Issuu

ANNUAL REPORT 2021

P: 03 353 9926 (Opt 1) | W: www.ccpg.org.nz F: 03 365 5977| E: admin@ccpg.org.nz PO Box 741, Christchurch 8140

TABLE OF CONTENTS AGENDA

PREVIOUS MINUTES

CHAIRPERSON REPORT

GENERAL MANAGER REPORT

CCPG BACKGROUND

CCPG PURPOSE AND OBJECTIVES

CCPG APPROACH

OPERATING HIGHLIGTHS: 2020-2021

MEMBER ENGAGEMENT ACTIVITIES

STAFFING

PARTNERSHIP

STATEMENT OF PROFIT OR LOSS for the year ending June 2021

BALANCE SHEET as at 30 June 2021

NOTES TO THE FINANCIAL STATEMENTS

AGENDA 7:00 pm

Welcome and Introductions

7:10 pm

Approval of 2020 AGM minutes

7:15 pm

Reports

7:30 pm

•

Chairperson Report

•

General Manager Report

•

Treasurer Report & Annual Accounts

Financial Report and Accounts Motion Financial Report and Accounts for year ending 30 of June 2021 are received and approved

7:40 pm

Celebration of CCPG Champions

8:00 pm

Election of Officers

8:15 pm

General discussion – Q & A session

8:50 pm

Elections results and Closing of the AGM

PREVIOUS AGM MINUTES Canterbury Community Pharmacy Group (CCPG) A.G.M. Wednesday 21st October 2020 Pegasus Health, Madras Street, Christchurch Time: 6:30pm (pre-drinks), meeting 7:04pm – 8:22pm CCPG Members Present: Maria Morley-Bunker, Chris Wilkinson, Duncan Hurren, Simon Murphy, Kezia Buttle, Steve Thompson, Tim Kennedy, Alex de Roo, Georgia McLean, William Kim, Simon Church, Rhys Gardiner, Ajay Patel, Tracie Miller, Anna Harwood, Amanda Nuttall, Katt George, Elena Rimbovska, Robyn Thew, Sarah Jane Connell, Carolyn Oakley-Brown, Des Bailey, Karen Crisp (quorum exceeded) Others in Attendance: Dr Aarti Patel, Ivette Paul, Akizumi Tominari, Kathryn Snook, Leanne Dunhill (minutes), Vince Barry (Pegasus Health CEO), Katrina Azer, Michelle Quin, Asma Suhaul, Conrad Fleischmann, Marian Seif. Apologies: Mark Little (Pegasus Health), Jackie Percy (Pegasus Health), Nicoline Jonker, Doug Stanton, Mark Webster, Ryan Connell, Mike Rhodes, Aleisha Whyte, Laila Cooper, Andrew Sherwood, Robyn Harris, Gareth Frew, Stu Walker, Thomas Choi, Garry Brown, Ceri Benger, Greg Owen, Lisa Wallace, John Thrupp, Karen Frater, Chris Leggett, Dane Bell, Murray Whittaker.

Item

Discussion/Action

Drinks / Nibbles Welcome

Provided 6:30-7:00pm. Maria McIntyre (Chair) opened the AGM and welcomed the attendees, noting the agenda for the evening.

Approval of the Previous Minutes

Motion: That the AGM minutes of 24th October 2019 are a true and correct record. Moved: Simon Murphy Seconded: Tim Kennedy Carried by a majority vote Chairperson’s Report Maria McIntyre’s written report was included in the AGM pack sent to members and was taken as read. • Maria welcomed members, associates, partners (Guild, Pharmacy Council, PHOs) and introduced the CCPG board. • Maria acknowledged pharmacies are experiencing different pressures and it is encouraging so many pharmacists are reaching out to CCPG, and welcomed those, especially sole pharmacies to feel connected and supported. • Maria discussed Advisory Works who completed a scope of our membership so CCPG can better understand current members and provide insight into how community pharmacies can be best served. It is also noted that the process was appreciated by those contacted for the survey as a way to communicate their thoughts. A key theme identified in the survey was advocacy. It has become clearer that it should be more visible how CCPG, and the board advocates for the community pharmacies.

Reports

5 •

• •

Covid 19 has caused challenges over the last 6-8 months, Simon Murphy thanked CCPG for their pastoral care during these times instigating and operationalising protective screens and PPE for Pharmacies. There was general agreement from the floor that this was very much appreciated. Maria also highlighted the CCPG Covid-19 fridge magnets which came about following the Pandemic Preparedness zoom meeting is available for all pharmacies. The magnet shows the steps to take should your pharmacy be closed due to an infection. Please remember you are not alone, CCPG is with you! For those not in attendance these will be posted to you shortly. Having CCPG Board members on different SLA groups is GOLD! With Maria & Aarti considering ending their time on the board Maria suggested now is the time to step up. A succession plan should be looked into now.

General Manager’s Report Aarti Patel’s written report was included in the AGM pack sent to members, and was taken as read. • Olivia Barr was introduced to the meeting via a YouTube video. Olivia lives with a disability and she has been working with CCPG to help us understand what this means https://youtu.be/G7l-DDKT_qs. Olivia was introduced to Aarti and Vince by Karen Crisp. • Aarti discussed increased engagement with members by contracting Advisory Works. The results from the surveys they completed were available on the night located near sign-in sheet. • Covid- 19 responses: screens, EOC, members evenings, MoH outreach for pandemic preparedness. • Aarti discussed leader and network contract – supports advocacy. • CCN structures - SLAs, work streams – champions • PSLA – facilitation, MMS, workforce development, LTC reframing, OST project led by Aki Tominari. • University of Otago: HRC funded OA project – proof of concept • Aarti discussed foreseen issues such as uncertainty surrounding the growing number of discount pharmacies, Health & Disability Review – implementation of findings, and the CDHB funding crunch. • Aarti highlighted opportunities for community pharmacies working with whanau/communities. Time to be present. Efficiencies such as the CCPG network and learnings. • Aarti thanked CCPG team, the board, partners, members, CDC, Propharma • Aarti would like make the voice of community pharmacies heard, and what CCPG does more visible. Treasurer’s Report & Annual Accounts Rhys Gardiner presented the Year Ending 30 June 2020. Annual Financial Statements for CCPG Incorporated - an independent Auditors Report through BDO Christchurch. The reports were missing from the AGM pack sent to members and associates prior to the meeting but were available on the night. • Term deposits were discussed, advising this provided an average interest rate of 1-2%. It was also clarified that Westpac could only be used. There isn’t enough $$ to spread around. • The deficit of -$27,088 was budgeted for. • The main outgoing over the 2019/2020 financial year was for Covid-19 screen protectors.

6 •

As requested previously the member payments were spread out this year. These payments were bi-annual.

Motion: The Annual Financial Reports for the year ended 30 June 2020 are received and approved. Moved: Karen Crisp Seconded: Simon Murphy Carried by a majority vote Member Suggestions for support for pharmacies

Maria welcomed the attendees to propose suggestions for support from CCPG/Review availability of funding. • Use of Facebook for sharing CCPG news – For now CCPG is focused on improving its website and making forums available for peer-to-peer chat and also to highlight what CCPG is currently working on. • Use of Zoom for virtual engagements. • In recognition of the younger generation of pharmacists joining CCPG, as members and associates, Aarti and Maria reiterated the invitation for people to join CCPG Board meetings as observers. The next meeting is planned for 27th November.

General Business

73%-74% of Canterbury & West Coast pharmacies are members CCPG Inc. only offers assistance and support to members and associates. Website tools are also only available to members/associates. • Funding for CCPG Field Educator has ceased. • Details for the use of members’ funds. Two current projects underway are to continue to provide pandemic preparedness support (the fridge magnet has the key contacts); and pastoral care.   • It was asked whether CCPG contracted services with CDHB were specifically for members only – they are not. Non-member pharmacies can also deliver the Services. Where accredited pharmacists are unavailable, these are delivered by the mobile team. The winners of the quiz and Indian cooking class were MURphys Law! Congratulations. • The AGM members re-elected the nominees standing for election: Maria Morley-Bunker, Kezia Buttle and Alex de Roo. There were no other nominees. Meeting declared closed at 8.22pm.

Inaugural CCPG Quiz Election Results Meeting Closure

• •

CHAIRPERSON REPORT Hello, Kia Ora Kotou,

As I write this year’s report, I am oscillating between reflecting on a sense of dejavu and an unforeseeable future. Both scenarios have their pros and cons!

2021 has held some similar challenges to 2020, but certainly some different opportunities for community pharmacy. IT platforms have advanced (of course there is still some way to go) and most would agree have had an overall positive effect – including on the lockdown experience in community pharmacy. Social distancing is not new to us, but wearing masks all day, every day for the foreseeable future is still taking a bit of getting used to. I suspect I am not the only one who has strolled back onto the “shop floor” (or into the supermarket/café/dairy) only to make a hasty retreat to locate and fit said mask!

Compared with last year, when a vaccine was merely on the horizon, community pharmacy has embraced the opportunity and contributed significantly to COVID-19 vaccination services for the people of Canterbury. In the primary care space, community pharmacies have shown great leadership and commitment to successfully provide these vaccinations. CCPG has worked hard to support and advocate for community pharmacy in this space and continues to do so, particularly through the Canterbury Primary Response Group. Advocacy is consistently one of the key attributes of the CCPG that members tell us they value. The COVID response has clearly been the headliner over the last 12 months, but our General Manager – Aarti and the CCPG team have also continued to advocate for our members and community pharmacy in other areas. This includes at the national level through the Community Pharmacy Leaders Forum with sector leaders, as well as at the regional level through PHO connections, the Canterbury clinical network and of course CDHB. The goal of this advocacy is that there is a pharmacy voice at the tables where there should be. This is not always an easy task.

8 Another key attribute of the CCPG that members tell us they value is the network of connected and engaged community pharmacists. This year there have been a number of member events and initiatives to bring people together. This is more important than ever during the times we are in and it is easy to feel isolated and snowed under with the multitude of challenges we face on a daily basis as community pharmacy owners. The Garden Party held in March was a wonderful and relaxed chance to get together and there was plenty of conversation! A very big thank you to Michelle and Elena (CCPG associate members) who put a huge amount of effort into this event with the guidance and support of CCPG board member Georgia. All of whom were supported brilliantly by Ivette as part of the CCPG admin team. In addition to the Garden Party, Kotahitanga was formed and regular opportunities for our male members to connect and chat over a drink and something to eat commenced. Wahine connect for our female members had its inaugural session also, and future sessions are set to follow.

Further to these social events, there were a number of other member events during the year. These included “COVID Vaccinations in Primary Care – lessons learnt from early adopters” as well as a post lockdown Zoom session for members to chat and share insights and learnings from lockdown 2.0 and feedback for the CCPG for future reference.

It is fitting to once again acknowledge and recognize the efforts of our General Manager, Dr Aarti Patel over the last 12 months. She continues to provide outstanding pastoral care to many of our members and beyond. The connections and relationships Aarti has developed and fostered both locally and nationally are key to the ability for CCPG to perform the advocacy role effectively. I also want to recognise that she was well- supported by the CCPG team, in Ivette, Leanne Gareth, Aki and Kathryn. On behalf of the board and our members I sincerely thank you Aarti and each member of the team for their effort and contribution over the year. In July, we farewelled Kathryn Snook and I want to acknowledge her contribution to Canterbury Community Pharmacy and the CCPG. Kathryn has been part of the CCPG for over 10 years and most of us find Kathryn’s name synonymous with MMS/MUR/MTA! Kathryn has played an integral part in the development and progress of the Medicine Management service here in Canterbury. On behalf of the CCPG I wish Kathryn the very best as she moves

9 onto a new career. It is good to know though that we will still see her in community pharmacy from time to time! Georgia McLean has chosen to not offer herself for re-election to the board this year. Georgia has been a valuable member of the board for the last 3 years – providing insightful input at meetings and bringing a relevant perspective of pharmacists newer to ownership. Thank you, Georgia, for your contribution over the last 3 years, and I hope that when time and commitments allow, you may again be available to contribute to the leadership of the CCPG.

This will be my final Chair report for the CCPG as I will be standing down from the role at the next board meeting. I have been very privileged to hold this position for the last 4 and a half years. I think it is really important to evolve leadership roles and that this is supported by having healthy rotation through such roles. I continue to feel strongly about the value and place of the CCPG – more so than ever with the imminent changes pending with the Health Reforms. As such, I plan to continue on as a board member, with 2 years remaining of my elected term.

I would encourage anyone who is keen, willing and able to be more involved with the CCPG to connect with Aarti, myself or one of the board members. The more cohesive our connections are, the more effective we can be as a group. We anticipate welcoming at least 1 new board member this year, and more will be needed in the next 1- 2 years, so it would be fantastic for you as a member to consider your potential capacity to put yourself forward for this role in the future. I wish each of you and your teams the very best over the next 12 months. Maria Morley-Bunker Chair CCPG

GENERAL MANAGER REPORT Tena koutou katoa

This year has been busy, at times daunting; still, I continue to enjoy the challenges of this role with the support of everyone.

During this year I focused on two areas -supporting our members to continue operations under the blanket of the COVID-19; and advocating for Community Pharmacy in the discussions regarding the Health and Disability System transformation and the COVID-19 response in Canterbury.

It is pleasing to see Community Pharmacy in Canterbury being right at the forefront of the roll-out of the COVID-19 vaccination programme as part of the primary care programme. Over 55 pharmacies are providing COVID-19 vaccinations, alongside general practice. We have seen different models emerge: General Practice and Community Pharmacy Teams collaborating to operate joint clinics, Community Pharmacy partnering with NGO providers resulting in vaccination hubs, outreach clinics to meet the vaccination needs of our vulnerable populations, employing nurses to work within our practices. Ultimately, our involvement has cemented our position in primary care. Even now, as discussions shift towards managing COVID-19 in the community, Community Pharmacy is part of the conversation. Together with COVID-19, the health system transition is overshadowing everything we do. This is evident in decision-making and prioritisation at CDHB, including new management we are still developing relationships with. Further, the recent release of the two DHB commissioned reports on community pharmacy services and funding models, were woeful by not recommending additional funding for our sector – seemingly awaiting the changes from the Health System transformation.

Looking ahead though, we believe there is a strong future for all of primary care. CCPG’s goal is to ensure Community Pharmacy is ever present and very much part of the solutions for Canterbury. Now, we are focused on how we structure ourselves to respond to what is coming. Changes are afoot and we will need to work together with each other, our communities and our partners

11 to manage and limit the disruptions such changes may introduce to our practices. Kia ora to my Board (Maria, Kezia, Simon, Chris, Alex, Georgia, Rhys), our team at the office (Ivette, Leanne, Gareth, Aki, Kathryn) and our members (all of you). Your support is fundamental to our success. Specifically, I want to thank Kathryn Snook for all her mahi over the years. We farewelled Kathryn at the end of June.

I want to extend my gratitude to Maria, CCPG Board Chair, for always being available to guide whenever the waka needed a steady hand.

Georgia, whom we shall farewell at this AGM, brought a different perspective to the Board as a new member (early career, connected pharmacist and new to ownership). We shall miss these insights around the Board table but know we still have you in our midst. The effort of all of you, our members and your teams, during tough and challenging times, is remarkable. You continue to make us proud as we support Cantabrians in their health and wellbeing journey. Ngā mihi

Aarti Patel

CCPG BACKGROUD A member organisation of community pharmacy owners was established in 2008. Initially CCPG was funded solely by member subscriptions with the aim of strengthening the voice of community pharmacy, locally with the health leadership of Canterbury. As this relationship grew, and in recognition of CCPG’s reach and networking across the Community Pharmacy sector, CDHB provided funding through contracts. One has been the Leadership and Networking contract which funds the staff and office infrastructure of CCPG, the other is the funding for the Medication Management Services which we both deliver directly and through the network of community pharmacists. Presently, we find ourselves at a crossroads with the reform of the Health and Disability System. Key to the reform is addressing the existing inequities to health and care, and in recognition of Te Tiriti o Waitangi, co-designing health in partnership with Māori. Health New Zealand and the Māori Health Authority are currently being established. Service delivery continues; we must expect changes to how these are designed, commissioned, prioritised, funded, and monitored.

CCPG’s strengths are being a coordinated network, a trusted primary care provider, with a willing workforce, and engaged with our communities. In the short to medium term our focus will be to retain and strengthen our position with Health NZ, our local partners, and IWI as we navigate the upcoming changes. While changes are afoot, we are not starting from scratch. This report provides a compilation of operating information for 2021, a summary of operations and factors that affect activities, and which can be used to gauge the performance of CCPG. The financial statements accompany this report in a separate document.

CCPG PURPOSE Enabling inspired and successful Pharmacy.

CCPG OBJECTIVES •

•

To ensure community pharmacists are recognised as Medicines experts and partners in primary health care teams. To support pharmacy owners to have strong, robust, and profitable practices. To support patients/whānau to improve access to and increase connectedness with pharmacies.

To increase the range of health services offered through community pharmacy through evidence based/informed health service innovation. To improve quality of pharmaceutical services.

CCPG APPROACH •

Advocating for our place in the health system and as a key primary care partner by building and strengthening relationships, clinical partnerships and networks across Canterbury, and nationally.

•

Supporting our membership to be inspired and successful through ongoing engagement, mentoring, needs assessments, and delivering relevant initiatives.

OPERATING HIGHLIGTHS: 2020-2021 CDHB funded activities. Leadership and Networking (value: $187 333) The leadership and network contract funds the GM role at 0.6 FTE, clinical leadership to the Pharmacy Service Level Alliance (PSLA) at 0.6 FTE, Administration at 1 FTE, clinical project management at 0.4 FTE. Up to the end of July this contract also funded the MMS mobile pharmacist at 0.6 FTE. From September CCPG has also funded pharmacist clinical leadership to the Canterbury Primary Care Response Group on a contracted basis up to a maximum of 0.25 FTE.

The focus of the PSLA, where local co-design of pharmacy services occurs, has been to provide quality oversight to the MMS contract, reframing the LTC service, polypharmacy and transfer of care. Gareth Frew is the Clinical Lead for PSLA.

PSLA also oversee the role out of the enhanced OST project. Aki Tominari is the clinical project manager managing the OST roll-out.

Kathryn Snook was the CCPG mobile pharmacist delivering mobile MURs and MTAs where the patient’s local pharmacy could not provide the service. As the years, as we supported more pharmacists to become MUR and MTA accredited, we saw a shift in these services being delivered directly from pharmacies with requests for the mobile service declining. This shift has also taught us that we have an engaged workforce, and all new services should be supported with actual delivery offered through people’s regular pharmacies. Staff for mobile delivery of services will be contracted by CCPG as needed.

CCPG is involved with CPRG and meets weekly with them, together with the Leads of the three PHOs. Having a pharmacist in this space helps with ensuring that our needs are met as part of the primary care response, and in dealing with COVID-19. For CPRG the key focus has been COVID-19 vaccinations and dealing with the pandemic. Deb Hart has been contracted to provide the pharmacist inputs into CPRG. Presently CCPG is in discussions with CDHB about the next version of this leadership and Networking contract as this ends on 31 October 2021.

16 Medication Management Services (value: $344 190) The Medication Management Services contract funds the delivery of MURs and MTAs, either directly through pharmacies and the mobile service. This year CCPG worked with Orion to simplify the online MUR and MTA pathways. The new version helps to collect people-centred reasons for these services which helps with demonstrating their value. The move is to have this more outcomes focused rather than an activity that may not result in improved adherence or increased optimisation of treatment. This contract has been extended to June 2022.

Jointly with our Board, CCPG is responsible for ensuring the objectives of CDHB contracts are met. Services are delivered through pharmacies. Importantly, CDHB contracts are not for the sole use of CCPG members; as the holders of the contracts we provide support services to ALL Canterbury pharmacies. It becomes challenging to demonstrate specific member benefits based on the above contracts alone. Naloxone Kits (valued at $50 000) This one-off contract signed towards the end of 2020 is to distribute 500 naloxone kits to community pharmacies to supply to those people at risk of opioid overdosing, especially during lockdowns. Aki Tominari is overseeing this roll-out.

Key to our success in the contracts with CDHB is demonstrating the value that contracting CCPG brings to the system. This task is not a simple one and requires everyone to get on board with quality improvement practices, collecting and interpreting qualitative and quantitative data, and embracing system thinking as part of individual practice planning. We are required to think along these lines to demonstrate value for money – an expectation of all funding partners. For the future we also will be expected to demonstrate how we are addressing equitable delivery of contracted services. We will need to focus on measurement, outcomes measures and the collection of data to tell our story better. This area remains one of our weaknesses, but we have slowly been building capacity through links with the knowledge management team at Pegasus Health Charitable Ltd, Health Quality and Safety Commission and the Informatics team at CDHB.

MEMBER ENGAGEMENT ACTIVITIES In 2021 we built on the agreed pastoral care activities. These included: •

Visits to member pharmacies by the Chair and General Manager.

•

Supporting Kotahitanga, for our tāne to connect and catch up over beers, and Wāhine Connect (name to be finalised) for our wāhine to meet up and connect. These are intended to be monthly sessions. The recent lockdowns created disruptions to these catch ups. We intend getting these underway in the new year and look forward to your support.

•

Webinar: COVID-19 vaccinations – led by Simon Church and Chris Wilkinson, early adopters of the vaccination programme to speak about their experiences.

•

Webinar: COVID-19 lockdown debrief – to understand what worked well and what did not. CCPG’s shares this feedback with system partners to ensure we are well supported in future lockdowns.

•

Garden Party – a members only event, last March CCPG hosted an afternoon party in the Tea House of Riccarton Park with lawn games and live music.

•

New look of the CCPG website – under development.

•

CCPG Online platform. The online forum allows for members to engage and discuss issues of relevance to them. Similarly, there are forums for MUR, MTA and general where members and Associates can discuss these topics. These forums are intended to provide a proxy closed social media platform to CCPG members and Associates.

STAFFING In 2021 CCPG reduced staff from 3.6 FTE to 2.8 FTE. The key change was with the mobile MMS pharmacist role which became redundant as an in-house position. This service continues to be available to members through a contracted arrangement. I want to acknowledge the mahi of Kathryn Snook in this role. Kathryn remains a champion of these services. She has mentored and trained many of the pharmacists in Canterbury. Kathryn was also key in putting together all the SOPs, user guides and manuals for these services.

In February Gareth Frew returned from his secondment to the Health Quality and Safety Commission to a reduced 0.6 FTE Clinical Lead role focused on the Pharmacy Service Level Alliance. We were able to retain Aki Tominari, 0.4 FTE, to continue with the roll-out of the OST enhanced electronic platform, as well as to oversee the one-off distribution of the Naloxone kits. Aki’s contract with CCPG ends in December this year. Ivette Paul returned from maternity leave in December last year and has resumed her role as CCPG programmes coordinator. We were fortunate to be able to retain Leanne Dunlop on a 0.5 FTE role supporting member engagement and Board activities. Leanne’s fixed term contract ends on 31 October 2021. I reduced my days from five to four days a week.

Overall, we now have a leaner team at the office with everyone being together on a Thursday. Ivette is the glue holding this all together. I want to acknowledge the work of everyone, their ability to be flexible and to be willing to support these changes.

CCPG member funds are used for member engagement activities and to support the work of the Board and the GM in our outreach work. Without funding from CDHB as well as new service contracts, CCPG staff remain vulnerable.

Current staff include: • • • • •

General Manager, Aarti Patel (0.8 FTE) Clinical Lead, Gareth Frew (0.6 FTE) Clinical Programme Manager, Aki Tominari (0.4 FTE) Coordinator, Ivette Paul (1 FTE) Member Coordinator, Leanne Dunhill (0.5 FTE)

PARTNERSHIPS CCPG enjoys positive and collaborative working relations with Pegasus Charitable Trust (PTY) Ltd, CCN, CDHB, University of Otago, Te Hā Waitaha, Community and Public Health, Waitaha (Rural) PHO, Christchurch PHO, and Community Groups through Pegasus’s Community and Population Health Services. Canterbury Clinical Network – CCN

CCPG is an alliance partner of the CCN. We benefit from the Service Level Alliances, especially Pharmacy Service Level Alliance, managed by CCN. CCPG also works with the community diabetes and respiratory teams that are part of CCN and hosted within Pegasus. Within CDHB and especially on CCN Service Level Alliances and work groups, pharmacists play clinical leadership roles.

See in Table 1 a list of community pharmacists and the groups they are involved in Canterbury. Pag. 24

CDHB

CCPG is one of four Community Pharmacy Groups across New Zealand. It is the only one in the South Island, allowing us to negotiate more directly with CDHB for additional professional services. CCPG staff have regular meetings with the CDHB Portfolio Manager for Pharmacy: Michael James. CDHB has new people in the Executive team: Perter Bramley as the CEO, and Tracey Maisey as the Executive Director: Planning and Funding. We are still to build a relationship with these staff. PEGASUS Health Charity (Pty) Ltd (PHCL)

Pegasus HCL is paid a hosting fee from the CDHB contracts per full time equivalent (FTE) staffing by CCPG. These fees pay toward staff salaries, accommodation, ITC services, HR, accounting services, managing pharmacy claims for MMS, and Health and Safety.

GM and CEO of Pegasus HCL meet regularly to discuss common interests around primary health care and general developments.

23 Clinical Programme Manager of CCPG was appointed onto the Pegasus Health Clinical Governance Board.

We work closely with the different teams within Pegasus including the population health teams, clinical quality and education team, Knowledge Management, Communications, Health Care Home, Practice Support Liaison teams.

CCPG has agreed a Memorandum of Understanding with Pegasus Health Charitable Ltd to work together on the Health and Disability System transformation. CHRISTCHURCH PHO

CCPG has an agreement with Christchurch PHO to deliver MMS across its organization. The CEO of Christchurch PHO also sits on the PSLA, which allows for greater engagements. Waitaha (Rural) PHO

GM and CL of CCPG meet regularly with rural PHO exploring opportunities for working together. CPLF

Community Pharmacy Leadership Forum provides a platform for community Pharmacy Leaders to meet and discuss opportunities and challenges facing community pharmacy. The forum includes PSNZ, Pharmacy Guild, Green Cross Health, CCPG, Midlands CPG, Mid-Central CPG and Bay of Plenty CPG. CCPG’s GM and Chair participate in forum meetings, generally held in Wellington.

24 Table 1: Community Pharmacy Champions. Pharmacist/Pharmacy Representative Structure CCN Alliance Leadership Team Pharmacy SLA

Ashburton SLA Immunisation SLA Urgent Care SLA Population Health SLA

Other Groups/Structures Christchurch City Council Multicultural Advisory Group CDHB Clinical Governance Board Pegasus Clinical Governance Group Health of Older People Workstream Mental Health Workstream GP Care Methadone Committee Integrated Diabetes Services Group Maori Caucus Culturally and Linguistically Diverse Advisory Group (CHAG) Equally well regional group Canterbury Primary Care Response

Pharmacy/Pharmacist Perspective Simon Church (Deputy Chair) Simon Church (Chair) Tracey Miller (Rural Pharmacy) Bevan Harden (Hospital) Kezia Buttle (Community and extended services) Gareth Frew (Clinical Lead) Aki Tominari (Clinical Programme Manager) Carolyn Cameron Chris Wilkinson Tim Kennedy Gemma Claridge Katrina Azer (Chair) Aarti Patel Gareth Frew Alex de Roo

Simon Church Chris Wilkinson Ajay Patel

Brendon McIntosh Vibhuti Patel (Chair) Chelsea Flynn Deb Hart