be great to spend time with all of them this Christmas. We also celebrate the Christian aspect of Christmas; remembering our Saviour’s birthday and remembering those who are less fortunate which we got from our parents.” COUNTIES MANUKAU HEALTH |  

Taking the stress out of Christmas Christmas and the New Year can be a time for whaanau and celebrations – but it can also be a time when many people feel stressed and blue so we have a few tips on how to support your wellbeing over the festive season with a focus on connecting with nature. Connect – me whakawhanaunga Make some time in your day to be in nature; stretch your legs outside or bring the outside in. Go barefoot and feel the grass or sand between your toes, go for a swim in the sun. If you think you’re going to be alone for this holiday season, it might be a good idea to reach out to people you know – Skype them, call or Facebook them, or meet face to face. If you don’t relish being alone this holiday, take some time to read the local newspaper or newsletter to see what’s going on in your area, such as an organised group outing, musical/cultural performance or community Christmas event. Give – tukua ‘Tis the season for giving, but many of us might be a bit strapped for cash at this time. One way to shake off the financial stress is by getting creative with the holiday spirit. Give the gift of time by offering to help with someone’s garden, babysit or make a gift from natural materials! There are also some little ways to give while rushing around – give a smile to a stranger or a compliment to someone, or donate some old toys, books or clothes to someone who might need some kindness.


Take notice – me aro tonu Every day seems to get busier and the spirit of the season can get lost in the hassle and bustle of each day. A good antidote is to take some time to learn more about what your body is telling you. If you’re feeling overwhelmed and exhausted – pause, breath in, breath out. Take notice of the pohutukawa flowers changing, the night sky, or go somewhere you’ve always been meaning to visit in your local area. Keep learning – me ako tonu There’s always something new to learn. You really can learn something new each day – share stories with your family, go on a bush walk, learn about the natural environment from your tablet or local library, or take a trip to the zoo or botanical gardens. Be active – me kori tonu Getting outside and exercising is good for your overall health and wellbeing! Have a lunch break outside, take a walk with a friend in a park, or design a treasure hunt for your friends and family. There are ways to bring activity into all you do, by using the stairs instead of the elevator, getting off the bus one stop earlier, or catching up with a friend for a walk instead of a coffee. For more information on the five ways to wellbeing, visit the Mental Health Foundation website.

Planning for

Winter 2018 By Phillip Balmer, Director Hospital Services

This year winter came early to CM Health, which meant from May – late September demand for services rose significantly, with little respite for people to recover and recharge. In June we saw record numbers (10,335) come through our Emergency Department, which stretched us all personally and professionally as we looked at ways to squeeze in extra capacity and find the additional resources needed to keep our patients and ourselves safe and cared for. Needless to say we all needed to dig into our reserves and I’d like to thank everyone for their incredible hard work and resilience. Like our colleagues from the other DHBs winter certainly took its toll, however despite the large numbers that came through our doors, we performed well, kept our cool (in most instances) and continued to put our patients first. That being said we don’t want to experience another winter like the one we just had, so what is going to be different for next year? First of all, winter planning has already begun and we are currently looking at a number of strategies to help free up hospital beds and manage demand. Currently, the team is looking at budget, staffing levels, resources and capacity, which includes areas where we can expand. Services/Departments are also looking at ways of improving patient flow, revisiting models of care and working more closely with our community colleagues to see how we can free up extra capacity so people can receive care closer to where they live. Everyone is getting behind this, driven by the need to be ahead of the game next year and put in place sound, robust, flexible systems, and practices that can withstand any demand pressures that come our way. If last winter told us anything, it was the need to be better prepared and we are certainly grabbing that opportunity early. We also want to make CM Health an enjoyable and rewarding place to work, which means bolstering our workforce so patients can receive the best care, regardless of the season. If you have any questions about winter planning contact David Hughes:

Quality Accounts TELLING OUR STORY

The Quality Accounts are one of the most important documents we publish each year, telling the story of how Counties Manukau Health safeguards and improves the quality of its services. It also highlights our commitment to evidence-based quality improvement, those improvements needed and how the public and local communities can play a part in making health services better and more responsive. It is a testament to great work by many people, revealing our commitment to achieving health equity. There are many reasons to read and reflect on these Quality Accounts, which include, but are not limited to:  The Quality Accounts have something for everyone regardless of where you work or what you do, there will be something of value and interest in here for you.  Most people like to have their efforts recognised, which is what the Quality Accounts aim to do. There is a wide diversity of phenomenal work happening across our organisation and community that we should know about and be proud of.  The Quality Accounts reinforce that many heads are better than one - our commitment to helping people stay well in the community means we partner with a range of organisations to support healthy lifestyles, on topics as diverse as smoking, alcohol and immunisation.  We recognise that consumers have a unique perspective of health services and that is why we regularly encourage patients and their whaanau to provide feedback about the experience of care they receive. Highlighted in the Accounts is the work of the Consumer Council, a group of consumers who represent the interests of patients and their families.  The Quality Accounts is an easy read, with content provided by a wide range of people - it is rich in content and includes key insights, achievements and feedback from people who use our services. So please take the time to read the Quality Accounts. Each year more and more people want to contribute, which demonstrates just how much we have achieved. You will find the Quality Accounts on the CM Health website. COUNTIES MANUKAU HEALTH | 10 

The 2018 Census is coming soon! Every five years, we all do the census. By asking everyone to complete a set of questions about themselves and their household, we can capture a snapshot of who is living in, and visiting, New Zealand. It’s how we find out the information that Government, iwi, businesses and communities use to make better-informed decisions. Like where to build the hospitals, parks and schools that we all use.

Our next census will be different, because this time it’s online. In February, we’ll send out an access code to the letterboxes of every household in New Zealand. But don’t worry! We know that not everyone has access to the internet, or simply prefers paper forms, so they’ll still be made available. Make sure you complete your census online, on or before 6 March 2018, at

Find out more at

It’s how we find out.

2017 December CM Health Connect  
2017 December CM Health Connect  

Connect+ is the bi-monthly staff magazine of Counties Manukau Health, featuring events, achievements, and important developments.