ANNUAL GENERAL MEETING 2010 KINGSGATE HOTEL, HAMILTON 22ND APRIL 2010, 1615-1745

1. Apologies

2. Minutes AGM 2009 Dunedin

3. Business arising: Diabetes and Cardiovascular Disease Quality Improvement Plan update

4. Reports: a. President b. Medical Director c. Treasurer’s report d. Diabetes New Zealand e. Diabetes Nurse Specialist NZNO f. Diabetes Dietitian Special Interest group g. Podiatrists’ Special Interest Group

5. Nurse prescribing

6. Awards Eli Lilly Novo Nordisk NZSSD professional development awards

7. Life membership

8. PHARMAC issues

9. General business: a. Development of Diabetes workforce b. 2011 Annual Scientific Meeting

10. Election of next executive

11. Any other business

NZSSD AGM: reports Page 1 PRESIDENT’S REPORT

This is the first report from the new executive voted in at the July 2009 Annual General Meeting in Dunedin, and the first since the Society changed to a national, rather than regionally based executive. We meet monthly by teleconference, and with much informal communication between times. Although there are some drawbacks in loss of immediacy in contacting other committee members, there have been substantial gains in breadth of expertise and gaining a national view. I would like to formally to thank all the executive committee members who have served so willingly. The role of President is quite demanding, so I am particularly grateful to Paul Drury who has taken on the new role of Medical Director, both for his guidance and for finding solutions to the many imponderables we have had to face. I would also like to thank Catherine MacNamara for taking on so willingly the role of editor of Newsweet.

The Society now has a permanent secretariat based at the University of Otago. Jan Brosnahan runs the secretariat, and takes on many responsibilities including updating membership lists and the website; keeping the agendas and minutes and being the corporate memory for the Society; distributing information to members and liaison with other agencies. We are grateful to Jan for all her hard work in this role. Having a permanent secretariat and a medical director has greatly improved our efficiency, and I think should now be considered essential. However they do have a cost. The Medical Director’s post is initially being funded by the NZ Diabetes Foundation, and we are enormously grateful for this, but eventually we may need to fund it ourselves. In the short term our position appears to be sustainable, but these are times of great financial and economic uncertainty, so we need to plan carefully for the future. Jinny Willis, who is doing splendid work as Treasurer of the Society, will give more detail of our financial position.

We are not a profit-making organisation and the executive committee is committed to continue our programme of Professional Development awards and travel grants, providing support for some members to attend the Annual Scientific Meeting. One of the major concerns of the committee since taking office has been organising the Society’s 34th ASM in Hamilton. We are grateful to Susie Ryan and Peter Dunn for facilitating this. Despite the relatively short notice we had, we are delighted with the exciting programme we have, and the large number of high quality abstracts submitted by members. Nelson is the planned venue for the 2011 ASM.

Amongst other activities of the executive committee over the last 9 months, I would like to highlight three initiatives with which the Society is involved. First is the very welcome development of a Podiatry Special Interest Group that strengthens the NZSSD as a truly multidisciplinary organisation. The drive to establish this has come from podiatrists themselves, especially Michelle Garrett and Claire O’Shea and from Paul Drury, who has been an important facilitator. A recognition of the importance of this development is the seed funding we have received for this group from the Ministry of Health, to whom we are grateful.

At the first meeting of the current executive committee high on our list of priorities was a desire to advance the issue of prescribing rights for diabetes nurses. We are very conscious NZSSD AGM: reports Page 2 that the current arrangements hinder diabetes nurses from helping patients as much as they might, make diabetes nurse work professionally unsatisfying and lag behind developments in other countries to which we like to compare ourselves. The incoming National-led Government had ideas about innovation in clinical training and established Health Workforce NZ, under the leadership of Professor Des Gorman. The NZSSD, along with the College of Nurses and the NZ Nurses Organisation, have had constructive meetings with representatives of HWNZ and the Ministry of Health, who were impressed, I think, with the solidarity between the NZSSD and the nurses’ organisations. There are legal obstacles to progress that we all believe need to be removed. It seems, at the time of writing, that the government accepts the need to amend the Medicines Act – and we await the next move from the Government side. I am most grateful to Helen Snell who has led the NZSSD initiative in this critical matter.

We continue to be involved in the Ministry of Health’s Quality Improvement Plans (QIP) for diabetes. The Renal QIP group involves representatives of the NZSSD, the Renal Society and general practice. Two trial proposals are in the offing – one is an IT programme for general practice to enable GPs better to detect and intervene in early nephropathy; the other is a trial of nurse-led intensive management of affected patients in vulnerable communities with high rates of advanced nephropathy. The remainder of the QIP makes variable progress. The developments in podiatry have been mentioned, and an important in-patient study about to start. We continue to collaborate closely with the Cardiovascular QIP, driven by the ministry and the national Heart Foundation, with significant national improvements. Largely because of constrained resources, there has been less progress in the plans for retinal screening and care of young people with type 1 diabetes.

I will end with a plea. The NZSSD is your society, not the executive committee’s – so we do need your active participation, so if we call on you for your opinion or assistance with something, please see what you can do to help. If you are very keen to help, please consider standing for the executive committee. Also, if there things going on in your region or your profession that you think we need to know about, please let us know.

Tim Cundy

NZSSD AGM: reports Page 3 TREASURER ’S REPORT

Financial year ending 31st March 2010

The accounts for the financial year ending 31 March 2010 are complete but have yet to be audited. The annual report for the year ending 31 March 2009 was completed in August 2009 and is available on the Society’s website.

Jan Brosnahan from Department of Medicine, University of Otago, took up the NZSSD Secretariat role from 1 July 2009. The role involved conducting the Society’s day-to-day business, including managing all correspondence, all matters related to membership, maintaining the NZSSD website, interfacing with the executive and other tasks arising. The role was established by the Dunedin-based executive and the provision of services was originally sized as a 0.7 FTE position with a monthly cost to the Society of over $3800. After the role had been operating for several months it became apparent that the tasks, when averaged out across the year, could be completed within a 0.3 FTE commitment. Accordingly a variation to the agreement with University of Otago commenced from 1 March 2010, with a monthly cost to the society now of around $1500. The contribution Jan has made to the smooth running of the society is very much appreciated and relieves the executive members of many commitments that would otherwise be very time consuming.

The other significant appointment in the last 12 months has been the establishment of the Medical Director role. Dr Paul Drury commenced in the role last July but officially took up the position on 1 January 2010. The position, funded entirely for 2010 by the Diabetes Foundation of New Zealand, is at a monthly cost of $2500.

The society received approx $16,350 in subscriptions this year. This represented an increase on the previous financial year. In her role as membership secretary, Jan Brosnahan has been pursuing members with overdue subscriptions to very good effect.

During the year the society has paid out $1070 in professional development awards. A further two awards have been approved. Travel grants to support attendance at the annual scientific meeting totalled $9475 for the 2009 meeting in Dunedin and $7600 for this year’s meeting in Hamilton. The surplus from the conferences in 2009 was approximately $31,215, of which NZSSD received $25,761.

Investments currently total approx. $225,000 with the cheque account at around $21,000 as at the end of March 2010. As such the society is in a strong financial position going forward and attention to using some of the funds invested is warranted.

Dr Jinny Willis Honorary Treasurer

April 2010

NZSSD AGM: reports Page 4 REPORT TO THE NZSSD FROM SARAH THOMSON, CHIEF EXECUTIVE, DIABETES NEW ZEALAND

2009 was a busy year for Diabetes New Zealand. In spite of the world wide recession and many challenges, including the tragic death of our Co-Patron, Professor Sir Don Beaven, DCNZM, CBE, on 4 November. We delivered, in spite of reducing our costs, on all our outcomes as outlined in Diabetes New Zealand’s Strategic and Business Plan, 2007-2011 and came in under budget for the year.

At its AGM in May Chris Baty was elected President and Paul Bowe Vice-President. Diabetes New Zealand continued its mission to enhance the quality of life of people with diabetes. In doing so we ensured diabetes issues were well represented to the recently elected National led coalition government, Members of Parliament and government officials. We appreciated having several meetings with the Minister of Health, the Hon Tony Ryall and Associate Minister of Health Hon Tariana Turia and we were delighted in May when the Minister announced that ‘Improving diabetes and cardiovascular services’ had been retained as a target for 2009-2010. Four meetings of the ‘Parliamentarians for Diabetes’ group were held. Thanks go to Dr Helen Lunt, who presented on ‘Diabetes, the Quiet Thief’; Dr Rick Cutfield, on ‘Reducing the burden of Diabetes Complications on a Budget’ and Dr Jeremy Krebs on ‘Primary and Secondary Care: Getting the twain to meet’. To celebrate the 5th anniversary of the group the Hon Jim Sutton, former Minister of Trade and Agriculture addressed the group on his experience of living with Type 2 diabetes.

Submissions were made to:  The Ministerial Review group’s report ‘Meeting the Challenge’ recommending that some services be combined to integrate models of health care in order to improve access to health services and reduce inequalities and that the report address the prevention of chronic diseases such as Type 2 diabetes.  The Maori Affairs Select Committee on the role the tobacco industry plays in the disproportionate morbidity and mortality rates of tobacco use among Maori. Co- Patron Professor Don Beaven and I had a letter published in the New Zealand Medical Journal on tobacco use in New Zealand.  Podiatrist Board on the Designated Prescribing Rights for Podiatrists  Pharmac on governance of the Consumer Advocacy Committee  The Ministry of Health’s on its draft report of the Long Term Conditions Direction for Action report.  The Commonwealth Heads of Government (CHOGM) meeting on recognising the importance of preventing chronic diseases (This was a joint letter from the Peak Group for Chronic Disease Prevention).  The Ministry on the Health Survey Discussion Document  The Ministry of Health on the discussion document ‘How do we determine if statutory regulation is the most appropriate way to regulate health professions?’

We worked with Diabetes NZ Pacific Wellington, the IDF ‘Insulin for Life’ programme and countries in the Pacific on the supply of insulin for the Pacific countries following the earthquakes and tsunamis.

Diabetes New Zealand awarded the Edgar National Centre for Diabetes Research an Education and Research Grant for a diabetes knowledge survey.

NZSSD AGM: reports Page 5 For Diabetes Awareness Week Diabetes New Zealand appreciated the support of Dr Paul Drury in his new position as Medical Director of NZSSD.

Diabetes New Zealand worked with members of NZSSD to put information on www.diabetes.org.nz on the two year phase of the changes to the HBA1C results for people with diabetes and its reporting.

Initial meetings for a register for Type 1 diabetes began in 2002 and some progress with District Health Board New Zealand Inc was made on their draft report on the establishment of a register.

To reduce costs we produced just three editions of Diabetes magazine, down from four the previous year. The magazine has a circulation of over 18,000.

The benefits of NZSSD members in belonging to Diabetes New Zealand

International: IDF levy 50 cents Diabetes New Zealand is the member country of the International Diabetes Federation and the Western Pacific Region. Examples of recent DNZ actions: 1. Presented: To the WPR meeting in Korea where Robyn Toomath and I won the bid to host the 7th WPR Congress in Wellington, 2005 2. Arranged: Visits for Professor Martin Silink, IDF President Elect (2005) Hon Judi Moylan, Australian MP (2007) and Diabetes Australia (2007) 3. Proposed: Diabetes Congress Ltd to NZSSD/ DNZ (2006) and held a successful WPR Congress (2008) 4. Invited: NZSSD members to the launch of the IDF ‘Western Pacific Region Parliamentarians for Diabetes’, (2008) 5. Agreed: At WPR meeting, Taiwan, 2009 the WPR Plan of Action, 2006-2010 6. Attended meeting: Robyn Toomath, Member, IDF Change Management Group

National: $12.00 per member NB: The number of votes Diabetes New Zealand can exercise at an international level is determined by the size of our membership. Examples of DNZ actions: 1. Opened: National office, Wellington with coordinated activity (Since 2000) 2. Developed: New policies and produced reports. (Since 2001) 3. Represented: Diabetes to many Government Departments (Since 2001) 4. Launched: FOE Inc. Robyn Toomath and I launched FOE (2001) 5. Writes letters of support on research grant applications (Since 2002) 6. Maintained: Credibility of diabetes information and the Diabetes magazine 7. Launched: Parliamentarians for Diabetes (2005) and invited NZSSD members as speakers 8. Plays a key role in advocating for people with diabetes and their families Total $12.50 per member

As this is my last report I want to thank the Members of NZSSD for their support over the past ten years. I have enjoyed and appreciated the many friendships I have made during this time and wish you all the very best for the future.

Sarah Thomson Chief Executive Diabetes New Zealand

NZSSD AGM: reports Page 6 DIABETES NURSE SPECIALIST CHAIRPERSON’S REPORT: AGM 20TH APRIL, 2010

National Executive Committee: Currently there are 5 vacancies to fill at this AGM and nominations have been sought, so members of the committee continue to encourage colleagues to join the national executive committee or Accreditation board. The committee is made of hard working professional diabetes nurse specialists who contribute to the professionalism leadership of the diabetes nurse specialists section.

Membership: Jenny Brittland is the outgoing membership secretary and has the email contact tree running smoothly with administration support from NZNO. Currently there are 351 members. In order to receive information and be kept informed it is the responsibility of members to keep their contact details up to date with NZNO. If members have any queries please contact a committee member to discuss any concerns. We have both full and associate members. There is no fee to belong to the section, membership is determined by hours worked in diabetes, and full members have full voting rights. The status of full or associate membership is historical and in the future members may wish to discuss this issue further.

Treasurer: Mele has done a great job as treasurer and the section is in a good position financially. Details of the finances will be presented at our AGM on Tuesday the 20 th of April. Mele is resigning from the committee at this AGM and a new member will take up this office. We wish Mele well in the future and appreciate her continued involvement in the section.

Newsletter ‘On Target’, the newsletter is posted on the website and a hard copy is posted to members who do not have email access. A Paediatric supplement has been added to the newsletter and is well received. Contributions from our colleagues working with children will be sourced, remember contributions to the DNSS newsletter are welcomed. The newsletter continues to be produced quarterly, and usually goes out after meeting. Our sincere thanks go to Julie Symons for all her work as editor of the newsletter. Julie has recently resigned from the committee. This role will be taken over by an incoming member.

Website: Pauline Giles is the contact person on the committee for any information for the website. Pauline has updated the website and hopefully members will find this now more relevant and useful. Contact Pauline if you have any comments in regard to the website.

Business and Operational Plan: the annual business and operational plan for 2010/2011 has been completed. Mele Kaufusi the treasurer continues to work closely with Mark Speers (accountant, NZNO).

NZSSD AGM: reports Page 7 Regional Round up: Howard Brown is responsible for the regional round up. This will feature in the up and coming newsletters. If you have any innovative ideas to use in practice, new programmes or something that is working well in your region, we would like to hear from you. Networking and sharing of information and collegial support is invaluable within our speciality and I think you would all agree something diabetes nurses are very skilled at.

Accreditation Board: Funding of the accreditation board will be separated as of April 2010, in order for the accreditation board to operate more effectively; the board will be funded so that they are not reliant solely on the funding from portfolio fees. The accreditation board remains a sub group of the DNSS section and reports directly to the exec committee. It is planned that a member of the executive committee will attend one of the accreditation board meetings annually.

Scholarship for Diabetes Nurse Specialists: the DNSS section has established an education scholarship/grant to assist members to attend or participate in events related to diabetes nursing that will further their knowledge i.e. workshops, conferences, study days, post graduate study, accreditation application fee, etc. the grant is $5000 per annum available for grant/scholarship in 2010 and 2011. The maximum grant will be $500 per person for post grad study, conferences etc or $100 toward the accreditation application fee.

NZSSD, Diabetes Nurse Prescribing Pilot: The Diabetes Nurse Specialist section support NZSSD in this endeavour. A project team has been set up to explore the development of a designated, collaborative model for enabling Diabetes Nurse Specialists to prescribe within a limited formulary of drugs. This is likely to involve 12-14 individual DNS’s over 3-4 sites. There will be other requirements that the DNS will need to fulfil to meet the criteria to enable them to participate in this pilot; these are yet to be determined.

Chairperson’s final comment: As I come to the end of my term on the committee I have enjoyed the work we have been involved in and the collegiately. I will continue to offer my support for Pauline Giles the incoming chairperson. I would like to acknowledge the work of all members of the team and thank Ann Faherty for her continued fantastic work as secretary for the executive committee. The committee looks forward to the year ahead with some exciting work planned and welcomes input and feedback from the membership.

Chairperson DNSS executive committee Mary Meendering

NZSSD AGM: reports Page 8 DIABETES DIETITIANS SIG REPORT FOR NZSSD MARCH 2010

In December 2007 the University of Otago and the Diabetes Dietitian SIG Committee were able to announce the approval of a Masters in Dietetics (endorsed in Diabetes). Unfortunately there have not been sufficient enrolments for the course for the course to run in 2010 and I am still waiting to hear from Otago the plan for 2011.

In 2009 the diabetes special interest group (SIG) was in communication between the NZDA and the Nurses group regarding the Nursing framework. Nurses and Dietitians enjoyed a successful joint study day prior to NZSSD 2009 in Dunedin and organisation is complete for the 2010 Dietitians/Nurses Study Day as part of the NZSSD Conference in Hamilton.

Following on from the SIG AGM in Dunedin 2009, Wellington has undertaken the responsibility of the SIG group with Hayley Robertson currently holding the position of convenor.

Caroline Adamson SIG NZDA Past Convenor

NZSSD AGM: reports Page 9