37Th Annual General Meeting

37th Annual General Meeting

PRESIDENT’S REPORT

This has been another very busy year for the Society. We have been actively involved in a number of significant initiatives over the year that I think have distinctly raised the profile of the Society on the national stage.

A second group of diabetes nurse specialists have been launched on their way to attaining prescribing status. When they have completed their training the number of diabetes specialist prescribers will have doubled in the last three years. This project has had enthusiastic support from the Ministry of Health, Health Workforce NZ, and is very much seen as a flagship for nurses in other specialties to attain similar status. Our success in this has been grounded in the highly supportive collegial relationships between the nurses and doctors in our field and the outstanding leadership of Helen Snell and her co-workers. Without Helen’s drive and determination, not to mention her attention to detail, endless patience and ability to negotiate hazards, this would not have happened. Our challenge in the next few years is to establish clear pathways whereby diabetes nurse specialists can reach prescribing status, to continue supporting them in their practice, to maintain professional standards and to support the need to recognise that their increased responsibilities should be appropriately remunerated.

Helen has also been leading the development of an e-based learning programme for primary care nurses working in diabetes, which was launched very successfully just before Christmas. We hope, in conjunction with our developer partner, Refract, and Diabetes New Zealand (DNZ), to be able to develop the e-learning platform further with modules for other groups such as the unregulated workforce, but there are significant funding issues that need to be overcome before we can proceed with these developments.

We have worked very closely with Chris Baty and Joe Asghar from DNZ on these and other issues, and I believe that our relations with DNZ are closer than they have been for many years. I must acknowledge too the contribution of John Wilson who has been our representative with DNZ and undertaken an important liaison role.

The Society is regularly asked to contribute professional opinion to various bodies, and I would like to thank Michelle Downie who is our representative on the Gestational Diabetes Guidelines Development Group. This group is still deliberating but should be making recommendations before the end of this year.

Paul Drury, our Medical Director, is also involved in a planned revision of cardiovascular guidelines and in addition to his day job running the Auckland Diabetes Centre, has taken on an important national role chairing the National Diabetes Group at the Ministry of Health, and trying to bring a more coherent approach to the Ministry’s approach to diabetes.

1 Paul and Ali Copeman, our conference organiser, are responsible for the Hawke’s Bay conference which promises to be excellent. I am also very grateful to Tim Kenealy and Kate Smallman for their organisation of an excellent programme for the Primary Care Day. The full name of our Society reminds us that we have a primary interest in supporting local research. The record number of abstract submissions attests to the strength of interest in research. The Society continues to administer research awards very kindly sponsored by Eli Lilly and Sanofi, and I am delighted to announce that a new research award, sponsored by iSens-Pharmaco will be made for the first time in 2013. We are very grateful to all the sponsors for their most generous support. The New Zealand Diabetes Federation has again been able to sponsor a research fellowship and this will be taken up by Jasmine Tan in Auckland from June this year. Jasmine will be working on a number of projects related to diabetes and renal disease.

To end on a personal note, I have been President of the Society now for nearly four years and will not be standing for office again. It has been a great honour to have held this role and I am very grateful for and would like to acknowledge the wonderful support from all the members and officers of the executive committee, especially Paul Drury who contributes enormously to so many aspects of the Society. I would like to thank too Ole Schmeidel and Lorna Bingham who have brought great ideas and vigour to NewSweet. Finally I must give sincere thanks to Jan Brosnahan who runs the secretariat of the Society so efficiently and effectively, and who tolerates my inefficiencies with so much patience.

Dr T Cundy

NZSSD MEDICAL DIRECTOR REPORT 2013

The pace of life at NZSSD has not slowed, but I will try and avoid overlap with the other reports though many of the most important events have been joint achievements with other individuals and groups. These would include the roll-out of the prescribing project and the innovative e-learning facility for primary care nurses, each having benefitted from great collaborative efforts. I must though single out Helen Snell’s quite colossal contribution to both of these.

National scientific output It’s good to be able to report that there have been a good number of high quality publications from NZ in very reputable journals from groups all around the country in the last couple of years, and many presentations at Australian, American and European meetings. The volume of abstracts submitted to this year’s NZSSD ASM is probably a record, though I would ask submitters to pay a little more attention to our few rules! What is encouraging is to see a slowly widening pool of active researchers, ranging from pure science though clinical studies to epidemiology, education and health care delivery – and we are pleased to see a good number of quality applications for the grants, sometimes making judging quite hard.

Forthcoming meetings We have booked the 2014 ASM meeting for Queenstown for this same week next year. Once again we have anxieties over attendance and finance – we recognise the increasing difficulty that many have in obtaining funding to attend; this can only really be resolved by making some educational funds a condition of employment contracts. As always we thank Ali Copeman for her efficiency and good humour through all the many requests she receives.

One other meeting you should know about is the global IDF meeting in Melbourne (Dec 2013), though we are disappointed that very little NZ input has been sought by the organisers.

National issues and National Diabetes Services Improvement Group (NDSIG) 2 You will probably know that the concentration of the Ministry last year was on the Diabetes Care Improvement Packages (DCIP), the replacement for ‘Get Checked’, which got off to a slow start. Progress has been greater over the last six months, though is still patchy. I would encourage you all to take part in, or feedback to, Local Diabetes Teams to see that national intentions are mirrored in your DHB or PHO but tailored to meet the population needs. There is a wide desire to have a single national plan with 20 different flavours rather than 20 different plans and to see transparent data on quality of care with realistic indicators and outcomes..

Brandon Orr-Walker left his National role last August but has continued to provide a major source of advice and insight, and the new Ministry team have taken up their roles with gusto – helped by great interest from the Minister. We also have a new primary care target champion in Helen Rodenburg from Wellington. What has been really encouraging in the last couple of months is a new willingness at the MoH to take a new look at the whole national strategy for diabetes, including previous ‘no-go’ areas. I will elaborate.

Other issues The PHARMAC meter/strip changeover has overall been less fraught than it might have been, and the pump funding mechanism has been reasonably straightforward if time-consuming.

I’d like to thank the other members of the Exec for their support, Jan Brosnahan for all her work and also Ann Gregory and Michele Garrett for their contributions for DSIG and PodSIG. A particular pleasure has been the great collaboration with Chris Baty representing DNZ and with Pauline Giles as Chair of DNSS – both individually and with their teams they have contributed enormously to the progress that’s been made. The cohesion of our professional and patient organisations, and the clear messages they give, appear greatly respected in Wellington.

Paul Drury, Medical Director 23 April 2013

DIABETES NEW ZEALAND REPORT - NZSSD 2012/2013

While there is much to report on, one particular highlight worthy of mention upfront is the completion of our unification programme. While work will continue for some time to bed in unification, there is an enormous sense of strength, vitality and optimism from having unified, and we are now focusing on the future and doing our bit to address the diabetes challenge. And happily I can report that three Societies who initially opted not to join the unified organisation have since decided to join.

Engagement platform

 This project continues to go from strength to strength. It was fantastic to see the section of the platform for nurses working in primary care launched last year. In a heartening sign of its success over 500 nurses have registered and the feedback is overwhelmingly positive. The consumer side of the platform is currently under development and we envisage this side of the platform being launched around the middle of this year.  I would like to acknowledge our joint work with NZSSD (via Dr Helen Snell) on this project, and with the Refract Group. It’s truly an exciting and innovative project. At our Parliamentary meeting earlier this year (discussed further below), we presented on the platform and the project was very well received - the MPs present were genuinely excited by its potential.

Advocacy

3  Over the last year we continued our participation in a range of national groups, including the National Diabetes Services Improvement Group, the NZGG Advisory Group and regional diabetes strategy development.  We engage with the Minister, the NHB and the Ministry on a regular basis.  Following the changes to funding of blood glucose meters and test strips last year, we have had heightened involvement with PHARMAC, and in particular have been working with them to try and ensure the meter swap-over goes as smoothly as possible for people with diabetes.  Our Parliamentarian meetings continue. At the first session earlier this year Joe Asghar (Diabetes NZ, Chief Executive) and Margaret Miles (Director, Refract Group) presented on the engagement platform, and in the middle of this year Dr Jeremy Krebs will be presenting on diabetes and obesity.

Awareness:

 This year we will launch the beginning of a long term diabetes awareness programme (albeit with quite limited funding to only kick start the campaign over several months later this year). The intention is to run the campaign over many years to keep diabetes and the need for action firmly in the spotlight. We are currently developing our campaign objectives and strategy.  Diabetes Awareness Week last year focused on diabetes pregnancy. It was a targeted campaign with materials distributed through our Branches, GP clinics and through a range of interested organisations and businesses. We were also grateful for the opportunity to partner with Pharmacy Brands who helped us to raise awareness by running in store awareness campaigns (Pharmacy Brands represents over 300 pharmacies in New Zealand). This year our awareness week will focus on raising awareness about Diabetes NZ, who we are, what we do, and how we can help people affected by diabetes.  We continue to work with other NGOs to both spread our message and help them understand the needs of people with diabetes in their care.

Māori

 Diabetes NZ continues to reach out to Te Roopu Mate Huka o Aotearoa and work with them on joint initiatives.  On our Advisory Council we are grateful to have Gina Berghan representing the Maori sector of the diabetes population.  We remain committed to trying to get the help needed to appropriately lead and inform us on the development a Māori engagement plan.

Finance:

 Unfortunately the lack of this necessary resource remains a critical concern. We are currently exploring different ways we can gather adequate funding to support our work.

Diabetes NZ Supplies Ltd

 It is with deep regret that last year Diabetes NZ Supplies Ltd (DNZSL) ceased operation on 30 November. Recent changes to how PHARMAC funds test strips has meant DNZSL could no longer cover its running costs.  Clinics and practices are still able to order blood glucose meters and test strips from Diabetes NZ up until the end of June 2013.  Diabetes information pamphlets are still available for order from Diabetes NZ and we are currently reviewing the online store and a decision will be made on its future later this year.

Support

4  We continue to provide support to people everywhere in New Zealand. Over the last year we took approximately 20,000 phone calls, distributed approximately 200,000 pamphlets, distributed approximately 70,000 magazines and received approximately 250,000 visits to our website. In addition to this there were over 8000 (estimated) face to face/direct contacts through our Branches and approximately 36,000 emails directly from people seeking support.

 I would like to end by saying how very grateful we are to all members of NZSSD for sharing their expertise and offering support in many countless ways – it is invaluable to the work we carry out. This includes the SIGs, especially the dietitian and podiatry groups; Dr Paul Drury, Medical Director of NZSSD, for his expertise and advice, Professor Jim Mann for his nutritional as well as clinical expertise and Professor Tim Cundy as President. And finally, Dr John Wilson whose expertise we truly appreciate on our Advisory Council.

Chris Baty Diabetes NZ President April 2013

CHAIRPERSON’S REPORT – DIABETES NURSE SPECIALIST SECTION

It is my pleasure to write the annual report for the Diabetes Nurse Specialist Section. The past year has flown by with lots happening nationally. The main activities of the committee can be viewed on the DNSS website by clicking on the Business & Operational plan and meeting minutes. A summary of main events are outlined below.

General:

The Executive Committee continue to meet face to face on a quarterly basis to work on core business of promoting excellence in diabetes nursing in New Zealand through development of clinical practice frameworks, policy, education and research. Membership of the section continues to grow with a current membership of 385. There will be three spaces to fill on the Executive Committee at AGM.

Years Highlights:

The development of the diabetes E-learning platform: The section is pleased to be associated with the Primary Health Care Nurses diabetes E-learning role out which occurred December 2012. This has been an extremely successful venture with an enormous amount of positive feedback resulting. Thank you to those members who provided valuable input into its development. This is a very valuable educational tool which provides a high minimum standard of diabetes knowledge.

Nurse Prescribing: Thanks again to Helen Snell and NZSSD Exec for rolling out and supporting further diabetes nurses to undertake the second round of Diabetes Nurse RN prescribing. The Executive Committee has prepared feedback to Nursing Council on the proposed Community Nurse & Specialist Nurse Prescribing consultation document. This proposal is based on the frame work of the diabetes nurse prescribing project and its excellent to see Diabetes leading the way again.

Transition to College Status: After consultation with membership the preferred name to replace the existing title of Diabetes Nurse Specialist Section is Aotearoa College of Diabetes Nurses (shortened to College of Diabetes Nurses) and will support a new blue and purple logo. This will be presented at AGM.

Our application to the NZNO Board to apply for College Status will be submitted at the end of April 2013 and will go before the board June/July meeting. We anticipate a positive outcome.

5 Educational planning/career pathway: As reported last year the idea of mapping an educational pathway for nurses interested in diabetes has progressed. As with anything worth doing, small steps are required. Preliminary work has resulted in a letter going out to all Tertiary Educational Institutions inviting them to respond with an overview of any diabetes related courses that were on offer. The aim was to establish an overview of the course, target audiences, educational level etc. Those who replied now have their details posted on the DNSS website. It is proposed that a working group be established to progress this. The big picture of what will result is a career map, informing nurses interested in diabetes of the education required at particular levels, e.g. Practice Nurses through to Nurse Practitioner – diabetes.

Pauline Giles Nurse Practitioner – Diabetes & related Conditions Chair – Diabetes Nurse Specialist Section of NZNO.

ANNUAL REPORT FROM PODIATRY SPECIAL INTEREST GROUP

The Podiatry Special interest group working group following last year’s AGM where an election took place has been reduced from a team of twelve to a team of seven. It still has representation of both the North and South Islands as well as representation from the School of Podiatry at AUT, Podiatry NZ, Podiatrists Board of NZ, primary and secondary care services. We would like to take this opportunity to thank all those involved in the executive group over the past year for their time and effort they have put in to support the outcomes we have achieved.

Study Day 2012

The Podiatry special interest day last year in Auckland had 31 attendees.

Meetings

We have held an AGM plus two other meetings.

Meetings were held on the:

1 May 2012 (AGM in conjunction with PSIG Study day), 8 October 2012, 11 Feb 2012

Key points

 The executive group have been working on developing standardising Diabetes related foot care in New Zealand. The SIGN guidelines are being utilised with some modified for the New Zealand context. The authors of the SIGN guidelines and the Scottish Diabetes Foot Action Group have been contacted and consent given to utilise the model and pathways on the proviso that appropriate acknowledgment is given to the source documents.

 We are currently developing a Podiatry competency framework for those podiatrists specialising in Diabetes foot care and management. We are reviewing the Australian and UK frameworks for adaptation and adoption in the NZ context. The proposed competency framework will be going out to stakeholders for consultation in the later half of the year.

 The Diabetic Foot Ulcer Assessment Form in partnership with the Wound Care Society of NZ was a large piece of work for 2011-2012, which we are continuing to refine and develop along with other resources.

 Pamphlets are currently being developed to be used in conjunction with Diabetes NZ foot care leaflet.

To note 6  Michele Garrett is representing the PSIG on the National Diabetes Service Improvement. We are concerned as a group that the changes from Get Checked to the diabetes care improvement plan are still not appropriately in place for diabetes foot screening throughout NZ

Podiatry Services in Secondary and Primary care

Area No. of people with diabetes Secondary Podiatry service

Diagnosed cases from each DHB, Dec 2011

Auckland DHB 21656 2.0 fte

Bay of Plenty DHB 10281 1.0 fte

Canterbury DHB 19439 1.6 fte

Capital and Coast 10461 Service in place unknown fte DHB Counties Manukau 31023 1.8 fte DHB Hawkes Bay DHB 7280 0.6 fte

Hutt Valley DHB 6443 1.9 fte

Lakes DHB 4767 Unknown

MidCentral DHB 7369 0.8 fte

Nelson Marlborough 5645 0.25 fte – Part of PHO contract DHB Northland DHB 8901 1.0 fte – Whangarei Hospital

South Canterbury 3020 4hrs every 3 weeks – DHB Ashburton (0.2) 4-5hrs/week - Timaru Southern DHB 13358 0.6 fte – Dunedin

0.2 fte – Southland hospital

Tairawhiti DHB 3144 (0.2) 2 days per month

Taranaki DHB 6843 Allocated within PHO contract

Waikato DHB 17620 1.8fte – Waikato Hospital

0.2 fte – Thames Hospital

Wairarapa DHB 2080 Allocated within PHO contract

Waitemata DHB 23998 1.8 fte

West Coast DHB 1309 Allocated within PHO contract

Whanganui DHB 3301 Included in with MidCentral DHB

7 Lead DHB PHO Name Podiatry Services

Auckland DHB Alliance Health Plus Trust 2 days/month

Auckland DHB Auckland PHO Limited

Auckland DHB ProCare Networks Limited

Bay of Plenty DHB Eastern Bay Primary Health 2.75 fte Alliance Bay of Plenty DHB Nga Mataapuna Oranga Limited ?

Bay of Plenty DHB Western Bay of Plenty PHO Service present vol unknown Limited Canterbury DHB Christchurch PHO Limited

Canterbury DHB Pegassus Health (Charitable) Ltd 3526 vol

Canterbury DHB Rural Canterbury PHO

Capital and Coast DHB Compass Primary Health Care Network Capital and Coast DHB Cosine Primary Care Network Trust (consists of:) 1. Karori Medical Centre 2. Ropata Medical Centre Capital and Coast DHB Ora Toa PHO Limited

Capital and Coast DHB Well Health Trust

Counties Manukau DHB East Health Trust

Counties Manukau DHB National Hauroa Coalition (NHC)

Counties Manukau DHB Total Healthcare Charitable Trust

Hawkes Bay DHB Health Hawke's Bay Limited Service present vol unknown

Hutt Valley DHB Te Awakairangi Health Trust 5399 vol Board Lakes DHB Health Rotorua Limited

MidCentral DHB Central Primary Health Organisation Nelson Marlborough DHB Kimi Hauora Wairau Mapua – 1 clinic every 3 weeks (Marlborough PHO Trust) Golden Bay – 6/52 clinic

2 Maori Health clinic – 4/12

Blenheim – 100 vol

Nelson Marlborough DHB Nelson Bays Primary Health

Northland DHB Manaia Health PHO Limited

Northland DHB Te Tai Tokerau PHO Limited 1.6 fte

South Canterbury DHB Primary and Community Services Marae based clinic – 3hrs 6 wks

Southern DHB Southern Primary Health Organisation Waikato DHB Hauraki PHO Service in place, unknown vol 8 Waikato DHB Midlands Health Network Waikato – 4300 vol Taranaki – 1900 vol Wairarapa DHB Compass Health (Wairarapa)

Waitemata DHB Waitemata PHO Limited Service in place, unknown vol

West Coast DHB West Coast PHO 30hr/week for 42 wks 1500-1600 vol Whanganui DHB Whanganui Regional PHO

The PSIG NZSSD results from 2010 show that the total identified FTE nationally working in DHB Diabetes Services treating active foot complications in diabetes was 11.56, including full and part time employment and for 2012 it is 18.05.

 Taranaki, Wairarapa, West Coast DHB operate services in conjunction with PHO contracts.  Midcentral includes Whanganui DHB Podiatry services.  Capital and Coast DHB had not reported there FTE and or volumes at time of finishing this report.  Lakes DHB not aware of any Podiatry services.  The number of Podiatry services within the 31 PHO registered on the MOH website shows that more have podiatry services available however what and how this is provided is still not consistent through all PHOs

DHB & Podiatry FTE

1.5 E T

ANNUAL REPORT - DIABETES DIETITIANS SPECIAL INTEREST GROUP

9 The Group has maintained its membership at 80 members. Membership ranges from dietitians working as specialist diabetes dietitian to those working in outpatients and community settings.

The biannual review of the Diabetes Diet Sheets was completed this year. The work was lead by Amy Lui in Auckland, who coordinated a working group from across the country. We are currently looking at which of these information sheets will be made available for use of other health professionals. Our thanks to Amy for leading this project

The work on National Standards of Care for Diabetes was put on hold last year as Dietitians NZ was undertaking work on a national project for Standards of Care for Dietitians. This has restarted this year and the diabetes standards of care will be the pilot for the national project. This will include ensuring that the standards follow the International Dietetic and Nutrition Language, which dietitians in New Zealand are in the process of adopting.

The work on a Knowledge and Skills Framework for Diabetes Dietitians has been slow. This is due to a focus on the diet sheets and the standards of care. A national working group has been established and we hope to be able to report next year that progress has been made.

The Group has continued to work closely with Diabetes New Zealand providing articles and recipes for their magazine. We have also provided advice to help answer members’ questions.

Ann Gregory Convenor May 2013 TREASURER’S REPORT

At the time of preparation of this report, the accounting firm of Naylor, Lawrence and Associates (Palmerston North) is in the process of auditing the Society’s accounts. It is hoped that the final accounts will be ready for consideration at the AGM.

Historical trends

The Society’s main sources of income are subscriptions, conference surplus and bank interest.

Income from subscriptions 2009-2010: $15,115 Income from subscriptions 2010-2011: $18,717 Income from subscriptions 2011-2012: $19,004 Income from subscriptions 2012-2013: $25,140

Conference surplus 2009-2010: $25,986 Conference surplus 2010-2011: $24,685 Conference surplus 2011-2012: $18,139 Conference surplus 2012-2013: $28,238

10 Interest 2009-2010: $9,295 Interest 2010-2011: $8,389 Interest 2011-2012: $6,786 Interest 2012-2013: $3,755

The Society has also been contracted by HWFNZ to provide oversight of the implementation of the Nurse Prescribing Project, Phases 1 and 2.

There was a surplus of approximately $91,000 from completion of Phase 1 of this project.

Due to a number of errors in budgeting that it was not possible to correct retrospectively, there will likely be a shortfall of approximately $30,000-40,000 from Phase 2.

The Society’s largest expenditures (excepting the Prescribing Project, the overspend for which will be a one-off liability) are the Medical Director’s Salary and PAYE, Secretariat costs and Grants (Personal Development Awards, Travel Grants, the NZSSD Research Award). This year, the Society also contributed $46,000 towards the development of the Primary Care Diabetes eLearning Project.

11 Current Financial Position

The Society’s financial position as at 31 March 2013 was:

Account Balance

Term Deposits $115,168.68

Main Cheque Account $74,268.96

DNS Project Account $8.726.07

Total $198,163.71

For FY 2012-2013, income was:

Credits by category Row Labels Total Conference $41,511.03 Donation $11,963.08 Grants $69,000.00 Interest $3,754.68 IRD $29,998.70 Subscription $25,982.50 Sundry $230.00 DNS Project Phase 1 $34,500.00 DNS Project Phase 2 $31,464.86 Grand Total $248,404.85

For FY 2012-2013, expenditure was:

Debits by category Row Labels Total Accounting -$8,312.50 Banking -$35.00 Conference -$13,272.90 Grants -$104,550.00 IRD -$31,073.73 Legal -$938.40 Salaries -$40,077.81 Sundry -$8,233.06 Teleconference -$1,490.22 DNS Project Phase 1 -$29,063.35 DNS Project Phase 2 -$55,568.06 Project -$46,000.00 Grand Total -$338,615.03

The Society therefore spent $90,210.18 more than it brought in.

12 The Society has been spending more than it has brought in for several years, as evidenced by the gradual attrition of the Term Deposit balance:

Term deposit balance March 2010: $228,953 Term deposit balance March 2011: $164,283 Term deposit balance March 2012: $112,038 Term deposit balance March 2013: $115,168

It was not necessary to withdraw funds from the Term Deposit balance for this financial year as there was a surplus of approximately $91,000 from the budget for Phase 1 of the Nurse Prescribing Project and the Society was in receipt of a number of (unexpected) donations.

Projections and budget for FY 2013-2014

Conservative projections for income in the next financial year for our main revenue streams are: Source Amount

Subscriptions $19,000

Conference surplus $23,000

Interest $2,500

Total $44,500

Our current level of expenditure is therefore unsustainable.

For FY 2013-2014, I propose to reduce expenditure by means of the following:

1. Cap expenditure on Personal Development Awards to $4,000 2. Cap expenditure on Travel Grants to $6,000 3. Put the Summer Studentship on hiatus 4. Reduce Secretariat hours by 25% 5. Put the NZSSD research grant ($23,000) on hiatus 6. Explore moving the Medical Director role from a salary-based one to an honorarium-based one 7. Explore alternative relationships with DNZ other than one based on capitation fees

Strategies to increase income are more difficult as the Society does not have the infrastructure that may other charities have and competition for funds is tight amongst all charities. Each of us has a day job and other revenue streams (e.g. relationships with potential philanthropists take time to develop, endowments etc.) take time to develop and are unlikely to generate income rapidly.

In addition to the plan to reduce expenditure, I propose to:

1. Increase subscriptions by approximately 50% for FY 2014-2015, and by the same amount again in FY 2015-2016. 13 2. Invite members to make a donation along with their subscription.

An increase in subscription as outlined above would take current rates to:

Category Current rate FY 2014-2015 FY 2015-2016

Members residing in Nil Nil Nil Pacific Island States

Non-SMO $69 $103.50 $138

SMO $115 $172.50 $230

Corporate $230 $345 $460

This compares with subscription rates for the Australian Diabetes Society of AU$110 annually and for the ADA of US$200-400 annually (depending on the package selected).

Alternatively, $138 annually is equivalent to $2.65 per week – cheaper than a cup of coffee.

I also propose that donations should be set aside in a separate endowment fund, the aim being that over time, once this has reached a critical mass of funds, the Professional Development Awards and Conference Grants will be funded from the income form this fund.

Long-term aims

The aim is to return a small surplus when averaged over a 5-year cycle, and for that surplus to go towards the long-term fund out of which Travel and Personal Development Awards will eventually be funded.

Other ideas for increasing revenue (e.g. selling advertising space on the website) have yet to be worked through, but ideas are welcomed.

Proposals put forward for a vote

1. That expenditure for FY 2013-2014 be restructured as above. 2. That the subscription rates be altered as outlined above.

Recommendations

That this report be received.

Dr Owais Chaudri Honorary Treasurer April 2013