2023 EBPHA Annual Report

2023 ANNUAL

REPORT

EASTERN BAY PRIMARY HEALTH

EBPHA

ALLIANCE

GENERAL PRACTICE

COMMUNITY

TIEKE

Saddleback

from

This legend is well known through the

Hawaiiki, the Mataatua waka became

Mataatua region with many references to

obscured by thick, dense and heavy

these birds, either through waiata (song)

mist

or sculptures. The Tieke is used as the

During

the

that

great

migration

was

Tamakihikurangi,

impenetrable.

tohunga

of

Neil Douglas Foster, with wildbird2015

the

tohu (symbol) for Te Runanga o Ngāti

Mataatua Waka, began karakia and

Awa. The Eastern Bay Primary Health

called on his two pet birds, Mumuhau

Alliance

and Takeretau, to help guide the

community through the labyrinth of the

waka through the mist.

Health Sector.

purpose

is

to

guide

our

Known for their striking black and orange plumage, Tieke are endemic to New Zealand. They symbolise uniqueness or conservation efforts, as these birds have faced near-extinction but have been reintroduced to some areas.

"Te amorangi ki mua, te hāpai ō ki muri" The leaders at the front while the workers are behind the scenes. Marae protocol sees the speakers at the front while the workers make sure everything is prepared for the guests. It is important to note that both roles are equally important.

G O V E R N A N C E M A N A G M E N T

CONTENT Karakia .......................................................

4

Chair's Report ............................................

5

Waiata .......................................................

7

Background ............................................... 10 Board Governance .................................... 12 Mihi to Fiona Wiremu ................................

13

Chief Executive Report .............................

17

General Practices .....................................

20

Staff, Services and Showcase...................

26

Financials .................................................

46

S E R V I C E S

F S I T N A A T N E C M I E A N L T S

KARAKIA Whakataka te hau ki te uru Whakataka te hau ki te tonga Kia mākinakina ki uta Kia mātaratara ki tai E hii ake ana te ataakura He tio, he huka, he hau hū Tihei Mauriora!

May the westward winds be calm May the southward winds be calm May gentle breezes blow over the land And over the ocean Let the red-tip of the dawn Come with a sharpened air And a touch of frost That shall breathe life to all This karakia is an excerpt from a karakia that was used before a waka set sail. This was used to plead to the elements (weather) that the voyage be smooth and not impacted by the natural elements.

In relation to everyday practice, this karakia is commonly used before a hui (meeting) to clear the way and ensure that all the kaupapa and kōrero are carried out in a safe and respectful manner.

Hence the saying ‘smooth sailing!’

CHAIR'S REPORT HAMIORA BOWKETT

“Kei aku nui, kei aku rahi, nei ra te mihi i runga i ngā āhuatanga maha o te wā.

Ki ngā mate huhua o te wā haere, haere atu ra. Ki a koutou te hunga ora, tēnā koutou, tēnā koutou, tēna tātau katoa.”

I am honoured to present the Chair’s Report for the 2022/2023 financial year.

The year has been a year of ongoing achievement for the Eastern Bay Primary Health Alliance (EBPHA) against a backdrop of uncertainty and emerging opportunity. I state this with confidence even th the environment we are in is, in many respects, beyond our control.

Our kaupapa and focus remain strong – to keep improving outcomes for the communities we serve. Relationships with Te Whatu Ora Health New Zealand, Te Aka Whai Ora Māori Health Authority, and Te Manawa Taki District (Hamilton, Rotorua, Bay of Plenty, Gisborne Tairāwhiti, and Taranaki) are integral to improving health literacy for the Eastern Bay and is supported by our integrated approach that supports General Practices in the care of patients.

If we work from the premise that health services in the Eastern Bay are inequitable, poorly integrated, and unsustainable in the face of ageing population and the exponential growth of chronic diseases, then we share those health characteristics with many communities world-wide.

The International Foundation of Integrated Care has strongly recommended three immediate and crucial responses to redress these issues: Focus on access and equity and Change management around vertical and horizontal integration and Development of an agile sustainable health system focused on primary health care.

Some key features of the current environment include: Two new entities were established on 1st July 2022 – the Māori Health Authority and Health New Zealand.

The Bay of Plenty Iwi-Māori Partnership Board has commenced.

The Bay of Plenty District Health Board no longer exists as an entity.

The future of Primary Health Organisations is to be determined.

The Eastern Bay Locality is in the early stages.

The theme for this Annual Report is inspired by Māori Bird Lore and features these fascinating bird species: Tieke (Saddleback), Kāhu (Harrier), Pūkeko (Swamp Hen), Kererū (NZ Pigeon) and the Kea (Mountain Parrot).

G O V E R N A N C E

We must also acknowledge that the current health system is overly complex to navigate as a service user and has inequitable outcomes. Specifically, the needs of Māori, Pacific, Disabled People, and rural communities, along with some other population groups, must be addressed as these groups currently experience significant health disparities. We have always acknowledged that we require a paradigm shift to solve the problem of managing diverse patient demands given limited resources.

Recent information indicates a reduction in the number of Primary Health Organisations (PHO) is likely, moving to a new structure as a system wide culture change is needed.

With the 15 Iwi Māori Partnership Boards and these proposed reductions, there is an explicit requirement that the current functions of PHOs, can transition into the new health system.

A key focus centres on the strategic direction and the forging of a sustainable businessoriented plan that will provide a viable foundation for the Eastern Bay Primary Health Alliance of the future.

Meeting targeted health needs for this community has initiated two major initiatives for EBPHA:

I remain confident and optimistic about the agility and ability of our EBPHA to position itself in the future in order to keep delivering outcomes for the communities we serve.

1 Integration Wellbeing Care Plan Project that offers our referral community an opportunity for a faster and more efficient referral pathway, and Mātauranga Māori Cultural 2 The Ambassador in General Practices programme aimed to support General Practice staff.

Looking ahead there remains some uncertainty and burgeoning opportunity in the system.

“Our kaupapa and focus remains strong - to keep improving outcomes for the communities we serve.”

Hamiora Bowkett Independent Chair

WAIATA Te Rauora ā Toi

1

Ē mihi atu nei kia ora koutou katoa Ē mihi atu nei kia ora rā Anei mātau e tū atu nei Ko Te Rauora ā Toi te Huatahi ee Ē mihi atu nei kia ora koutou katoa Piki mai kake mai Homai te waiora ee Ko tā mātau kaupapa ko te hauora ee Ko te oranga o te whānau o te hapori ee Ka noho i te rohe o Mataatua Raro i te maru o Kaputerangi Te Pā o Toi, o Toi te Huatahi ee Ko mātau Te Rauora ā Toi te Huatahi ee Ē mihi atu nei, kia ora koutou katoa Greetings and salutations to you all Greetings and welcome from the whānau of Te Rauora ā Toi, Eastern Bay Primary Health Alliance.

Greetings and salutations to you all Bring with you the spring of life and wellbeing We advocate for healthy whānau, healthy lives We are located in the Mataatua district Beneath the mantle of the Pā of Toi te Huatahi (Kāputerangi) From Te Rauora ā Toi, Eastern Bay Primary Health Alliance.

Greetings and salutations to you all 1 Te Rauora ā Toi– Eastern Bay Primary Health Alliance.

The name Toi honours our eponymous ancestor Toi te Huatahi, Te Moana ā Toi, the great ocean of Toi spans our region Mai i ngā Kuri ā Whārei ki Tihirau (Te Runanga Hauora Maori o Te Moana ā Toi (2019) Kaitito: V Harawira, V Maru

G O V E R N A N C E

VISION Healthy Whānau, Healthy Lives

MISSION To lead community health care

VALUES ASPIRATIONAL

RESPECTFUL

EXCELLENCE

to be passionate (care)

to respect all individuals,

to be our best in

about all we do, thereby

value their contributions,

everything we do. We

delivering superior value

and recognise the

will deliver high quality

to our communities. We

importance of diversity.

services for the best

aspire to be recognised

We will work

possible outcomes.

as an innovative health

corroboratively with all.

leader.

We

ARE

Eastern Bay Primary Health Alliance

KĀHU Harrier

Neil Douglas Foster, with wildbird2015

The Kāhu was long regarded by tohunga and iwi as being a messenger from the gods.

To some, the Kāhu is described as an intelligent bird and a protector of its young fledglings. They have been known to search for just the right materials for their nests ensuring protection against the cold and rain.

Governance provides a framework based on a system of principles that recognises sustainability, opportunity, accountability and leadership.

The Kāhu has keen observation, strength, and adaptability given their hunting prowess and ability to thrive in different environments.

Similar to the Kāhu, EBPHA Board members protect our community, act in the best interest of the organisation, help to improve healthcare journeys within the Eastern Bay while providing resources and frameworks that enable faster and safer growth.

EBPHA Governance principles align with Te Tiriti o Waitangi, is community-focused, with decision making founded in fairness, respect, care, and humility.

BACKGROUND

KOTAHITANGA MO NGĀ IWI KATOA MANA ATUA, MANA TŪPUNA, MANA WHENUA, MANA TANGATA In 2009, consultation and collaboration with the three Primary Health Organisations in Kawerau, Ōpōtiki, and Whakatāne prompted the development of The Eastern Bay Primary Health Alliance (EBPHA). In 2010, the organisation registered as a Charitable Trust under the Charitable Trust Act 2005.

EBPHA is funded by Te Whatu Ora Health New Zealand and others to support the provision of essential primary health care services, either directly or through General Practices or community Health Providers to the people of the Eastern Bay or Plenty.

Services delivered by the EBPHA are in place to improve and maintain the health of the Eastern Bay population. The aim is to ensure General Practice services are better linked with other primary health services to ensure a seamless continuum of care with a particular focus to manage longterm conditions and reducing inequalities.

KAWERAU Image by V Maru

WHAKATĀNE Image by V Maru

ŌPŌTIKI

Image by A Sulllivan

STRATEGIC INTENTIONS 2022 - 2025 EASTERN BAY PRIMARY HEALTH ALLIANCE (EBPHA) PHILOSOPHY Respect for kotahitanga mo ngā iwi katoa Mana Atua, Mana Tūpuna, Mana Whenua, Mana Tangata OUR VISION Healthy Whānau Healthy Lives

OUR IMPACT EBPHA understands the aspirations and needs of varying general practice models

OUR IMPACT Improved health status of the Eastern Bay of Plenty population

OUR OUTCOME Effective and collaborative relationships with General Practices

OUR MISSION To lead community health care

OUR OUTCOME Community Health Services are future focused, interwoven and sustainable

OUR OUTCOME Iwi, Community, whānau have the knowledge to take responsibility for their own health and well-being

OUR VALUES We ARE EBPHA Aspiration Respect Excellence

OUR OUTCOME Excellent relationships with Communities and Providers

OUR IMPACT

OUR IMPACT

Eastern Bay of Plenty residents have access to high quality health services

EBPHA understands the needs and aspirations of their different communities and Providers

EBPHA will develop and deliver effective

EBPHA is committed to reducing these

and equitable primary care services that

inequalities through ensuring there is an equity

meet the needs of our population. As a

based and evidence informed approach to our

region, the Eastern Bay of Plenty

service delivery. This will ensure those with the

experiences persistent health and social

greatest need receive the services and support

inequalities particularly for Māori, children

they require.

and people living with long-term chronic conditions.

The EBPHA Annual Plan will identify those particular areas we will direct our resources on to give effect to our impact and outcomes.

G O V E R N A N C E

GOVERNANCE EBPHA has a very effective governance structure consisting of the EBPHA Board which consists of a deputy Chair and eight Trustees. Our Board includes clinicians, local iwi and community representatives, all with varying backgrounds and skills.

Fiona Wiremu

Linda Steel

Cecile De Groot

Deputy Chairperson

Iwi Representative

Clinical Representative

Angela Jackson

Dickie Farrar

Nigel Giles

Community Representative

Iwi Representative

Clinical Representative

Jamie Smith

Shaneen Simpson-Almond

Marieke Roelofs-Heijtel

Community Representative

Iwi Representative

Clinical Representative

DEPUTY CHAIR FIONA WIREMU

In the ever-evolving landscape of our organisation, change is not just inevitable but also a vital catalyst for growth and progress.

As we conclude another remarkable year, we take a moment to bid farewell to one of our esteemed board members, Ms Fiona Wiremu. Fiona has been an integral part of our organisation, and her dedication, wisdom, and unwavering commitment to our mission will leave an indelible mark on our success.

Fiona was appointed to the EBPHA Board in October 2017 and, within one month, was quickly appointed Chair of the Finance and Audit Committee. In fulfilling this role, Fiona was a highly focused person, committed to achieving targets and outcomes that support cultural, social, economic, and environmental imperatives of our communities and the organisation.

Fiona shared valuable insights, appreciation, and accolades in an interview conducted on Friday, 8th September 2023.

Interview with Ms Fiona Wiremu “Nga mihi maioha ki a koutou i te ra nei.

I want to express my heartfelt gratitude to Amohaere Tangitu who served on the EBPHA prior to my arrival. She was pivotal in laying the foundation for me to progress a new phase with the EBPHA. I am committed to lifting the health of our communities and reducing corresponding inequities. I believe diversity of skills, experience and a commitment to health and wellbeing with a focus on the Eastern Bay while having an awareness of national trends and priorities adds value to the EBPHA board.

I brought a different way of thinking in applying a financial perspective to supporting a stable future for EBPHA in the first instance but seeking to advance the EBPHA into the future - which included connecting community, primary and secondary services to serve the people of the Eastern Bay. I had a ground up approach to ensure services were necessary for our communities, but also a top-down awareness to ensure that government priorities could be connected to the needs of our communities. For all the above reasons, I accepted the EBPHA Board Member role.

Before I move to my time with the Board, I would like to pay respect to our previous Chairs and CEOs for their input, hard work, dedication, and commitment to the Eastern Bay. Their collective efforts supported the realisation of the EBPHA priorities.

During my time on the Board, there were two significant milestones that impacted EBPHA.

G O V E R N A N C E

The first was the proposed merger of the Eastern Bay of Plenty and Western Bay of Plenty primary health entities. My view was that the Eastern Bay may end up being subsumed by a wider “Bay of Plenty” approach. I could not be assured that the health priorities and needs of the Eastern Bay would be prioritised (services and funding), with consideration for our diverse population, needs and location.

Our Eastern Bay workforce understands what the Eastern Bay needs. The management of this organisation cannot reside outside of our region – our communities deserve better. I was placed on the EBPHA board as a community representative – therefore I was committed to ensuring the community needs were foremost in the decision making. The merger did not proceed, and the EBPHA continues to serve its communities.

The proposed merger was a long process and demanded skilful and composed handling by many people. It became the catalyst for transforming EBPHA into a reputable deliverer of a wide array of services – focussing on what we did well and what we could do better for our communities. With the changing health sector environment and government priorities, EBPHA needed to be agile and adaptable to thrive.

The governance, management and operations teams must be acknowledged for the work they have done. The have remained focussed on the people.

The second highlight was contributing to setting EBPHA on a path that fostered stability and paved the way for the creation of innovative new pathways.

With the Health & Disability review, EBPHA needed to diversify and eventually, has become a health provider in their own right.

Today, EBPHA is in a stable and financially viable position supporting a range of health initiatives and delivering a complementary number of services to the Eastern Bay, My hope is that EBPHA will continue to provide relevant and necessary health services to the Eastern Bay with an integrated approach that is inclusive of all providers. Integration is key to creating efficiencies that serve the needs of the people and removes the inefficiencies that are created through duplication of services; competition amongst providers is not in the best interest of the people we collectively serve. The EBPHA can support our communities to be more health literate, so the people can choose what health approach works best for them. Client choice will empower our communities to take an active role in their health management.

It is time for me to depart the EBPHA board because it is in steady hands with our current chairperson Hamiora Bowkett, board members, CEO Greig Dean and the staff. I have no doubt that the EBPHA will do great things in the future.

I extend my heartfelt wishes for EBPHA’s continued success and you will always hold a special place in my heart.

No reira, tēnā koutou, tēnā koutou, tēnā koutou katoa.

“E hara taku toa i te toa takitahi, ēngari he toa takitini” Success is not the work of an individual, but the work of many

PŪKEKO Swamp Hen

Neil Douglas Foster, with wildbird2015

The Pūkeko is one of the sacred birds brought from the heavens by Tāwhaki.

Some say the Pūkeko got its red beak when he was descending from the heavens, he ignored Tāwhaki so Tāwhaki pinched his beak so hard that it turned red.

Pūkeko are known for being intelligent, inquisitive, and boisterous. They can fly but are better at running, wading and swimming.

The are commonly seen foraging in paddocks, along roadsides, and are territorial.

When

disturbed, they prefer to run and hide.

Pūkeko are resilient and have a strong connection to natural habitats and resources.

Like the Pūkeko, management teams need to be inquisitive and must always be searching for better opportunities that enhance the health

and

wellbeing

communities they serve.

of

staff

and

the

TE WHAI The design is in the form of a stingray which are kaitiaki (protectors) of the sea, (which we all share as being from the East Coast) and they are a tohu (sign) of humility which reflects our approach toward the COVID-19 response in the Eastern Bay. The more intricate details represent the integrated/cohesive approach we took – different organisations and professionals working together to look after our people.

Designed by: U Kihi-Coates (2020)

CHIEF EXECUTIVE REPORT GREIG DEAN

I would like to acknowledge the collective commitment and hard work of the EBPHA Board, Staff, General Practices and Health Providers in the continual strive for better outcomes for our whānau. This is often challenging and invisible mahi at times.

However, our passion to meet the Eastern Bay Primary Health Alliance vision of achieving Health Equity by Empowering our Whānau toward Mana Motuhake, drives us forward.

As we continue to engage in the health reform process, the integrated philosophy we have adopted will play a significant role in shaping our future relevance and that of Eastern Bay health. The advent of localities and the transition from District Health Boards to Regions is a shift we welcome and intend to optimise.

While the 2022/2023 year has seen successful outcomes, our work is far from done. This year I have continued to encourage our Board to focus on: Ensuring our clinical network and frontline is supported to the best extent possible given the functions and accountabilities of a Primary Health Organisation model.

Ensuring the staff and management of EBPHA are well supported and performing in their roles and remit.

Managing and maintaining a strong financial position for EBPHA. Ensuring we continue to position ourselves positively in the light of the ongoing implementation of the Health and Disability System Reforms with a particular focus on the locality work in the Eastern Bay of Plenty.

Wellbeing I am pleased to highlight newly implemented mechanisms of improvement across the mental health and wellbeing space, as well as elements of integration in action. In response to the need for brief and early interventions as well as responding to the current PMHC referrals (including the waitlist and presenting needs), the development of two group-based and psychoeducational interventions were established.

Also, in development is the referral pathway into our ‘Integrated Care Planning Team’ (which is in addition to the service-direct referral option).

Accolades Congratulations must go to our Hāpainga / Stop Smoking team for participating at the National Group of Tobacco Control NZ Health and our School Based Health Services Team for their involvement in the National Te Whatu Ora SBHS Enhancement Programme.

M A N A G M E N T

Strong primary health care makes health systems more effective, efficient, and equitable.

As leaders in health, we must actively realise the potential of primary health care and progress a future that encompasses lessons learned from the past along with innovative capabilities that decrease the risk of avertable morbidity within our communities.

EBPHA continues to deliver on its contracted outputs and deliver all the services our communities and practices need to achieve better health outcomes. Some of our key service and delivery highlights are: Human Papillomavirus (HPV) Programme roll-out Student Placement Programme active for School Based Health and Dietitian services Hāpainga / Stop Smoking Services awarded extra RFP funding to extend services and resources in rural Māori communities Locality in practice.

Integrated Primary Mental Health & Addictions programme amalgamated into General Practices Change Management for Outreach Immunisation Service Multi-disciplinary interaction with community providers

To meet the needs of our communities in 2023/2024, EBPHA will continue to work at a national level to achieve equitable funding for primary care; and at a regional level through locality development approaches that strengthen integrated and collaborative approaches with Iwi and other Providers.

Thank you again to the EBPHA Board for their direction and support, to the staff and General Practices who have worked extremely hard this year. Your efforts do not go unrecognised.

“Strong primary health care makes health systems more effective, efficient, and equitable.”

Greig Dean Chief Executive

YEAR IN NUMBERS We serve an enrolled population of

29,661 We deliver services to a resident population of

56,900 people

55%

Live in Deprived Circumstances

73% Are classified as having high health needs Under Twenty Five

20% 65 Plus years of age

717

Babies were born in the EBoP

35%

58% Identify as having Māori ethnicity

M A N A G M E N T

GENERAL PRACTICES Under the PHO services agreement, EBPHA

General practice continues to be under

provides a set of essential primary care

pressure coping with patient demand,

services

COVID

through

Contracted

Provider

workload

and

staffing

agreements with our 9 General Practices. The

vacancies. Funding continues to be an

benefits of this partnership are that Practices

issue for Practices as revenue through

receive capitation funding based on their

capitation

enrolled population and their patients can

operational costs, cost of recruitment

access some services for free. Eight of our 9

and inflation.

has

not

kept

up

with

Practices have Very Low Cost Access (VLCA) status due to 73% of their enrolled population being “high needs”.

This means they receive additional funding to

This continues to have an impact on

allow for subsidised consultations for their

patients

patients.

appointments

With

COVID

becoming

less

with

closed harder

to

enrolment, book

and

prevalent, EBPHA Practices experienced a

practices struggling to meet the demand

17% decrease in the number of patient

of patients.

consultations

and

a

35%

decrease

in

electronic referrals to EBPHA services overall.

Most of the decreases are because of less COVID related claims for testing, treatment, and consults. With the return to business as usual, GPs made 11% more referrals to EBPHA and community health services.

Due to difficulties accessing health services, many patient’s health issues have worsened with delays seeing GPs and Secondary Health services. Many have become unenrolled or disengaged from health service providers.

“EBPHA would like to thank General Practice and staff for their hard work and dedication throughout the year. It is very much appreciated

by EBPHA and the wider Eastern Bay community.”

7,907

1,999

7,174

Electronic claims for COVID-19 related activity

Consults by GPs in the ED after-hours service on the weekends

Electronic referrals made by General Practices for EBPHA provided contracted services

129,127 GP and Practice Nurse consults

939

1,920 Patients were seen by the Ōpōtiki Medical Hub, and 1,463 scripts were issued

2,974

Tracked IT, Communications and General Practice support contacts

Consults were carried out in the Ōpōtiki Medical Hub

856K

$

130K

$

TOTAL COVID RELATED FUNDING TO GENERAL PRACTICES

TOTAL DIABETES MANAGEMENT FUNDING TO GENERAL PRACTICES

$

394K TOTAL LONG-TERM CONDITIONS FUNDING TO HAUORA PRACTICES

M A N A G M EMana NAtua T Management

GENERAL PRACTICES

TARAWERA MEDICAL CENTRE

CAPITATION PAID TO GENERAL PRACTICES

$

7.7M 7.7 M

PROGRAMMES TO IMPROVE ACCESS (PIA) The EBPHA continues to support General Practice and their patients through the provision of PIAs. Over 19,330 financial claims were made by General Practices for the various programmes.

Within the programme, the Flexible Patient Fund PIA provides the General Practice with the flexibility to choose to fund what their patient needs.

Practices are able to choose from a range of options that meet the needs of their patients e.g., supporting patients experiencing financial hardship, long-term condition management, complex consultations, intensive management of conditions and many other options.

Smoking Cessation Support

Youth Health Check

Cardiovascular Risk Assessment $

Cervical Screening

74 8K TOTAL PIA FUNDING TO GENERAL PRACTICES

Flexible Patient Fund (FPF) Palliative Care

M A N A G M E N T

SNAPSHOT OF SERVICES 12,516 3,875

CONTACTS WITH PATIENTS OR CLIENTS WERE MADE BY EBPHA SERVICES consults were carried out by the School Based Health Service Nurses with students

544

sexual health consults were carried out by School Based Health Service Nurses

251

mental health consults were carried out by School Based Health Service Nurses

1,594

vaccination referrals were actioned across the Bay of Plenty by the Regional Childhood Immunisation Support Services over 9 months

500

children in rural and isolated communities received their vaccinations from the Outreach Immunisation Service (OIS)

1,055

total vaccinations were given by OIS staff

1,399

clients were seen mostly in one-on-one sessions or in group therapy sessions by the Primary Health Counselling Service

809

consults with patients were carried out with the Health Improvement Practitioners and Health Coaches in Practices under the Integrated Primary Mental Health Addictions Service

1,298

retinal screenings with EBoP diabetic clients done by Tauranga Eye Specialists

1,521

cellulitis treatments were carried out by General Practices

974

priority women were screened for cervical cancer by General Practices

847

clients were seen in one-on-one sessions by Community Dietitians. Another 96 people attended Diabetes Education classes run by Community Dietitians and the Diabetes Nurse Specialist

782

people were assisted and navigated through EBoP health services by the Integrated Case Management (ICM) services

636

smokers enrolled into EBPHA's Hāpainga Stop Smoking Service across the Bay of Plenty.

55

pregnant smokers enrolled into Hāpainga Hapū Māmā service

190

smokers managed to quit within 4 weeks in EBPHA's Hāpainga Stop Smoking Service: equating to a 88% quit rate

174

smoker ABC consults were carried out by General Practices

621

patients either had Long Last Reversible Contraception (LARCs) consults, removals or insertions by General Practices

193

high-risk diabetic patients were referred to Podium Podiatry and seen for Podiatry treatment

125

minor skin surgeries were carried out by GPs to detect and prevent Melanoma and non-melanoma skin cancer.

KERERŪ

The Kererū is a large bird with irridescent green and bronze feathers on its head and a smart white vest. The noisy beat of its wings is a distinctive sound in our forests.

The voice of the Kererū is generally silent except for occasional ‘oos’, with a brief and moderate volume given when alarmed.

They are fairly inconspicuous and roost under a thick canopy for hours at a time. These species are able to travel between different areas in their quest for food. They symbolise regeneration, growth, and stewardship.

EBPHA staff work hard to provide extra support for general practices and are able to integrate, collaborate, and identify potential improvements.

Patient and whānau centred approaches remain the focus for EBPHA staff.

New Zealand Pigeon Neil Douglas Foster, with wildbird2015

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HAUORA DAYS

Hepatitis B Foundation

Te Teko RSA

S E R V I C E S

EVENTS & SUPPORT

BOWEL SCREENING

KAUMĀTUA DAY

EBPHA Wellbeing Committee “Workplace wellbeing is about doing everyday business in a way that leads to improved staff wellbeing” The Eastern Bay Primary Health Alliance Wellbeing Committee was formed in 2019, with a commitment to gain accreditation with the Toi Te Ora Work Well Programme.

With the COVID-19 pandemic halting the accreditation progress for two years, the committee has restarted the journey.

This journey restarted with a staff survey in July 2022. With a return rate of 62%, staff indicated there some important areas for them; such as sun safety, breastfeeding friendly, infection control, mental health and wellbeing and more.

The committee acknowledged all areas deciding that three main areas shall be physical activity, healthy eating and mental health and wellbeing. A few activities that have started are: Friday Lunchtime Walks, weekly Yoga sessions, Healthy Food Policy, social staff gatherings and more.

These activities are in their infancy with improvement discussions occuring at each meeting.

Kirsty Gregory Wellbeing Team Lead

Sharlene Maru-Habib

Molly Florence

Susan Cutler

Brooke Balderstone

S E R V I C E S

IN B FO ET RM TE A R TI ON

ER S TT ON BE SI CI DE

BETTER HEALTH Your health information is recorded - to ensure you receive quality assessments, treatment and health care as you need it. This keeps you and others safe plus improves health services.

To find out more about use and confidentiality of your health information, please visit www.ebpha.org.nz

Health and Safety July 2022 - June 2023 New Zealand’s Historic Index Chart for the Health sector currently sits at approx. 65%. EBPHA are maintaining a high profile and are continually working to improve in 10 modules that support and grow the organisation’s Health & Safety culture. In doing so, we continue to improve our capability and overall score.

Health & Safety knowledge, systems, activities, preparedness, data collections reporting, worker engagement, culture and behaviours are areas of high priority for this team.

General data 59 incidents (2 open incidents) 8 risk/hazard 469 vehicle checks (54 escalated checks) Our Health & Safety team are working to elevate the safety culture and improve performance.

We aim to do more than encourage compliance, but also to transform our day-to-day practices as an organisation.

Ronnie Maru H & S Rep Stage 1 Certified & Ergonomic Workstation Champion

Faith Tahuri H & S Rep Stage 1 Certified

Jake Norman Ergonomic Workstaion Champion

Dani Noblett Ergonomic Workstaion Champion

Lisa White Ergonomic Workstaion Champion

Whakairi Nicholas H & S Rep Stage 1 - Certified & Ergonomic Workstation Champion

Tracylee Nuku H & S Rep Stage 1 Certified

S E R V I C E S

SMOKEFREE WEEK

HĀPAINGA SUPPORT

SPECIAL DAYS

PINK SHIRT DAY

IMMUNISATION WEEK PRIVACY WEEK S E R V I C E S

NURSES DAY WOMEN’S DAY

EBPHA STAFF Alison Killeen Health Improvements Registered Nurse

Ashley McAllum Tarawera High School Nurse

Bridgette Hutchinson Edgecumbe College School Nurse

Brooke Balderstone Lead Dietitian

Caroline Davies Murupara Area School Nurse

Chrissy Simmonds Diabetes Specialist Nurse

Dani Noblett Hapainga / Stop Smoking Practitioner

Daunte Maxwell Health Coach

Debi Hocart Opotiki College School Nurse

Faith Tahuri Health Coach

Georgina Moke ICM Team Lead

Glennis Tupe Hapainga / Stop Smoking Practitioner

Greig Dean Chief Executive

Henri Katz Triage & Referral Coordinator

Huhana Mason PMH Practitioner

Jake Norman HR & Communications

Jamie Sullivan Integrated Care Practitioner

Jenni Oliver Trident High School Nurse

Kalaya Arbuckle ICM Case Coordinator

Kaye Potter Immunisation Nurse

Dr Kerry Taylor Clinical Director

Kirsty Gregory Business Manager

Leah Dixon Whakatane High School Nurse

Keith Gregory Chief Information Officer

Lisa White Operations Assistant

Liz Horlock MHSP Project Lead

Lizzie Spence Stop Smoking Team Lead

Lori Saunders PMH Practitioner

Louis Welgemoed ICT Support

Maria Tomaszewski PMH Practitioner

Marina Maxwell PMH Practitioner

Molly Florence PMH Practitioner

Ngaire Lewis Business Development & Relationship Manager

Nicky Tarbotton Youth Health Team Lead

Pharyn Herewini IPMH&A Team Lead

Russell Ingram-Seal Decision Support Manager

Sarah Brennan Practice Improvements Liaison

Savana Mikaere-Ward Opotiki College School Nurse

Sharlene Maru-Habib Hapainga / Stop Smoking Practitioner

Sinead Herewini Health Coach

Susan Cutler Operations Assistant

Tamara Double Health Promotions & Communications

Tracylee Nuku Operations Assistant

Uriah Kihi-Coates Youth Educator

Verbena Harawira Poukokiri

Veronica Maru Operations Manager & PMH Team Lead

Walter Harawira ICM Case Coordinator

Whakairi Nicholas Pasifika Case Coordinator

S E R V I C E S

Communications In the past year, our Communications strategy

This approach allows us to provide valuable

has undergone a strategic refresh aimed at

information

delivering meaningful and impactful content. We

audience. Additionally, we've implemented

streamlined our social media postings to three per

a rigorous analytics review process to

week, each with a specific focus. Mondays are

ensure we're meeting our engagement and

dedicated

services,

reach goals. All in all, it's been a year of

Wednesdays for timely health updates, and

fine-tuning and growth, and we're excited to

Fridays are all about wellbeing.

continue engaging with our Eastern Bay

to

showcasing

our

without

overwhelming

our

community in more targeted ways.

Jake Norman Human Resources and Communications “In the 18 months since joining the EBPHA, I've found my work to be exceptionally rewarding.

This is my first venture into the non-profit sector, and the experience has been both enriching and transformative. What sets this role apart for me is its direct impact on the community; each HR initiative we undertake is tied to improving patient care and outcomes.

What

I

find

opportunity lifecycle,

to

from

particularly

fulfilling

is

the

enhance

our

employees'

onboarding

to

professional

development and beyond.

Since immigrating from the UK 15 years ago, I still find joy in exploring this wonderful country, spending my time during summer at festivals and concerts, and with the little spare time between that, and working, you can probably find me either watching or playing Football.”

Images by J Norman

As

we

look

to

the

future,

our

We're particularly interested in utilizing

strategy

will

pivot

machine learning algorithms to analyse

towards a more integrated and data-driven

user engagement and predict trends,

approach. Our vision is not only to

thereby allowing us to proactively

continue to be a trusted healthcare

address community needs. Moreover,

provider for the Eastern Bay community

we aim to further enhance two-way

but also to become a thought leader in the

communication through social media

healthcare space. To achieve this, we'll

channels,

explore

platforms, solidifying our role as a

Communications

partnerships

with

key

organizations for cross-promotion, while

forums,

and

interactive

community-centric organisation.

also delving into targeted campaigns that tackle pressing community health issues.

Tamara Double Communications and Health Promotions

Ko Maungatautari te maunga Ko Waikato te awa Ko Tainui te waka Ko Te Ruapeka tōku marae Ko Ngāti Raukawa tōku iwi Ko Ray Double raua ko Ngaire Isaac ōku mātua Ko Tamara Double tōku ingoa.

“My role at EBPHA is to promote our services and to promote health. Though this was not my intended career path, I stumbled upon an opportunity at EBPHA in a time where I needed change. In this role, my passion for people and helping people has been reignited and I love what I do.

Getting to work alongside amazing kaimahi that make real positive impacts on peoples’ lives and getting to promote their services to my community gives me a great sense of pride.

S E R V I C E S

I come from the small town of Ohakune and have grown up outside in a beautiful community and environment.

Now, in Whakatāne you’ll still find me outside, just enjoying the sunshine and beach instead of the maunga.

Outside of mahi, I enjoy squash and fitness, being outdoors, and spending time with friends and whānau. I also enjoy being a mentor for the Big Brothers Big Sisters Foundation.”

Images by T Double

Counselling “We all face issues and challenges in life, and often it is helpful to talk to a professional person who is not involved in the situation. It takes courage and strength to make the choice to accept counselling.”

Our service Our counselling service is a private and confidential process where you and your counsellor work together, exploring and developing your strengths, so you can find your own solutions to issues you might be facing. We aim to strengthen, heal, and educate.

Puti Te Rapai (Lori) Saunders Primary Health Counsellor

Ko Putauaki tōku maunga Ko Ōhinemataroa tōku awa Ko Mataatua tōku waka Ko Patuwai tōku hapū Ko Taiwhakaea tōku marae Ko Ngāti Awa tōku Iwi Ko Puti Te Rāpai (Lori) Saunders tōku ingoa “My interest in counselling came from my

I have found this to be a rewarding career

own struggles and the personal challenges

and I would recommend it to anyone who

in my life when I needed that extra support

loves helping others.

and help. My journey started when I had

Self-care is important and I believe that

decided to train as a counsellor. It was very

eating healthy, keeping active and looking

challenging as old patterns started to emerge and I needed to face my own demons.

after your stress levels are things you can do for yourself. I also believe that you are what you eat and that good natural food is

Learning to work on these and using the tools gained through education and selfdevelopment such as CBT, Person Centred Counselling and EMDR, I can help others on their own journey to wellness.

medicine.

I love the outdoors and travelling and find this to be good therapy. You will see me out on the campervan visiting family around the motu and keeping up my connections with nature, friends and family.

Enjoying life and noticing the small things with whānau, that life does not have to be hard - it’s good for the soul.”

Images by L Saunders

Dietitian “We provide an individualised approach to help you improve your nutrition and wellbeing.”

Our service Our New Zealand Registered Dietitians work with you and your whānau to provide support and information to help you achieve and maintain a healthy lifestyle and manage health conditions.

This service is free, we have clinics across the Eastern Bay of Plenty and can also come to your house or workplace.

Brooke Balderstone Lead Dietitian I grew up in Ōpōtiki and Whakatāne and am glad I’m able to use my skills and knowledge to help our community make healthier food choices for themselves and their whānau. I am

passionate

about

educating

our

community to improve their health and allow them to understand the reasons why we eat the way we do, what we eat and connecting that with our mental, physical, cultural, and social wellbeing.

I believe all foods are part of a healthy, well-balanced diet and serve a purpose for each part of our hauora. In my role I have been privileged to meet, connect, and support so many people and seeing significant positive changes in individuals and whānau health and wellbeing is my ‘why’ for being a dietitian.

S E R V I C E S

I am keen to support my health as much as I can control.

Having an autoimmune condition helps me appreciate my body for the good days, which sometimes are very few and far between and most days I do this by eating nutritious kai, also balanced out by some chocolate and sweets and by running or walking (outside as much as possible) and workouts in the gym.

Images by B Balderstone

Hāpainga Stop Smoking “Ko koe te tauihu o tō waka auahi kore.

You are the prow (front part of the ship) of your own waka, your own compass toward a Smokefree Destiny.”

Our service We help those who live, work or play in the Bay of Plenty, to live a healthier, wealthier smokefree life. We ensure whanau have the time and space needed to make a positive change. Our Mission is to achieve a smoke free community that we can all enjoy and thrive in.

Individual Support

Roopū Support

Incentive Programmes

Elizabeth (Lizzie) Spence Stop Smoking Team Lead “I have lived in the beautiful Eastern Bay of

I have worked in the Smokefree kaupapa for

Plenty for 17 years. Most weekends I walk one

over 16 years. I worked as a Specialist

of the many tracks available locally, which is a

Community Public Health Practitioner in the

great way to de-stress and unwind. I love to

UK and since then, have been committed to

travel, which is just as well as I have a

enabling each and every person to live their

daughter living in the Netherlands, one of my

best life. Smoking remains the biggest cause

sons at University in Atlanta, USA and my

of preventable death and is a particular

family all in the UK. I am also an avid reader

concern for our most vulnerable communities.

and so a frequent visitor to the library.

I have had the honour of working with amazing Smokefree Practitioners over the last 7 years and have seen huge positive changes throughout the community.

Hāpainga remains strongly committed to the 2025 Smokefree Aotearoa 2025 goal - to provide a future where every child can grow up in an environment free from the harm smoking causes.”

Integrated Case Management “We help people with long-term conditions or complex health needs, navigate their way through the health and social services system, to achieve their agreed healthcare outcomes.”

Our service Integrated Case Management (ICM) is a navigation and coordination service. We help people with long-term conditions or complex health needs navigate their way through the health and social services system. Our service has been developed to ensure closer integration with your general practice.

Walter Harawira ICM Case Coordinator

Ko Pūtauaki me Mauao ngā maunga Ko te Ōrini me Tauranga Moana ngā awa Ko Mataatua te waka Ko Ngāti Awa me Ngaiterangi ōku iwi Ko Ngai Taiwhakaea me Ngā Pōtiki ōku hapū Ko Te Paroa me Mangatawa ōku marae

Travel

Ko Walter Harawira ahau HAUORA Holistic Health is real wealth Heal from the heart Change your thoughts and you change your world Mā mua ka kite a muri, mā muri ka ora a mua

S E R V I C E S

Mirimiri Energy Healing

Images by W Harawira

Integrated Wellbeing “For support with managing health, medical, social, and mental wellbeing needs, we have a range of brief interventions and services available.”

Interventions and Services Implementing appropriate care to address lifestyle or behaviour changes.

Short-term interventions for those with mild to moderate mental health issues, including but not limited to stress, anxiety, grief, depression and concerns about alcohol and other drugs.

Help with managing situational or circumstantial issues as well as more general wellbeingbased support.

We can also work alongside those who are unsure of what service(s) could help to ensure the most appropriate support is in place. In addition, we can link to external and specialist packages of care when and if appropriate.

Lizzy Horlock Integrated Wellbeing Project Lead “I am passionate about supporting communities to enhance their health and wellbeing, while ensuring people are encouraged to take the lead to uplift and enhance their lives. I respect key values such as whanaungatanga, the cultivating of meaningful relationships with people, with whānau and the community. I appreciate working alongside diverse populations and will continue to seek opportunities to upskill and develop so that my contribution is worthwhile.

As such, I am often learning and engaging with spaces that grow my knowledge, skills or sense of self.

For example, the NZ Olympic Women in Sport Leadership programme, mental health

workshops and learning te reo. Outside of work, you will often find me around the sports field helping out.

Having grown up with the privileges afforded through sport, it continues to be a key part of my life and is valuable, quality time with my family. If there is any time left in my day, I can be found walking the bush or the beach in our glorious surroundings!”

“He aha te mea nui o te ao, He tangata, he tangata, he tangata” What is the most important thing in the world, it is the people, it is the people, it is the people.

Images by L Horlock

IPMH&A “Supporting you to choose quality of life over standard of living.”

Our service Our service aims to support GP/Practice Nurses in the area of mental health and addiction. The stepped nature of our model allows our health improvement practitioners to see patients quickly and assess the level of help they need. Our aim is to see clients within 2-3 days to reduce wait time and to remove barriers into the service. There is no entry criteria and it is free of charge.

Sinead Herewini

Health Improvement Practitioners Our health improvement practitioners (HIPs), are part of general practice teams and are registered health practitioners.

HIPs can also provide group sessions for a range of issues such as insomnia, gout, anxiety or cardiovascular disease.

Health Coaches Our health coaches are experienced practitioners that are based both in our general practices and the community. We encourage people to identify their own priorities for change and support them to find resources, tools and support to meet their goals.

IPMH&A Health Coach

Ko Tarakeha te maunga Ko Ōpepe te awa Ko Mataatua te waka Ko Ōpape te marae Ko Ngai Tamahaua te hapū Ko Te Whakatōhea te iwi Ko Sinead Herewini ahau “I have always been super passionate about helping others in any way I could, and becoming a health coach (HC) has been a catalyst for pursuing my passion.

I was previously a support worker before coming to the EBPHA, and felt I could provide awhi and support to others in a different capacity.

Keeping active is also something I do for my overall hauora, and it could be as small as walking up and down the driveway to going for a hunt. I’m always up for anything that gets my blood pumping and muscles moving.”

S E R V I C E S

A part of my overall hauora comes from helping others with their hauora journeys, and it has been truly rewarding to have the ability to provide that help through my role.

My Hauora/Wellbeing approach “Being in nature has always helped my hauora immensely, both physically and mentally. Its always allowed me to disconnect from the noise of every day life, and reconnect with myself.”

Images by S Herewini

School Based Health “School based health services are effective in improving student health and wellbeing. This leads to better participation in education which in turn provides better opportunities for our young people.”

Our service We provide onsite, free healthcare services to students in schools. From emergency care, to physical, mental, emotional and social health assessment and treatment, the scope of a School Nurses’ practice is wide and all-encompassing.

Leah Dixon Whakatane High School Registered Nurse

Ko Panetoki me Paeroa ngā maunga Ko Puniu me Waikato ngā awa Ko Tainui me Te Arawa ngā waka Ko Raukawa ki Wharepuhunga me Ngati Tahu/Ngati Whaoa ōku iwi Ko Whakamarama me Ohaki ōku marae Ko Rangimoeakau me Tahu Matua ōku whare tupuna Ko Mohi Rangimoeakau rāua Ko Ripeka Rangimoeakau (nee Te Aranui) ōku matua tūpuna Ko Norman Rangi rāua ko Sue Rangi (nee Nolan) ōku matua Ko Leah Dixon ahau “My interests are very few, but I find peace amongst Te Taiao. I enjoy being creative with kōhatu and other taonga that may cross my path. I find these useful when working alongside rangatahi who feel anxious, or may even struggle to share openly.

Everything has a “mauri” an energy, and when held in one’s hands, the stones and the different textures within help the holder to relax and focus on the present. For my wellness is not just about the illness or injury, it includes attributes that exceed the westernised ideation of health.”

Why I became interested health: “To keep it short and sweet, my whānau and the fact that I wanted to be a positive role model in their life.”

Images by V Maru

KEA Mountain Parrot

The Kea is one bird brought down to earth

Neil Douglas Foster, with wildbird2015

as a captive by Tānemāhuta and is the bird form that the hero Maui took during some of his adventures.

The Kea is a high country bird and is the only mountain parrot in the world.

The Kea is also inquisitive and playful, and its powerful beak can do great damage.

Kea are monogamous, long-term pair bonds. Adaptability is a key part of kea ecology.

Kea are considered kaitiaki (guardians) of the mountains for Waitaha Maori and is regarded as one of the smartest birds on earth.

Finances and organisations will always be connected.

Finance affects everyone in an organisation and must exist to facilitate ethical and practical budgeting, investment, and spending for all parts of the organisation.

“Ko te pae tawhiti whaia kia tata. Ko te pae tata whakamaua kia tina” Seek out distant horizons, and cherish those you attain

Financial Statements Eastern Bay Primary Health Alliance For the year ended 30 June 2023

Contents 48

Directory

49

Statement of Service Performance

52

Independent Auditor's Report

55

Statement of Comprehensive Revenue and Expenses

56

Statement of Changes in Net Assets

57

Statement of Financial Position

58

Cashflow Statement

59

Notes to the Financial Statements

Financial Statements

l Eastern Bay Primary Health Alliance

Directory Eastern Bay Primary Health Alliance For the year ended 30 June 2023 Chief Executive Greig Dean (appointed 1 July 2020)

Chairman Hamiora Bowkett (appointed 27 October2021)

Board of Trustees Fiona Wiremu (appointed 27 October 2017) Angela Jackson (appointed 26 September 2012) Linda Steel (appointed 29 July 2010) Shaneen Simpson-Almond (appointed 24 January 2018) Dickie Farrar (appointed 17 April 2019) Dr Nigel Giles (appointed 27 April 2020) Dr Cecile DeGroot (appointed 5 August 2020) Dr Marieke Roelofs-Heijtel (appointed 26 April 2023) Jamie Smith (appointed 26 April 2023) Dr Chris McKnight (appointed 19 June 2019 -resigned 25 January 2023) Erin Beeler (appointed 25 May 2016-resigned 22 March 2023)

Location 5 Louvain Street Whakatane

Banker ASB Bank Limited Shortland Street, Auckland

Accountant Switch Accountants (2017) Limited 22 Louvain Street Whakatane 3120, New Zealand

Auditors William Buck Audit (NZ) Limited The Kollective 145 Seventeenth Avenue Tauranga 3112, New Zealand

Solicitors Burley Castle Hawkins Lawyers First Floor 41 Monmouth Street Tauranga 3110, New Zealand

Financial Statements

l Eastern Bay Primary Health Alliance

Statement of Service Performance Underlying the formation of PHOs, is the Government desire to improve the delivery of primary health care services through implementing the New Zealand Health Strategy and other policy and strategy initiatives. As part of this, the Primary Health Organisation (PHO) Service Agreement sets out the role, functions, and accountabilities of PHOs and its contracted providers e.g., general practices, in delivering and funding health care services in a way that reflects its policy and objectives.

This is done through a variety of systems from service delivery reporting, auditable use of funding, measurement against quality improvement indicators and national health targets. PHOs are required to deliver nationally consistent quality services in an accountable manner. PHOs primarily support its enrolled population by ensuring the clinical and financial sustainability of its contracted providers and supporting all population groups to have the best health outcomes. This is very much reflected EBPHA’s Strategic Intentions and our vision for those in Eastern Bay of Plenty to be ‘Healthy Whānau – Healthy Lives.’

Key Service Performance Reporting Measures are part of the Integrated Performance and Incentive Framework (IPIF). This performance and quality improvement programme was developed for the Ministry of Health to monitor and incentivise the performance of primary care across the whole of the New Zealand healthcare system. The framework includes both Primary and Secondary health sector’s System Level Measures (SLM) and their contributory measures.

EBPHA as a PHO uses and monitors these to deliver transformational change by identifying health needs, priorities and service gaps for the communities it serves. Our SLMs and contributory measures were jointly decided by the three PHOs (including EBPHA) in conjunction with Te Whatu Ora Hauora a Toi Bay of Plenty and incorporated into strategic plans.

Most appropriate to the PBE FRS 48 Service Performance Reporting requirements and directly attributable to Primary Health are patient register information and the following two SLMs. The Patient Register information or Enrolled Service Users (ESU) is the basis for funding for EBPHA and Practices.

The two SLMs are key measures of performance and outcomes based on national standards. They are measurable by practice, regionally and nationally. These measures represent a small but crucial part of the huge amount of work undertaken by practices and PHOs. Funded Patient Register - Enrolled Service Users Amenable Mortality Patient Experience of Care EBPHA uses Karo Data Management Ltd (Karo) to process, analyse and report on patient enrolment registers, clinical work and clinical outcomes. This enables EBPHA to monitor and improve their data quality, clinical performance and outcomes for patients as well as meet contractual and reporting requirements.

All Karo data patient enrolment processes and reporting adhere to MoH’s Primary Health Care Audit Protocol which assesses the eligibility and entitlement of the individuals listed on PHO’s enrolment register for the calculation of the capitation funding paid to the PHO as well as the enrolment processes in each PHO's member practices.

Under the PHO Agreement Contract, EBPHA is responsible for auditing the performance of its Contracted Providers through the following processes: auditing enrolments, application of business rules for Capitation-based funding checking enrolment requirements and processing capitation payments for First Level Services i.e. very low cost access payments, patient access subsidy payments, very low cost access sustainability support payments, zero fees for under 13s payments, and zero fees for under 6s payments as well as incentivises practices to reach national goals.

Financial Statements

l Eastern Bay Primary Health Alliance

EBPHA’s register information is shown below. This illustrates very much the ‘high need’ of our community in terms of services and health outcomes. There is little change in the number of patients EBPHA, and our practices serve.

All Karo clinical Indicators reports are designed under Te Whatu Ora’s System Level Measures Framework (SLM) framework and the results presented comes from Karo’s IPIF reporting. All the information is drawn from each practice’s Practice Management System (PMS). The Ministry of Health also draws the information for some indicators e.g., cervical screening and Influenza Vaccination from national databases. This means there may some variance between the PMS and national sources for these contributory measures.

The SLM Amenable Mortality has the contributory measures: cervical screening, CVD Risk Assessment, Diabetes Review, Influenza vaccination and Smoking Cessation activities undertaken in Practices. ‘Better help for smokers to quit’ is a national health target.

Shown below are key outcome measures of both EBPHA and practice performance. With COVID-19 impacts services in the last 3 years, the Health Reform changes, workforce shortages, financial and sustainability issues for practices from being historically underfunded, Primary health sector pay inequity, and large increases in inflation (Consumer Price Index) the current Primary Care environment has significantly worsened. This is clearly influencing performance.

The SLM Patient Experience of Care is measured through the adult primary care patient experience survey. This provide information about patients’ experiences in primary care and how their overall care is managed. Patient experience is a good indicator of the quality of health services and how they meet the needs of patients.

Financial Statements

l Eastern Bay Primary Health Alliance

Our practices are providing an exceptional service in what are hard times to be running a practice for the reasons above. Results come via the Health Quality & Safety Commission New Zealand (https://cx.myexperience.health.nz/) This is evidenced in the key patient experience results below:

In summary, service performance of both EBPHA and practices whilst good, could be better. EBPHA and its practices performance has been impacted by largely external factors like the current health environment and the need for substantial reform to address underlying issues within the primary and community care sector.

Like many PHOs and practices everywhere in New Zealand, primary care is under pressure and struggling to meet patient demand, workforce staffing issues. Funding is an issue as revenue through capitation and funding avenues has not kept up with operational costs, cost of recruitment and inflation. Many patients have become unenrolled or disengaged from health service providers across the country.

EBPHA is working collaboratively with practices to support and address performance. EBPHA continue to advocate on their behalf for these issues to be addressed and greater levels of funding and commitment to addressing the high needs of our community.

Financial Statements

l Eastern Bay Primary Health Alliance

Eastern Bay Primary Health Alliance Independent auditor’s report to the Trustees

Report on the Financial Report Opinion We have audited the financial report of Eastern Bay Primary Health Alliance (the entity), which comprise the statement of financial position as at 30 June 2023, statement of service performance, and the statement of comprehensive revenue and expense, statement of changes in net assets and statement of cash flows for the year then ended, and notes to the financial report, including a summary of significant accounting policies.

In our opinion: a. the reported aims and objectives, and quantification of the objectives to the extent practicable, in the statement of service performance are suitable. b. the accompanying financial report gives a true and fair view of: — the service performance for the year then ended — the financial position of Eastern Bay Primary Health Alliance as at 30 June 2023 and of its financial performance, and cash flows for the year then ended in accordance with Public Benefit Entity International Public Sector Accounting Standards Reduced Disclosure Regime (IPSAS RDR).

Basis for Opinion We conducted our audit of the statement of financial performance, statement of financial position, statement of cash flows, statement of accounting policies and notes to the financial report in accordance with International Standards on Auditing (New Zealand) (ISAs (NZ)), and the audit of the statement of service performance in accordance with the International Standard on Assurance Engagements (New Zealand) ISAE (NZ) 3000 (Revised).

Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the Audit of the financial report section of our report. We are independent of the entity in accordance with Professional and Ethical Standard 1 International Code of Ethics for Assurance Practitioners (including International Independence Standards) (New Zealand) issued by the New Zealand Auditing and Assurance Standards Board and the International Ethics Standards Board for Accountants’ International Code of Ethics for Professional Accountants (including International Independence Standards) (IESBA Code), and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Other than in our capacity as auditor we have no relationship with, or interests in, the entity.

Auckland | Level 4, 21 Queen Street, Auckland 1010, New Zealand Tauranga | 145 Seventeenth Ave, Tauranga 3112, New Zealand William Buck is an association of firms, each trading under the name of William Buck across Australia and New Zealand with affiliated offices worldwide. *William Buck (NZ) Limited and William Buck Audit (NZ) Limited

+64 9 366 5000 +64 7 927 1234

info@williambuck.co.nz www.williambuck.com

Information Other than the Financial Report and Auditor’s Report Thereon The Trustees are responsible for the other information. The other information comprises the reports on pages 1 to 45, but does not include the financial report and our auditor’s report thereon.

Our opinion on the financial report does not cover the other information and we do not express any form of audit opinion or assurance conclusion thereon.

In connection with our audit of the financial report; our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial report or our knowledge obtained in the audit or otherwise appears to be materially misstated. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.

Responsibilities of the Trustees The Trustees are responsible on behalf of the entity for: a. Identifying outcomes and outputs, and quantifying the outputs to the extent practicable, that are relevant, reliable, comparable and understandable, to report in the statement of service performance. b. the preparation of a financial report on behalf of the entity that gives a true and fair view, which comprises: — the statement of service performance — the statement of comprehensive revenue and expenses, statement of financial position, statement of cash flows, statement of accounting policies and notes to the financial report in accordance with Public Benefit Entity International Public Sector Accounting Standards Reduced Disclosure Regime (IPSAS RDR) issued by the New Zealand Accounting Standards Board, and c. for such internal control as the Trustees determine is necessary to enable the preparation of the financial report that is free from material misstatement, whether due to fraud or error.

In preparing the financial report, the Trustees are responsible on behalf of the entity for assessing the entity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the entity or to cease operations, or have no realistic alternative but to do so.

Auditor’s Responsibilities for the Audit of the Financial Report Our objectives are to obtain reasonable assurance about whether the financial report is as a whole free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (NZ) and ISAE (NZ) 3000 (Revised) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of this financial report.

As part of an audit in accordance with ISAs (NZ) and ISAE (NZ) 3000 (Revised), we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

— Identify and assess the risks of material misstatement of the financial report, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

— Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control.

— Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by management.

— Obtain an understanding of the process applied by the entity to select what and how to report its service performance — Evaluate whether the service performance criteria are suitable so as to result in service performance information that is in accordance with the applicable financial reporting framework.

— Conclude on the appropriateness of the use of the going concern basis of accounting by the Board and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the entity’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial report or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report.

However, future events or conditions may cause the entity to cease to continue as a going concern.

— Evaluate the overall presentation, structure and content of the financial statements and service performance information, including the disclosures, and whether the financial statements and service performance information represent the underlying transactions and events in a manner that achieves fair presentation.

We communicate with the Trustees regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

This description forms part of our independent auditor’s report.

The engagement director on the audit resulting in this independent auditor’s report is Richard Dey.

Restriction on Distribution and Use This report is made solely to the entity’s trustees, as a body. Our audit work has been undertaken so that we might state to the entity’s trustees those matters which we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the entity and the entity’s trustees, as a body, for our audit work, for this report or for the opinions we have formed.

William Buck Audit (NZ) Limited Tauranga 14 December 2023

Statement of Comprehensive Revenue and Expenses Eastern Bay Primary Health Alliance For the year ended 30 June 2023

NOTES

2023

2022

Revenue from Exchange Transactions 9,344,371

8,400,897

Interest

70,165

12,710

Other Income

123,186

61,241

9,537,722

8,474,848

9,537,722

8,474,848

DHB Funding

Total Revenue from Exchange Transactions

Total Revenue Expenses

Governance

59,646

45,585

Personnel

3,574,397

3,028,067

Service Delivery

4,183,227

4,074,081

Other Expenses

1,092,193

1,082,860

57,922

34,932

8,967,385

8,265,526

570,337

209,322

570,337

209,322

Depreciation & Amortisation

Total Expenses Total Surplus/ (Deficit) for the Year Other Comprehensive Revenue and Expenses Total Comprehensive Revenue and Expenses

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Statement of Changes in Net Assets Eastern Bay Primary Health Alliance For the year ended 30 June 2023

2023

2022

2,236,118

2,026,797

Surplus for the Year Total Increases

570,337 570,337

209,322 209,322

Total Net Assets

2,806,456

2,236,118

Net Assets Opening Balance

Increases

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Statement of Financial Position Eastern Bay Primary Health Alliance As at 30 June 2023

NOTES

30 JUN 2023

30 JUN 2022

Cash and Cash Equivalents

5

2,561,905

2,299,961

Term Deposits

6

1,105,914

Accounts Receivable

7

894,955

1,395,820

4,562,773

3,716,983

Trade Payables and Accruals

958,489

1,248,750

Income In Advance

826,249

364,135

Current Assets

Goods and Services Tax

21,202

Total Current Assets

Current Liabilities

Goods and Services Tax

118,078

Total Current Liabilities

1,902,815

1,612,885

2,659,958

2,104,098

127,818

104,221

Working Capital Non-Current Assets Property, Plant and Equipment

8

Intangible Assets

18,680

27,800

Total Non-Current Assets

146,498

132,021

2,806,456

2,236,118

2,806,456

2,236,118

Total Net Assets As Reeresented By: Total Equity

Signed for and on behalf of the Board of Trustees who authorised these financial statements for issue on 6 December 2023.

Trustee

Trustee

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Cashflow Statement Eastern Bay Primary Health Alliance For the year ended 30 June 2023

NOTES

2023

2022

Cash Flow Cash Flows from Operating Activities Receipts Interest Received Receipts from Exchange Transactions

67,115

12,710

10,369,239

7,838,188

167,717

Goods and Services Tax

Total Receipts

10,604,071

7,850,898

Payments Payments to Suppliers

5,626,560

5,076,077

Payments to Employees

3,521,458

2,916,629

9,148,018

8,117,398

1,456,053

(266,499)

Goods and Services Tax

124,691

Total Payments

Net Cash Flows from Operating Activities Cash Flows from Investing Activities Receipts Sale of Property, Plant & Equipment Total Receipts

87 87

Payments Intangible Assets Purchase of Property, Plant & Equipment Term Deposits

9,900

12,900

78,295

58,348

1,405,914

Total Cash Flows from Investing Activities

Net Cashflows from Investing Activities

(1,494,109)

(71,161)

(1,494,109)

(71,161)

(38,056)

(337,661)

2,299,961

2,637,621

Net Cash Flows from Financing Activities Net lncrease/(Decrease) in Cash and Cash Equivalents Cash and Cash Equivalents Opening cash Cash Movement

5

Closing cash

Net change in cash for period

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

(38,056)

(337,661)

2,261,905

2,299,961

(38,056)

(337,661)

Notes to the Financial Statements Eastern Bay Primary Health Alliance For the year ended 30 June 2023 1. Reporting Entity The reporting entity is Eastern Bay Primary Health Alliance (the "Alliance"). The Alliance is domiciled in New Zealand and is a charitable organisation registered under the Charitable Trusts Act 1957 and the Charities Act 2005.

The financial statements of the Alliance for the year ended 30 June 2023 were authorised for issue by the Board of Trustees on 6 December 2023

2.Statement of Compliance The Alliance's financial statements have been prepared in accordance with Generally Accepted Accounting Practise in New Zealand ("NZ GAAP"). They comply with Public Benefit Entity International Public Sector Accounting Standards ("PBE IPSAS") and other applicable financial reporting standards as appropriate that have been authorised for use by the External Reporting Board for Not-For-Profit entities. For the purposes of complying with NZ GAAP, the Alliance is a public benefit not-for-profit entity and is eligible to apply Tier 2 Note-For-Profit PBE IPSAS on the basis that it does not have public accountability and it is not defined as large.

The Board of Trustees has elected to report in according with Tier 2 Not-For-Profit PBE Accounting Standards and in doing so has taken advantage of all application Reduced Disclosure Regime ("RDR") disclosure concessions.

3. Changes in Accounting Policies For the year ended 30 June 2023, there have been no changes in accounting policies.

4.Summary of Accounting Policies The significant accounting policies used in preparation of these financial statements as set out below have been applied consistently to both years presented in these financial statements.

Basis of Measurement These financial statements have been prepared on the basis of historical cost.

Functional and Presentational Currency The financial statements are presented in New Zealand dollars ($), which is the Alliance's functional currency. All financial information presented in New Zealand dollars has been rounded to the nearest dollar.

Goods and Services Tax All amounts are recorded exclusive of GST, except Debtors and Creditors which are stated inclusive of GST. Revenue Revenue is recognised to the extent that it is probable that the economic benefit will flow to the Alliance and revenue can be reliably measured. Revenue is measured at the fair value of the consideration received. The following specific recognition criteria must be met before revenue is recognised.

Revenue from Non-Exchange Transactions Grants Grant revenue includes grants given by other charitable organisations, philanthropic organisations and businesses. Grant revenue is recognised when the conditions attached to the grant has been complied with.

Where there are unfulfilled conditions attached to the grant, the amount relating to the unfulfilled condition is recognised as a liability and released to revenue as the conditions are fulfilled.

Revenue from Exchange Transactions Government Contracts Revenue Government Contracts Revenue are recognised as income to the extent that the services have been provided. At year end, where services have not been provided, the balance of the funds received is held as Income in Advance.

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Notes to the Financial Statements

Interest Revenue Interest revenue is recognised as it accrued, using the effective interest method.

Financial Instruments Financial assets and the financial liabilities are recognised when the Alliance becomes a party to the contractual provisions of the financial instrument.

The Alliance derecognises a financial asset or, where applicable, a part of a financial asset or part of a group of similar financial assets when the rights to receive cash flows from the asset have expired or are waived, or the Alliance has transferred its rights to receive cash flows from the asset or has assumed an obligation to pay the received cash flows in full without material delay to a third party; and either: -the Alliance has transferred substantially all the risks and rewards of the asset; or -the Alliance has neither transferred nor retained substantially all the risks and rewards of the asset, but has transferred control of the asset.

Financial Assets Financial assets within the scope of NFP PBE IPSAS 29 Financial Instruments: Recognition and Measurement are classified as financial asset at fair value through surplus or deficit, loans and receivables, held-to-maturity investments or availablefor-sale financial assets. The classification of the financial assets are determined at initial recognition.

The category determines subsequent measurement and whether any resulting income and expense is recognised in surplus or deficit or in other comprehensive revenue and expenses. The Alliance's financial assets are classified as loans and receivables or as available for sale financial assets. The Alliance's financial assets include: cash and cash equivalents, short-term deposits, receivables from non-exchange transactions, receivables form exchange transactions and investments.

All financial assets except for those at fair value through surplus or deficit are subject to review for impairment at least at each reporting date. Financial assets are impaired when there is any objective evidence that a financial asset or group of financial assets is impaired. Different criteria to determine impairment are applied for each category of financial assets, which are described below.

Loans and Receivables

Loans and receivable are non-derivative financial assets with fixed or terminable payments that are not quoted in an active market. After initial recognition, these are measured at amoritised cost using the effective interest method, less any allowance for impairment. The Alliance's cash and cash equivalents, receivables from exchange transactions and receivables from non-exchange transactions fall into this category of financial instruments.

Available for Sale Financial Assets

Available-for-sale financial assets are non-derivative financial assets that are either designated to this category or do not qualify for inclusion in any of the other categories of financial assets.

Impairment of Financial Assets The Alliances assessed at the end of reporting date whether there is objective evidence that a financial assets or a group of financial assets is impaired. A financial asset or a group of financial assets is impaired and impairment losses are incurred if there is objective evidence of impairment as a result of one or more events that occurred after the initial recognition of the assets (a "loss event") and that loss event has an impact on the estimated future cash flows of the financial asset or group of financial assets that can be reliably estimated.

For financial assets carried at amortised cost, if there is objective evidence that an impairment loss on loans and receivables carried at amortised cost has been incurred, the amount of the loss is measures as the difference between the asset's carrying amount and the present value of the estimated future cash flows discounted at the financial asset's original effective interest rate. The carrying amount of the asset is reduced through the use of an allowance account. The amount of the loss is recognised in the surplus of deficit for the reporting period.

In determining whether there are any objective evidence of the impairment, the Alliance first assesses whether there are objective evidence of impairment for financial assets that are individually significant, and individually or collectively significant for financial assets that are not individually significant. If the Alliance determines that there is no objective evidence of impairment for an individually assessed financial asset, it includes the asset in a group of financial assets with similar credit risk characteristics and collectively assesses them for impairment. Assets that are individually assessed for impairment and for which an impairment loss is or continues to be recognised are not included in a collective assessment.

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Notes to the Financial Statements

If in a subsequent period, the amount of the impairment loss decreases and the decrease can be related objectively to an event occurring after the impairment was recognised, the previously recognised impairment loss is reversed by adjusting the allowance account. If the reversal results in the carrying amount exceeding its amortised cost, the amount of the reversal is recognised in surplus or deficit.

Financial Liabilities The Alliance's financial liabilities include trade and other creditors.

All financial liabilities are initially recognised at fair value (plus transaction cost for financial liabilities not at fair value through surplus or deficit) and are measured subsequently at amortised cost using the effective interest method except for financial liabilities at fair value through surplus or deficit.

Cash and Cash Equivalents Cash and cash equivalents are short term, highly liquid investments that are readily convertible to known amounts of cash and which are subject to an insignificant risk of changes in value.

Term Deposits Term deposits which have a term of greater than three months but less than twelve months are treated as short-term investments under current assets and do not fall in to the category of cash and cash equivalents.

Term deposits which have a term of greater than twelve months are treated as non-current assets.

Intangible Assets Intangible assets are carried at cost less any accumulated amortisation and any accumulated impairment losses. Internally generated intangible assets, excluding capitalised development costs, are not capitalised and expenditure is recognised in profit or loss in the year in which the expenditure is incurred.

Property, Plant and Equipment Items of property, plant and equipment are measured at cost less accumulated depreciation and impairment losses. Cost includes expenditure that is directly attributable to the acquisition of the asset. Where an asset is acquired through a non-exchange transaction, its cost is measured at its fair value as at the date of acquisition.

Depreciation is charged on a diminishing value of straight line basis over the useful life of the asset.

Depreciation is charged at rates calculated to allocate the cost or valuation of the assets less any estimated residual value over its remaining useful life: Plant and Equipment - 10% DV to 40% DV Fixtures and Fittings - 10% DV to 25% DV Information Technology Equipment - 13% DV to 67% DV

Significant Judgement and Estimates In preparing the financial statements, the Board ofTrustees is required to make judgments, estimates and assumptions that affect the reported amounts of revenue, expenses, assets and liabilities, and the disclosure of contingent liabilities, at the end of the reporting period. The uncertainty from these assumptions and estimated could result in outcomes that may result in a material adjustment to the carrying amount of the asset or liability.

The Alliance bases its assumptions and estimate on parameters available when the financial statements are prepared. However, existing circumstances and assumptions about future developments may change due to the market changes or circumstances arising beyond the control of the Alliance. Such changes are reflected in the assumptions when they occur.

To determine the value in use of Property, Plant and Equipment the Board ofTrustees has estimated the useful lives of Plant and Equipment, Fixtures and Fittings and Information Technology Equipment.

Income Tax Due to its charitable status, the Alliance is exempt from Income Tax.

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Notes to the Financial Statements

2023

2022

ASB Current Account

48,418

58,694

ASB Business Saver 50

2,163,612

2,192,878

ASB Business Saver 51

2

5. Cash and Cash Equivalents

84

Petty Cash

ASB Business Saver 53

49,873

48,305

ASB Term Deposit 79 (30 days)

300,000

Total Cash and Cash Equivalents

2,561,905

2,299,961

2023

2022

6. Term Deposits ASB Term Deposit 80 (3 Months)

305,914

ASB Term Deposit 81 (6 Months)

800,000

Reported As: Current Assets

1,105,914

Non-Current Assets 2023

2022

891,904

1,395,820

7. Accounts Receivable Accounts Receivable Accrued Interest

3,050

Total Accounts Receivable

8. Property, Plant & Equipment

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

894,955

1,395,820

Notes to the Financial Statements

9. Related Party Transactions Dr Chris McKnight is a director of McKnight Medical Limited which has been paid $389,316 in practice payments for the year with an amount owing of $nil (gross) at 30 June 2023. (2022: Paid $1,068,855 with amount owing of $21,798).

Erin Beeler is a director in Eastern Bay Podiatry Limited which has been paid $112,915 in provider payments for the year with an amount owing of $21,642 (gross) at 30 June 2023. (2022: Paid $114,364 with amount owing of $10,821).

Fiona Wiremu is a director of Whakatane Medical Practice Limited which as been paid $1,036,278 in practice payments for the year with an amount owing of $15,789 (gross) at 30 June 2023. (2022: Paid $944,615 with amount owing of $20,598).

Linda Steel is a trustee ofTe Ao Hou Trust which has been paid $180,163 in provider payments for the year with an amount owing of $17,267 (gross) at 30 June 2023. (2022: Paid $174,953 with amount owing of $16,765).

Dickie Farrar is a director of Te Pou Oranga O Whakatohea Limited which has been paid $280,560 in practice payments for the year with an amount of $120,204 (gross) owing at 30 June 2023 (2022: Paid $77,678 with amount owing of $11,500). Whakatohea Health Centre is a service being delivered on behalf ofTe Pou Oranga O Whakatohea Limited which has been paid $1,133,865 for the year with an amount of $20,834 (gross) owing at 30 June 2023. (2022: Paid $1,1399,999 with amount owing of $164,400).

Dickie Farrar is lso CEO of Whakatohea Maori Trust which has been paid $1,632 in practice payments for the year with an amount of $1,704 (gross) owing at 30 June 2023. (2022: Paid $1,791 with amount owing of $1,945).

Dr Cecile De Groot is a director of Wade Medical Limited who owns Riverslea Medical Centre which has been paid $1,920,554 in practice payments for the year with an amount owing of $25,658 (gross) at 30 June 2023 (2022: Paid $1,958,672 with amount owing of $30,558).

Dr Marieke Roelofs-Heijtel is a director of Ohope Beach Medical Centre Limited which has been paid $489,420 in practice payments for the year with an amount owing of $9,192 (gross) at 30 June 2023.

No related party debts have been written off or forgiven during the year.

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Notes to the Financial Statements

Key Management Personnel The key management personnel, as defined by PBE IPSAS 20 Related Party Disclosures, comprises of the Board ofTrustees, the Chief Executive Office and the Business Manager. The aggregate remuneration of key management personnel and the number of individuals, determined on a full-time equivalent basis, receiving remuneration is as follows:

2023 Total Remuneration: $383,347 Number of FTE's: 2.05

2022 Total Remuneration: $373,097 Number of FTE's: 2.08

10. Categories of Financial Assets and Liabilities The carrying amounts of financial instruments presented in the statement of financial position relate to the:

11. Capital Commitments There are no capital commitments to capital purchases at balance date (2022: $Nil).

12. Contingent Assets and Liabilities The trustees are not aware of any contingent assets or liabilities at balance date (2022: $Nil).

13. Events after the Reporting Date The Board is not aware of any matters or circumstances since the end of the reporting period, not otherwise dealt with in these financial statements that have significantly or may significantly affect the operations of the Alliance (2022: $Nil).

2023

2022

Not later than one year

103,843

286,041

Later than one year and not later than five

112,984

105,274

216,827

391,316

14. Commitments Under Non-Cancellable Operating Leases

years Later than five years

Total Commitments Under Non-Cancellable Operating Leases

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

Notes to the Financial Statements

The total cost of leases during the year is $292,271 (2022: $301,849) and is included in other expenses.

The property leased at 5 Louvain Street, Whakatane was sold in June 2019 and the lease agreement has rolled over to the new owner.

15. Agency Transactions In accordance with PBE IPSAS 9 amounts collected on behalf of third parties are not recognised as revenue. The amounts collected and paid on behalf are: 2023

2022

Revenue from Agency Transactions 7,742,294

7,476,665

Rural After Hours

91,745

89,073

Rural Primary Health Care Premium

365,866

355,210

Covid 19 Income

856,548

2,133,092

9,056,453

10,054,040

Capitation

Total Revenue from Agency Transactions

These financial statements should be read in conjunction with the notes to the financial statements.

Financial Statements

l Eastern Bay Primary Health Alliance

NOTES

NOTES

N O T E S

Neil Douglas Foster, with wildbird2015

EASTERN BAY PRIMARY HEALTH ALLIANCE 07 306 2300 Registered Office 5 Louvain Street, Whakatāne 3120 Postal Address PO Box 664, Whakatāne 3158 info@ebpha.org.nz www.ebpha.org.nz @Easternbayprimaryhealthalliance