Annual Report 2020

Hauora Matua Ki Te Tonga Hauora Matua Ki Te Tonga Where we operate

CENTRAL OTAGO Mornington Health Centre Alexandra Family Medical Centre SOUTHLAND/GORE MĀORI AND PACIFIC PROVIDERS Health Centre Bluff Community Medical Trust Arai Te Uru Whare Hauora Cromwell Family Practice Musselburgh Medical Centre Fiordland Medical Centre Aukaha Cromwell Medical Centre Otago Peninsula Medical Centre Gore Health Centre Awarua Whānau Services HealthCentral Outram Medical Centre Gore Medical Centre Fale Pasifika o Aoraki Junction Health Pitt Street Medical Lumsden Medical Centre Hokonui Runanga Health and Social Ranfurly Medical Centre Port Sea Medical Practice Services Trust Mataura Medical Centre Roxburgh Medical Centre Roslyn Health Centre Nga Kete Matauranga Pounamu Charitable Trust Otautau Health Centre Servants Health Centre Pacific Island Advisory and Cultural Trust Riverton Medical Centre CLUTHA Te Kāika Caversham Pacific Trust Otago Catlins Medical Centre Tuatapere Medical Centre Waverley Health Te Hou Ora Whānau Services Clutha Health First General Practice Winton Medical Services Te Roopu Tautoko Ki Te Tonga Lawrence Medical Centre INVERCARGILL Tokomairiro Waiora Incorporated Milton Health Centre WAITAKI/NORTH OTAGO Bester McKay Family Doctors Central Medical Oamaru Uruuruwhenua Health Inc West Otago Health Catherine Street Medical Centre Kurow Medical Centre Waihopai Runaka Inc. Doctor Johri’s Practice North End Health Centre and Junction Doctors Doctor Adam’s Practice Albany Street Medical Centre Oamaru Doctors Dr Cleveland’s Practice (Dr Hamilton, Dr Buchanan, Dr Horner) South Hill Family Practice Glengarry Medical Centre Amity Health Centre Whitestone Family Practice Aurora Health Centre He Puna Waiora Broadway Medical Centre Invercargill Medical Centre Caversham Medical Centre Murihiku Whanua Hauora 81 315,027 Community Support Medical Centre Queens Park General Practice Practices Enrolled Patients South City Medical Centre Medical Centre Dunedin South Medical Centre Waihopai Health Services East Otago Health Waikiwi Medical Centre 17 1,107,423 Gardens Medical Centre Vercoe Brown & Associates Nurse Practitioners Patient Contact Gordon Road Medical Centre Victoria Avenue Medical Centre

Green Island Family Health Care Green Island Medical Centre QUEENSTOWN LAKES 340 Practice Nurses Harbour Health Aspiring Medical Centre Helensburgh Medical Centre Mountain Lakes Medical Kenko Care Queenstown Medical Centre Wakatipu Medical Centre 374 Larnach Surgery GP, Locums, Registrars Clinic Wanaka Medical Centre Meridian Medical Centre Contents

6 Chief Executive’s Report 24 Māori and Pacific Health 30 Telehealth 42 Workforce Development Kaiārahi (Cancer Navigators) Professional Development 8 Chairman’s Report Māori Health Providers 31 Call Centre 2019 Practice Nurse Conference Pacific Health Providers 10 COVID-19 Response Clinical Programmes 32 Medical Director’s Report 46 Summary Financial Statements Enrolment by Ethnicity 14 Clinical Services COVID-19 Response 34 Practice Support 48 WellSouth Plan on a Page Community Outreach Nursing Service Marae Clinics General Practice is the Engine Dietetics Room of Health Care 50 Our Team DESMOND and Walking Away 26 Mental Health Health Care Home HPV Improving Mental Health Service POAC/Planned Care Primary Mental Health Services 38 Health Targets Former Refugee Community CLIC 28 Health Promotion 40 Information Technology Long Term Conditions Care Breastfeeding Telehealth Suicide Prevention Connections to Primary Care Survey Information Sharing and Performance Monitoring National Bowel Screening Programme Smokefree Cyber Security Falls and Fracture Prevention Service Tap into Water Schools Digital Transformation Clinical Quality Committee Mental Wellbeing Clinical Pharmacy Our Digital Response to COVID 6 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 7

Chief Executive’s Report

9am on 18 March, I received a call from the Medical It must not be overlooked that throughout the Equity for our Māori and Pacific Island communities Officer of Health, Dr Susan Jack: “Can WellSouth COVID-19 lock down period, general practice teams remains our priority and the Southern Māori Health test 150 students from Logan Park High School for and our own clinicians continued to provide care Directorate is well integrated with our WellSouth COVID-19? And can you do it today?” for patients and the communities we serve, offering executive and Board helping us to make progress in appointments by phone or video, as well as in-person this area. The response from primary care then – as it has been consultations for those who needed it. many times subsequently – was a resounding ‘yes’. I hope that when you read through the stories in To no one’s surprise, general practice in our region and this annual report you will see that much of what Testing team assembled? Check. WellSouth proved to be well-organized, responsive and we achieved is, in fact, what general practice has resilient. You adapted to providing care via telehealth achieved. And supporting general practice to do PPE and swabs? Check. - the Ministry’s directive was for 70% of appointments their work of caring for patients continues to be our Forsyth Barr Stadium sequestered? Done. to be by phone and video - as well as the need to direction of travel in the coming year. adhere to heightened infection prevention and control By 2pm, the swabbing of 150, mostly very nervous, measures, all in a matter of hours. If I haven’t said it often enough already, I want to say students had begun, and by 5pm, the job was done (or thank you to general practice teams, community just beginning, depending on how you look at it). The These efforts were not in isolation. We worked closely pharmacy and other primary care health providers for WellSouth team and our general practice colleagues with all health providers across the system, including the work you do every day, and for the extra workload packed up our first community-based testing site – the community pharmacies, secondary care, public health, you bore during the height of the COVID-19 period. forerunner of the CBAC. and community health providers, including Māori health services. I also have to say thank you to WellSouth staff for all That was the start (see cover of this report!) and, your hard work and dedication. I am beyond proud. over the subsequent months, the contribution by The connections and relationships we’ve built together I feel very fortunate to be part of this organisation and general practice and primary care to the fight against are a strong foundation on which to grow. I am optimistic and enthusiastic about what I know we COVID-19 continued to be significant, with our Using what we have learned will achieve in the years ahead. combined efforts acknowledged at the highest level of the health system, by Director General of Health, Continuing to deliver health care services during the Kia kaha! Dr Ashley Bloomfield, among others. Some highlights COVID-19 outbreak was a seminal learning experience from our work (for the period ending June 30) on the that shapes our organisation and how we support Ngā mihi nui, front lines include: general practice.

• CBACs set up and staffed in Dunedin, Invercargill Our COVID-19 Call Centre – 0800 VIRUS 19 – which

and Queenstown was set up to streamline access to swabbing, is I feel very fortunate to be part of this now the WellSouth Call Centre. We use this service • nearly 16,000 swabs were taken in the community “organisation and I am optimistic and “ to support the promotion of and access to other – 60% of those in general practice important health programmes, including Māori enthusiastic about what I know we wellness checks and smoking cessation support. • WellSouth staff made more than 7,000 calls to will achieve in the years ahead. patients, providing the happy news of negative test We are committed to helping ensure the sustainability results Andrew Swanson-Dobbs of general practices in this region through innovative Chief Executive • 10 surveillance testing sites (including the first in programmes – Health Improvement Practitioners and Aotearoa New Zealand) set up to actively look for Health Coaches, for example – IT solutions, workforce community spread of the virus development, training initiatives, and new resources.

• working closely with Māori and Pacific Island communities – offering testing at marae, workplaces and community centres across the district 8 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 9

Chairman’s Report

Stronger together - 10 years of WellSouth Our Board and senior management team appreciated In 2021, WellSouth will grow the Health Care Home working with the Commissioners and look forward programme and invest further in primary mental health 2020 marks 10 years for WellSouth as a single primary to working with the new SDHB Board to continue to services and workforce development. Improvements health network. This time has passed quickly, but coordinate the delivery of health services in our region. are on the way for the long-term conditions we’ve seen much progress. programme CLIC and we will be providing more Alliance South will be key in facilitating our shared Bringing nine PHOs together as a single network was support for practice development planning. programme of work. The Alliance is now led by former an important step forward in strengthening general WellSouth Board member, Stuart Heal. I’m very grateful WellSouth will continue to advocate for general practice in the Southern region and improving and for Stuart’s years of service to WellSouth and know practices and we will look for opportunities to better expanding the services we provide to patients and that we’ll continue to benefit from his guidance. support you and the patients and whānau you care for. whānau across Southland and Otago. I also appreciate that Wanaka-based GP Dr Susie Thank you for the work you do. Together, we have a stronger voice and are more Meyer joined the WellSouth Board this year. Susie has capable. This past year our strength and resilience has a wealth of experience and is a strong voice for the been put to the test like never before. Queenstown-Lakes and Central Otago population. COVID-19 Response One more standout for me this past year has been The report that follows illuminates many achievements working closely with the Southern Māori Health we should all take pride in. The most significant of Directorate. Gilbert Taurua, Nancy Todd and Peter these, of course, has been our collective response to Ellison have provided exemplary leadership and COVID. It is a once-in-a-century healthcare crisis and, have been constructive and collegial to work with. Doug Hill in this region, primary care has been at the forefront. These relationships are enriching for WellSouth and, Chair continuing to work together, we will improve equity for Both in general practices and at CBACs – we led Māori and Pacific Island populations. community testing for the virus in Southern. No where else in Aotearoa New Zealand was primary Financial performance care so pivotal in the battle against COVID-19 than Despite a year of unprecedented disruption, WellSouth in this region. has continued to grow and improve services for our Partnerships and Collaboration practice network. We’ve managed and allocated funding responsibly and delivered good value for Our achievements over the past year (and the past money. We have grown services that support practices decade) have not been in isolation. WellSouth, general and, in some cases, we’ve sourced new funding, practices, and community health providers, have including for primary mental health. Improvements to worked with our colleagues in the Southern DHB both our analytics tool, Thalamus, and the WellSouth

and the public health service to deliver programmes, portal, provide greater visibility and clarity around

improve the health and wellbeing of our population, funding allocations, benchmarking and practice No where else in Aotearoa and reduce inequity. performance. “New Zealand was primary care “ Southern DHB’s commissioner team finished its Looking forward term of office during the past year, we worked closely so pivotal in the battle against with Kathy Grant, Richard Thomson and the late Without a doubt, there’s a degree of uncertainty in COVID-19 than in this region. Graham Crombie, to bring about important changes. the health sector across the country owing to the Together, we introduced the Primary and Community Health and Disability Review (i.e. the Simpson Report). Care Strategy – our region’s road map for health However, I could not be more confident in the role of care services – and an important precursor to the general practice in health services in New Zealand. development of the New Dunedin Hospital. 10 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 11

COVID-19 RESPONSE

COVID-19 dominated 2020. Early detection and contact tracing were critical in helping to stop the spread of the virus.

In this region, WellSouth Primary Health Network and general practice teams helped to lead the community-based response to COVID. We established and staffed Community Based Assessments Centre (CBACs), pop-up surveillance testing clinics and conducted the vast majority of COVID-19 assessment and swabbing in the Southern region. Overall, we played a vital role in keeping our communities safe and helped to ‘flatten the curve’.

Ka pai! 12 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 13

COVID-19 RESPONSE AT A GLANCE

Community Based Pop up CBACs including Marae surveillance General practices, including 3 Assessment Centres 10 5 surveillance testing sites and 4 testing sites. 80 19 Designated Practices. (CBACs). 5 backpacker accommodation.

VE

VE 6,700+ 2,420 20k+ 1,857 VE

COVID-19 tests* Māori patients tested. Negative tests results delivered to PPE orders by CBACs patients by WellSouth clinical staff. and general practice.

569 1,554 195

Virtual (video) consults Virtual (video) consults Staff rostered by WellSouth clinicians. by general practice. at our CBACs

100+ 8,100+ 18,507 12 Articles and media coverage Inbound and outbound Total hours staff Weeks CBACs about Southern primary care’s calls to 0800 VIRUS19. worked in all CBACs. were operational. response to COVID.

*as of July 2020 14 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 15

CLINICAL SERVICES

COMMUNITY OUTREACH NURSING SERVICE DIETETICS DESMOND AND WALKING AWAY Our Community Outreach Nursing Service has Virtual and telehealth sessions helped the dietetic Diabetes is a condition of significant concern in continued to engage with Māori and Pacific Island services team continue to care for referred patients our health region. WellSouth helps general practices patients or those identifying as Quintile 5, as well during the COVID-19 lock down period. In additional support patents with the long-term condition through as others that general practice has identified as to providing care during a stressful period, these Diabetes Education and Self-Management for not engaging. methods also allowed for greater geographical cover Ongoing and Diagnosed (DESMOND) and Walking for the service. Away – a self-management programme for patients While our team follows up with these patients in the with pre-diabetes. community for routine screening – bowel cancer, Virtual and telephone consults continued to be offered cervical screening and immunisations – they’ll use along with face-to-face appointments to all patients. the encounters to take a holistic approach, looking at Offering all options means being able to meet clients’ wider health issues for the patients and their whānau. needs in a way they find the most useful. Virtual appointments also help to reduce Did Not Attend 242 149 These opportunities are treated carefully as they may (DNA) rates especially during lockdown, and better DESMOND referrals Walking away be the only opportunity to re-engage hard-to-reach utilisation of the team across the whole district. patients back with general practice, which is our referrals ultimate goal. The team continue to offer the evidenced based healthy lifestyle course. Again, they’re working The connection with our general practice colleagues delivering these virtually, allowing better access for is something we strive for as we both work together rural remote communities. 28 8 for the best health outcomes for all patients. DESMOND Walking away Increasing enrolment sessions held sessions held Another focus for the team is the unenrolled in 8 locations in 6 locations patient population. We are exploring opportunities to find and assist unenrolled patients to register with general practice. We are passionate about this group as they have no access to proactive healthcare 14 currently and miss out on funded programmes and Educators across continuity of care. our regions

Working with community providers

Working much closer with our Māori and Pacific Island Listen up. Look after yourself. See providers is really important and one such example is work with Pacific Trust Otago, where our outreach your doctor. We can think we are so “ “ team works alongside their health and wellbeing strong and so tough. But looking after programme team. ourselves is important for looking after These close connections help foster greater our whānau. engagement and acceptance of the service and help to close the equity gap. We hope this will in return mean better health outcomes than currently exist.

Renata Tawhai Milner DESMOND course participant, Oamaru, November 2019 16 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 17

HPV FORMER REFUGEE COMMUNITY CLIC WellSouth delivers the school based HPV 45 The WellSouth Former Refugee Team developed Client Led Integrated Care is a WellSouth foundation Immunisation Programme to Year 8 girls and boys Integrated respiratory a series of videos on wellbeing to support the programme. The programme aims to support throughout Southland, including Queenstown. (The appointments community during COVID. individuals with long term conditions to self-manage, programme is delivered by Public Health South in partnership with their primary health care provider.

in Otago.) This information was translated into Arabic, The programme is also geared towards ensuring Other POAC continues Farsi and Spanish using interpreters, recorded equity and most practices have migrated to CLIC COVID has impacted our delivery of the first dose Other POAC programmes continued in and then distributed. from CarePlus. of this programme in schools during April and May. general practice including providing long acting This was a great way to keep connected and support Following schools re-opening, the team have worked contraceptive devices for high needs women, Committed to continuous improvement, WellSouth the families to remain well during a difficult time. quickly to resume the programme and we are pleased as well as IV iron infusions. undertook a review of CLIC in late 2019 with the aim of CLINICAL SERVICES CLINICAL to report that all Year 8 students will have had the improving transparency and flexibility, while retaining We help support 701 individuals in Dunedin and opportunity to complete the programme within the the fundamentals of the programme that work well – 195 in Invercargill. 2020 calendar year. including the Comprehensive Health Assessment. An 145 updated CLIC will be rolled out (with education and The list of children declining the school programme in Jadelles training programmes for practices) in 2021. Southland is supplied to general practices to recall and offer the vaccine course at a later date. POAC/PLANNED CARE 605 IV iron infusions Integrated respiratory programme This year has seen a further addition of Integrated respiratory programme as part of POAC – providing a fully-funded, post-discharge appointment for COPD patients. 701 Started in September 2019, the programme provides added support for patients following a hospital 195 admission for COPD, with the aim of preventing re-admission. Seeing a patient in general practice soon after hospital discharge is known to increase compliance with care plans, significantly reducing the likelihood of re-admission.

The clinician can discuss with the patient how they are managing post discharge, identify and act on any issues especially those which could escalate and result in the patient needing further hospital- based care.

18 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 19

LONG TERM CONDITIONS CARE A COLLABORATIVE APPROACH NATIONAL BOWEL SCREENING TO SUICIDE PREVENTION PROGRAMME (NBSP) Long term conditions nurses continue to support practices to manage patients with long term Creating an inclusive, open and coordinated approach Southern region’s participation in the National Advocating for equity conditions, including CLIC support, care planning and to suicide prevention is at the heart of the Southern Bowel Screening Programme (NBSP) continues WellSouth continues to advocate for the lowering disease specific education. District Suicide Prevention Strategy and Action Plan, to be strong, as it has been since the programme of the Māori and Pacific age for bowel screening 2020-2023, which was released in May. launch in April 2018. This year we have offered seven full day sessions on to 50 years of age - achieving equity of access and Advance Care Planning and a further five sessions, The suicide strategy highlights the connection Ministry of Health (MOH) data shows 73% of eligible outcomes for Māori. training secondary care colleagues in how the plans between reducing suicide rates and the importance of people participate, against a target of 60%. At 75%, At least half of Māori bowel cancer is diagnosed are developed and how they can be accessed and improving the overall health of the whole population, participation among Māori continues to be the highest before the age of 60 years, compared to less than one- used in the hospital setting. These will continue in as well as the importance for cooperation and of all regions currently offering bowel screening.

CLINICAL SERVICES CLINICAL third of non-Māori bowel cancer. Restricting bowel 2021. collaboration with community groups and other cancer screening to everyone over 60 years means agencies. Focus for the NBSP team for 2020-21 will be ensuring that eligible people who have already participated Māori have less opportunity to benefit from screening Grassroots initiatives and interventions include once continue to engage with the programme when as over half of Māori bowel cancer is diagnosed before supporting families through parenting courses or they are sent their next test kit. screening begins. helping coaches and teachers to talk openly (and listen Furthermore, Māori bowel cancer that is diagnosed actively) to young people about suicide. Employers Our Outreach Team actively follows up all Māori, over the age of 60 may be more advanced than that of could also be supported to help their workers and Pacific and Quintile 5 people who have not returned their non-Māori peers because of delayed opportunity facilitate peer support initiatives in the workplace. their test kits. to identify it by screening earlier. Developed with input from stakeholders, including WellSouth contract Māori and Pacific health providers iwi, and postvention groups from across the region, to promote the programme within their communities the work draws on current research around suicide and ensure participation rates among these population and intentional self-injury as well as best practice groups remains high. regarding postvention support.

Potentially high-risk groups recommended as the focus of suicide prevention support and campaigns are young Māori men, Pacific peoples, New Zealand/ European men - especially older men, those who live in 85% smaller, rural communities and people involved in the justice system. 80%

75%

Thank you for getting such good 70% “messaging out there about suicide “ 65% prevention. It does really have to be a community response. 60%

55% Carla na Nagara Director, Suicide Prevention Office Ministry of Health 50%

45% Jul 18 Jul 19 Jan 19 Jan 20 Jun 18 Jun 19 Feb 19 Feb 20 Sep 18 Sep 19 Aug18 Apr 19 Apr 20 Apr Dec 18 Dec 19 Oc t 18 Oc t 19 Aug 19 Aug No v 18 No v 19 May 19 May 18 Mar 19 Mar 20

All Maori Asian Other Target

*Graphs show participation data as at 30.06.20 20 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 21

FALLS AND FRACTURE PREVENTION SERVICE The B-Well Falls and Fracture Prevention interdisciplinary team continues to be passionate about positive ageing and are committed to supporting clients to be more active to improve their health and maintain their independence. While there have been some significant challenges over the COVID period, it has allowed the team to work alongside 313 949 1865 Ministry of Health and ACC to support clients to keep active using other means, including, online, TV, handouts. We People received Attend a community Have been assessed now use these resources as part of our programme and initial engagement. in-home strength strength and balance through Fracture and balance exercise class Liaison Service Our work with the Ministry of Health and ACC is part of the National ‘live stronger for longer’ movement. All agencies programme are striving to make a difference and reduce harm from falls.

Falls remain the leading cause of injury among older people, it does not have to be this way. There are many things CLINICAL SERVICES CLINICAL that can be done to reduce a person’s risk of falling and it’s never too late to get started. For those that are aged over 65yrs, the B-Well, Falls & Fracture Prevention Team offer a range of services to help:

Home based strength Community strength Fracture liaison service within and balance programme and balance general practice The team completes a We accredit existing exercise groups This component of the B-Well comprehensive assessment with and help develop new classes aimed team provides bone health advice people in their own homes. This at improving strength and balance. and support for prevention and includes advice on safety in the These classes meet evidence-based management of fragility fractures. home and the prescribing of guidelines and criteria on strength We have some changes ahead which adaptive or mobility equipment when and balance for older adults. As will hopefully allow general practice required. We support older adults at well as getting fitter and stronger to have more transparency of their ‘at home with leg muscle strengthening attendees can connect with people risk’ people. We are also just starting and balance retraining exercises in their local community. These an improvement piece of work to based on the Otago Exercise groups have also been supported to increase prescribing of bone sparing Programme. run virtual classes. medication in general practice. 22 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 23

CLINICAL QUALITY COMMITTEE CLINICAL PHARMACY The Clinical Quality Committee provides clinical input into a large number of our WellSouth programmes. Like many other services, the pharmacy team have 1,199 940 been actively involved in COVID-19 testing. Despite Referrals Medication This year the CQC provided input around the extension of POAC services, HealthPathways, data requests this, the team have continued to provide essential reviews and other issues relevant to active primary care providers. advice to patients and staff in general practice and primary care. Our team has delivered a wide range This group’s guidance, and leadership is invaluable to the development of our programmes, ensuring of medication related activity. they are clinically relevant and financially sustainable for implementation in general practice. Year-on-year, the activity and value of this team is 358 133 Thank you to all those involved. being recognised across the health system. Medicine information Home visits inquiries

CLINICAL SERVICES CLINICAL In the next financial year, clinical pharmacy aims to pursue a more population-based focus and have more capacity to work with patients from practices Clinical Quality Current Committee Members that do not have a clinical pharmacist based within Name Position Practice their facility. 2,646 344 Referrals for Patient Alison Wilden Practice Manager Gore Medical Centre prescriptions education Amanda McCracken Trustee, Nurse Practitioner Tuatapere Medical Centre sessions Claire Robertson Nurse Manager Oamaru Doctors Dr Daniel Pettigrew GP Dunedin North Medical Centre Dr Keith Abbott (Chair) Trustee, GP Junction Health Medical Centre, Cromwell Mornington Health Centre, Dunedin/Primary Care Dr Peter Gent GP Clinical Leader (Southern HealthPathways) Dr Phil White GP Amity Health Centre, Chair Dunedin Urgent Doctors Gaylene Hastie Practice Nurse Queenstown Medical Centre Kelsi Fastier Pharmacist Cromwell Pharmacy Maureen McNeill Nursing Team Leader Wanaka Medical Centre Paul Larson Trustee, Community Pharmacist Larson’s Pharmacy, Dunedin Rebekah McDonald Pharmacist WellSouth Tony Dunstan Board Director WellSouth Dr Rachel Greenwood GP Murihiku Whānau Hauora, Invercargill GP/Medical Director, Strategy, Primary & Hywel Lloyd Southern DHB Community Wendy Findlay Director of Nursing WellSouth Stephen Graham Medical Director WellSouth Paul Rowe Practice Network Manager WellSouth Katrina Braxton Clinical Services Manager WellSouth 24 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 25

MĀORI AND PACIFIC HEALTH

WellSouth supports Māori and Pacific health providers to promote further COVID-19 RESPONSE Māori and Pacific enrolment and engagement with general practice. Ensuring Māori communities were provided with safe and culturally-appropriate access to COVID-19 testing, Our providers also play a valuable role help promote community awareness WellSouth and our Māori health provider partners delivered testing at marae throughout the region during of the National Bowel Screening Programme. May. The testing events were also used to offer influenza vaccinations. The programmes were very well received KAIĀRAHI (CANCER NAVIGATORS) CLINICAL PROGRAMMES by the community.

Kaiārahi (Cancer Navigators) continued to be A range of funded clinical programmes in general Better supporting Pacific Island communities, WellSouth supported at Arai te Uru Whare Hauora and Ngā Kete practice helps support Māori and Pacific peoples also offered a testing site in partnership with the Oamaru Matauranga Pounamu Charitable Trust. engagement with primary care. These include: Pacific Island Community Group and had pop-up testing sites at workplaces in Pukeuri and Lorneville where a The Kaiārahi continued their outstanding, and often • GP and Prescription Voucher Programme large number of Pacific people are employed. challenging, work in supporting at-risk whānau • Rheumatic Fever and those with cancer through their diagnosis and • Sexual Health • 1 May - Alliance Group, Lorneville treatment pathways. • Cervical Screening • 4 May - Te Rau Aroha Marae, Bluff MĀORI HEALTH PROVIDERS • CVD Risk Assessment • 5 May - St Peter’s Presbyterian Church, Oamaru Aukaha (Tumai Ora) ENROLMENT BY ETHNICITY • 5 May - Alliance Group, Pukeuri Arai te Uru Whare Hauora • 6 May - Murihiku Marae, Invercargill Te Roopu Tautoko ki te Tonga Enrolment Rate by Area and Ethnicity (%) Te Hou Ora Whānau Services • 7 May - Ōtākou Marae, Dunedin – led Area Māori Other Pacific Total by Te Kāika Uruuruwhenua Health Central Otago District 102.2* 99.9 66.7 99.5

Tokomairiro Waiora Clutha District 96.8 89.0 92.0 89.8 MARAE CLINICS Hokonui Rūnanga Health and Social Services Trust Dunedin City 80.2 82.1 90.1 82.1 In April, WellSouth helped host influenza vaccination Awarua Whānau Services clinics, along side drive-through COVID-19 testing sites, Gore District 88.5 92.1 83.7 91.6 at marae in Southland and Otago. It was really easy to drive up to the Ngā Kete Matauranga Pounamu Charitable Trust Invercargill City 90.2 82.6 75.7 83.5 “marae, get a test and get my influenza Waihopai Rūnanga

Queenstown-Lakes District 81.8 98.5 64.4 97.1 vaccine. The team were friendly and

PACIFIC HEALTH PROVIDERS Southland District 78.8 85.8 78.1 85.0 great to see other whānau I knew in Pacific Island Advisory & Cultural Trust (PIACT) Waitaki District 87.2 89.4 111.5* 90.0 their cars as well. I didn’t want to have Pacific Trust Otago “ Total 85.8 86.8 85.1 86.7 to go to town during COVID and am Fale Pasifika o Aoraki *Based on Stats NZ estimates of population grateful to WellSouth and the DHB for 351,855 315,027 bringing this to us on our kaik. Resident Population Enrolled Population Khyla Russell Emeritus Professor 26 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 27

MENTAL HEALTH

IMPROVING MENTAL HEALTH SERVICE PRIMARY MENTAL HEALTH SERVICES The Improving Mental Health Service continues to Our Primary Mental Health Services, including be focused on providing support to people in the care the Brief Intervention Service and Family Mental of Corrections in Invercargill Prison, Otago Corrections Health Service, focuses on quality improvement Facility and Dunedin Community Corrections. and service delivery.

Better outcomes for men and women in correction Making use of the secure WellSouth Portal, we care is our ongoing focus and we’ve progressed improved flow of information between the services a number of initiatives to improve accessibility, and general practice, ensuring the best possible engagement, and service delivery. Continued outcomes for clients. improvement in these areas is our goal going forward. We began the journey of bringing on board new health and well-being resources in general practice, funding two Health Improvement Practitioners and two Health Coaches, successfully trialling the service before fully launching the programme to 16 practices later in 2020.

COVID-19 brought about change, making virtual health and telehealth the main mode of delivery for a period of time. The change helped increase accessibility and reduce wait times. We continue to deliver a mixed model of service delivery to include in-person appointments, tele and virtual health options.

4,722 Referrals to BIS and family mental health

services Health Improvement Practitioners and Health Coaches have to be flexible

“and ready to help. We’re available to people presenting to general practice with concerns about their well-being or mental health. “

The immediacy of the help and the normalising of mental health services are among the benefits of this new model of care.

Genevieve Obbeek WellSouth Health Improvement Practitioner David Ferris Health Coach, Te Kaika 28 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 29

HEALTH PROMOTION

Through prevention, early intervention and community development SMOKEFREE strategies, the Health Promotion team work to improve health outcomes. The Health Promotion Team worked in partnership with SDHB to develop a Smokefree mural in Dunedin. Some highlights of this year’s work include: The mural supports Dunedin’s thriving art culture and aims at de-normalising the prevalence of smoking and BREASTFEEDING CONNECTIONS TO PRIMARY CARE SURVEY its impact on the environment. WellSouth’s Health Promotion Team play an integral An online survey was sent out via the Health Across our region, we continuously work to role in breastfeeding networks across the region. Promotion NGO network during COVID-19 lockdown, reduce second-hand smoke exposure, associated The Breastfeeding Support Otago and Southland to understand if the increasing use of phone and video environmental harm and enabling more supportive programme provides support for Southern whānau for primary care consultations is effective for different environments for people to quit. in the early years of babies’ life, especially around population groups across the southern region and providing encouragement around Breastfeeding. what people’s thoughts are on using them in TAP INTO WATER SCHOOLS the future. Volunteer breastfeeding peer supporters are trained Tap Into Water Schools: This collaborative project to support mothers and whānau through the normal Over 400 responses were received with a reasonably has continued work to engage and support local course of breastfeeding. Trainings and drop-in support evenly spread across age bands from 35-44 up. Just Dunedin area schools to implement various water- services continue to operate across the region, with over 10% of responses were from Māori. Some of the only approaches within their school environment and eight drop-in centres open including a new service main findings included: community. Drawing on the strong evidence-base for in Cromwell. environmental/sustainability, health and educational • people who had a virtual consult were more positive benefits of normalising plain tap water (and plain milk) than negative about the experience Three training sessions were delivered across the as the first choice. region, with 30 new peer supporters being trained. • the convenience of a virtual consult was a strongly The team coordinated a wide programme of events The impacts of COVID-19 bought equity issues to the positive theme in comments during World Breastfeeding Week to protect and fore, as many schools implemented precautionary support breastfeeding. Morning teas, Big Latch On • patients clearly recognised that some presentations measures, such as closing drinking fountains. events and educational opportunities across the were appropriate for virtual consults and others Pre-COVID plans were quickly re-focused on gaining region were attended by more than 250 mums, dads, were not external funding for the provision of free reusable grandparents, friends and babies. • people who had not had a virtual consult were twice water bottles to priority schools to give all pupils safe Throughout the lockdown period the Health as likely to consider it if offered than not consider it. and consistent access to drinking water during the Promotion team purchased a further 15 breastpumps school day. to add to the pump hire service and further support These findings were consistent with other surveys MENTAL WELLBEING breastfeeding, these are available for use and well done during this time and show that the changing nature of primary care consultations look positive for utilised in all areas across the district. The Health Promotion Team works with NGO networks the future. and communities to develop programmes around Health Promotion Team and Breastfeeding Peer keeping people mentally well. COVID-19 highlighted Support Coordinators responded to the changing the importance of social connections and the effects needs of mothers in lockdown by adapting support this has on wellbeing. via online Zoom. Workshops were developed to deliver in the Central Lakes district that focus on simple strategies to stay mentally well and are available to support networks online and throughout the region. 30 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 31

TELEHEALTH CALL CENTRE

Brief Intervention Service provides short-term WELLSOUTH CALL CENTRE counselling to clients with mild to moderate mental

Our Call Centre was established during COVID-19 health issues, including anxiety and depression. BIS Clients I’m seeing appreciate that lockdown, when WellSouth recognised the current clinicians ordinarily see patients in person at clinics

process of patients calling HealthLine and general around the district but because of COVID, the team there are new options for care. “ practice wasn’t keeping up with the volume of activity. began to offer appointments virtually and by phone Counselling is secure and private and “ and continue to do so. confidential. No one else can hear or Since its inception, the 0800 VIRUS19 number and centralised call centre functions worked extremely well see the session, just the same as if it and continues to respond to fluctuations in demand for were an in-person session. COVID-19 testing. With the service in place, we’re looking at additional Debbie Cartwright WellSouth programmes and services we can be better Mental Health clinician support and promote using the Call Centre, including Māori Wellness Checks and support for smoking cessation. 32 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 33

Medical Director’s Report

This year has been dominated by the COVID-19 Our actions and focus are: Non-COVID-19 related work: pandemic. While it’s far from the only work that has • continuing to promote and provide testing in WellSouth continues to advocate for general practice happened, it is certainly the main feature of the year. It accordance with MoH recommendations wherever possible. Some examples include: was a huge disruption and a huge source of work (and stress) for everybody. • remaining COVID-free, if possible • assisting Dr Konrad Richter with SMO/GP joint meeting in Invercargill early 2020. (Hopefully to It has also served to underscore the vital place of • responding appropriately, if that changes become a regular event) general practice in our health system. • working with the rest of the health system • speaking to the new House Officers on the subject COVID-19 of House Surgeon relationship with general • being prepared for a response to any outbreak. Help The impact of COVID-19 over March/April/May was practice. In particular, the usefulness to GPs and isolate it, and eliminate it. extreme on WellSouth (as well as general practice and patients of making discharge summaries clear many others). For us, much day-to-day work stopped, The role of general practice around medication changes and follow-up planning. as many employees were unable to do their day jobs (And please don’t say GP to chase!) General practice has been the core of COVID testing due to the lock-down. It is a fantastic reflection on and assessment. In fact, most swabbing has been and • GP CME weekends for Southland. staff and our organisation that so many people were continues to be done by general practice teams. motivated to put their efforts into helping out in other Stronger clinical team roles. As always, WellSouth’s role is supporting general We are fortunate to have welcomed Aisha Paulose to practice to do its work, although we retain a very I think that these staff are some of the unsung heroes the WellSouth team this year, supporting Dr Stephen significant role in coordinating and staffing other in all of this, helping out where they could. Graham in the newly created clinical advisor role. testing initiatives – such as pop-ups and testing The work of WellSouth during Level 4 consisted of: smaller numbers of special or high-risk groups. A GP with Winton Medical Centre, Aisha provides greater representation for rural general practice, and • direct work such as assisting and carrying out The efforts of general practice have been fantastic: has strong interest in workforce development and COVID testing at Community Based Assessment • a change in practicing style towards virtual education. Centres consulting almost overnight at the beginning Aisha was quick to get to work, contributing to the • indirect support work aimed at assisting general of the lockdown success of GP workshops and seminars and, during practice and the rest of the health system with • being front line for assessment and treatment the pandemic, in particular, providing valuable input to logistical support, information technology solutions, of symptomatic and asymptomatic treatment WellSouth staff and practices. communications, our call centre and anything else that was needed. • red and green streaming for the patient population We’re keenly aware that we are not so much post- • doing the bulk of COVID testing COVID, as we are living with COVID. • maintaining normal business

• providing on going care and catch up work for patients who stayed away during the COVID Dr Stephen Graham lockdown period. Medical Director, WellSouth PHN 34 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 35

PRACTICE SUPPORT

GENERAL PRACTICE IS THE ENGINE ROOM Foundation Standards and Cornerstone OF HEALTHCARE WellSouth congratulates the Royal NZ College of GPs WellSouth contracts 81 general practices to provide on the launch of its restructured Foundation Standards primary care to patients in Southern district, which and Cornerstone quality accreditation programmes. have 315,027 enrolled patients at 1 July. Like many things, COVID created more uncertainty for practices about what the new standards will mean for This is more than just GP visits: general practices them, but the new programmes give practices clear provide care from nurses, allied health professionals, goals for 2020. and mental health services. They provide proactive and preventative care for their patients, liaise with hospital WellSouth is committed to helping practices make specialists, pharmacy and labs. the new accreditation standards beneficial to both practices and patients. In 2019-20 there were 1,107,423 patient contacts. Primary care is truly the engine room of healthcare in Southern.

The distributed model of private general practice again demonstrated its value to the health system during the COVID-19 emergency. By the end of June, over 20,000 COVID assessments or tests had taken place in primary care. A phenomenal effort on top of dealing with the usual array of health issues general practices see.

Practices adjusted to treating patients by non- traditional means, dealt with an unprecedented slowdown in demand followed by a rush on clinical services and the stresses of managing their businesses and staff. General practice has been at the vanguard of our national response to this global pandemic, playing a critical role in the Ministry of Health’s successful strategy to minimise the health impact of COVID-19 in our country.

The only constant in the healthcare sector in New Zealand is the tendency for things to change. 2019- 20 is no different. Prior to the global pandemic, the government tasked Heather Simpson with a review of the health and disability sector. The significant changes proposed in the report add to our long-term uncertainty, but for now PHOs and practices carry on with what passes for business as usual. 36 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 37

SOUTHERN HEALTH CARE HOME COVID-19 has profoundly affected HCH practices JULY 2019 - JUNE 2020 HIGHLIGHTS and patients. For practices with many high needs The 14 Southern Health Care Home (HCH) practices patients, it meant big backlogs of work built up have made good progress during 2019/20. It’s over the level four lockdown, and catching up has particularly pleasing that the third group – covering compounded already raised stress levels. We also 14 118,591 nearly 60,000 patients in a number of our larger and need to acknowledge that Queenstown Medical and Health Care Home (HCH) practices Patients with a HCH practice more complex practices – are now well under way. The both Wanaka practices (Aspiring Medical and Wanaka total population now with a Health Care Home practice Medical) have experienced very significant changes is 118,591 patients, including more than 20,000 high to their business models as international tourism has needs patients. shut down. That HCH practices generally felt HCH GP Triage The first two groups of practices have been working had enabled them to adapt quickly to COVID-19, – by on fully implementing the HCH model, as well as having GP triage in place, for example – seems on quality improvement projects that have focussed on reflection to be a minor silver lining. 6,916 19,365 care planning for CLIC patients, patient engagement We continue to track a number of secondary care Additional appointments were made Patients had a GP quickly determine their processes, mental health, and better understanding acute demand measures: the HCH model of care is available as a result of GP triage needs without coming into the practice the causes of and responses to unplanned hospital intended to directly contribute to improvements in presentations and admissions. Much of this work had ED presentations, acute admissions, and ambulatory been shared between the practices, and they continue sensitive hospitalisations (ASH). We are working Patient Portals to tell us that this collaboration is one of the highlights with the Southern DHB to bring rigour to how we of HCH. understand the contribution HCH is making, and while Of HCH patients have Of Māori HCH patients Equity has become much more important for HCH it is too early to say definitively the impact HCH is 37% an actively-used portal 20% have an actively-used portal nationally, as well as here in the South. Practices making, we can clearly see in the data that HCH is 24% non-HCH patients 12% non-HCH patients have identified their priorities for addressing equity, not having unintended negative consequences on

including ensuring that all their eligible Māori are these measures. 2018/19: 24% of HCH patients have an actively-used portal (14% non-HCH patients) reviewed for inclusion in CLIC, as well as starting to With the support of the WellSouth Board and Southern work more closely with whānau and communities to DHB, we will welcome further groups of practices to better understand what they need. HCH in 2020/21, with a group with high numbers of high needs patients due to start from 1 November. OpenNotes CLIC These practices will be working with an enhanced national HCH model that provides much clearer expectations and guidance on equity, patient co- 62,087 67% 31% design and Māori engagement. Patients have access to Of HCH CLIC patients Of HCH CLIC patients their consultation notes have one or more shared have had their care via OpenNotes care plans discussed in a multi- disciplinary team meeting

44% non-HCH patients 13% non-HCH patients

38 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 39

HEALTH TARGETS

General practices are committed to the long-term health of patients and CVD MĀORI their whānau, particularly with regards to conditions and diseases where Māori men aged 35 to 44 are a priority population for CVD risk assessment. WellSouth outreach teams works to preventative measures and screening programmes can have positive help practices reach and engage with patients for CVD screening programmes. effects. Some key areas of focus include smoking cessation support, CVD risk assessment, and infant immunisations. Unsurprisingly, the COVID-19 80% 70% 74.9 outbreak had a significant impact on these areas of work in the latter half of 74.4 74.8 71.4 71.3 71.7 69.7 68.0 the 2020 financial year. 60%

50% BETTER HELP FOR SMOKERS TO QUIT Jul-Sep Oct-Dec Jan-Mar Apr-Jun Jul-Sep Oct-Dec Jan-Mar Apr-Jun WellSouth and general practice work to offer smoking cessation support and advice to patients and remain 2018 2018 2019 2019 2019 2019 2020 2020 committed to the government’s SmokeFree2025 goal. A drop in performance in this area – in part owing to the COVID-19 outbreak – is actively being addressed with more support from WellSouth to practices and their patients.

90%

89.6 IMMUNISATIONS OF EIGHT MONTH OLDS 80% 87.8 88.9 88.4 83.1 Practices continue a strong performance with vaccinations of infants, consistently achieving immunisations rates 79.2 70% 76.2 above 97%. 73.0 60% 100%

50% 97.9 98.1 97.3 97.7 97.8 Jul-Sep Oct-Dec Jan-Mar Apr-Jun Jul-Sep Oct-Dec Jan-Mar Apr-Jun 90% 96.7 96.4 97.6 2018 2018 2019 2019 2019 2019 2020 2020 80%

CVD RISK ASSESSMENT 70% Cardiovascular disease continues to be a leading cause of premature death in New Zealand and risk assessment is an important health screening programme. CVD risk assessments are meant to evaluate and inform individuals of 60% their risk and potentially reduce preventable cardiovascular risk. Practices across the district use a CVDRA tool to 50% identify risk, with the aim of encouraging early and healthy lifestyle choices and, when appropriate, other treatments. Jul-Sep Oct-Dec Jan-Mar Apr-Jun Jul-Sep Oct-Dec Jan-Mar Apr-Jun 2018 2018 2019 2019 2019 2019 2020 2020 90%

80% 84.6 84.2 82.9 80.9 79.8 79.2 78.2 70% 76.7

60%

50% Jul-Sep Oct-Dec Jan-Mar Apr-Jun Jul-Sep Oct-Dec Jan-Mar Apr-Jun 2018 2018 2019 2019 2019 2019 2020 2020 40 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 41

INFORMATION TECHNOLOGY

In March 2020, a global pandemic changed the way people worked CYBER SECURITY OUR DIGITAL RESPONSE TO COVID and received health care services. It changed the way people live and Internationally, we have seen a rapid increase in WellSouth’s response to COVID from a digital cyberactivity targeting health agencies. Patient perspective was a journey into new territory. do business, and, in many cases, it prioritised digital transformation for information is a high value target and we remain Whatever we developed to enable our COVID testing organisations. vigilant in our approach. workforce needed to be easy-to-use, universally accessible, reliable and responsive to rapid change WellSouth has deployed a monitoring solution In the health sector, the workforce isn’t sitting at a INFORMATION SHARING AND with very little notice (Changes to the Ministry’s Case across our infrastructure including a threat desk staring at a screen managing information, it is in PERFORMANCE MONITORING Definition, for example.) intelligence system which shares intelligence close contact with people who need direct care. With Primary care data is a key component in measuring with other health agencies. WellSouth deployed an end-to-end solution: from a pandemic in full-swing the challenges we faced to the effectiveness of health services provided in the initial point of contact, through to lab result deliver primary care services into our communities community. Primary care data helps inform health The platform provides a type of ‘herd immunity’ against notifications, providing the community an easy appeared without warning. organisations what services and facilities are required cyber attacks as once a threat has been identified in pathway to get tested, and a real time update on one organisation, it can be added to the platform and TELEHEALTH in the future for delivering care to the community. testing progress each day. synchronised to ‘immunise’ all other users against it. General Practices were required to implement The Southern DHB and WellSouth are working We hope to be able to deploy this to general practice Our 0800 VIRUS-19 call centre was developed to telehealth almost overnight. The directive for all GPs together to develop a system where health information in the future to increase the defence against malware make it easier for people in Southern district to access to start virtual consultations was announced on the is shared between agencies so they can work together and phishing. assessment and testing for COVID. The call centre Thursday with an expectation that general practices to identify where the need is in the community and to provided the initial triage of patients, determining would have transformed the way it delivers care by monitor the efficacy of health services. DIGITAL TRANSFORMATION whether a patient needed a test. Patient details were Monday morning. WellSouth started on our digital transformation journey entered into an electronic platform which integrated WellSouth has developed dashboards which provide back in 2018 transitioning on-premise infrastructure with the workflow in general practice. This reduced the While many people consider telehealth requires visualisations of performance across multiple health to cloud-based services. With 50% of on-premise amount of administration required at general practice a video connection to the patient, by far the most services delivered in the region. Access to this infrastructure on-boarded into the cloud we have at point of care. contacts between patient and clinician were by information allows funders to measure the success of enabled our staff to be able to access their online telephone. Where it was clinically appropriate, clinical programmes delivered in the community. We link this information to test results which services anytime and from anywhere where internet practices needed a facility to provide a face-to-face automatically match with the completed assessments access is available. This proved critical during COVID video consultation solution to patients which we Our board and senior leadership team have up-to- and the call centre contacts patients of their negative when 99% of staff were able to work from home. delivered quickly and effectively to general practice date information at their fingertips to be able to have result to close the loop. This process has been meaningful conversations on our work programme and and WellSouth clinicians. WellSouth provided online information services to our invaluable for monitoring and measuring our COVID how our clinical programmes are contributing to the general practices through our online data analytics testing performance and assisting Public Health In the first eight weeks of deployment, general health of our population. tool Thalamus provided by Datacraft to inform general Officials with their planning. practices in the Southern region delivered over practice of the status of the clinical programs they 2500 video consults, surpassing what was delivered Transforming data into useful information will become We look forward to refocussing our efforts back to manage in their community. This links in with the over the previous 12-month period. Clinicians were more and more important to the health sector and is the implementation of the Primary & Community information system we use across primary care, DHB provided with a web-based solution (Doxy.me) that crucial to informing health agencies about the efficacy Care Strategy. and our executive teams for a single source of the was seamless for patients to access. of health services in the region. truth view of our population. Telehealth continues to be a viable alternative to Collaboration between agencies is crucial to We anticipate all services to be transitioned into the face-to-face consult. Patients are keen to continue to successful health outcomes for our population. cloud by the end of 2021, relieving us from the burden use telehealth as an option for having consultations of maintaining and managing on-premise IT services. with their doctor – as long as in-person availability remains. The challenge is getting the balance right. 42 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 43

WORKFORCE DEVELOPMENT

WellSouth provides valuable education, training There was also a focus on providing training for PROFESSIONAL DEVELOPMENT and professional development opportunities for non-clinical staff, including conflict management general practice staff and, in some instances, training to about 70 non-clinical practice staff. Courses undertaken over GP education sessions offered a total of wider primary care. WellSouth staff have also had numerous training 145 7 specialised areas 56 75 CME points from 19 different workshops Highlights this year were Advanced Care Planning, opportunities this year, including ACT mental triage training, respiratory and diabetes. health training, introductory and intermediate levels, MS Office suite and cyber security training, and Numerous courses and training sessions had DOT’s communication training (precognitive to be cancelled or postponed due to COVID-19 communication training). lockdown restrictions, including a Suicide 103 1,478 Prevention Symposium and an administrators/ Clinical education People registered to attend receptionists conference. sessions offered a total of: sessions across the Otago and Southland regions

167 22 60 Professional Different development hours workshops 50

40

30 18 Less different workshops from last year due 20 to all training being cancelled from end of March to end of May 2020 10

0 Nutrition Mental Health Immunisation CPR Long Term Specialist/ Primary Care /Child Conditions Clinical Across the three regions:

70

60

50

40 30 186 176 259 20 People attended People attended cultural People attended CPR 10 COVID-19 Swabbing competency sessions sessions and PPE training 0 Central Southland Invercargill Queenstown Dunedin Waitaki Clutha Gore Vidyo/Zoom Otago District City Lakes City District District District 44 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 45

2019 PRACTICE NURSE CONFERENCE WellSouth hosted our second Practice Nurse Conference, in Queenstown in September 2019.

69 delegates attended from across the Southern region. 19 speakers presented 9 hours worth of professional development across the two days on a variety of topics. We were very fortunate in having Margareth Broodkoorn, Chief Nursing Officer, Ministry of Health, and Pam Doole, Director, Strategic Programmes, Nursing Council of New Zealand, present to delegates.

WHAT OUR ATTENDEES THOUGHT OF THE WEEKEND:

100% 95% 98% Excellent location Excellent networking Excellent oppourtunities weekend overall 46 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 47 Summary Financial Statements 48 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 49

WELLSOUTH PLAN ON A PAGE

1Healthy Whānau-Centred2 Evidence-Based3 Engaged4 & Empowered Communities Care Decision Making Workforce

Prevention, early intervention and Whānau have a good experience of Decisions are made on the basis of General Practice and WellSouth staff are community development strategies primary health care which meets best available information committed to, and capable of delivering will improve health outcomes their health needs high quality, culturally safe care

Our provider community and patient outcomes

Achieving equitable health outcomes for Māori Working together with Iwi, hapū, whānau, Māori providers and communities

A. Recognising different A. Improve health A. Improve quality and A. Evaluate and apply information and A. Engage and empower the general people with different outcomes for safety of care knowledge to improve clinical, business practice workforce levels of advantage vulnerable and organisational practices require different populations B. Develop reliable B. Support general practice and approaches and integrated systems B. Promote enquiry and research WellSouth staff to develop their B. Whānau ora — resources to get of care to develop, share and apply new cultural safety capability families supported equitable health knowledge. to achieve their C. Improve the whānau C. Role model our values in all our outcomes. maximum health experience of care. activities while driving improvement and wellbeing. and innovation.

A. Achieve a sustainable financial position B. Maximise value from resources

Our Purpose Our Vision Our Values

Supporting the provision or world class primary and community Better health and wellbeing for the He mana tō te whānau Whānau Centred health care to the people of Otago and Southland people of Otago and Southland Tōkeke Equitable | Pono Transparent Manawa whakaute Respectful 50 ANNUAL REPORT 2020 WELLSOUTH PRIMARY HEALTH NETWORK 51

OUR TEAM

Senior Management Team Board Members

Andrew Swanson-Dobbs Wendy Findly Peter Ellison Stephen Graham Doug Hill Tony Hill Stuart Heal Sue Crengle Chief Executive Director of Nursing Māori Health Director Medical Director

Gilbert Taurua Kyle Forde Paul Rowe Graeme Quinn Norman Elder Keith Abbott Donna Matahaere-Atariki Paul Larson Chief Māori Health Strategy Chief Information Officer Practice Network Director Chief Financial Officer and Improvement Officer

Amanda McCracken Tony Dunstan Susie Myer Moira Finn Senior Communications Advisor Alexandra Dunedin Invercargill 4/59 Russell St, 333 Princes St, 40 Clyde St, Alexandra 9320 Dunedin 9016 Invercargill, 9810