Canterbury DHB CEO Update Monday 3 August 2015

CEO Update Monday 3 August 2015

Hands can be dangerous – keep them clean! That’s the theme from our new eye-catching hand hygiene campaign. As part of this month’s hand hygiene focus we have been given permission by Italian artist Guido Daniele to use his ‘Handimals’ artwork. Don’t be alarmed when one of his stunning works of art pops up on your screensaver. As well as being eye-catching, the graphics are a fun way to remind us all to clean our hands. We know that clean hands save lives. Cleaning your hands is essential for everyone who works with patients, however, it’s also good practice as a way of keeping yourself and your family healthy and free from germs. The World Health Organization says hand washing is the single most important thing everyone can do to keep themselves healthy. It’s a simple fact that good hand hygiene by health workers reduces healthcare-associated infections caused by resistant germs. If you notice any patient beds that don’t have hand gel (alcohol based hand rub – to be precise!) attached to the foot of the bed, do something about it. It’s not ok to turn a blind eye. Hand gel is an essential piece of kit, just like a blood pressure cuff, clean linen and a bed. Let’s make it easy for everyone to clean their hands and lift our ‘five moments’ performance. While our performance is improving, we are still shy of the national target of 80% compliance with the 5 moments of hand hygiene. More information and ideas about how you can encourage your colleagues to lift their game can be found here. Grazie Guido, thank you for letting us use your stunning images. Please help us promote hand hygiene by downloading an email banner. For more information about how to do this see page 6. Flu spike - it’s not too late to be immunised A couple of reminders…we are seeing a spike in the number of cases of influenza, so if you haven’t already done so it’s not too late to get immunised. Check the detailed information on page 10 and 11 and the latest influenza surveillance report.

And remember, if you’re sick, stay home. Don’t bring your bugs to share with your colleagues at work. ›› Article continues on page 2

In this issue

»» Kaikoura’s new Integrated Family Health Centre...page 6.

»» Research aims to improve elderly patient care...page 8.

»» New monthly health promotion..page 8.

»» 50 year reunion for nurses...page 12.

»» Key themes on display...page 13. »» B4 School Check targets reached...page 14

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CEO Update ›› Article continued from page 1

Every week, I enjoy reading the many ‘bouquets’ that we receive which acknowledge the great work by so many of you. This week I received a note from a staff member whose mother has been under our care. Feedback like this serves as an important reminder of why we come to work every day. Whether you’re in a hands-on clinical role, or behind the scenes supporting those who support our patients, thanks for the part you play in our health system.

with competence, kindness and efficiency. Medical and nursing staff have been unfailingly helpful and obliging and I feel very confident that my elderly mother is in safe hands. As a healthcare ‘insider’ I know very well what excellent care looks like, and I can state unequivocally that this is what my mum has received - it’s great to feel proud of the organisation I work for! Please pass on my thanks to ED and Ward 19.

I’d like to extend my grateful appreciation to the staff at ED and Ward 19, Christchurch Hospital for the treatment and care given to my mother aged 92, over the last few days. From the moment the ambulance arrived at her house to help her up after a fall, then investigations at ED which established a leg fracture, to ward admission and swift management of acute pain and nausea, through to planning for ongoing care at Ashburton Hospital, she has been looked after at every stage

David Meates

CEO Canterbury District Health Board

Canterbury Grand Round Friday 7 August 2015 – 12.15- to 1.15pm with lunch from 11.45am.

Chair: Peter Ganly

Venue: Rolleston Lecture Theatre

»» Burwood Meeting Room »» Meeting Room, Level 1 TPMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton

Speaker one: Amanda Brennan, Physiotherapist, South Island Eating Disorders Service Title: “Athletic or Eating Disordered? – Understanding Compulsive Exercise” Topic: “The South Island Eating Disorders Service treats those who present with compulsive exercise as part of their eating disorder. This presentation will enable colleagues to understand more about compulsive exercise and how to identify when exercise crosses the line between normal and compulsive”.

Video Conference set up in:

All staff and students welcome Talks (with Speaker approval) will be available in two weeks on the CDHB intranet at the following link: http://cdhbintranet/SitePages/Canterbury-Grand-Round.aspx Next Grand Round is on Friday 14 August 2015. Convenor: Dr RL Spearing ruth.spearing@cdhb.health.nz

Speaker two: Seton Henderson, Clinical Director ICU Title/Topic; Intensive Care Outreach and recognising the deteriorating patient cdhb.health.nz 2

CEO Update

Monday’s Facilities Fast Facts Burwood The new boilers for the Burwood campus have arrived on site and are now being assembled. The high-tech biomass boilers, capable of burning wood waste including forestry clearings, were made in Austria by the international supplier Polytechnik GmBH. The boilers are 4 Megawatts (MW) and 2MW in size. Both will be used in winter to give a total of 6MW. In summer, the 2MW boiler will be used, and in the spring and autumn, the 4MW boiler. The hospital will also have an additional diesel back-up generator to enable the boiler house to run during power outages. The last of the pre-cast concrete columns has now been installed on the site of the old kitchens, to form the final part of the main outpatients building. The photo right shows the last column being lowered into place, by the second crane from the left. In total, 229 concrete columns will have been installed for the Burwood build.

Christchurch The first main concrete pour for the foundations of the Acute Services building ran like clockwork: exactly 1148.6 cubic metres of concrete were poured, and Fletchers Construction tells us that the rate of concrete pouring was close to a record. These large pours are run overnight and at weekends to minimise disruption to the hospital and to ensure that there is time for levelling and finishing the surface. A short video of the pour can be seen on our intranet page and on the CDHB Facebook page. It was hungry work, judging by the breakfast barbecue table (left). ›› Article continues on page 4

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CEO Update ›› Article continued from page 3

The second main concrete pour for the foundations is now scheduled overnight on Friday August 7 to Saturday August 8. Before that, there will be a smaller pour for the foundations of one of the main lift shafts. The picture shows the area of the second pour in the foreground, with the lift shaft in the centre.

User group news The user groups for the Acute Services Building have completed their review of the Detailed Design plans and room data sheets this week. All the user groups are presenting their plans and issues to the Clinical Leaders Group for endorsement. This will be completed by mid-August. The design team will continue to communicate with user groups to resolve any outstanding issues.

Dry July – it’s over and now donate Dry July has come to an end – congratulations to everyone who gave up the booze for the month. Now’s the time to get all our donations in. If you haven’t donated yet you can support our CDHB and Christchurch Hospital team here. As part of our final cash raising efforts, raffles have been run at three of our sites – Christchurch Campus, The Princess Margaret Hospital and Hillmorton Hospital. Results of the Christchurch Campus raffle will be revealed in next week’s update. The Princess Margaret Hospital The three gift baskets on offer have raised a lot of interest and ticket sales. The draw was made last Friday with winners notified. A total of $438 was raised – thank you! Winners were: »» 1st: Tala Vaguua (TPMH staff) »» 2nd: Kathleen McPherson »» 3rd: Nancy Beckingsale (visitor to TPMH)

Above: Elsie Roder

Dry July Hillmorton raffle Taua Elsie Roder has run a fantastic raffle with prizes donated by staff which were beautifully packaged into two baskets. The raffle was drawn last Friday. It raised $100 for Dry July. Winners: Vi Anderson (AOD) and Eddie Low (Hillmorton café). Elsie’s motivation for running a Dry July raffle at Hillmorton Hospital came from being a cancer survivor (“so far”) herself. She says while running the raffle she found out that the people who gave so willingly would also share their stories about the disease. “Cancer had impacted on their whānau/family life and multiple people would be affected so it was a very humbling experience. Thank you Christchurch Hospital for giving us out here at Specialist Mental Health the opportunity to contribute to a very worthy cause,” says Elsie. cdhb.health.nz 4

CEO Update

Bouquets AMAU, Christchurch Hospital ...my Uncle was admitted to AMAU at Christchurch hospital. Despite complaining he was cold all the time from when he arrived in ED it was not until Sunday afternoon ..that his new nurse at that time, Toni, decided to put a Bair Hugger on him to warm him up....I consider that it was Toni’s decision that made ‘the difference’ because from then on he began to slowly improve. He has since improved tremendously in his cognitive and co-ordination abilities, back to where he was a week before. This email is to formally thank and commend, Toni, on the afternoon/ evening shift on Sunday 5 July, for her astute nursing abilities which looked beyond ‘the ‘figures’ and looked at ‘the person’....They engendered confidence, experience and optimism. We are very grateful to them both. Community Mental Health I am writing to you today to pass on my experiences with a member of the community mental health team in east sector, Piers Bailey. The dealings that I have had with him have been a credit to your service. The results that he has been able to achieve with a number of very challenging complex mental health patients has been excellent. Piers has acted with a pragmatism, compassion and flexibility towards patients, who in my experience, have not been able to be effectively managed in the past due to their complex nature. In one instance this has restored a level of self-reliance and confidence in a patient which may

not have ever previously manifested itself. If there was some recognition that your service was able to give him, or indeed the CDHB, it would be well deserved. I appreciate the challenges that face a service such as yours and when ”good news” is at hand it is important to pass it on. Lincoln Maternity Hospital Excellent stay. All the staff were lovely and helpful with all questions that we had. Great support with help and tips on how to breastfeed. Staff really made us all feel at home. Definitely recommend Lincoln to our friends. Thank you so much! P.S. Food AMAZING! Christchurch Hospital Security Team My brother was admitted to Christchurch Hospital … with a suspected bowel blockage, it turned out to be because of the various medications he has been on over the last 30 years to combat bi-polar, depression and mild schizophrenia. In order to restart certain bodily functions he was completely taken off his medication. And this is where my brother and our family’s relationship with the wonderful security team began. My brother was having pseudo seizures which involved …erratic behaviour…trying to leap out of his hospital bed still attached to his IV, severe body spasms and shaking of his entire body and loud screaming. Hospital security was called in. Mother and I were completely amazed

and comforted by them, with their complete and well-rounded security, professionalism, empathy, dedication, teamwork, and cultural sensitivity, the accolades could go on and on. They provided more than just security, the work carried out was highly professional, well-co-ordinated, they knew what was needed and carried through. Each member of the Security Team, from Security Team Leaders involved - Ivan, Nigel and Steven - to the security team of Barbara, Natasha, Charanpreet, Shashidhar, Manpreet, and Cody (I apologise if I’ve missed anyone out) was quite simply, impressive. Making sure that my brother was kept safe from himself was no easy task, also mother and I were stressed from the long phases of seizures which could last for hours. My family and I would like to say a huge thank you to the CDHB Allied Security team at Christchurch Hospital for your professionalism and intelligent security shown throughout my brother’s stay in Christchurch Hospital care. He leaves Christchurch Hospital today a healthier, secure and safe human being. God Bless. SARA, Christchurch Hospital Nurses are amazing. So impressed at how they deal with so many patients, some of them less than easy to deal with. Very communicative about treatment/ procedure. A+. NICU, Christchurch Women’s Hospital Thanks everyone - team work. Great work. Keep it up. cdhb.health.nz 5

CEO Update

Community turn out in support of new Kaikoura Integrated Family Health Centre

The Kaikoura community arrived in droves on Saturday morning to have a look through their new Integrated Family Health Centre. While the rooms were empty of medical equipment and patients, a team of volunteers gave people a tour of the new building so they could get a sense of what goes where and the size of the rooms. Nearly all of the 462 people who walked through the centre during the three hour opening expressed delight with what they saw. “People are thrilled with how it’s turned out,” says Project Manager Tim Fahey. The next steps for the centre is the installation and commissioning of medical equipment, a clinical clean and then a staged move of the patients from the old buildings into the new around mid-September. Once that is complete, the old buildings will be stripped out and demolished, and then the parking areas created and the gardens landscaped. This is expected to take until late January. The building will be officially opened sometime in February. Project Facilitator of the Kaikoura Service Level Alliance, Angela Blunt, says everyone she spoke to was “blown away” and “overwhelmed”. “They are grateful to the CDHB for taking this project on and providing us with state of the art premises. The buzz created by the day was amazing!” The visitors to the Centre were extremely generous, and the Kaikoura Integrated Centre Fundraising Trust raised $800 from the sale of refreshments, cakes and raffles. They also raised more than $600 in gold coin donations for the tours.

Visitors to the new Kaikoura Integrated Family Health Centre walk through the new reception area which everyone was happy to see looked exactly like the artists’ impression (below).

A view down the corridor.

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CEO Update

Free GP visit for people who enrol before the end of August The Canterbury Health System is giving away vouchers for a free general practice visit to people enrolling for the first time. If you’re not enrolled with a general practice team, you’re missing out. To make the most of health services here in Canterbury you need to enrol with a general practice, who can either help you then and there, or can refer you to specialist services. It’s estimated that over 30,000 workers and their families have moved to Canterbury for the rebuild. Many of those people are foreign nationals who don’t know how to get the most from our health system and others may simply be new to Canterbury.

Connect with us

These workers, and their families, are losing out on coordinated and cheaper health care by not being enrolled. As soon as people enrol with a general practice, they immediately have a team of people helping them and their family stay well and healthy. Signing up to a practice provides access to expert advice and check-ups; means you pay less for your health care; and gives you ongoing vaccination and health screening check reminders. Prescriptions will be cheaper too, or free for those under 13 and enrolled with a general practice team. You are entitled to enrol with a general practice team if you are a New Zealand, Cook Island, Niue or Tokelau citizen or are entitled to stay in New Zealand for two years or more – with a work visa for example. Vouchers for a free general practice consultation can be downloaded from www.cdhb.health.nz. Vouchers can only be used for people who enrol for the first time in Canterbury before the end of August 2015. The voucher is valid for one use until the end of 2015.

enrolment voucher To encourage you to make the right decision to ‘connect’ with a general practice, this voucher entitles new enrolments to a first consultation on us. It is valid for the remainder of 2015 for people who enrol in Canterbury for the first time before the end of August 2015. Enrol with a local general practice, then present this voucher at your first consultation – it’s that simple. Note to the practice accepting this voucher: Please send an invoice for the cost of the consultation to your PHO marked ‘Connect with a GP initiative’.

our health system

Why not do a friend a favour and if they’re not enrolled, give them a voucher?

The CDHB Education Fair 2015 is here! Check it out now to see what is available, hear from others who are already enjoying the benefits of their development and have fun exploring and connecting. We look forward to hearing all about your next move. Click here for the CDHB Education Fair On this week! Click here for post-graduate nursing information sessions If you have any questions, please contact the Learning and Development team.

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CEO Update

New Monthly Health Promotion The Communications Team at the Canterbury District Health Board is working with Community and Public Health and other health system stakeholders to promote a specific health topic every month. Having a monthly focus on a specific health issue will help ensure that promotional activities are as effective as possible. Proposed topics over the next 12 months are: »» August: Hand hygiene »» September: Sitting less »» October: Wellbeing/All Right? »» November: Healthy eating »» December: Summer safety »» January: Summer safety »» February: Active and alternative transport »» March: Environmental health »» April: Winter preparedness »» May: Smokefree

promotional activities will continue for other issues such as Māori Language Week, Matariki, and National Volunteer Week. As part of August’s hand hygiene focus the CDHB has been given permission by Italian artist Guido Daniele to use his ‘Handimals’ artwork. Please help us promote hand hygiene by downloading an email banner from the Communications Team image library on the intranet. There are also other images on that page that you can use for your email signature. Click on chosen image to tick the box. It will bring the image up larger – click view item to bring it up on screen. Right click again and save image somewhere you (and your team) have access to – perhaps on the G/shared drive. Then go into your email signature – while in your inbox click the blue file tab top left, choose options from the left hand panel, then mail, then signatures. Put in your email signature text. To add the image, click on the browse button top right:

»» June: Men’s health »» July: Dry July Various tools and methods will be used to promote these health topics, including the creation of screensavers and email banners, Facebook posts, opinion pieces and press releases, and providing information in newsletters such as the CEO Update and WellNow Canterbury. While the above topics will be the focus of each month,

Pick image from the folder or place you saved them to and insert. Save the signature and give it a name (might be different from other signatures you have). On that page you can choose when the signature appears eg. Outgoing emails, replies etc. For more information about the hand hygiene images or the monthly health promotion focus, email communications@cdhb.health.nz

Research aims to improve elderly patient care Canterbury District Health Board is teaming up with key experts from South Island’s universities to conduct world-leading research aimed at better understanding ageing to help improve patient care. The initiative between Canterbury DHB, the University of Canterbury and the University of Otago focuses around using “big data” to help understand, model and manage health conditions. Nigel Millar, Canterbury DHB Chief

Medical Officer and sponsor for the project says this is particularly important because people are living longer than ever before. “In the last century life expectancy in New Zealand has increased by 25 years,” Dr Millar says. “Given this, using statistical models to better understand patient needs becomes increasingly important. This data can then be used to improve patient care.”

Dr Millar says of particular interest is the aged care (interRAI) assessment data the Canterbury DHB uses. “The New Zealand dataset size is currently 15 million items and is likely to grow by another 40 million items per year. The amount of data we have is getting far larger than the Canterbury DHB systems can handle. To maximise the understanding of the complex datasets it makes sense to team. ›› Article continues on page 9

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CEO Update ›› Article continued from page 8

The research interest group involves experts in a number of areas from Canterbury University having regular meetings with CDHB clinicans. The team includes Professor Philip Schluter (Professor of Health Sciences), Professor Jennifer Brown (Head of School, Mathematics and Statistics), Professor Simon Kingham and Dr Paul Beere (Geohealth Laboratory) and Professor Tim David (High Performance Computing). “We are very excited about the potential of the group and the ability to apply “big data” to improve outcomes.

“The ultimate winners will be the patients as results will be used to improve patient care.

“Outcomes are likely to be important, current and influential in informing evidence-based decisions.”

Professor Jennifer Brown says she is delighted with the idea.

Dr Hamish Jamieson from the Canterbury DHB who also works with the University of Otago is teaming up with world experts in their fields who have a great reputation in research excellence.

“It allows new ways to look at large datasets to improve patient outcomes.” Professor Brown says. Professor Schluter says it’s a great opportunity. “The intellectual potential, in addition to the national data and computational potential, is massive and exciting,” Professor Schluter says.

“It is great initiative to team up with world leading mathematics and statistical teams at Canterbury University”. Below from left, Professor Philip Schluter, Dr Hamish Jamieson, Professor Tim David, Professor Jennifer Brown and Dr Paul Beere.

Professional Development & Recognition Programme PDRP New Assessor Training - new date Wednesday 11 and Thursday 12 November 2015.

SI PICS July Newsletter

If you are interested in attending can you please email seonaid.macmillan@cdhb.health.nz

Firing up in Winter

A day intended for staff who have familiarised themselves with the PDRP documents.

Winter has well and truly settled in. As we hit record-breaking temperatures throughout the region, the SI PICS project teams are firing on all cylinders for the upcoming transition from legacy patient administration systems to the South Island Patient Information Care System, or SI PICS. Download the July newsletter.

PDRP Workshop Thursday 10 September 2015

Staff attending will be given a greater understanding of the evidence requirements for the Proficient and Expert/ Accomplished levels and speak with a panel of applicants and assessors at the end of the day. If you are interested in attending please contact the PDRP office email Seonaid.macmillan@cdhb.health.nz cdhb.health.nz 9

CEO Update

Canterbury Inuenza‐like Illness Report Week ending 23 July 2015

For GP Teams, Community Nurses and Pharmacists and Residen�al Care Facili�es

Key Messages:  Inuenza like illness (ILI) rates have risen to a ‘high’ level with swabs predominantly posi�ve for Inuenza type B.

 In 2005 there was a similar high wave of type B that predominantly aﬀected the under 5yrs with high admission rates across NZ and was associated with 5 paediatric fatali�es.

 The isolated strains should be well covered by this year’s inuenza vaccina�on—please con�nue vaccina�ng.  If you are seeing increasing ILI numbers in your prac�ce please consider adop�ng your plans to allow for triaged same day appointments and/or extended hours clinics.

Further informaƟon about infecƟon prevenƟon and control during the inuenza season is available at HealthPathways (www.healthpathways.org.nz) Canterbury and NZ Inuenza‐like Illness rates

Canterbury Respiratory Pathogens This week

Last week

Year to date

Inu. A(H1N1)pdm09 Inu. A(H3N2) Inuenza B Bocavirus Coronavirus H. pneumometavirus

‐ 10 92 4 14 3

1 5 82 4 13 4

6 49 287 26 85 25

Mycoplasma

Parechovirus

‐

Pathogen

Parainuenza

Resp. Synci�al virus

192

Rhinovirus

201

Canterbury Respiratory Pathogen Iden�ca�ons By Month: January ‐ July 2015

* monthly rate for the 23 days of July

All cause a�endances at Chch Hospital ED October 2014 — 23 July 2015

Canterbury ILI rates 2010 ‐ 23 July 2015

Community and Public Health, Christchurch oﬃce: PO Box 1475, Christchurch, 310 Manchester Street, Ph. 03 364 1777, Fax 03 379 6484, www.cph.co.nz Canterbury Primary Response Group, General Prac�ce/Pharmacy: Ph. 03 353 9966, Email: admin@cprg.org.nz. Rural Health: Ph. 027 290 3090 or 021 808 989 Informa�on also available at www.healthpathways.org.nz

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CEO Update

Staff...there’s still time to immunise your selfie Influenza activity in Canterbury is on the increase with the numbers of patients attending general practices and hospital escalating. It’s more important than ever to get your vaccination. The staff vaccination programme is almost over, but there is still time.

Further clinics scheduled Burwood Hospital Wednesday 5 August, 14.00 – 15.00, Totara Room, Department of Nursing The Princess Margaret Hospital Friday 14 August, 13.30 – 15.00, TPMH Outpatients Christchurch Hospital Wednesday 12 August, 13.30, 15.00- Endo Room off ward 26

Ashburton Hospital and Rural Authorised vaccinators can vaccinate on the wards as able. Make contact with these people: »» Paula Burgess – AAU »» Deborah Hanrahan - AAU »» Fay Jones - Ward 6

Tuesday 18 August, 10.00 – 14.00, Great Escape

»» Sheila Lyons - Ward 1 & Home-based support

Thursday 27 August, 10.00 – 14.00, Great Escape

»» Sharon Greenslade - Ward 1

The above clinics are all combined flu and general vaccination clinics.

»» Amanda Van Asperen - Nurse Educator

Specialist Mental Health Service Vaccinations are available from the Clinical Services Unit, Te Awakura, Building 2, Hillmorton Hospital. But, please ring first to make an appointment ext. 33699.

»» Rural Hospital staff please contact your Nurse Manager for guidance.

»» Jill Gerken - CNS Infection Prevention & Control

If you can’t attend a clinic contact your local authorised vaccinator - click here for details or contact Kirsten.Herrick@cdhb.health.nz for assistance.

People in Disasters Conference - Early Bird Registration extended to 31 Aug 2015 The People in Disasters Conference is pleased to announce that Early Bird Registration will continue until August 31, 2015. We have heard your pleas and recognise that we did not take the end of year finances into our initial planning of dates. Visit our website for registration details.

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CEO Update

Nursing class has 50 year reunion The April 1965 Preliminary Training School (PTS) nursing class, some of whom are still on Canterbury DHB staff, held their 50th reunion last month. There was a lot of interest but several people were overseas or had other commitments, says reunion organiser, Beverley Rayna. “We eventually had 31 of the class attend as well as two of our three Prelim tutors, Janette Geddes (nee Lundy) and Alison Whitelaw (nee Craw),” she says. Their celebrations included meeting in the garden of the Nurses’ Memorial Chapel and Ray Wootton (President of the Friends of the Chapel) reporting to them on the chapel’s situation and the work the Friends have been doing. Some of the class who were in The Princess Margaret Hospital group visited 30 Hackthorne Road which is now a private home but used to be a Hospital Board hostel where the PTS classes stayed before moving to the Nurses’ Home at Christchurch Hospital.

The weekend was rounded out by a visit to the Cotter Medical History Trust museum at Hillmorton Hospital. The class is already looking forward to its “graduation” reunion in 2018.

Information sessions for postgraduate study at the University of Otago, Christchurch Considering health-related postgraduate study in 2016? Visit the University of Otago, Christchurch foyer Tuesday August 18th and Wednesday August 19th between 11am and 3pm to talk over options. Courses include: Public health, nursing, mental health/addictions, musculoskeletal and pain management courses. The new Master of Nursing Science (Subject to Nursing Council (NZ) approval) Information at: www.otago.ac.nz/nursingmasters

C H R I S T C H U R C H

No appointment necessary. Information stands in the University of Otago, Christchurch foyer at 2 Riccarton Ave on Christchurch Hospital campus. Queries to ruth.helms@otago.ac.nz University of Otago, Christchurch Winter newsletter (Nursing special) - download here.

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information • Improved demand and capacity SPECIFICALLY FOR BOOKING TEAMS: • Reduced rescheduling • Clear triage outcomes to inform the booking process. • Clear and consistent, well documented booking processes. • Improved system-wide support and recognition for the important role triagers undertake.

TEAM • Engage in the development of consistent triage practices and peer review. • Be prepared to take a fresh look at the way we are doing things.

AIMS

GOALS • Patients, families and friends • All CDHB staff • General practices

WHO IS INVOLVED?

‘Providing visibility of patients as they move along their cancer pathways, from referral to treatment, within and across district health boards’

To ensure all patients will have access to the same quality care, within the same time frames, no matter where they live.

WHAT CDHB IS DOING?

AIMS To improve the patient’s outcome, prevent harm to them and to prevent them deconditioning whilst in our care.

WHAT CDHB IS DOING? • Managing the co-ordination of patient care. • Early intervention by most appropriate clinician. • Daily assertive board meetings. • EDD evident. • Interdisciplinary assessment. • Minimising patient movement.

GOALS

WHO IS INVOLVED? • SMO • RMO • Nursing • Allied health • Ward Clerks

THREE THINGS YOU CAN DO TO HELP

RMO • Complete patient tasks at the time of decision making so as to ensure the patient journey is not “held up” • Complete discharge paperwork prior to discharge time, assist colleagues with this as time allows. • Communicate to the team at all times and update the board as needed.

WHAT CDHB IS DOING?

• To provide the best use of our constrained resources between now and the time the new facilities are in place. • To provide more surgery using currently available resourced time.

AIMS

GOALS

THREE THINGS YOU CAN DO TO HELP

• Clinicians • Booking clerks/ scheduling • Service managers

WHO IS INVOLVED?

‘Until our new hospital is built theatre capacity will be our biggest constraint. The Theatre Utilisation programme is focussed on improving the performance and productivity of operating theatres across the CDHB, reducing cancellations, improving patient flow and achieving shorter waiting times for patients before their treatment.’

ALLIED HEALTH • Daily attendance of board meetings to assist with prioritisation of workload and ensure flow of patients. • Discharge planning is communicated to the patient and the family and the rest of the team. Equipment is obtained to ensure that the planned discharge date can be adhered to. • Perform assessments soonest and carry out interventions in a timely fashion so a patient is not ‘left waiting’.

BOOKING CLERKS/ SCHEDULING • Strive to utilise additional capacity found. • Work with other departments to fill openings. • Work with surgeons to fully utilise all theatre minutes.

AIMS

To ensure that patients receive the right care at the right time, allowing them to return to their normal activities without delay.

WHAT CDHB IS DOING?

Optimising surgical outcomes by ensuring patients have the best possible management before, during and after the operation and rehabilitation.

GOALS

• # NoFs operated on between 24-48 hours after presentation • # NoFs transferred to rehab 48 hours post operation • Positive patient experience

»» TPMH: in corridor from main entrance towards outpatients and radiology

WHO IS INVOLVED?

Key themes on display

• Clinicians • Booking teams

BOOKING TEAMS • Work with the 100 Days Implementation Team. • Maintain the systems and processes that deliver consistent triage practices. • Be prepared to take a fresh look at the way we are doing things and support consistent hospital-wide booking processes.

SERVICE MANAGERS • Work with other departments to fill openings – share lists where you can. • Work with surgeons to fully utilise all theatre minutes. • Work with booking clerks to ensure all minutes covered.

WHO IS INVOLVED?

THREE THINGS YOU CAN DO TO HELP

• PatientOrthopaedic surgeons and RMO’s • Anaesthetists • Nursing • Allied Health • OPHHS • Emergency Department

ORTHOPAEDIC SURGEONS AND RMO’S • Manage patient expectations: Communicate hospital and recovery process and discus predicted length of stay and date of discharge with patient and family, starting at FSA. • Always document weight bearing status on operation note. • Assess fast tracked patients DOA on Ward.

ANAESTHETISTS • #NoF patients admitted by 1600hr are assessed at day of admission (DOA)

• Manage patient expectations: Communicate surgical and recovery process • Ensure safe and effective anaesthesia, analgesia and PONV management using standardised protocols wherever possible

NURSING • Adhere to post-operative analgesia and PONV regimes to support early mobilisation and recovery. • Facilitate board rounds and support pro-active case management and communicate to the patient and family the plan of care. • Promote independence with washing, dressing and mobilisation . • Proactively manage the discharge process and ensure that all paperwork is complete. Carry out discharge if CCD is completed especially at weekend.

ALLIED HEALTH • Ensure nutritional intervention is instigated early to optimise

nutritional status. • Aim to mobilise patients on day of surgery or at least within 24 hours of surgery. • Ensure early engagement with occupational therapy and social work for the right support and availability of specialised adaptive equipment to facilitate a safe and timely discharge.

OPHSS (#NOF ONLY) • #NoF patients admitted by 1600hr are assessed at day of admission (DOA). • Set discharge/transfer criteria. • Support pro-active case management and careplan development.

EMERGENCY DEPARTMENT (#NOF ONLY) • Ensure effective analgesia to allow movements necessary for investigations. • Follow up on investigation results (Xray) promptly. • Facilitate fast track admission.

»» Burwood Hospital: in the linking corridor past the new main entrance and reception (pictured right).

CLINICIANS • Develop a team approach in theatre to eliminate late starts. • Late finishes in the morning may cause late starts on afternoon lists. • Work with booking clerks to fully utilise all theatre minutes.

»» Christchurch Hospital: if you go to the Westpac ATM and look down the corridor on the ground floor heading towards the Great Escape you will see it on the wall. Just outside the entrance to Clinical Pharmacology

• Patients waiting less (our first priority). • To utilise capacity within our system for which we already have resources unlocked. • Allow us to live within or increase current capacity constraints until the new facilities are completed. • Individualised data on late starts, early and late finishes. • Lock in of elective lists a week in advance to better allocate resources. • 20+ more sessions per annum in CPH due to lithotripsy bus relocation.

You can find the posters at the following locations:

THREE THINGS YOU CAN DO TO HELP

The themes are quite complex, so as a way of making them a bit easier to understand, and to see how they all work together, Carol Limber, Project Lead and Kit Hoeben, Programme Manager from our Planning and Funding team have worked with Martine Ribotton from Medical Illustration to redesign them into posters.

• Development of tracking tools on system and clinician level for late starts and early and late finishes. • Understanding the effect of unused time and availability for use by other departments. • Freeing up theatre space by relocating lithotripsy bus. • Reducing waste in the system.

Mental Health – key theme due to significant increase in demand in recent years.

WARD CLERKS • Input the EDD into the PMS and update daily if changes prior to the 1130 operation meeting. • Confirm the EDD with family as opportunity arises and stress the discharge time of the hospital.

Aiming for 100 days means patients wait less (our first priority), we reduce waste in the system, more confidence is generated in both primary and secondary care and we can build in protective capacity to handle those times where upsets present themselves in our healthcare system.

NURSING • Aim to ensure that the patient interventions progress and the avoidance of deconditioning is ensured. • Communicate to the patient and family the plan of care. • Proactively manage the discharge process and ensure that all paperwork complete. Carry our discharge if CCD is completed especially at weekend.

Canterbury’s outpatient & surgical flow (100 days) programme - the Canterbury Health System is moving towards providing an elective first specialist assessment (FSA) or surgical treatment within 100 days to a maximum of four months, from the time certainty is given for all patients needing these services.

SMO • Aim to ensure most patients have EDDs within 24 Hours of admission • Make plans for the weekend on Friday with clinical criteria for discharge (if appropriate) • When awaiting test results be clear about the action plan: eg. If CT scan normal = discharge home; if CT abnormal with …… then IV antibiotics for 3 days and MRI; if cancerous call me for urgent review.

Theatre Utilisation – is focused on improving the performance and productivity of operating theatres across the Canterbury DHB, reducing cancellations, improving patient flow and achieving shorter waiting times for patients before their treatment.

Frail older people travel through our system receiving timely coordinated care given by the right people, in the right place and prepared for discharge back into the community having suffered no harm.

Faster Cancer Treatment – seeks to improve the patient journey for cancer patients and ensures patients have timely access to appointments and tests which detect cancer and cancer treatment. The programme will reduce barriers to treatment and over time will ensure that patients have access to the same quality of care within the same timeframes, irrespective of where they live.

• Be proactive – embrace change that benefits the patient • Understand the pathways, look for improvements – everyone has a role to play.

Enhanced Recovery After Surgery (ERAS) –is designed to optimise surgical outcomes by improving the patient experience and ensuring all patients receives the right care at the right time. This is achieved by ensuring the patient is in the best possible condition for surgery, they have the best possible management during and after the operation and ensuring the patient experiences the best possible rehabilitation. The programme supports early recovery after discharge from hospital and looks to reduce waiting times.

• Patients are treated promptly, compassionately and directly to appropriate care teams. • Early identification and treatment improves outcomes. • Job satisfaction in providing high quality care • Improved collaboration within the health system. • Ensuring the right staff are giving the right care in the right place.

Frail Older Person’s Pathway – aims to get frail older people safely back home, faster. Working across the system the programme promotes a team response that supports the older person to achieve what is important to them. The ultimate goal is a seamless pathway with no delays to ensure the best possible clinical outcome for frail older people and improve quality of life.

Sharing information with other DHBs builds relationships and allows a national perspective of cancer treatment.

Our Priorities, or five key themes + 1 as they are also known, appear on our intranet. Each area has specific objectives based around the patient journey.

THREE THINGS YOU CAN DO TO HELP CLINICIANS • Work with the 100 Days Implementation.

A pictorial version of Canterbury DHB’s priorities now adorns walls at Christchurch Hospital, The Princess Margaret Hospital and Burwood Hospital.

‘The 100 days programme values the patient’s time, reduces rework and double handling of bookings and provides improved patient care across the system (in the right place at the right time)’

CEO Update

cdhb.health.nz 13

CEO Update

B4 School Check targets reached Canterbury DHB reached all targets for B4 School Checks in the 2014/15 financial year. This means that over 90 per cent of four year olds had their final Well Child Tamariki Ora check. For the first time we reached 90 per cent of Māori and Pacific children as well as those from deprivation quintile 5. In Canterbury, B4 School Checks are delivered by practice nurses and public health nurses. They check height, weight, developmental milestones, speech and language, strengths and difficulties, immunisation status and oral health. If there is any area of concern they can refer the child to their general practice team or other services. Vision and hearing technicians visit Early Childhood Education Services to deliver the hearing and vision component of the B4 School Check. Pegasus Health Coordination Team Leader, Leigh Aston, says the B4 School Check Coordination Team would like to congratulate all the B4 School Check providers in Canterbury and thank them for their hard work throughout the year. “Especially in reaching our high priority tamariki (Māori, Pacifika and Quintile 5). We are particularly pleased that 96 per cent of checks in Canterbury are being completed before children turn four and a half years old.” This gives plenty of time for our children to receive any services they need in time for starting school, she says. The Canterbury B4 School Check Coordination Team keep track of all our children as they turn four, and support nurses and administrators deliver a high quality service. The team monitors data being entered into the national data base. The B4 School Check Clinical Advisory Group keeps an overview of clinical quality, referral processes and waiting lists to ensure that any areas of concern identified during a B4 School Check are followed up appropriately and consistently so that every child is fit, health and ready to start school at 5 years.

Anniversary of the battle for Chunuk Bair – 8 August 2015 The national ceremony to mark the centenary of the battle for Chunuk Bair during the 1915 Gallipoli Campaign will take place on 8 August 2015 at Pukeahu National War Memorial Park in Wellington.

A number of our staff visited Gallipoli for the ANZAC commemorations in April and we thought it appropriate to share their experiences to link in with the Chunuk Bair anniversary. Wendy Cuthill, Charge Nurse Manager, Dialysis Services: My husband Matt and I attended the 100th anniversary of the Gallipoli landings in April. Matt’s grandfather Lieutenant John Elliott (Jock) Cuthill was part of the Otago Regiment. Prior to the war he was the Full Back for the 1913 All Blacks, and toured the United States. He fought at Chunuk Bair where he was wounded. He was evacuated out, only to recover in time to fight at The Somme. He was wounded again, but survived to return to Invercargill. However due to his injuries, he was unable to play rugby again. He died in 1970, without speaking of his war experience. Our tour took in the sights of the Gallipoli peninsula prior to ANZAC day, so we

were able to visit the cemeteries and memorials and take in the surroundings. It was good to see where we were going to be on the actual day. It was a very sobering experience. Seeing all the headstones in various cemeteries with the age of the soldiers and the date of their deaths, with many falling on the same day was very sad. Seeing where the troops were landed and looking up at the rugged terrain it is hard to imagine the conditions for the soldiers, and how they managed to make it as far as Chunuk Bair at all. It was truly an amazing feat. We also visited the Turkish memorials and heard some of their stories. After going through four security checks, we arrived at ANZAC cove about 2000hrs and found a spot on the grass for the long night ahead. By the early hours we were jam packed in with people still arriving at 0300hrs. Documentaries were shown throughout the night and in the early hours the Defence Force band played some music, punctuated by occasional speeches. Just prior to the dawn service there was absolute silence and the only sound heard was the lapping of the waves on the shore. It was easy to imagine the soldiers being rowed ashore. As the sky lightened, the Sphinx became

visible, towering above the beach and cliffs.

Above: The ‘sphinx’ from the beach.

Due to the crowd size, and my shortness, I watched the dawn service on the big screens. Following its conclusion, we were glad to be able to get moving and warm up on the way to Chunuk Bair. I was concerned about the walk up from what I had read, but in fact it was an easy walk and there was plenty of time. The Australians stopped at Long Pine, and we continued up the road to Chunuk Bair. Security was ever present with the Turkish Army soldiers spaced at regular intervals all with machine guns and several with sniper rifles! The view was beautiful the higher we got. ›› Article continues on page 15

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CEO Update ›› Article continued from page 14

We saw the flotilla of warships from many nations sailing by and looked down at both the Aegean Sea and the Dardanelles. The service at Chunuk Bair was our highlight. Matt was glad to have walked in his grandfather’s footsteps, and to have seen the same sights, even though the circumstances were very different. We had a great view of the service and the dignitaries, including Princes Charles and Harry, John Key, Tony Abbott and Michael Higgins, the President of Ireland amongst others. The service itself was very moving and I don’t think there was a dry eye in the place. Following the service, we waited for our bus. We had been up for over 40 hours and were cold and tired, but put into perspective, it was nothing compared to what the soldiers experienced. Luckily our hotel was only 20 minutes’ drive away in Gelibolu, and it was time for food, a shower and bed. We felt privileged to attend this anniversary. More so for Matt who had a real connection with Gallipoli. For me, the whole experience of visiting the peninsula and seeing the trenches and conditions the soldiers had to fight in on both sides reminded me of the futility of the Gallipoli campaign and how so many young lives were ended in the most horrible way, while the leaders were safely out of harms way! From Alison Downes, RN Ward 23 In September, 2015 my husband and I intend to travel to Gallipoli and later, to visit my Great Uncle - William Risk’s grave. He survived Chunuk Bair but was killed on 28 August, 1915 on Hill 60. My father was named after him and now two of my Grandsons have his name also. We have only recently become aware of the circumstances surrounding his death, but happily his legacy lives on through his name. Judith Early, Section Head, Ashburton Laboratory I have to thank my daughter as she took me as her plus one when she got drawn from the second ballot in November 2014. This was very exciting for us both as we have a connection through my grandfather who was at Gallipoli until our troops evacuated, before then going to the Somme where he unfortunately was injured. A man crawled out of the trenches to rescue him from a shell crater and my grandfather’s first born son was

subsequently called Eric after this brave man. We spent about two weeks in Turkey with the highlight at the end being the trip to Gallipoli. This was very moving and tears were shed at both services. The New Zealand service at Chunuk Bair seemed especially moving, I guess because it was all about New Zealand. We went back the following day where we had a better look around the memorial sites and cemeteries. The Turkish people are wonderful how they welcome us to their country and have made the peninsula a reserve for the fallen, respecting them as their own sons.

Judith Early with her daughter at Gallipoli.

Helen France, Maxillofacial Clinical Assistant: I was one of the lucky ones to win a ballot to attend the 100 year commemorations at Gallipoli this year. It was a both special time with my sister, and a very sad time with the enormity of what happened bought it home to us all. Our Grandfather was a stretcher bearer, and was sent to the “Somme” in France, so we always have had a strong sense of awareness of the sadness of the First World War. He did return home from the western front.

Lots of walking, no sleep, sitting up overnight (very cold) with no down time for over 30 hours. Turkey is a beautiful country, and the locals wonderful. We would love to go back. Scott Ramsay and Olivia Jessop, Radiation Therapists, Christchurch Hospital Being at Gallipoli for an ANZAC day service was something Olivia and I had always wanted to do. To be there 100 years on from the Gallipoli landings made the trip even more memorable. ANZAC cove is a sombre and peaceful beach these days and it was an amazing experience to hear nothing but the waves crashing on the beach during the moment of silence at dawn on April 25. The kindness and generosity of the Turkish people also made this an experience we will never forget. Derek Benfield, Health Protection Manager Perhaps the most outstanding memory for me, apart from the reality of spending the night in the open in a low of 2 degrees, was getting to Chunuk Bair and being greeted by my wife with the news that our first grandchild, Eva, had been born at midday on Anzac Day, back home in Rangiora. Eva’s great great grandfather, Corporal John Thomas Denton, was at Gallipoli with the Canterbury Mounted Rifles, and was invalided home to New Zealand after some time in hospital following the Gallipoli Campaign. The continuation of life, in the midst of many graveyards and memorials for the fallen, was even more poignant.

Ataturk’s words ‘our sons are now lying in our bosom and are in peace, after having lost their lives on this land they have become our sons as well.’” Judy Heslop Ian (partner) and I were lucky to win passes to the 100 year commemorations at Gallipoli this year. Ian’s grandfather, was posted to Gallipoli and then France, so it has always been on Ian’s wish list to go. We travelled on a bus tour leading up to the 24 April with a great group of Australians, to put us in the ANZAC mode. The dawn ceremony was amazing, we learnt a lot about Gallipoli and Turkey.

Derek Benfield holding grand daughter Eva at four weeks.

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CEO Update

a career with us... Clinical Nurse Specialist Plastic and Orthopaedic Surgery Work in this exciting new pivotal role in Surgical Services and promote excellence in nursing practice.

Physiotherapist Ward 1a & 1b We are seeking a Physiotherapist to join our multi-disciplinary team and divide their time between two wards at Princess Margaret Hospital.

As a positive role model in clinical leadership you will work across both the Plastic and Orthopaedic Surgical Specialties to ensure high standards of care are maintained and improved patient outcomes are provided. You’ll be an expert nurse and either hold, or be working towards, a relevant post graduate qualification.

Ward 1A is a 23 bed inpatient rehabilitation ward with a particular focus on post-surgical care. Ward 1B, is an AT&R unit caring for people 65 years and over.

More information. Core II Physiotherapist Applications wanted from those seeking a Core II Permanent, Full Time position where you’ll have a great time rotating through specialties including Orthopaedics, Spinal Injuries Unit, Burns & Plastics, ICU, General Surgery, Acute Stroke Unit, Brain Injury Rehabilitation, General Medicine, Hand Therapy, Musculoskeletal Outpatients, Cardiology/Cardiothoracic Surgery, Paediatrics, Pulmonary Rehabilitation, Pain Management and Oncology/Haematology across our sites at Christchurch Public and Women’s Hospitals, Burwood Hospital and the Princess Margaret Hospital. Work in a friendly team and enjoy the support of senior colleagues as you rotate through these specialty placements. You will in turn support your Core I physiotherapist colleagues and students.

As an experienced clinician with excellent time management skills, you’ll thrive in this role that will see you using your skills to maximum effect with a varied clinical mix. On Ward 1A you’ll be responsible for post-operative patients from all areas including, colorectal, orthopaedics, renal and vascular. On Ward 1B you’ll provide proactive targeted care, treatment plans and equipment to ensure patients safe return to the community. More information. Forensic Psychiatrist We seek a Consultant Psychiatrist to take up a fixed term part time role of 0.6FTE and you will be working in a multidisciplinary context with five other Forensic Psychiatrists. The role comprises of comprehensive assessment, diagnosis and treatment in the prison, courts and outpatient hospital setting. We would also be interested in hearing from anyone who may want to pick up extra FTE in our Adult Psychiatry speciality. More information.

More information.

Can you donate a bike? The Bikes for Madagascar project is hoping to collect 400 adult mountain bikes which will be shipped to a community called Bealanana in northern Madagascar.

The collection of the adult mountain bikes will take place on from 9am-5pm on Saturday 15 August at SB Global Logistics, Christchurch Airport.

Madagascar is considered one of the poorest countries in the world with 88 per cent of the population living on less than $2NZD a day. Most health care and medication is delivered on foot.

Any bikes not suitable for Madagascar’s rugged terrain will be donated to ICE Cycles. ICE Cycles has so far donated 826 bikes to people in Christchurch.

The bikes will be used for vital transport for health workers, which will help improve health access for the community, says Bikes for Madagascar spokesman, Simon Weeks.

www.sbgl.co.nz/about-us/community/bikes-for-madagascar/

“A shipping container will become a bike shop and be used to ensure that the bikes remain roadworthy and ensure the project is sustainable,” he says.

More information can be found at: www.facebook.com/bikesformadagascar Below left, Simon Weeks with partner Kat and right, health worker on bike.

Before arriving in Christchurch in 2013, Simon worked for a charity that supplied community health workers with bikes in Madagascar. Simon, and his partner Kat Gareau, were inspired by the difference the bikes can make to the lives of these people so set out to collect 400 bikes to send to another community in Madagascar. cdhb.health.nz 16

CEO Update

Transitions from TPMH – what will it mean for our volunteers? Many people will be affected by the transitions from The Princess Margaret Hospital which will take place next year- our Older Persons’ Health, including Assessment, Treatment & Rehabilitation team (AT&R), Psychiatric Services for the Elderly (PSE) Wards, Corporate office, Community Teams, Mental Health, Support Services, and Pharmacy staff. Our TPMH volunteers will also be affected. Some will join the volunteer brigade at Burwood Hospital (more on this in future updates) but many are unable to make that journey and will ‘retire’. In the lead up to the transition we’d like to acknowledge and reflect on the work of our volunteers (TPMH in particular), to record the wonderful contribution they have made (many over numerous years). A series of volunteer stories will appear on a regular basis in this update.

Volunteer with the musical touch A musical family helped set The Princess Margaret Hospital (TPMH) volunteer, Heather Ross, on a path that has provided entertainment for many people over the years. Heather is a talented pianist and accompanies our TPMH singers in the Chapel each Thursday morning. She’s been volunteering at TPMH for more than 10 years. Music has always been a big part of her life. Heather’s mother, Alice was also a pianist who played music to accompany silent movies. Her father was a violinist and the couple had eight children including Heather. Two of her sisters have wonderful singing voices. Tragically her father died when Heather was just 8 years old. Despite having to raise a large family on her own, Alice made sure Heather received piano tuition and she has classical pianist training. When her music tutor went overseas the new tutor was much more relaxed in his approach and Heather learnt to play by ear. “Having no exams was the best thing, it gave me room to learn to be a real musician,” says Heather.

and can accompany as many as eight different singers in a session. “I love playing for patients and rest home residents. It gets them smiling with their heads up and toes tapping. The Alzheimer’s patients often remember all the words to the old songs and have a good old sing-a-long,” says Heather. TPMH Volunteer Co-ordinator, Angela Bustin says Heather is deserving of recognition for her wonderful piano skills with which she performs with the entertainers each Thursday morning for TPMH patients that are well enough to attend.

“Heather Eric Gambleis

able to accompany the singers with music even without music sheets. Just listening to Heather playing the piano makes patients and staff feel relaxed. Her music brings back many memories for some patients. I admire Heather immensely for her musical skills,” says Angela. Heather lives in Burwood and will join the Burwood Hospital volunteers’ team when Older Person’s Health and Rehabilitation moves to there from TPMH next year.

She had stopped piano lessons after leaving school but got a job compiling music programmes for Radio 4YZ. She also joined an Operatic Society. “I didn’t miss the lessons, my life was filled with music,” says Heather. Twenty one years ago Heather moved to Christchurch from Invercargill and quickly got involved in the musical scene here. A chance visit to an antiques and collectible stall at the Christchurch Arts Centre led her to pianist Bob Salton. After noticing Heather scouring sheet music he asked if she was a musician. An affirmative reply led to Heather playing for various groups and ultimately as a volunteer for the TPMH singers when the current pianist hurt his shoulder. Heather gets a real sense of enjoyment accompanying the TPMH singers. These days she often plays from memory

Above: Heather Ross

A July update from the award winning Canterbury Clinical Network Read the full set of messages from the latest CCN ALT meeting here. cdhb.health.nz 17

CEO Update

Summary of feedback from TPMH-based staff regarding change of work location in 2016 From mid-April to mid-May 2015 the Workforce Transition Project team surveyed staff at The Princess Margaret Hospital about changing work locations in 2016, using an online survey. The survey was confidential and no respondent could be identified in person. A consultation document regarding the relocation of staff from TPMH was released around the same time. There were 355 responses to the on-line survey, mostly from management and support staff (24%), registered nurses (23%) and administrative staff (21%).

»» Information on the new facilities and on the shared workspaces.

We asked which service or department staff work in. Most respondents (46% of the 332 people who answered this question) work in Older Persons’ Health, including Assessment, Treatment &Rehabilitation (AT&R) and Psychiatric Services for the Elderly (PSE) Wards. We also had significant numbers of responses from the Corporate office (31% of respondents) and Community Teams (16%). Surveys were also completed by Mental Health, Support Services, and Pharmacy staff.

Community Teams:

We asked staff where they currently live, to get an idea of how journeys to work might be affected by changes in work location. 274 staff answered this question. To analyse the data, Christchurch was divided into four quadrants, Northeast, Northwest, Southeast and Southwest, centred on Cathedral Square. TPMH is in the Southwest quadrant (just). Burwood is in the Northeast quadrant. The Corporate office will be located near the city centre. The numbers of staff in each area are as follows:

»» Job security and changes. »» Facilities. »» Communications and information. »» Transport. »» Technology for staff. »» Team interfaces. Corporate teams: »» Lack of parking at the new corporate office / transport issues. »» Shared workspaces and the new facilities in general. »» Communications and timing of the migration. Support Services: »» Transport and parking. »» Orientation and communication

53 in the NW

68 in the NE

Mental Health:

103 in the SW

50 in the SE

»» Uncertainty about future workplace locations.

In relation to length of commute to work to either Burwood or the new Corporate office, the change of work location will affect around as many people positively (those in the NW and SE) as negatively (those in the SW). We asked whether any staff are intending to change where they live: around 86% of respondents are not intending to change where they live. We asked, again in confidence, whether any staff were thinking of leaving work at the CDHB as a result of the workplace relocation. 19 staff (5.78% of respondents) said that they were considering leaving their current role prior to the relocation. A further 17% of staff were not sure of their work intentions at this stage. Finally we asked whether staff think they need any assistance or support relating to work relocation. This was an open question. A summary of the main themes is presented below, by service. Summary of main themes from staff comments: Older Persons Health (including A,T&R and PSE): »» Travel and parking concerns, including additional travel expenses.

»» The new working environment and facilities. Thank-you to all those staff who took the time to complete the survey and / or respond to the consultation document. The feedback received validates much of what we are hearing through our existing communication and engagement channels, and will be very useful in informing ongoing workforce planning around the various moves.

For More Information: More information, including orientation materials, is currently being developed for staff, including staff in Older Persons’ Health and the Community Teams. Dan Coward will be making regular presentations at staff forums at TPMH and Burwood. Whilst we don’t yet have answers to all of the issues / questions raised, we will in the coming months endeavour to provide further information in response to the feedback received. Staff can email itsallhappening@cdhb.health.nz to ask any questions about the new facilities. There is a new staff intranet page about the corporate office building project at 32 Oxford Terrace: http://cdhbintranet/ SitePages/new%20corporate%20office.aspx

»» Information on migration planning and timing. cdhb.health.nz 18

CEO Update

One minute with… Janice Lavelle, Service Manager, Psychiatric Service for the Elderly and the Community Service Teams, Older Persons Health and Rehabilitation, (OPH&R), including CREST What does your job involve? Essentially working with and supporting the clinical teams to make positive aging a reality. I monitor and plan activity with my direct reports, work with the divisional leadership team and Planning and Funding on service issues. At the moment a big part of my work involves the move away from The Princess Margaret Hospital to Burwood Hospital and a variety of community spaces. Why did you choose to work in this field? It’s a growth industry in Canterbury and I have often joked I want to get the services as good as I can before I need it, should I be so lucky to live that long. Seriously though it’s constantly interesting and an area where we have and continue to effect positive change, always focused on the elders for whom we are charged to provide services. I’m really proud to be part of OPH&R.

One food I really dislike is… Jaffas! My favourite music is… My tastes have broadened with age. Off the top of my head country singers like Alison Krauss and Mary Chapin-Carpenter, opera, rock, jazz. Not big on pop music and you won’t catch me watching X-factor. I sing in an African-American Gospel Choir so definitely gospel.

If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.

What do you like about it? I work with incredible people and I think I make a difference. What are the challenging bits? Not having enough time to do everything I’d like to do. There are endless possibilities. Who do you admire in a professional capacity at work and why? I really admire Kate Gibb, our Nursing Director, Older People, Population Health. On top of her energy and genuine positive regard for elders she is an excellent communicator and easily bridges the gap from a helicopter view of the health system to the day to day reality for clinicians working across the sector. Them and us just isn’t in her vocabulary! The last book I read was... Listened to actually – I love audio books: The Voyage of the Basilisk, A Memoir of Lady Trent, by Marie Brennan. Sort of Steampunk/Sci-Fi. If I could be anywhere in the world right now it would be… Here pretty much because that’s where my whānau are. My ultimate Sunday would involve… Time with my grandson, some time on my own, and definitely doing something outside in the sun.

Above: Janice Lavelle

cdhb.health.nz 19

CEO Update Staff Wellbeing Programme: Build Your Resilience Staff Wellbeing Workshops Places remaining in the following three workshops only. »» Tuesday 18 August – Hillmorton »» Tuesday 25 August – Burwood »» Tuesday 29 September Hillmorton Click here to view times and to register or click here for more information. Build Resilience Being active is a proven way to build personal resilience, so why not get together with a colleague and be more active as we head towards spring! We have around 20 yoga, Zumba and Pilates classes running each week across main CDHB sites. Click here for more information.

Free Counselling available to all staff Through our EAP provider we offer free, confidential offsite counselling (and other support options) for all staff. Covers both personal and work related difficulties Click here for more information Social Interest Groups Click here to visit the SIG intranet page. Have some fun with like-minded colleagues or start your own group! For more information on all wellbeing initiatives visit the Staff Wellbeing Programme intranet page Andy Hearn -Staff Wellbeing Coordinator 03 337 7394 | Ext: 66394 | Mobile: 027 218 4924

Wellbeing Workshops

“ The greatest wealth is health

“

-Virgil

2015

For All CDHB Staff To support your wellbeing, the CDHB Staff Wellbeing Programme and MHERC are running a series of 2.5 hour wellbeing workshops. The CDHB acknowledges the crucial role you play in the delivery of high quality care to the Canterbury community. In the current Christchurch environment it is more important than ever that you take the time to focus on your own wellbeing.

2.5 hours to focus on YOUR wellbeing! We are running a number of workshops in 2015 to allow you to put your wellbeing first. Evidence suggests that by doing this, those around you – your family, friends, your colleagues and patients will also benefit. Workshop Overview: • The importance of wellbeing; psychological and emotional effects • Learn about stress responses and how to cope with stressful environments • Understand the science and practice of applications of self-care • Appreciate the progress of recovery for communities and individuals • Gain skills and take ownership of tools for increasing your own and others’ wellbeing • Improve your health and wellbeing: 5 Ways to Wellbeing, Staff Wellbeing Programme • Enhance positive relationships and social connections Workshop Details:  All workshops run for 2.5 hours, including refreshments  For dates and to register for a workshop click here Facilitated by Alison Ogier-Price MSc Psyc, B.Comm, BA Hons, C.AT, MNZAPP

For more information contact: Lee Tuki Lee.Tuki@cdhb.health.nz 027 689 0285 Andy Hearn Andy.Hearn@cdhb.health.nz 027 218 4924

Click here to register

andy.hearn@cdhb.health.nz

FOR STAFF

Join Sandra For

ZUMBA at CHCH Campus (Lounge off Great Escape) Every Tuesday 5.30pm - 6.30pm Only $7 casual Concession cards available

Turn up with your drink bottle and comfortable clothing.

Email: sandra90co@yahoo.com Please notify instructor before attending a class

cdhb.health.nz 20

CEO Update 7.30pm, Wednesday 30th September 2015 At the Court Theatre

SEXUAL HEALTH Semi n ar

SEX UAL HEALTH

Thursday 13 AUGUST 2015

from 1.00pm – 4.30pm

Community and Public Health 310 Manchester Street, Christchurch

1.00pm - 2.00pm

Welcome

Time to catch up with work we are currently involved in,to share information and new resources, and projects planned for this year.

2.00pm - 3.00pm

SEXUALITY EDUCATION FOR PEOPLE WITH INTELLECTUAL DISABILITIES Presenter: Annette Mi l li gan from Health Cli c k

Health Click Director Annette Milligan is a sexual health nurse and educator who has developed resources to support teachers, parents, care-givers and therapists who are working with young people with intellectual and learning disabilities.

Bryan Cook is a property developer who has accumulated a small fortune building leaky homes. He’s stressed out, self-medicating and self-loathing; killing himself to increase his bank balance while decreasing his golf score. When things fall apart, he joins a men’s cycling group to relieve stress – And makes a few startling discoveries in various cracks and crevices. Poignant and achingly funny, MAMIL presents the male mid-life crisis in all its lurid glory.

3.00 - 3.30pm

afternoon tea

3.30 - 4.30pm

HIV/AIDS EDUCATION IN THE PACIFIC

“This production will be one of the highlights of the year. It is a must-see show for men and women.” Dominion Post

Presenter: Joana Qereqeretabua Joana will talk about her work as an HIV/AIDS educator in the Pacific.

All tickets $60 per person

Tickets only available by contacting events@jointhefbi.org or phone 021 514 158 Profits from this performance will help the New Zealand Brain Research Institute and its research into Parkinson’s, Alzheimer’s, Dementia, MS, Stroke and other neurological conditions.

Thank you for your support!

4.30pm

closi n g

There is no cost for these seminars and afternoon tea will be provided. Please let me know if you will be attending.

Diane Shannon, Health Promoter Community and Public Health (a division of Canterbury District Health Board) P 03 378 6755 E diane.shannon@cdhb.health.nz

Canterbury Collaborative Simulation Interest Date: 26 August 2015 Time: 1.00pm – 4.00 pm Venue: Imagitech theatre at CPIT, Atrium. 130 Madras Street. Christchurch Registration fee: No charge Draft Programme: »» Using simulation in the military- Sgt. Gareth Pratt »» Using simulation for emergency department medical staff – Dr. Marc Gutenstien »» Simulation and the Intern – Simulation Fellow. John Dean To register please contact: Professional Development Unit.

cdhb.health.nz 21

CEO Update

Science graduates, Nurses and other Health Professionals Are you considering postgraduate study in 2016? Come along to the University of Otago, Christchurch postgraduate information display, and discuss your options for next year Public Health Nursing Mental Health Addiction and co-Existing Disorders Health Management Musculoskeletal and Pain Management • BBiomedSc(Hons) - for science graduates • Master of Nursing Science – new for 2016 [subject to final approval] • • • • • •

The St John Welfare Truck is back! If you are working the following nights, please feel free to drop by the Welfare Truck from 6pm onwards for a special sweet treat, coffee and hot soup When:

Friday 31st July, 6pm-12am * Saturday 1st August, 6pm-12am * Sunday 2nd August, 6pm-11pm Monday 3rd August, 6pm-11pm Friday 14th August, 6pm-12am * Saturday 15th August, 6pm-12am * * may stay on later if it is busy

Where:

Christchurch Hospital—Emergency Department, ambulance bay Look for the marked St John campervan

Why:

This is our way of saying thank you for what you do

This a new programme for bachelor degree graduates which leads to a master’s degree that meets the requirements for eligibility for nursing registration through a two year fulltime programme of study.

• HWNZ funding information will also be available • No appointment required • There will be staff available at the display at the following times:

Tues, 18 August and Wed, 19 August 2015 Ground floor foyer, University of Otago, Christchurch, Main Building, 2 Riccarton Avenue 11.00 a.m. to 3.00 p.m.

Contact person: Ruth Helms, Manager, Academic Programmes, University of Otago, Christchurch: ruth.helms@otago.ac.nz [generic]

We look forward to seeing you there!

15th

Intravenous Nursing NZ

Conference

Welcomes all infusion enthusiasts on board ….

the sky’s the Venue : The Aurora Centre, Burnside High School Time : Exhibition 6:15, Concert 7:30 Buy your tickets online. Scan the QR Code or visit: http://www.eventopia.co/wafform.aspx?_act=eventtickets&_pky=296076 or www.artistdoctors.org.nz Ticket Prices (includes complimentary beverage & nibbles) Adults $30.00 +booking fee

limit

for collaborative care in

infusion therapy

INFLIGHT ENTERTAINMENT Key Note Speaker:

Lisa Dougherty >> CLINICAL NURSE SPECIALIST/MANAGER, IV SERVICES, THE ROYAL MARSDEN HOSPITAL NHS TRUST, LONDON, UK