Two Years On 2018-2019 Summary

he Community Health Council (CHC) is an advisory council for the Southern District Health Board (DHB) and WellSouth Primary Health TNetwork (hospital and community health services including GPs) and has enabled a stronger community, whãnau and patient voice to be heard in decision-making across the Southern health system.

Since forming just over two years ago, the CHC has had some membership changes to ensure a rotational membership. The Southern district is fortunate to have so many willing and engaged people coming forward as CHC members as well as CHC advisors. Ensuring there is diversity on the Council is of great importance, as well as geographical representation from across the district. Current CHC membership is outlined in Appendix 1.

In May 2018, the CHC launched their Community, Whãnau and Patient Engagement Framework and Roadmap to support staff with engaging and involving community, whãnau and patient advisors in decision-making of all projects. The process the CHC has set up provides a benchmark for what the CHC believes is true community, whãnau and patient engagement and is actually putting the person at the centre of everything we do. The CHC hosted a number of People’s Caucus to outline this framework and "We've got consumers process and asked for people in the community to come forward and express an interest in being CHC advisors to projects. The number of people who in the room listening and have expressed an interest in being a CHC advisor has since grown to over 80 bringing the different people. There is an amazing amount of goodwill in our community from people who want to help make a difference to the way the Southern health system perspective to what we're delivers health services. doing. It's hard to see the The CHC have developed Welcome Packs for advisors, outlining their role and full picture when you're responsibilities and support that they can seek if needed during engagement. A Staff Information pack has also been developed which outlines a set process inside the frame.'' of how staff can engage with CHC advisors aligned to the principles in the engagement Framework. A timeline of CHC events for 2018-19 is shown on - Mike Hunter, Consultant page 2. Surgeon and Intensivist

Most recently, the CHC has been particularly interested in collecting feedback from staff and CHC advisors about their experiences with the engagement process - what has worked, what hasn’t and how engagement has made a difference.

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 01 Our Timeline 2018/19

Mar Mar Jun Aug • 31 CHC advisors on Call for Expressions of Jul CHC workshop Community Oct 20 projects Oct 60 CHC around consultation on Interest from the public 42 CHC • CHC advisors to be CHC Symposium to become CHC advisors advisors Engagement Engagement advisors engaged with New scheduled 17 signed up Monthly Roadmap Roadmap on projects signed up Build of Hospital October CHC meetings 2018 2019

Jun Jul May Jul Sep Feb Expressions of 15 CHC advisors Launch of Roadmap Develop CHC 26 CHC advisors New CHC Interest for involved with new with staff at DHB & support roles for working across 16 Chair Southland CHC hospital planning WellSouth CHC advisors projects appointed members groups

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 02 Community Health Council Participation 2018/19

During the 2018-19 year the Council has provided advice, guidance and support into a number of key projects within the Southern health system. This is not a complete list1 but rather some key highlights aligned to the pathways towards Southern health system priorities:

The environment Care is more accessible, ‘Valuing Patients’ time’ and society we live in coordinated and closer - Patients experience supports health and to home. high quality, efficient well-being. services that respect their time.

Creating an environment for health Primary and Community Care Clinical service design

• Reviewing and advising on policies • Health Care Homes (HCH) – CHC provided • Home as a First Choice – CHC member - Input into the newly developed policy Best Practice Guidelines for HCH about involved with advising on this work ‘Not Able to Attend Appointment’ how to engage patients, whãnau and - Recognising Community, Whãnau and community members • Perioperative theatre improvement work Patient engagement policy and guideline – Eight CHC advisors are working across - Informed Consent Policy • Alliance South – A CHC representative is different workstreams for this project part of the Alliance Leadership Team • CHC members supported and • Radiology video – CHC members had the endorsed environmental sustainability • Locality Networks – A CHC member is on opportunity to provide input into a video recommendations for Southern DHB the Central Otago / Lakes Locality Network being developed for patients and whãnau about what to expect when they come in • Evaluation of the implementation of the for procedures Primary & Community Care Strategy – CHC member sits on the steering group • Rheumatology services review – CHC overseeing this. members and advisors are working with staff to review how this service could be • Digital Governance Group – CHC member reconfigured. A Patient Advisory Group is is a representative of this group providing a patient/ whãnau voice into this work.

1A complete list of engagement activities can be found in Appendix 2

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 03 Lessons learnt from the engaging staff and CHC advisors

People have the skills, Including Dunedin • There is a willingness from staff to engage support and passion Hospital, Lakes District to deliver the care Hospital redevelopment and ensure the patient / whãnau voice is our communities have and community hubs included in decision-making. This has been asked for. Our systems to accommodate and positive since the launch of the Roadmap. make it easy for people adapt to new models The CHC is aware that not all staff are to manage care, and to of care. work together. aware of the council and the connection they can make to the community.

• There are many keen and knowledgeable Enabling people and systems Facilities for the future people across the Southern district who want to be involved and contribute to • Southern Health Website – one of the first • New Dunedin Hospital - engagement with improving the Southern health system. recommendations from the CHC was for a the new hospital build has commenced website that was patient/ whãnau centred- with CHC advisors becoming involved with • Communication across the wider the CHC has worked alongside the team the concept design stage. It was confirmed community to make people aware of this developing this website since the start in March 2019 that the Programme Council and the work they are doing within www.southernhealth.nz Management Office would utilise the the Southern health system proves to be a CHC engagement roadmap to engage challenge. • Staff Excellence Awards – CHC members community, whãnau and patients in the worked alongside panel members to Facilities in Transformation (FiT) groups. • The CHC and CHC Facilitator are available provide input on deciding the finalists for With over 25 CHC advisors involved in to support staff with engaging with CHC the Staff Excellence Awards 2018 these groups and an additional two CHC advisors. As more engagement continues members sitting as members on the to occur it opens up areas where the CHC • Southern Innovation Challenge – a CHC Clinical Leadership Group – there are can develop further resources or tools to member was on the panel evaluating the opportunities for the community, whãnau support staff and CHC advisors. applications and patient voice to be heard. • Bringing the CHC advisors together • Disability Action Plan – the CHC strongly • Community Health Hubs engagement – provides an opportunity for the CHC and recommended the Southern health the development of models of care for Facilitator to learn how CHC advisors are system needed to do better work in the the Community Health Hubs hosted some finding the engagement process. The CHC area of disability and have had a CHC workshops in August 2019 which CHC has also set up a way to collect electronic member involved in the steering group members participated in. feedback from advisors and staff which is a of developing this action plan which is valuable pool of evidence on what needs expected to be released before the end of to be worked on. The October symposium the year. will provide a fantastic opportunity for learning to occur, support and to give back. COMMUNITY HEALTH COUNCIL • TWO YEARS ON 04 The Year Ahead 2019/20

The Council is excited about the year ahead and the opportunities that will arise. The CHC was established under the DHB Commissioners and a clear understanding about the role of the CHC is imperative for it to continue on successfully with its programme of work, especially as we move into having the return of an elected DHB Board.

The Council plans to host a symposium in October 2019 in Dunedin which all registered CHC advisors will come together to celebrate and learn from their experiences of being engaged in projects. It will also be the opportunity to learn what has worked and what hasn’t gone so well. There will be interactive sessions with both CHC advisors, staff and clinicians.

The CHC now has an evidence-based method of collecting feedback about the engagement process from staff and advisors, so we can learn where adjustments may need to be made. This will be analysed on a regular basis and feed up to management and the Board at both the DHB and WellSouth.

Community engagement with the build of the new Dunedin Hospital is something the CHC has actively been encouraging. The CHC has been "As an outsider I am working with the Programme Management Office since March to support CHC advisors and staff on this long-term project and ensure this is a freed from following meaningful and empowering process. historical and current The CHC looks forward to working alongside the DHB and WellSouth in organisational thinking the implementation of the local Disability Action Plan, which is expected to occur in the coming year. about particular issues and possible solutions, I can The Council also looks forward to connecting with our communities again in the not too distant future when we will update our communities around 'think outside the box', our current engagement projects, completed projects to date and provide a challenge the status quo, summary of the CHC effectiveness based on our feedback data. support novel ideas put forward by individual staff who may initially lack team support’" - CHC advisor

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 05 Reflection from Sarah Derrett Reflection from Karen Browne (CHC Establishment Chair) to Jan 2019 (CHC Chair), Feb 2019 onwards

here are many highlights since the last CHC Report, but working with the t the time I was appointed as Chair of the CHC, I was asked a question TCHC councillors, and seeing our Community, Whãnau and Patient Engage- Aaround what did I see as a major project or influence for the CHC in ment Framework grow has been uppermost for me. The CHC always knew the future? My response included that I saw the build of the new hospital a group of 10-12 councillors could not support the demand for engagement as an exciting opportunity for the community, whãnau and patient voice to activity across our Southern health system. Now, with over 80 skilled CHC be heard from the ground up. How true this was as now CHC members and Advisors coming from communities throughout the region – from Invercargill, advisors are actively involved in many project groups as the design phases Gore, Cromwell, Queenstown, Wanaka, Dunedin, Oamaru and many other of the new hospital buildings take shape. As well as being sought to partic- communities in-between – the Southern health professional teams have a ipate in these groups, other services and staff are engaging consumers in a pathway to genuine engagement to achieve better health outcomes. ‘Genuine wide variety of projects. This level of engagement is a reflection on the solid engagement’ is crucial; there is a risk that engagement can be just a tokenistic work and foundations laid by the inaugural chair, Prof Sarah Derrett, the CHC ‘tick box’ exercise – where communities, whãnau or patients are ‘listened to’ or members past and present, and the CHC facilitator, Ms Charlotte Adank. ‘consulted with’ but with no real improvements being made to our health sys- This allows our work to continue at pace and the voice of our communities is tem. This is where the appointment of confident and skilled advisors who can, becoming an integral part of health services in the Southern health region, will, and do speak up has been so important for the CHC – thank you! Also and I acknowledge this group of people and thank them for their support. important are the processes the CHC is putting in place to measure the impact of engagement, and I look forward to seeing this develop into the future with It is gratifying to have support from the CEO at both SDHB and WellSouth, the excellent support provided by Charlotte Adank, our chair Karen Browne, and various staff at both organisations – my thanks to them all as we move and the executive leadership teams at the Southern DHB and WellSouth. Our forward into 2020. Southern health system continues to face big challenges as we enter 2020. Im- portantly, our health system is still unfair with barriers to good health services and outcomes being faced by some in our communities (e.g. cost of consulta- tions, medications, and certain treatments). These challenges are not shared equally. Plans are underway to provide more services outside our hospital walls and into our local communities. As this happens, I look forward to the CHC and CHC Advisors explicitly addressing unfairness when it occurs – particularly for Mãori who are tangata whenua and have hosted us in the Southern region for over 250 years. With continued genuine engagement, our Southern health system can lead New Zealand in providing a fair and effective health system.

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 06 Papers / Articles by CHC Podcasts

Key Messages are published on February 2019 May 2018 the Southern Health website after New chair for health council named Southern Future Health www.odt.co.nz/news/dunedin/new- www.accessradio.org/ProgrammePage. meeting aspx?pid=f1a30c72-6c86-45f3-9d63- www.southernhealth.nz/about-us/about- chairwoman-health-council-named southern-health/community-health-council/ Derrett S, Adank C, Burke M, Fedor I, Gray 6e72b4494227# chc-key-messages L, Grant B, Halalele H, Takurua K, Waby P. Health systems and genuine engagement: August 2018 experiences and outcomes of a New Zealand March 2018 Community Health Council (Oral presentation Southern Health Future The Community Health Council: – awarded runner-up best paper prize). 2019 www.accessradio.org/ProgrammePage. aspx?pid=f1a30c72-6c86-45f3-9d63- Our First Year 19th International Conference on Integrated www.hqsc.govt.nz/our-programmes/ Care (International Foundation for Integrated 6e72b4494227# partners-in-care/publications-and-resources/ Care); San Sebastian, Basque Country, Spain: publication/3360 April 1-3 2019.

March 2018 Health systems and genuine Presentations by the CHC CPHAC /DSAC meeting engagement: experiences and outcomes of a New Zealand Community, whãnau and patient 16 May 2018 27 June 2018 engagement framework and Community Health Council. CHC Presentation to Senior CHC Presentation, Waitaki Network, roadmap International Journal of Integrated Leadership Team, SDHB Oamaru www.southerndhb.govt.nz/ Care, 19(S1): A477, pp. 1-8, DOI: fies/22315_20180319100713-1521407233.pdf www.ijic.org/articles/abstract/10.5334/ijic. s3477/ 21 May 2018 25 July 2018 Derrett S, Adank C, Burke M, Fedor I, Gray L, CHC Presentation to WellSouth CHC Presentation to Allied Health July 2018 Grant B, Halalele H, Takurua K, Waby P 2019 Executive Leadership Team CPHAC /DSAC meeting 12 July 2018 Community, whãnau and patient 27 March 2019 21 May 2018 CHC Presentation to Maternity engagement framework and CPHAC/DSAC meeting CHC Presentation to Level 4 Quality & Safety Programme roadmap www.southerndhb.govt.nz/ Managers, SDHB consumers www.southerndhb.govt.nz/ fies/24191_2019032292424-1553199864.pdf fies/22955_20180807155221-1533613941.pdf 7 June 2018 14 July 2018 29 August 2019 September 2018 CHC Open Staff forum, Invercargill CHC Presentation to Charge Nurse Views on health system sought CPHAC/DSAC meeting Managers, SDHB www.southerndhb.govt.nz/ www.odt.co.nz/news/dunedin/views-health- 9 June 2018 fies/22955_20180807155221-1533613941.pdf system-sought CHC People’s Caucus, Invercargill 8-10 October 2018 Derrett S, Adank C, Burke M, Fedor I, Gray Presentation at Planetree L, Grant B, Halalele H, Takurua K, Waby P. Health Quality & Safety 13 June 2018 Conference, Boston, USA Health systems and genuine engagement: Commissioner, Progressing experiences and outcomes of a New CHC People’s Caucus forum, consumer engagement in primary Zealand Community Health Council (Poster). Dunedin 16 November 2018 2018 Planetree International Conference care, 2019 Administrators Symposium, Dunedin on Person-Centered Care; Boston, www.hqsc.govt.nz/assets/Consumer- Massachusetts: October 7-10, 2018. Engagement/Publications/Progressing- 16 June 2018 consumer-engagement-in-primary-care.pdf CHC People’s Caucus forum, 4 April 2019 Queenstown Presentation at Integrated Care Conference, San Sebastian, Spain

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 07 Appendix 1 – Community Health Council Membership Current Members

Mrs Karen Browne Mrs Jocelyn Driscoll (Chair) Winton Dunedin Term commenced: Term commenced: July 2019 Feb 2019

Karen has worked in various a consumer voice regarding re- Jocelyn is a trained physiotherapist, is rural people can miss out on locations around New Zealand as an stratification of patients in primary dairy farm owner operator with her opportunities to learn as well as Enrolled Nurse, Cardio-pulmonary care to ensure the right level of husband Tim, and mother to four access to services that would assist Technician, CPR trainer, Ambulance care reaches the right people – young boys. Her fifteen year career them to make good decisions Officer and as a shift supervisor of the Client-Led Integrated Care spans diverse areas of caring for regarding their current and future the Wellington Free Ambulance programme (CLIC). people-including acute, community, health. Communications Centre. Karen has child development, mental health, worked in health administration, and Karen is also a member of the and more recently a small rural Jocelyn’s health fields of interest more recently, until retiring in mid- Health and Disability Commissioner’s private physiotherapy clinic. include youth and children’s health, 2018, at the Otago Medical School. Consumer Group, and has recently rural health, primary health, long been appointed to the Health Jocelyn Chairs the Southland term conditions, disability, older The health system has always Quality and Safety Commission branch of Physiotherapy NZ person’s health, men’s and women’s played a huge part of her working Leadership Group for Aged (PNZ), is involved with Makarewa health. life, and, in more recent years, as Residential Care. playcentre, Winton football club, a consumer of health services. She both as a coach and a player; and is well positioned to bring both a Karen’s health fields of interest St Thomas Aquinas School PTA. consumer perspective to discussions include long term conditions, older Both Jocelyn and her husband are around health provision and service, person’s health and primary health. part of a small dairy farm discussion particularly around musculoskeletal group where we are challenged to and long-term conditions, as well as create a sustainable and profitable an understanding of the delivery of farming business. health services. Jocelyn is passionate about rural Karen has worked on various people accessing both services projects through being a member and information to assist with of the Health Consumer Advisory living healthy lifestyles. As both a Service of Health Navigator, and provider for and consumer of our also has been involved locally as health service, her observation

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 08 Appendix 1 – Community Health Council Membership Current Members

Ms Ilka Fedor Ms Rosa Flaherty Mrs Hana Halalele Dunedin Dunedin Oamaru Term commenced: Term commenced: Term commenced: Feb 2017 Feb 2018 Oct 2017

Ilka has completed her Master's Rosa Flaherty is 18 years old. She involving leaders of LGBTQ+ Hana lives in Oamaru with her degree at Otago University and is was born at 24 weeks prematurity, groups in schools across Dunedin, husband and two children and has also trained as a Primary School in Hammersmith Hospital in which she hopes to continue this over 15 years’ experience working teacher. London, and her family moved year. as a Probation Officer for the back to Dunedin when she was 15 Department of Corrections. Ilka is actively involved with a months. Rosa is also looking forward number of community committees to joining several OUSA clubs, Hana has recently taken up a role at in Dunedin including the cycling She attended Sacred Heart primary including United Nations Youth, the University of Otago a lecturer in advocacy group SPOKEs and the school and Kavanagh College and starting volunteering at Queer social work. Caversham Toy Library. Ilka is also a high school, and is now pursuing Support at OUSA. Rosa’s interests mother to three young children. a Bachelor of Laws at Otago include LGBTQ+ rights and health Hana is a New Zealand born University. care/representation within the Samoan and is an active member Ilka's health fields of interest health system, mental health of the Waitaki community through include youth and children, and Rosa has been involved in (especially among LGBTQ+ youth), her involvement with the Oamaru women's health. community radio at Otago and youth representation within the Pacific Island Community Group, Access Radio for three years and health system. Waitaki Safer Community Trust, St will continue this year. During Pauls Otepoti Presbyterian Church, her time at Kavanagh College, and is Co-Chair of the Oamaru she established a Lesbian, Gay, Pacific Island Network Group. Bisexual, Trans, Queer/ Questioning and Others (LGBTQ+) support Hana’s health fields of interest group for students. This group include mental health, alcohol and enabled her to participate in drugs, Pacifica and Mãori health an Otago University Students and children’s health. Association (OUSA) facilitated Rainbow Leadership group

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 09 Appendix 1 – Community Health Council Membership Current Members

Mrs June Mills Mr Jason Searle Mrs Kelly Takurua QSM Cromwell Tapanui Dunedin Term commenced: Term commenced: Term commenced: Apr 2018 Feb 2017 May 2019

June has worked in the Radio and from institutions into the workforce. Jason was born in Clyde and Kelly was born and raised in Gore Television industry for over 20 years Community involvement includes: raised in Cromwell. He attended St until her family moved to Tapanui. in a variety of diverse professional volunteer with Presbyterian Kevins College in Oamaru before This was followed by some time roles including production and Support, Meals on Wheels, previous completing a Bachelor of Science studying in Dunedin. news directing. PACT Board member (10 years), majoring in zoology and ecology previous Board Trustee for 10 years at Massey University. Jason has Kelly has undertaken a number of June has also worked as an East Taieri Church, Saddle Hill returned home to Cromwell to work courses relating to social services employee in the role of Income Foundation Trust which developed for a local company. and mental health addictions in Development and Promotions, both and supports Youth Ministry for the Dunedin and Invercargill. Kelly divisionally and nationally, followed East Taieri Church. June’s health He has a strong sporting is currently working as a Social by six years on the Cancer Society fields of interest include long term background and has recently Worker/Manager for Te Iho Awhi Board with the role of chair of conditions, palliative care and completed the GODZONE Rito Social Service, a Marae-based Income Development and Strategic community support services. endurance race. He is part of the Social Service provider in rural Planning. Clyde Rugby Team and a volunteer Southland. of the Urban Fire Brigade. Jason's June has been a Rotarian for 24 health fields of interest include rural Kelly’s health fields of interest years and is a member of the Rotary health and men's health. include mental health, alcohol and Club of Dunedin holding local drugs, Mãori health and primary and District (9980) roles during health. those years. Was first woman to be inducted into the Club and first woman president of the Club (2001- 2002). June was manager for seven years for Otago Peninsula Trust, Glenfalloch Gardens which included the role of Supervisor for the WINZ work scheme mainstreaming clients

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 10 Appendix 1 – Community Health Council Membership Current Members

Ms Paula Waby Mrs Lesley Vehekite Dunedin Invercargill Previous Members Term commenced: Term commenced: Feb 2017 July 2019 Mr Matt Matahaere Dunedin Term: Feb 18- Jun 2019

Mrs Bronnie Grant Gore Term: Feb 17- Jul 2019 Paula has lived experience of Lesley is trained as a qualified communities to achieve maximum Mrs Lesley Gray disability and is involved in a accountant and works at the Pacific well-being and healthy lifestyle. Invercargill number of disability-related Island Advisory & Cultural Trust in Term: Feb 17- Dec 2018 organisations, locally and nationally. Invercargill. Through her work she Lesley’s health fields of interest Paula has been involved with the has had connections with Tongan, include youth and children’s health, Mr Martin Burke Association of Blind Citizens of NZ, Cook Island and Samoan, Kiribati Pacific health, primary health, Dunedin setting up an Audio Book Club at and Fijian communities to find out mental health and long term Term: Feb 17- Dec 2018 Dunedin Public Library, involved and support their health and social conditions. with the Disability Issues Advisory needs. Prof Sarah Derrett (estab. Chair) Dunedin Group for the DCC and an active Term: Feb 17- Jan 2019 participant in the Otago Branch of Lesley is a member of the Free Blind Citizens. Church of Tonga and her husband Mrs Takiwai Russell-Camp is an ordained Minister and both Dunedin Paula is currently the Local of them have been working and Term: Feb –Dec 2017 Coordinator for the newly managing the Youth and Sunday established Otago Blindness school for over 20 years as well as Mr Russell MacPherson Network and President of the raising their six children. Winton Term: Feb- Aug 2017 Dunedin branch of the Disabled

Person's Assembly. Paula's health Lesley has found out through fields of interest include disability her community visits with work (sensory, physical and intellectual), that there is a lack of knowledge women's health, and primary regarding health, education and health. the government system and wants to support Pasifika families and

COMMUNITY HEALTH COUNCIL • TWO YEARS ON 11 Appendix 2 – Projects CHC and CHC advisors have been involved with 2018/19

Project partnership Brief description Representative Status Clinical Council Advisory Council providing clinical governance CHC chair District wide Ongoing & clinical advice for the DHB Sexual Health A governance group which is developing a framework CHC member District wide Ongoing Governance Group around how sexual and reproductive services could better align to the national strategy. Clinical Leadership This group that provides clinical oversight and service 2 CHC advisors District wide Ongoing Group inputs, and transmit decisions and recommendations to the Southern DHB Chief Executive through the Facilities Redevelopment Executive for the New Dunedin Hospital Alliance South Is the partnership between Southern DHB and 1 CHC advisor District wide Ongoing WellSouth primary health network, overseeing the implementation of the Primary and Community Care Strategy. Digital Strategy Digital Strategy Governance Group which is guiding 1 CHC member District wide Ongoing Strategic Governance Group how the IT systems will function across the district. Projects Falls Governance Governance group focussed on preventing falls in the 2 CHC advisors District wide Ongoing Group hospital and community. Disability Action Plan Steering group that has developed disability action 1 CHC member District wide Nearing Steering group group alongside Donald Beasley Institute alongside other completion representatives Clinical Operations The Clinical Operations Advisory Group has the 1 CHC advisor District wide Ongoing Advisory Group following purposes: relationship & strategic, service delivery, innovation and service improvement and assessing test application for additional tests. Pressure Injury To support the development of and agree to a sector 1 CHC advisor District wide Ongoing Prevention Steering wide pressure injury prevention programme for the group southern district Maternity Quality & This is a national programme which establishes and 3 CHC advisors District wide Ongoing Safety Programme builds upon both national and local maternity quality improvement activities at a local level.

12 Appendix 2 – Projects CHC and CHC advisors have been involved with 2018/19

Evaluation / Steering group Various groups are evaluating the implementation of 1 CHC advisor District wide Ongoing review for evaluation of aspects of this strategy. implementation of Primary and Community Care Strategy Southern Innovation CHC member sat on the panel to review applications 1 CHC member District wide Completed Challenge Maternity Care, CHC member sat on steering group 1 CHC member District wide Completed Wellbeing & Child Protection Multi Agency Groups (MCWCP) Review- Advisory Group New Systems Home As My First The Home as My First Choice programme is 1 CHC member District wide Completed and processes Choice committed to helping you, or members of your family, maintain health and independence in your community and home. Home before Lunch Medical Ward in Southland hospital has put together a 1 CHC member Southland Completed group of health professionals to focus on a project to assist in discharging patients before midday “home for lunch" Radiology video Video developed for patients to inform them about the 1 CHC member District wide Completed procedure they are coming in for Service Co-design Rheumatology service A patient advisory group established to support staff 1 CHC member District wide Ongoing projects redesign with designing service from a patient/ whãnau 5 CHC advisors perspective Pro-operative ‘theatre CHC advisors on workstreams and sitting on steering 8 CHC advisors Dunedin focussed Nearing improvement’ project group completion Clinical Rehab Group established looking at a clinical rehab pathway 1 CHC member Dunedin Nearing pathways for our Non acute Rehab ACC patients across the completion district Mental health services Service redesign on a number of aspects relating to 1 CHC member District wide Complete mental health services

13 Appendix 2 – Projects CHC and CHC advisors have been involved with 2018/19

New Build Facilities in Engagement of CHC members and CHC advisors on 4 CHC members District wide Ongoing Dunedin Hospital Transformation (FiTs) the concept design stage of the new build of Dunedin 20 CHC advisors Hospital workstreams has been occurring since May 2019 Work CHC Southern DHB Input into the development of this Strategy All CHC District wide Complete involved and Workforce Strategy members advised on Brochure for parking Input into what information needs to go on here All CHC Dunedin Complete at Dunedin Hospital members Staff Excellences CHC members were appointed to each panel to All CHC District wide Complete Awards 2018 evaluate finalists members Ophthalmology CHC members provided feedback on the models of All CHC District wide Ongoing Models of Care care developed for this service members MoH Planned Care CHC members provided feedback on principles All CHC National Complete Strategic Approach members Improving access to CHC members provided feedback on principles for this All CHC Dunedin Complete Acute Theatre work members DHB Carbon CHC members asked questions and feedback on a All CHC District wide Ongoing Footprint report with recommendations around sustainability for members Southern DHB DHB Certification A CHC member and facilitator met with the auditors CHC member District wide Complete Health System Review CHC members met with the panel to provide 5 CHC members National Complete Panel suggestions/ advice on changes that could be made CLG paper ‘7 Day CHC members provided feedback on this paper CHC member District wide Complete Hospital’ Policy- Did Not CHC members provided feedback on the wording of All CHC District wide Ongoing Attend this new policy members Southern Maternity CHC members provided feedback on report All CHC District wide Complete Quality and Safety members Programme Report Health Care Homes CHC members developed Best Practice Guidelines for All CHC District wide Ongoing (HCH) HCH of how to engage with patients members

14 Appendix 3 – List of Registered CHC Advisors, 2018/19

*denotes currently involved in project

Mrs Lynne Adamson * Mr Adrian Hindes * Mrs Gillian Perica Mr LJ Apaipo * Miss Kerry Hodge * Mr Brendon Reid Mr Bob Barlin * Mrs Lynley Hood Mrs Lorie Roberts Mrs Catkin Bartlett * Mr Chris Horan Ms Anna Rumbold Mrs Caz Brigham Mrs Denise Ives * Mrs Jo Shone Mr Martin Burke Ms Jo Jennings Ms Hazel Sinclair Mr Jay Conway * Mr David King * Mrs Sue Smith Mrs Anne Coup * Mr Colin Lind * Mr Josh Spence * Mrs Leslie Cowper Mrs Azlyn Lind * Mrs Julie Spence * Mrs Louise Croot * Mr David Little Mrs Linda Strang Ms Susan Davidson * Mrs Rania Loughnan Ms Marie Sutherland * Prof Sarah Derrett * Mr John Marrable Mrs Kath Tuna Mrs Kingi Dirks * Mrs Sally Mason Mrs Kathryn Van Beek Miss Naomi Duckett Mrs Anne McCracken Mrs Marie Wales Dr Emily Duncan Mr Tim McEvoy Mrs Anna Walls * Ms Tina East * Mrs Lisa McEvoy Mrs Ainsley Webb Ms Sue Edwards Mrs Deborah Mcleod Mrs Carolyn Weston Mrs John Fallon * Mrs Chris Middlemiss Mrs Leah White Mrs Joyce Falloon Mrs Jo Millar * Mr David Williams * Ms Yvonne Fell Mrs Kris Nicolau Mrs Tess Williamson * Ms Lisa-Mdee Fleck Ms Georgina Northcoat Mrs Margaret Willoughby Mr Chris Ford * Mr Gerald O'connor Mrs Kirsty Wing Mrs Shona Fordy Mrs Jeanette Olga Bell Mrs Trish Wright Mrs Barbara Gee * Mrs Sue O'Neil Mrs Lyn Gipp Ms Trish O'Neill Mrs Patsy Gordon Miss Nora Paicu Mrs Lesley Gray * Mrs Jean Park Mrs Margaret Harraway Mrs Tanea Paterson Mrs Angela Hendry * Mr Donovan Percy

15