2015 TDHB Annual Report

ANNUAL REPORT 2014-15 Taranaki Together, a Healthy Community Taranaki Whanui, He Rohe Oranga OUR AIMS A Matou Wawata ɶ To promote healthy lifestyles and self responsibility ɶ To have the people and infrastructure to meet changing health needs ɶ To have people as healthy as they can be through promotion, prevention, early intervention and rehabilitation ɶ To have services that are people-centred and accessible, where the health sector works as one ɶ To have a multi-agency approach to health ɶ To improve the health of Māori and groups with poor health status ɶ To lead and support the health and disability sector and provide stability throughout change ɶ To make the best use of the resources available Registered Office Banker Advisors Auditors Taranaki District Health Board TSB Bank Govett Quilliam Office of the Controller 27 David Street 120 Devon Street East Private Bag 2013 and Auditor-General New Plymouth 4310 New Plymouth 4310 New Plymouth 4342 Agent - Deloitte Telephone: + 64 (6) 753 6139 PO Box 17 Facsimile + 64 (6) 753 7770 Westpac Hamilton 3240 Email: [email protected] Po Box 8141 Website: www.tdhb.org.nz New Plymouth 4310 2 Our Shared Vision / Te Matakite Taranaki Together, a Healthy Community Taranaki Whanui, He Rohe Oranga HOW WE WORK TOGETHER AND CONTENTS Our Aims .......................................... 2 WITH OTHERS (NGA TIKANGA) Introduction by Chairman and Chief Executive .......................... 4 Me Pehea nga mahi ngatahi me etehi atu Taranaki Health Foundation ............ 6 On Target........................................ 10 The actions and behaviours described below are how we aim to Where the Money Goes ................. 12 contribute to all our relationships including those with our patients, Profiling Taranaki ........................... 14 clients, whanau, funded agencies, staff and members of the public. Māori Health .................................. 16 We will work together by: Working Together ........................... 22 Governance .................................... 26 ɶ Treating people with trust, respect and compassion Board Profiles ................................. 28 Our People ..................................... 31 ɶ Communicating openly, honestly and acting with integrity Board Members’ Responsibilities and Fees ................ 32 ɶ Enabling professional and organisational standards to be met Audit Report ................................... 34 ɶ Supporting achievement and acknowledging successes Statement of Performance.............. 38 Financial Report ............................. 70 ɶ Creating healthy and safe environments Reporting on Good Employer Practices ........................................ 105 ɶ Welcoming new ideas 3 Matua Ramon Tito, Chief Advisor of Māori Health Ngawai Henare, COO Rosemary Tony Foulkes with Chief Medical Advisor Greg Simmons Clements and Tony Foulkes with the Te Kāwanatanga award for use of bilingual signage and Minister of Health Dr Jonathan Coleman INTRODUCTION BY CHAIR AND CHIEF EXECUTIVE Welcome to the Annual Report for the Taranaki District Health Board for 2014/2015. We would like to acknowledge and our means and ensuring access to high patients particularly those with chronic thank all the Board and Committee quality services for the community conditions. members who have generously while reducing health inequalities. shared their skills and knowledge. Our Our clinical and support teams have Māori relationship partner, Te Whare We have taken further measures and again exceeded many service level Punanga Korero Trust representing the continue to look at how we organise targets in both hospital and community eight iwi of Taranaki, have provided services with a willingness to change to based settings. The introduction of the members to our Committees, in best suit our community. The hospital faster cancer target has given focus to addition to contributing to various and specialist services like most have the pathway of care for patients with a planning activities, as they support experienced growing demand and high suspicion of cancer and ongoing the governance of the DHB and our complexity of services. We are very progress to ensuring timely access goals of improving Māori health and proud of the work of all the teams remains a priority. reducing health inequalities. involved in these services for taking an organisation wide look at improving The staff and patients have continued Our approach to accelerating Maori processes and containing costs, while to gain the benefits of the new acute health gain has been underpinned by still delivering good quality care, and in services block. The changed models of Te Matakite Maori Health Plan together many instances with shorter waits than care developed with the move into a with a nationally standardised set of before. modern building are now part of our performance measures and monitoring normal service delivery helping achieve framework. The approach continued Taranaki DHB is committed to meeting improved day of surgery access and to strengthen not only within the DHB the national health targets. Improving reducing length of stay. but as a whole-of-system approach. our performance requires a ‘whole of Monitoring of specific measures system’ approach with a combination A focus on consumer engagement that are linked to leading causes of of focused attention, clinical leadership has seen an increase in the number of morbidity and mortality for Taranaki and system integration. Taranaki has patients and their whanau involved in Maori has enabled the DHB to not made a significant contribution to service delivery planning and ensuring only reduce, but to eliminate some meeting these health targets this the changes we make are customer inequalities in access by Maori, to key year, notably by over delivering on focused. services. These are major achievements more elective surgeries, faster access which we expect will translate in time, to emergency and cancer care and Taranaki DHB is an active partner with to the achievement of health equity for better prevention with more people in the Midlands Health Network – PHO, our whole population. Taranaki getting help to quit smoking working to better integrate Primary and having more diabetes and heart and community health services Throughout the year we have funded disease checks. General Practices more closely with hospital services services to the value of $334m for the have also made a major contribution to benefit patients. This has enabled people Taranaki. We remained focused towards the Targets, and together even more care to be delivered closer upon improving performance, meeting with Community Pharmacies have to home. Important collaboration national health targets, living within improved the support available to to ensure people receive prompt 4 and appropriate acute care in our Tony Foulkes, Joan McCardle, Doug Ashby and Rosemary Clements Rosemary Clements and Greg Simmons ready to hand at the Volunteers Recognition Celebration. out Patient Safety Week resources. Emergency Departments has also 2. ‘WE HEART TARANAKI’ was Our partnerships with local councils been of particular focus with Midlands launched in February 2015 for a and other agencies play an important Health Network. new Angiography Suite. This is role in the network of support we the very first public campaign the provide for harder to reach parents, We have continued to improve Foundation has undertaken, with caregivers, young and older people to the planning and management of previous fundraising focused on the access services in their own community. staffing costs whilst also increasing corporate and philanthropy sectors. The implementation of the Social new graduate clinical staff. This year Sector Trial with the South Taranaki 30 students were awarded Taranaki Partnerships with other DHBs are District Council has seen collaboration DHB health scholarships, an increase also very important to ensure we can between the DHB, Ministries of Social of 5 from 2014. We have also worked provide access to appropriate care Development, Education, Police and to strengthen the Taranaki health and treatment for Taranaki people, as community health providers to support workforce through collaboration with well as avoiding duplication wherever at risk youth. We hope such approaches Health Workforce New Zealand, the possible and getting the best value can be extended to help other Midland Regional Training Network for money. Our strong collaborative communities in the future. and with local partners such as The approach with other DHBs has also Western Institute of Technology and continued through our joint venture The following pages provide a brief Whakatipuranga Rima Rau. companies, including; HealthShare snapshot of some of the exciting with Tairawhiti, Bay of Plenty, Lakes developments underway, and the busy Once again we have been very grateful and Waikato DHBs which audits NGO life and achievements of our health for the work of the Taranaki Health services in personal health, mental sector from the past year. Foundation whose mission is to raise health and health of older people, as funds and awareness for projects well as now providing joint service We would like to say a big thank you to that improve quality patient care in planning, workforce and internal everyone who plays a part in working the region. This has been achieved audit teams, and information Systems tirelessly day and night for our patients with the generous support of local leadership; and Allied Laundry Services

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