ANNUAL REPORT

2016The Royal New Zealand Plunket Society Inc.

a Our vision 3 From our New Zealand President 4 From our Acting CE 6 2016: The numbers 8 2016: Making a difference 12 Making us proud 20 Building our culture 22 Connecting communities 25 Plunket people 26 Plunket entities 27 Financials 30 Funding, sponsorship & partners 35

1 OUR VISION OUR MISSION OUR GUIDING PRINCIPLES Our vision Plunket believes in supporting the Treaty of Waitangi: Together, the development of healthy families. We’re committed to the principles of best start for E whakapono ana Te Whānau Āwhina partnership, protection and participation Ki te tautoko te kaupapa o te hauora i inherent in the Treaty. te whānau. mission every child Socio-ecological perspective: Mā te mahi OUR VALUES We’re committed to working from a socio-ecological perspective. Trust/Te Aroha: Our underlying value ngātahi,e values because it is both an input and an Cultural safety: puāwai ai ā outcome; it influences how well people We’re committed to providing a work together, and it is self-reinforcing culturally safe range of services. tātou tamariki so that the more trust is used and Integration: We recognise the & guiding honoured, the stronger it becomes. importance of integrating our service Quality of Service/Te Ūnga: with other services to achieve optimal The value that orients what we health outcomes for both the children do towards achieving excellence in and their family/whānau. principles pursuit of the Plunket vision. Best practice: We’re committed to Inclusiveness/Te Mahinga Tahi: using standard guidelines founded on The value that unites all stakeholders evidence-based best practice. through recognition of our shared Health promotion: commitment to the Plunket vision. We’re committed to health promotion, Commitment/Te Tautukunga: providing services according to The value that describes the spirit of principles implicit in the Ottawa service that people bring to the Plunket Charter. vision. United Nations Convention on the Rights of the Child: We’re committed to compliance with the provisions of the United Nations Printed using ECF (Elemental Chlorine Free) FSC® certified pulp from Responsible Sources Convention on the Rights of the Child.

3 From our New Zealand President

Plunket and how much difference a simple coffee there are inconsistencies in our current community Officer Gerald Ross have been jointly Acting Chief morning can make to the lives of stressed new services and that we do not have seamless delivery. Executive, and I am grateful to both for their energy parents. By the end of this financial year we were well on our and commitment to the role. During the year, Lois way to putting in place the framework that would help van Waardenberg was appointed Acting Chief There are opportunities for Plunket to do much more us make significant changes to the way our services Operating Officer. to support parents and this has helped shape our are delivered and measured. decision to ensure our services put whānau and I am grateful to Christine Lake who has been acting families at the centre of everything we do. Thank you in my role since May while I undergo medical treatment. Christine’s support for Plunket and myself One of these opportunities is coming to reality as we During the year, we said farewell to our Chief has been invaluable. My thanks also to the Board roll out ePHR, the electronic Plunket Health Record. Executive Jenny Prince after 27 years with Plunket, whose members have all given their support to Over the past few years we have laid the foundations The Board has led and fully supported this initiative the last seven spent providing strong leadership to Christine. for Future Plunket. Our aim is to become a cohesive and we are delighted to see it coming to fruition. By the organisation. She stepped down in March and national organisation, using evidence and best the end of 2016 all nurses around the country will while the Board was sad to say goodbye, we could Finally, to all the volunteers and staff who give so practice in services that put the needs of families and be able to access and update client records and only wish her well for the next stage in her career. much to make Plunket the success it is and to the whānau first. The Board is working closely alongside appointments from wherever they are. We were very proud to see that Jenny’s long- donors who care enough to underwrite much of what the management team to bring to life our new vision: term commitment to children and their health was we do – our heartfelt thanks. In the first 1000 days we make the difference of a Equity for all recognised when she was made a Companion of the lifetime. New Zealand Order of Merit (CNZM) in the Queen’s Over the year, as part of the development of our new Birthday Honours. We can all make a difference – volunteers and strategy, we looked closely at our service provision Andrée Talbot, New Zealand President staff. Over the year, I have been impressed by across the country. We want to be sure families and Since Jenny’s departure our Chief Fundraising and the feedback I have heard from families and other whānau receive equitable services and equitable Marketing Officer, Amanda Malu and Chief Finance services about how much they value the work of outcomes, regardless of their postcode. We know

5 From our Acting CE

Strategy development ePHR roll out Leave and Employment Protection Amendment Bill was passed in March. It reflected many of the The year’s research and discussion has all fed into But managing the data is something we need to do. changes for broader entitlement we had called for. our new five-year strategy, and a much longer term I am extremely proud of the hard work of everyone We will continue to push for at least 26 weeks paid programme of work. The intent is to ensure Plunket involved in rolling out the new ePHR (electronic parental leave. remains relevant to families, provides equitable Plunket Health Record). This major shift in the way services across the country, and moves toward an we collect and manage health data allows us to At the centre of all our achievements this year are outcomes-based service model. take a giant step forward in efficiency. Our nurses the tamariki, whānau and the communities we live are adapting well to using a tablet instead of a and work in. Thank you all for your help in making One of the critical studies was our Client Experience paper-based system to record client information sure they continue to have the support they need Research. The results encourage us to consider and appointment arrangements. Using an electronic from Plunket. It has been a year of reflection, learning and putting more focus on parents’ wellbeing and system that is as mobile as our nurses is truly adding information gathering for Plunket as we developed support, including more information prior to birth. We value to the work we do. our new vision: In the first 1000 days, we make the intend to do just that. difference of a lifetime. The new vision emerged Advocacy out of a year in conversation with staff, clients, We have completed the first year of our new three- Amanda Malu, Acting CEO researchers, donors, and other organisations. We year Well Child Tamariki Ora contract with Ministry Over the year, the National Board and the senior debated ways to adjust to the changing world and of Health. Over time, we expect this contract to leadership team settled on a more strategic re-define ourselves, and our service, within it. move from counting visits and contacts to measuring approach to our advocacy. Our advocacy priorities changes in outcomes for children and families. This are: children living in poverty, children’s housing Some of the challenges facing New Zealand families shift in focus is not just something that Plunket feels health; and child-friendly cities and environments. are difficult and complex and won’t be easy to is important, families also tell us they need a more However, we will continue our advocacy work in resolve. But, we have a fantastic opportunity to play holistic approach that treats them as individuals not a other areas. We were justifiably proud this year that a part in making a difference, using our privileged collection of statistics. our ongoing commitment to improve paid parental access to homes, our experience, and our deeper leave had significant success. Since 2012 we have understanding of how we need to adapt. This will be made annual submissions to Government on aspects a journey toward generational change and it will take of this issue. We were delighted when the Parental time. 7

2.6% 4.9% 2016: The numbers New baby 6.2% ethnicity 9.8%

European Indian 45.4%

Māori Unknown 11.6%

Asian Other new baby cases Pacific 52,125 are Plunket babies 19.5% - that’s almost nine out of ten babies born in NZ* of babies were born in 33% high dep* areas This year we had 648,258 contacts The Dep (Deprivation) Index predicts socio-economic with parents and whānau through the Ministry disadvantage and is used as Total contacts 711,292 one indicator to assess the of Health Well Child Tamariki Ora contract. level of support parents and whānau may need. ’Dep 10’ This involved a mix of home, Family Centre, and clinic visits. indicates families who may 253,803 in high dep need considerable support. ‘Dep 1’ indicates families that may only need minimal areas (Dep 8,9,10) support. * Based on 58,992 births in financial year ended 30 June 2016. SOURCE: STATISTICS NEW ZEALAND 9 COMMUNITY SERVICES ONLINE visits to 15,328 Parents on parenting courses 462,716 plunket.org.nz

6,489 B4 School Checks 58% from mobile devices 1,259 Postnatal adjustment programme contacts

VOLUNTEER 31,000 Facebook fans 28,764 Volunteer services and home visits 28,764 including 400 breastfeeding peer support contacts FUNDING 18% PLUNKETLINE Top 5 topics: Fundraising 1. child health & 24 PlunketLine staff responded illness /7 2. parenting practice funding to 107,745 calls 3. linking to other services 4. child behaviour 5. 82% nutrition Government funding Fundraising = 18% sponsorships, breastfeeding& grants & donations

11 2016: Making a difference

PlunketLine calls: 107,745 “It’s better than any parenting “Every single nurse I talk to book and your advisors are at PlunketLine has given THE PlunketLine nurses answer all the calls and also host two Facebook chats each month. Their so very kind, patient and BEST advice and is so helpful Facebook chats respond to a range of questions encouraging.” when I most need it.” on topics such as introducing solid food through to toilet training and toddler taming. These were ably answered by our trained Plunket nurses, including “As a new family to NZ with “I feel PlunketLine is several Māori, one Chinese and two Fijian-Indian my ‘Lifeline’” nurses. These staff promote our services to their no WCTO provider, we rang own communities and enrich their colleagues’ for sleep advice and strategies thinking on cultural issues and parenting styles. “At home and struggling with and these have changed their Feedback from our client satisfaction survey showed my beautiful 7 day-old baby 98 per cent of callers felt the help they received had lives, thank you so much been practical and helpful. PlunketLine is an awesome PlunketLine.” service – it’s like ringing “I love this PlunketLine, I can the bell for your nurse in call at any time. Whenever I the hospital and asking have a question I can ring at all these questions.” any time and not wait.”

13 ACC partnership

This year ACC and Plunket teamed up to reduce the number of injuries to young children in their homes.

Three in every 10 children need medical care after an accident in their home, before they are two years old.

Under the new partnership, ACC is investing $2.3m over five years to help build Plunket’s injury prevention capabilities.

The partnership makes the most of Plunket’s unique and trusted relationship with New Zealand families and ACC’s expertise in reducing and preventing injuries. ACC’s support means Plunket will be able to deliver more injury prevention initiatives to New Zealand families, and help parents to create a safer environment for their children.

At the launch, Acting CE Amanda Malu said, “Over 80,000 accidents in the home result in injuries to children under five years old. Many of these are preventable. The new partnership will build parents’ awareness of potential hazards so families can create a safer environment for their children.”

At the ACC launch: Louanne Phillips with her children, Amanda Malu and Minister for ACC Hon Nikki Kaye. 15 mum who had just given birth to a premature baby with partners in the community to achieve flew to Wellington to be cared for by her family and measurable improvement which reflects our support I was able to immediately book an appointment. for community-led initiatives. When she went back to Auckland a month later, her Auckland nurse could see everything I had done with We worked closely with the Ministry of Health to the mother and baby. It saves so much time. Before develop the measures which include monitoring Plunket Nurse Keli Livingston (right) and family ePHR we probably would have emailed each other changes in breastfeeding, oral health and smoking Professor Richie Poulton (left) and Sir Graham Henry and talked over the phone to find out what support outcomes. We now have 12 months of data which ePHR and discussions we had had.” provides the baseline for our ongoing improvement. Babies, Boots and

After a successful pilot programme in Northland Breakfast last year, we are now rolling out ePHR (electronic Well Child Tamariki Ora Car Seat exit Plunket Health Record) across the country. By the The Plunket Foundation is getting a huge boost end of June this year, staff in Waikato, Taranaki, contract We have been making steady progress in winding thanks to the efforts of two of its trustees, supported Hawke’s Bay, Wellington and Wairarapa had all down our car seat service and narrowing our focus to by BNZ Private Bank. been issued with the tablets and software that allow We are delighted our new three-year contract with safety. Today, over 93 per cent of children are being them to electronically record children’s health check The Plunket Foundation Speakers Series - Babies, the Ministry of Health for Well Child Tamariki Ora buckled into child seats, almost all of them bought or information. With instant access to data via the Boots and Breakfast was launched in Dunedin in shifts the focus on how our services are measured. rented from providers other than Plunket. With our tablet, Plunket nurses and clinical leaders are able to June with guest speakers and Foundation trustees This supports our own drive toward providing a service holding just six percent of the market, and quickly check children’s health information – making Sir Graham Henry and Professor Richie Poulton more holistic service. The contract, which has just losing money, it was time to celebrate our success sure no child slips between the cracks. pulling in the crowds and raising awareness of the ended its first year, asks us to report on measurable over the past 30 years and concentrate our activities on car seat safety and standards. Foundation. The Foundation is an independent outcomes as well as our usual data recording the philanthropic trust established by Plunket to build a The tablets are also used to manage staff and client number of visits/contacts with families. sustainable endowment fund. appointments through Outlook. Measuring the quality of services and communicating Sir Graham and Professor Poulton are the drawcard The roll out is expected to be completed at the end of the results in a committed and systematic fashion for the events, enlightening and entertaining 2016 and has been made possible through funding is a powerful way to stimulate improvement. All audiences with their insights and experiences from from the Plunket Foundation, donors, Area Boards government funded services are increasingly being the field and from science. The first event was very and support from Microsoft. asked to show they are a worthwhile investment by well received, with more breakfasts scheduled over demonstrating how they make a difference. Many of Wellington Plunket Nurse Keli Livingston cares for the rest of the year. the measures require Plunket to work collaboratively babies with high needs. “Recently, an Auckland 17 CBD project

Plunket, S.K.I.P. parents, and several Auckland groups and organisations joined forces to find out what the challenges are to raising children in the inner city. They are now all working on ways to make parents’ lives a bit easier.

‘The CBD Project – Experiences of parents living in inner city Auckland’ was managed by Plunket’s Jacqui Arnold. It found there were 828 children under five years old registered with Plunket’s Well Child Tamariki Ora programme and living in central Auckland. Of the recent new baby cases, almost half were born into Asian families.

Jacqui said, “The families faced concerns or “The families faced concerns or difficulties beyond the wellness and care of their family. These issues included immigration problems, difficulties beyond the wellness isolation, little family support, and having few warm and care of their family. dry places for parents to connect, other than the local library.” These issues included immigration Plunket, the other agencies, and parents involved problems, isolation, little family are using the information to set up a variety of groups and activities to ease the isolation and improve local support, and having few warm facilities for parents of young children. dry places for parents to connect, other than the local library.”

19 Making us proud Lifesaver High achiever

With so many nurses out in the Ngaruawahia Plunket nurse Karen community it’s not surprising they Thurston is on track to become our first sometimes need to respond to an nurse practitioner. emergency. Karen recently completed her Master’s degree and In the past year, Plunket nurses used CPR to help is now building the nursing portfolio that will help 57 people around the country who had stopped qualify her to prescribe Pharmac medications to breathing. One of those nurses was Haydee children. McAdams who is based in Whakatane. She is passionate about her work. “I think of being The 36 year-old mother of two has been with Plunket a Plunket nurse as more of a vocation than a In April she was making a home visit to a young for eight years and can’t wait to be able to do more profession. I just feel like I’m in such a privileged mother when her husband returned after a double for children and their families. position to be invited into a home and to see these shift. He collapsed and stopped breathing. In the Her goal is to increase access to basic medicines for babies develop - I can’t see myself going anywhere five minutes or so it took the ambulance to arrive, In the past year, Plunket all families, especially in high deprivation areas. else.” Haydee carried out CPR. The man revived briefly nurses used CPR to help then stopped breathing again so Haydee kept his “I’m often making recommendations for treatments, Karen says the Ministry of Health and Nursing heart beating. “You get taught CPR and when it and it may just be for an emollient, but being able to Council are currently streamlining the process for 57 people around the happened, I just did it. I didn’t have to think about it. prescribe will take a bit of pressure off the GPs and qualifying as a Nurse Practitioner. She’s hoping this A&E.” will encourage other Plunket staff to take on the role. It’s really lovely to go back into that home and know country who had Karen is hoping to qualify mid-2017. the father is still around and is making changes to his stopped breathing. lifestyle to become more healthy.”

21 Building our culture communities. She says, “Many of these families are It focuses on building Māori Asian migrants and have not heard of Plunket before. I get understanding, competence to talk to other families and share our experiences as and capability at all levels strategy Strategy parents. This is also a good way to find out how we of Plunket – to ensure can better support them.” we engage with Pacific update: update: communities and families Vivian says she struggled to find a Chinese in ways that are culturally With the appointment of In the year following playgroup in her area for her children, “I was appropriate and effective. Hera Black as our Chief the launch of our Asian disappointed as I really wanted my children to be We will also build Hera Black (Tuhoe, whānau Māori Advisor Plunket at Strategy we are making Vivian Cheung (National Tautala Aiono Faletolu (National exposed to my culture and my language, but there awareness of who we Apanui, Tuwharetoa) the beginning of 2015, we good progress with Advisor – Asian Peoples) Advisor – Pacific Peoples) weren’t any”. Over the past year the number of are and how we can have reviewed and updated our Māori Strategic Plan activity aligned to its ethnic specific Plunket playgroups has increased contribute to Pacific and agreed on resourcing to achieve its objectives. three strategic directions to: grow Plunket’s capability supporting our increasingly diverse communities. families. The three workstreams in the plan provide Some of the outcomes we expect are: many more and capacity, increase access, utilization, and goals for our organisation and people, connecting links made with Māori leaders and communities, satisfaction, and build community engagement. with and understanding Pacific families, and better kaiawhina staff to take a broader role and extend engaging with Pacific communities their skills, more Māori to be recruited to staff and Plunket is now more visible in the Asian community. We are offering translated parenting information Pacific Strategy update: leadership teams, and Plunket to be much more Tautala was born and raised in Dunedin and is fluent via our website and printed material. Plunket staff inclusive and supportive of Māori staff and whānau. During the year, under the leadership of our National in the Samoan language. She is passionate about and volunteers are taking part in ethnic events, Our long term goal for Māori communities is self- Advisor Pacific Peoples, Tautala Aiono Faletolu, helping Plunket to engage with Pacific people and supporting more playgroups for these communities, determination and holistic wellbeing. we developed our Pacific Action Plan 2016-2020. their communities. and passing on Plunket messages to ethnic media. It is part of our recent work to better understand, In her 18 months at Plunket, Hera has energised and appreciate and contribute to these communities. updated our Māori Strategic Plan Whānau Awhina We also collaborate with other agencies on projects Using the findings from our research in 2015 with Whānau Ora 2015-2020. Her fluent te reo and wide and initiatives affecting Asian families. Pacific communities and families, we now have an network of contacts among Māori have been a huge After two years in her role, Vivian has been working Action Plan. This plan helps us draw on our own asset to Plunket. “What we have developed is a way hard to raise awareness of Plunket within Asian strengths, those who work alongside us, and the for all Māori staff to support Māori-led initiatives. It will strengths of Pacific families. support the desire of whānau, hapu, iwi and Māori to manage and initiative their own wellbeing,” said Hera. 23 Connecting communities

Plunket not only provides services in communities but we also connect our families with other agencies, services and other families. Our staff, volunteers and families are also part of their communities.

Photos Left: The weekly coffee group run by Chinese mothers in Takapuna is increasingly popular. Right, from top: Children’s Day in Dunedin is supported by local Plunket groups and thoroughly enjoyed by children. East Otago volunteers raise funds from their baking stall at a local winter market. Lady Allum playdate. A mums and bubs playgroup meet regularly at a Christchurch rest home for a playdate and morning tea. The residents love having the babies and toddlers visit while parents and children enjoy their conversations with an older generation. Twice a year, Johnsonville Plunket volunteers host a second-hand sale that brings in families and bargain hunters. 25 Hawke’s Bay: Erin Jenkins Chief Information Officer Alison Prins Plunket People Manawatu Wanganui: Marie Henry Lois van Waardenberg Plunket Entities Wellington Wairarapa: Lucy Hickman (from August 2015) NORTHLAND AREA (Inc) National Board Members (from August 2015) Acting Chief Information Officer Northland Area Car Seat Services Wellington Wairarapa: Area Board in Roy Goldsmith (from May 2016) Dargaville Plunket Group New Zealand President recess (from March 2016) Chief Marketing Officer Kaikohe Plunket Group Andrée Talbot Andrée Talbot Nelson Marlborough: Adele Large Amanda Malu (to March 2016) Kerikeri Plunket Group Mangawhai Plunket Group (Leave of absence from May 2016) West Coast: Rebecca Keoghan Acting Chief Marketing Officer Te Puna Reo o Te Mangawhai Plunket (to August 2015) Carolyn Mettrick New Zealand Vice President (to May 2016) West Coast: Area Board in recess Playgroup (from March 2016) Ready Steady Wriggle Plunket Playgroup Acting New Zealand President (from May 2016) (from August 2015) Chief Financial Officer Kaitaia Baby Space Plunket Playgroup Mark Rickard Canterbury: Liz McClure Christine Lake Gerald Ross (to April 2016) WAITEMATA AREA (Inc) Waitemata Area Car Seat Services Gloria Eves Canterbury: Helena Cridge General Manager Community Albany Plunket Playgroup Development & Volunteers Caroline McElnay (from April 2016) Titirangi Plunket Playgroup Alison Prins Mid South Canterbury: Helen Whiting Stephanie Shennan Kelston New Lynn Plunket Playgroup Christine Lake Otago: Georgina Dunstan Mark Rickard Honorary Life Members Wellsford Plunket Group Southland: Nicki White Mairangi Bay Plunket Playgroup Dianne Armstrong, CBE Craig Tamblyn (from November 2015) North Shore Plunket Toy Library Druis Barrett, CNZM Amohaere Tangitu (from November 2015) Executive Leadership Team Torbay Plunket Group Carol Becker, ONZM Tammi Wilson Uluinayau Chief Executive Warkworth Plunket Group Shirley Cornish Craig Tamblyn Jenny Prince (to March 2016) Hibiscus Coast Plunket Group Paul Cressey ONZM (to November 2015) Jenny Cox Kaipatiki Plunket Group Elizabeth Mitchelson (to November 2015) Acting Joint Chief Executives Tristine Clark Rangitoto Plunket Group Amanda Malu (from March 2016) Kaye Crowther, QSO Milford Plunket Group Area Board Presidents Gerald Ross (from March 2016) Merle Newlove, QSO West Auckland Plunket Group Northland: Lyn Rostern Chief People Officer Jill O’Connor Hobsonville Point Pippis Plunket Playgroup Gloria Eves Waitemata: Lyndsay Taylor Liz Barton Pat Seymour, OBE Pacifica Beatz Plunket Playgroup Massey Monkey’s Plunket Playgroup Auckland City: Andrea Penman (to March 2016) Chief Maori Advisor Te Atatu South Plunket Playgroup Auckland City: Jayne Brophy (from March 2016) Hera Black The Plaza Plunket Playgroup Counties Manukau Advisory Committee: Area Board in recess Beach Haven Plunket Playgroup Amohaere Tangitu Waikato: Lynette Flowers (to September 2015) General Manager Clinical Services Helen Connors AUCKLAND CITY AREA (Inc) Waikato: Penny Vergeest (to December 2015) Meadowbank Plunket Preschool Waikato: Area Board in recess (from December 2015) General Manager Operations Epsom Roskill Plunket Group Lakes: Emma Hardie (to August 2015) Bram Kukler (from September 2015) Meadowbank Plunket Group Lakes: Area Board in recess (from August 2015) Chief Operating Officer Remuera Plunket Group Taranaki: Shona Mackay (to February 2016) St Heliers Plunket Group Caroline McElnay Andrea McLeod (to November 2015) Taranaki: Vanessa Elliott (from February 2016) Lois van Waardenberg Avondale Plunket Group Point Chevalier Plunket Group Bay of Plenty: Sandy Coley (to November 2015) (from May 2016) Bay of Plenty: Jandhe Troughton (from February 2016) Westmere Grey Lynn Plunket Group Gisborne Wairoa: Wendy Reeves Tammi Wilson Uluinayau 27 Parnell Newmarket City Plunket Group LAKES AREA (Inc) Karori Plunket Creche Southbridge Plunket Group Ashburton Plunket Group Middlemarch Plunket Group Ponsonby Herne Bay Plunket Group Rotorua Plunket Group Khandallah Plunket Toy Library Lincoln Districts Plunket Group Geraldine Plunket Group Cromwell Plunket Group Mt Albert Plunket Group Taupo Plunket Group Hataitai Plunket Group Glenmark Plunket Group MacKenzie Plunket Group Warepa Plunket Group Cornwall Park Oranga Plunket Group TARANAKI AREA (INC) Kapiti Plunket Group Waiau Plunket Group Pleasant Point Plunket Group Maniototo Plunket Group Ellerslie/Sylvia Park Plunket Group Taranaki Area Car Seat Services Berhampore & Bays Plunket Group Paparua Plunket Group Omarama Plunket Group East Otago Plunket Group Kohimarama/Mission Bay Plunket Group Karori Plunket Group Cheviot Plunket Group Mayfield Plunket Group Kurow Plunket Group Mt Eden Plunket Group BAY OF PLENTY AREA (INC) Newtown Plunket Group Harwarden/Waikari Plunket Group Rakaia Plunket Group Mt Maunganui Plunket Home Based Care SOUTHLAND AREA (INC) Onehunga Plunket Group Island Bay Plunket Toy Library Amberley Plunket Group Temuka Plunket Toy Library Bay of Plenty Area Car Seat Services Southland Area Car Seat Services Sandringham/Kingsland Plunket Group Tawa & Linden Plunket Toy Library Culverden Plunket Group Aoraki Plunket Toy Library Mt Plunket Pre School Edendale Wyndham District Plunket Group Owairaka Plunket Playgroup Lower Hutt Plunket Community Toy Library Kaikoura Plunket Group Waimate Plunket Group Maungatapu/Welcome Bay Plunket Group Otatara Sub Branch Orakei Plunket Playgroup Greytown Plunket Group Kirwee Plunket Toy Library Hinds Plunket Group Otumoetai Plunket Group Playgroup Tokanui Plunket Group Glen Innes All Stars Plunket Playgroup Masterton Plunket Group West Melton Plunket Group Temuka Plunket Group Matua Plunket Kindergarten Central Southland Plunket Group Panmure Giggles Plunket Playgroup Featherston Plunket Group Rangiora Plunket Group Fairlie Plunket Group OPEYS Plunket Education & Care Centre Invercargill Plunket Group Otahuhu Champs Plunket Playgroup Martinborough Plunket Group Bishopdale/Kendal Plunket Group Timaru Plunket Group Tauranga Plunket Playgroup Morton Mains Plunket Group Mt Wellington Littlies Plunket Playgroup Eastbourne Plunket Group Fendalton Plunket Group Te Puke Plunket Building Group OTAGO AREA (INC) Mataura Plunket Group COUNTIES MANUKAU AREA (Inc) Carterton Plunket Group Redwood/Belfast Plunket Group Otago Area Car Seat Services Balfour Plunket Group Counties Manukau Area Car Seat Services GISBORNE/WAIROA AREA (INC) Wellington Plunket Group Woolston Plunket Group Upper Clutha Plunket Group Te Anau Plunket Group Gisborne/Wairoa Area Car Seat Services Clevedon Plunket Group Pukerua Bay Plunket Toy Library Lyttelton Plunket & TL Plunket Group Green Island Plunket Group Mossburn Plunket Group Botany Chinese Plunket Playgroup HAWKES BAY AREA (INC) UPPER HUTT BRANCH Oxford Plunket Group Mosgiel Plunket Group Riversdale Plunket Group Tiny Jandals Plunket Playgroup Hawkes Bay Area Car Seat Services Upper Hutt Plunket Playgroup Shirley Plunket Group North Otago Plunket Group Waikaia Plunket Group Central Hawkes Bay Plunket Group Cust Plunket Group Waiuku-Otaua Plunket Group TAWA LINDEN BRANCH South Otago Plunket Group Lumsden Plunket Group Papatoetoe Little Troopers Plunket Group Havelock North Plunket Toy Library Ferrymead Bays Plunket Group Omakau Plunket Group Otautau Plunket Group NELSON/MARLBOROUGH AREA (INC) South Christchurch Plunket Group Mangere Bridge Plunket Toy Library MANAWATU/WANGANUI AREA (Inc) Clutha Valley Plunket Group Tuatapere Plunket Group Tapawera Plunket Group Burwood/Parklands Plunket Group Mangere Plunket Playgroup Hunterville Sub Branch Owaka Plunket Group Riverton Plunket Group Wakefield Plunket Group Papanui/Merivale Plunket Group Otara Plunket Playgroup Manawatu/Wanganui Area Car Seat Services Five Forks Plunket Group Dipton Plunket Group Howick/Pakuranga Plunket Group Nelson/Marlborough Area Car Seat Services Manakau Plunket Group MID SOUTH CANTERBURY AREA (INC) Alexandra Plunket Group WEST OTAGO BRANCH Pohutukawa Coast Plunket Group Redwoodtown Plunket Group Mid-South Canterbury Plunket Family Centre Ida Valley Plunket Group Wanganui Plinket Playgroup Renwick Plunket Group Heriot Sub Branch Waiau Pa Plunket Group Friends of Rongotea Plunket Group Mid-South Canterbury Area Car Seat Andersons Bay Plunket Group Seddon Plunket Group WAKATIPU BRANCH Franklin Plunket Group South Tararua Plunket Group Services Wakari/Halfway Bush Plunket Playgroup Arrowtown Sub Branch WAIKATO AREA (Inc) Mangaweka Area Plunket Group WEST COAST AREA (Inc) Foothills Plunket Group Teviot Valley Plunket Group Waikato Area Car Seat Services West Coast Area Car Seat Services TAIHAPE BRANCH Greymouth Plunket Group Otorohanga Plunket Group Mangaweka Plunket Finance Committee Ohaupo Plunket Group Hokitika Plunket Group Te Awamutu Plunket Group WANGANUI BRANCH Westport Plunket Group Pirongia Plunket Group WELLINGTON/WAIRARAPA AREA (Inc) CANTERBURY AREA (INC) South City Plunket Playgroup Lower Hutt Plunket Group Canterbury Area Car Seat Services Paeroa Plunket Playgroup Wellington Wairarapa Area Car Seat Banks Peninsula Plunket Community Raglan Plunket Group Services Preschool Waihi/Waihi Plunket Group Paremata Plunket Playgroup Opawa/St Martins Plunket Toy Library Ngatea Plunket Group Paremata Plunket Creche Darfield Plunket & Toy Library Thames Plunket Group Plimmerton Plunket Toy Library Little River Area Plunket & Toy Library Cambridge Plunket Group Peninsula Plunket Group Akaroa & Bays Plunket Group Hamilton Plunket Group Strathmore, Seatoun & Bays Plunket Halswell Plunket Group Little Connections Plunket Group Playgroup Halswell Plunket Playgroup Te Awamutu Plunket Playgroup Johnsonville Plunket Group Prebbleton Plunket Group Matamata Plunket Playgroup Miramar Plunket Group Leeston Plunket Group Te Aroha Plunket Group Ngaio/Khandallah Plunket Group Dunsandel Plunket Group 29 Audit report

Independent auditor’s report on the summary financial statements Financials To the members of the Royal New Zealand Plunket Society Incorporated The accompanying summary financial statements on pages 32 to 34, which comprise the summary statement of financial position as at 30 June 2016 and the summary statement of comprehensive income, changes in equity and cash flows for the year then ended and notes, are derived from the audited financial statements of Royal New Zealand Plunket Society Incorporated and its integrated area societies (“the Group”) for the year Report from Chair of Risk Assurance ended 30 June 2016. We expressed an unmodified audit opinion on those financial statements in our audit report dated 21 September 2016. and Audit Committee The summary financial statements do not contain all the disclosures required for full financial statements under generally accepted accounting practice in New Zealand. Reading the summary financial statements, therefore, is not a substitute for reading the audited financial statements of Royal New Zealand Plunket Society Incorporated and its integrated area societies. The primary purpose of the Risk Assurance and Risk Assurance and Audit Committee Audit Committee is to assist the Board of Royal This report is made solely to the members as a body. Our audit work has been undertaken so that we might state to the incorporated society’s George Tuffin members those matters we are required to state to them in the auditor’s report and for no other purpose. To the fullest extent permitted by law, we New Zealand Plunket Society Incorporated do not accept or assume responsibility to anyone other than the incorporated society’s members as a body, for our audit work, this report or any of (Plunket) in fulfilling its risk assurance and audit Independent Chair the opinions we have formed. responsibilities. The Committee will carry out this Andrée Talbot Board’s responsibility for the financial statements purpose by overseeing and providing advice to the New Zealand President The Board is responsible for the preparation of a summary of the audited financial statements, in accordance with FRS-43Summary Financial Board on Plunket’s: Statements. (Leave of absence from May 2016) • risk management processes; Auditor’s responsibility • internal control mechanisms; Christine Lake Our responsibility is to express an opinion on the summary financial statements based on our procedures, which were conducted in accordance • internal and external audit functions; New Zealand Vice President (to May 2016) with International Standards on Auditing (New Zealand) (ISA (NZ)) 810 Engagements to Report on Summary Financial Statements. • policies and processes adopted to ensure Acting New Zealand President (from May 2016) Our firm has also provided other services to the Group in relation to advisory and general accounting services. Subject to certain restrictions, compliance with applicable legislation, regulations, partners and employees of our firm may also deal with the incorporated society on normal terms within the ordinary course of trading activities of codes of practice and government requirements; Caroline McElnay the business of the incorporated society. These matters have not impaired our independence as auditor of the incorporated society. The firm has no other relationship with, or interest in, the incorporated society. • financial information prepared by management National Board for publication to Members; and Opinion Mark Rickard • oversee clinical services risk reporting. In our opinion, the summary financial statements, derived from the audited financial statements of Royal New Zealand Plunket Society National Board Incorporated and its integrated area societies for the year ended 30 June 2016, are a fair summary of those financial statements, in accordance with FRS-43 Summary Financial Statements. The Committee meets four times a year with Craig Tamblyn Plunket’s CEO, COO and CFO in attendance. National Board (Joined the Committee in June 2016)

Tammi Wilson Uluinayau 21 September 2016 National Board Wellington

31 Statement of Financial Position 2016 2015 as at 30 June 2016 $000 $000 Summary Annual Report Current Assets Summary financial statements Cash and Cash Equivalents 0 172 This is a summary of the Society’s audited financial Accounts Receivable 7,374 7,344 statements for the year ended 30 June 2016 which were Inventory and Other Current Assets 775 569 authorised for issue on 21 September 2016. The summary Royal New Zealand Plunket Society (Inc.) Summary Financial Statements for the year Total Current Assets 8,149 8,085 financial report has been extracted from the full audited ended 30 June 2016 Non Current Assets statements dated 30 June 2016. Property, Plant and Equipment 14,824 732 Intangible Assets 13,237 7,982 The summary financial The summary financial Statement of Comprehensive Revenue 2016 2015 Statement of Changes in Equity 2016 2015 Other Receivable 652 652 statements have been report cannot be expected and Expense for the Year Ended $000 $000 for the Year Ended 30 June 2016 $000 $000 prepared in accordance with to provide as complete an 30 June 2016 Investments 4,603 4,487 Opening Equity Balance 2,844 2,181 Total Non Current Assets 33,316 13,853 FRS-43 – Summary Financial understanding as provided by Contract Income 67,206 65,546 Operating Surplus (Deficit) for the Year (1,233) 267 Total Assets 41,465 21,938 Statements. The full financial the full financial statements of Investment Income 740 719 statements have been prepared financial performance, financial Other Comprehensive Revenue and 17,147 396 Current Liabilities Other Income 11,872 12,581 Expense Overdraft 2,029 - in accordance with generally position, recognised income accepted accounting practice and expenses and cash flows 79,818 78,846 Total Comprehensive Revenue and 15,914 663 Payables 3,106 2,448 Expense Employee Entitlements 6,433 5,638 and they comply with Public of the Society. A copy of the Salaries & Wages 60,484 58,583 Closing Equity Balance 18,758 2,844 Income Received in Advance 5,493 6,000 Benefit Entity International full financial statements can Service Delivery Expenses 16,871 17,090 Lease Provision 42 42 Public Sector Accounting be obtained from our website Depreciation & Amortisation 748 633 Loans from Areas 5,502 3,307 Standards (PBE Standards) www.plunket.org.nz or by Other Expenses 2,663 2,098 Total Current Liabilities 22,605 17,435 and other applicable Financial writing to The Royal New Special Funds 285 175 Non Current Liabilities Reporting Standards, as Zealand Plunket Society (Inc) Lease Provision 102 144 appropriate for Tier 1 not-for- at PO Box 5474 Wellington 81,051 78,579 Loans from Areas 0 1,515 profit public benefit entities. The 6140. The Society is a not for Operating Surplus / (Deficit) for the Year (1,233) 267 Total Non Current Liabilities 102 1,659 Society has made an explicit profit organisation. Integration of Area Societies’ Net Assets 17,013 - Total Liabilities 22,707 19,094 and unreserved statement of The auditor has examined the Net Equity 18,758 2,844 compliance with Public Benefit Net Change in Fair Value of Available for 134 396 summary financial report for Sale Financial Assets Total Liabilities and Equity 41,465 21,938 Entity International Public consistency with the audited Total Comprehensive Revenue and 15,914 663 Sector Accounting Standards Expense for the Period financial statements and has Statement of Cash Flows 2016 2015 (PBE Standards) in note 1 of for the Year Ended 30 June 2016 $000 $000 the opinion the information Attributable to: the full financial statements. Net Cash Flows from Operating (20) 564 reported in the summary General Funds (814) 541 Activities The financial statements are financial report complies with Special Funds 16,728 122 Net Cash Flows from Investing (2,181) (628) presented in New Zealand FRS-43 summary Financial Activities 15,914 663 dollars because that is the Statements and is consistent in Net Decrease in Cash Held (2,201) (64) currency of the primary all material respects, with the economic environment in which full financial report from which it the Society operates. is derived. 33 Notes to the Annual Report

During the year to June 2016, the Society agreed to take Gain on Integration PRINCIPAL effective control of eight Area Boards who were struggling On the date of integration of the Area Societies, the Society SPONSOR: to remain effective for a mix of reasons, including: board recognised and measured all identifiable assets and liabilities resignations, low member numbers, financial challenges, and of the Area Societies at fair value. As no considerations concerns about the impact of new health and safety legislation. were paid at the time of integration, a total of $17 million, representing the fair value of the net assets integrated, was STAR These boards have either already transferred their assets to SPONSORS: Funding, the Society or are in the process of doing so. recognised as a gain on integration in surplus and deficit. Our auditors and the National Board took the view that without Identifiable Assets Integrated and Liabilities Assumed Sponsorship a board looking after the affairs of these Areas the Society has The following table summarises the recognised amounts effective control of their assets and liabilities. Four of the Area of assets integrated and liabilities assumed at the date of CORPORATE Boards have yet to hold voluntary windup meetings with their integration 30 June 2016. & Partners membership, but these are expected to take place in the year PARTNER: to June 2017. Net Assets of all 8 Area Societies $000’s 2015/16 has been a busy and eventful year for COMMUNITY Cash and Cash Equivalents 2,980 Plunket’s funding team which encompasses donor, The summarised financial statements that are included in Accounts Receivable 27 PARTNER: this Annual Report reflect the consolidated financials of the bequest, regular-giving and major gifts programmes, Society, for the full 12 months. They also reflect the impact of Other Receivable 398 grants and corporate sponsorship. We continue to Property, Plant & Equipment 14,168 integrating the eight Area Society assets and liabilities into a build strong relationships with our supporters, re- Investments 14 National Sponsors Partners consolidated set of financial statements as at 30 June 2016. emphasising our commitment we have to making a These particular financials are in the summarised format. The Sundry Creditors and Payables (116) Huggies ACC difference in children’s lives. full consolidated financial statements will be uploaded to the Accruals (229) Colgate Adshel Plunket website and available to all interested parties after the Employee Entitlements (45) Muffin Break Designertech Highlights for the year include: Society Annual General Meeting. Income in Advance (184) Farmers and Lisa O’Neill Pick Me Help Plunket • The launch of ‘Bright Beginnings’, Plunket’s regular Total Identifiable Net Assets Integrated 17,013 JB-Hifi The following is an extract from those full financials. On 30 Sponsors Leaseplan giving programme. June 2016, the Society obtained effective control of the eight Further information is provided below that gives the total Dettol Māori Television • Our partnership with The Warehouse has widened Area Societies listed below. values integrated per Area Society: Fairydown Ministry of Education and is now an exciting blend of a traditional Wattie’s Ministry of Health • Royal New Zealand Plunket • Royal New Zealand commercial partnership with a mix of objectives Ex Northland $1,256,716 Public Trust Ministry of Social Society Northland Area Plunket Society Lakes Area including social impact. Incorporated Incorporated Ex Waitemata $2,582,230 Development Community Partners • A new partnership with ACC to prevent injuries to Ex Counties Manukau $1,138,520 Pacific Media Network • The Royal New Zealand • Royal New Zealand Plunket KPS Society Plunket Society Waitemata Society Manawatu / Wanganui Ex Waikato $3,141,590 New Zealand Media and children 0-5 years old, builds on Plunket’s existing Area Incorporated Area (Incorporated) The Lion Foundation Ex Lakes $ 574,931 Entertainment injury prevention and provides additional capacity. • Royal New Zealand Plunket • Royal New Zealand Plunket Tindall Foundation Road Safety Trust Ex Manawatu / Whanganui $1,195,377 • Huggies continues its long-term commitment Society Counties Manukau Society Wellington / Wairarapa Lottery Grants Board Trade Me Ex Wellington $6,789,226 to New Zealand families through their support Area (Incorporated) Area Incorporated Plunket Foundation The Warehouse Ex West Coast $ 334,313 • Royal New Zealand Plunket • The Royal New Zealand Pub Charity Water Safety New Zealand of Plunket with our relationship now extending Society Waikato Area Plunket Society West Coast Total integrated net assets $17,012,903 Infinity beyond 20 years. Incorporated Area Incorporated The Southern Trust Incorporated in each of these Area Societies are Plunket • Colgate further supports families by providing a NZCT Groups’ related financials and a full database of that toothbrush and toothpaste for each child receiving Community Organisation information is held within the Society’s Finance team. Grants Scheme their five month Well Child Tamariki Ora check and The Office of Ethnic B4 School check. 35 Communities Plunket’s Principal Sponsor, BNZ We are delighted to renew our partnership with BNZ for a further three years. BNZ, as Plunket’s Principal Sponsor, has supported Plunket and its families since 2010. Through us, BNZ not only invests in the welfare of many families across New Zealand, but offers Plunket professional and volunteer support. BNZ Closed for Good Day 2015 BNZ and Plunket teams joined forces on 2 September to clean, paint, garden and provide financial workshops for various Plunket centres. CEOs from both organisations took part in a planning session for FUNDING AD the Manurewa Plunket Centre in South Auckland. A medium-term plan was developed and focuses on improving the building as well as growing the Centre’s volunteer base, increasing service provision and funding opportunities. Work continues to revitalise the Centre. Making the difference of a lifetime

Be Good With Money Information Evenings Parenting can be hard work. Lack of support, isolation and financial uncertainty are a Having a baby can mean other important aspects of being a parent daily reality for families in New Zealand. take second place, like managing your finances, making a will and Plunket’s community support services can play a crucial role in helping families when planning for your retirement. Plunket, BNZ and Public Trust came they need it most. Playgroups, mobile clinics, toy libraries and parenting courses are together to hold three information evenings for Plunket families free to families and whānau and paid for through fundraising. and staff in Wellington. Planning is underway to roll out these successful evenings in other areas of New Zealand in 2016. Make a difference for Kiwi kids and their families. Help keep these services free and available in communities just like yours. We thank the many individuals and organisations for your generous contributions and support. Your ongoing commitment continues to provide valuable free support services to communities around New Zealand and helps explore new initiatives that will help families now and into the future. 37 NEW AL ZE Y A O L R A

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The Royal New Zealand Plunket Society (Inc.) National Office, Level 3, 40 Mercer St, Wellington 6140 04 471 0177 plunket.org.nz