Counties Manukau District Health Board Disability Support ... · Jan Feb 11 Mar Apr May 3 June July 26 Aug Sept Oct 18 Nov Dec Lee Mathias (Board Chair) ... A draft work plan for

Counties Manukau District Health Board – Disability Support Advisory Committee Agenda

Counties Manukau District Health Board Disability Support Advisory Committee Meeting Agenda Wednesday, 9 March 2016 at 1.30 – 4.00pm, Conference Room, Spinal Unit, 30 Bairds Road, Otara.

Time Item

1.30pm 1. Welcome

1.30 – 1.40pm 2. Governance 2.1 Attendance & Apologies 2.2 Disclosure of Interests/Specific Interests 2.3 Confirmation of Previous Minutes (18 November 2015) 2.4 Action Items Register

1.40 – 2.00pm 2.00 – 4.00pm

3. Reports 3.1 Whaanau Ora Update(Riki Nia Nia) 3.2 DiSAC 2015 Review/Planning for 2016 Focus (Martin Chadwick)

Next Meeting: 1 June 2016 Manukau Boardroom, CM Health Board Office, 19 Lambie Drive, Manukau

Counties Manukau District Health Board – Disability Support Advisory Committee 9 March 2016

BOARD MEMBER ATTENDANCE SCHEDULE 2015 – DiSAC Name

Jan Feb 11 Mar Apr May 3 June July 26 Aug Sept Oct 18 Nov Dec

Lee Mathias (Board Chair)

No

Me

eti

ng

No

Me

eti

ng

No

Me

eti

ng

No

Me

eti

ng

No

Me

eti

ng

No

Me

eti

ng

No

Me

eti

ng

No

Me

eti

ng

Colleen Brown (DiSAC Chair)

X

Sandra Alofivae

X X X X

David Collings

George Ngatai*

X -

Dianne Glenn

X

Reece Autagavaia

X

Mr Sefita Hao’uli

X X

Ms Wendy Bremner

X

Mr Ezekiel Robson

Mr John Wong**

Anae Arthur Anae**

X

*As from 26 August no longer on this Committee ** New members as from 26 August

Counties Manukau District Health Board – Disability Support Advisory Group 9 March 2016

COMMITTEE MEMBERS’ DISCLOSURE OF INTERESTS

9 March 2016

Member Disclosure of Interest

Dr Lee Mathias, Chair Chair Health Promotion Agency

Chairman, Unitec

Deputy Chair, Auckland District Health Board

Director, Health Innovation Hub

Director, healthAlliance NZ Ltd

Director, New Zealand Health Partners Ltd

External Advisor, National Health Committee

Director, Pictor Limited

Director, John Seabrook Holdings Limited

MD, Lee Mathias Limited

Trustee, Lee Mathias Family Trust

Trustee, Awamoana Family Trust

Trustee, Mathias Martin Family Trust

Colleen Brown Chair, Disability Connect (Auckland Metropolitan Area)

Member of Advisory Committee for Disability Programme Manukau Institute of Technology

Member NZ Down Syndrome Association

Husband, Determination Referee for Department of Building and Housing

Chair IIMuch Trust

Director, Charlie Starling Production Ltd

Member, Auckland Council Disability Advisory Panel

Member, NZ Disability Strategy Reference Group

Sandra Alofivae

Member, Fonua Ola Board

Board Member, Pasifika Futures

Director, Housing New Zealand

Member, Ministerial Advisory Council for Pacific Island Affairs

David Collings

Chair, Howick Local Board of Auckland Council

Member Auckland Council Southern Initiative George Ngatai

Chair Safer Aotearoa Family Violence Prevention Network

Director Transitioning Out Aotearoa

Director BDO Marketing

Board Member, Manurewa Marae

Conservation Volunteers New Zealand

Maori Gout Action Group


Nga Ngaru Rautahi o Aotearoa Board

Transitioning Out Aotearoa (provides services & back office support to Huakina Development Trust and provides GP services to their people).

Chair of Restorative Practices NZ.

Dianne Glenn

Member – NZ Institute of Directors

Member – District Licensing Committee of Auckland Council

Life Member – Business and Professional Women Franklin

Member – UN Women Aotearoa/NZ

President – Friends of Auckland Botanic Gardens and Chair of the Friends Trust

Life Member – Ambury Park Centre for Riding Therapy Inc.

Vice President, National Council of Women of New Zealand

Member, Auckland Disabled Women’s Group

Member, Pacific Women’s Watch (NZ)

Justice of the Peace Reece Autagavaia Member, Pacific Lawyers’ Association

Member, Labour Party

Member, Auckland Council Pacific People’s Advisory Panel

Member, Tangata o le Moana Steering Group

Employed by Tamaki Legal

Board Member, Governance Board, Fatugatiti Aoga Amata Preschool

Trustee, Epiphany Pacific Trust Sefita Hao’uli

Trustee Te Papapa Pre-school Trust Board

Member Tonga Business Association & Tonga Business Council

Member ASH Board

Board member, Pacific Education Centre Advisory roles:

Tongan Community Suicide Prevention Project (MoH)

Tala Pasifika (NZ Heart Foundation Pacific Tobacco Control)

Member Pacific People’s Advisory Panel, Auckland Council

Consultant:

Government of Tonga: Manage RSE scheme in NZ NZ Translation Centre: Translates government and

health provider documents. Promotus GSL on Rheumatic Fever campaign (HPA) Taulanga U Society Rheumatic Fever Innovation

project (MoH). Member, Ministerial Advisory Council for Pacific

Island Affairs.


Wendy Bremner

CEO Age Concern Counties Manukau Inc

Member of Health Promotion Advisory Group (7 Age Concerns funded by MOH)

Member Interagency Suicide Prevention Group Ezekiel Robson

Department of Internal Affairs Community Organisation Grants Scheme Papakura/Franklin Local Distribution Committee

Be.Institute/Be.Accessible ‘Be.Leadership 2011’ Alumni

Member, CM Health Patient & Whaanau Centred Care Consumer Council

John Wong

Director, Asian Family Services at The Problem Gambling Foundation of New Zealand (PGF), also part of the PGF national management team

Member, National Minimising Gambling Harm Advisory Group

Chairman and Trustee, Chinese Positive Ageing Charitable

Chairman, Chinese Social Workers Interest Group of the Aotearoa New Zealand Association of Social Workers

Chairman, Eastern Locality Asian Health Group Founding member and council member, Asian

Network Incorporation (TANI) Board member, Auckland District Police Asian

Advisory Board Member, Auckland and Waitemata DHBs Suicide

Prevention Advisory Group Board member, Manukau Institute of Technology

(MIT) Chinese Community Advisory Group Member, CADS Asian Counselling Service Reference

Group Member, Waitemata DHB Asian Mental Health &

Addiction Governance Group Member, Older People Advisory Group (ACC) Member, University of Auckland Social Work Advisory

Group Member, Community Advisory Group of Health Care

New Zealand Member, Auckland Regional Public Health Service –

Asian Public Health External Reference Group Member of the Advisory Committee for the School of

Social Sciences &Public Policy at AUT University


DISABILITY SUPPORT ADVISORY COMMITTEE MEMBERS’ REGISTER OF DISCLOSURE OF SPECIFIC INTERESTS

Specific disclosures (to be regarded as having a specific interest in the following transactions) as at 9 March 2016

Director having interest Interest in Particulars of interest Disclosure date Board Action Mr Ezekiel Robson

Be.Institute

Mr Robson had a past interest with the Be.Accessible Leadership Alumi.

18 June 2014

That Mr Robson’s specific interest is noted and the Committee agree that he may remain in the room and participate in any deliberations or decisions.

Mr Ezekiel Robson

Item 3.1

Mr Robson is a current member of the DHB Consumer Council

26 August 2015

That Mr Robson’s specific interest is noted and the Committee agree that he may remain in the room and participate in any deliberations or decisions.


Minutes of Counties Manukau District Health Board Disability Support Advisory Committee

Held on Wednesday 18 November 2015 at 12.30 – 3.00pm, Manukau Boardroom, CM Health Board Office, 19 Lambie Drive, Manukau

Present: Dr Lee Mathias (Board Chair), Ms Colleen Brown (Committee Chair), Ms Dianne

Glenn, Mr David Collings, Apulu Reece Autagavaia, Mr Ezekiel Robson, Mr John Wong, Anae Arthur Anae and Ms Wendy Bremner.

In attendance: Ms Annelize Wet & Mr Simon Kerr (for Mr Martin Chadwick) and Ms Dinah Nicholas

(Minute Taker). Apologies: Ms Sandra Alofivae, Mr Sefita Hao’uli, Mr Ezekiel Robson (for lateness), Mr Martin

Chadwick and Mr Geraint Martin. 1. Welcome

The Chair welcomed everyone to the meeting. 2. Governance

2.1 Attendance & Apologies Noted.

2.2 Disclosure of Interest/Specific Interests Noted with no amendments.

(Mr Ezekiel Robson arrived 12.38pm)

2.3 Confirmation of Public Minutes – 26 August 2015 Item 3.1 - It was noted that the two Disability Advisor roles at Auckland Council have now been disestablished. There are still two roles for disability but they have been reallocated and doing similar things but are now more targeted. Resolution That the Minutes of the Counties Manukau District Health Board Disability Support Advisory Committee meeting held on Wednesday 26 August 2015 were taken as read and confirmed as a true and accurate record. Moved: Apulu Reece Autagavaia Seconded: Ms Dianne Glenn Carried: Unanimously


2.4 Action Item Register Public

It was agreed that the Committee would like to receive a regular report from the GM Maaori Health on how they are engaging with Maaori on disability issues in relation to their current work programme. The Committee would also like to receive some advice on how data is being collected on the effectiveness of our policies for Maaori with disabilities and a copy of the Maaori Health Plan. Ms Brown to follow up with Mr Sefita Hao’uli in relation to him stepping down from the Committee in order for a Pacific representative with a disability focus to be appointed.

3. Disability Strategy

3.1 Clinician Literacy Update (Ms Kim Wiseman and Ms Linda Berkett)

Ms Wiseman gave the Committee an overview on activities to date and outlined the proposed next sets with regard to the disability support plan for Building Capability. Since the last update there has been considerable activity aimed at building clinician capability in a number of areas, however further targeted work may be needed:

Values refresh – a resource for mangers to use as an exercise with their teams as part of their regular meetings on the ABC of appreciation and BUILD has been developed.

The AI2DET tool is being adapted to incorporate more emphasis on ensuring patients and their whaanau are given the opportunity to reflect their understanding of their health status and treatment as well as giving an opportunity to clarify any misunderstandings.

A health literacy learning module has been developed and is being rolled out in primary care as part of the ARI programme. Health literacy sessions are also being delivered to teams in secondary care.

An International Day of Persons with Disabilities is planned for 3 December. Ms Birkett to follow up with Eastgate Community Trust in relation to their recent art exhibition by disabled people to have this art available on 3 December. Ms Wiseman to ensure we get appropriate comms out about the 3 December.

Ongoing discussion around data collection – we do not currently capture any disability data from our patients which makes reporting on the number of patients living with a disability who use our services challenging and problematic. Mr Chadwick to agenda for discussion at the regional DiSAC meeting in 2016 how we can capture better data for disabled people.

A draft work plan for 2016 has been proposed to identify if and where we are falling short for people in our community who are living with disability. This will need to be formally agreed through the Executive Leadership Team but we are hopeful that the work can be completed in Q1 with the findings and actions reported back to DiSAC in June 2016. The Committee asked Ms Wiseman to include talking to disabled staff under the ‘Staff Experience’ area of the proposed work plan.


Resolution The Disability Support Advisory Committee agreed the proposed work plan for 2016. Moved: Ms Colleen Brown Seconded: Dr Lee Mathias Carried: Unanimously

4. Presentation

4.1 Health Navigator (Ms Janine Bycroft and Ms Susie Hill, Auckland DHB) Ms Janine Bycroft & Ms Susie Hill provided the Committee with a presentation on Health Navigator highlighting the following:

(Dr Lee Mathias arrived 12.56pm)

Health Navigator is a charitable trust that was set up eight years ago.

The Health IT Board are interested in Health Navigator and do provide some funding, albeit not a lot.

Health Navigator is linked to the MoH website through ‘Your Health’.

Health Navigator has been tested for disabled people.

Health Navigator is building up Facebook visibility and could link through to the CM Health Facebook page and also looking at putting more short videos on Health Navigator.

The Committee agreed that the CM Health website should have a link to Health Navigator and Healthpoint on its front page. The Chair thanked the presenters for their update on Health Navigator.

5. Terms of Reference 5.1 CM Health DiSAC Terms of Reference

There was discussion that the current DiSAC Terms of Reference should include references to the United Nations Convention on the Rights of Persons with Disabilities and should note that because it is difficult to distinguish between disability and personal health issues for older people, it is expected that DiSAC will deal with Health of Older People across the full range of issues and services for this age group. The Committee agreed that their preference would be that the DiSAC Terms of Reference are consistent across the Auckland region however, agreed that our Clause 2.3 should read: “The Committee’s advice must be consistent with the New Zealand Disability Strategy and the United Nations Convention on the Rights of Persons with Disabilities”. Resolution The Disability Support Advisory Group recommend to the Board that, subject to the change noted above, the current CM Health DiSAC Terms of Reference are rewritten to align with the joint Auckland and Waitemata District Health Boards’ Terms of Reference for consistency across the Auckland region. Moved: Dr Lee Mathias Seconded: Mr Ezekiel Robson Carried: Unanimously


The meeting closed at 2.30pm. The next meeting of the Disability Support Advisory Committee will be held on Wednesday, 9 March 2016 in the Manukau Boardroom, CM Health Board Office, 19 Lambie Drive, Manukau. The Minutes of the meeting of the Counties Manukau District Health Board Disability Support Advisory Committee held on Wednesday, 18 November 2015 are approved. Signed as a true and correct record on Wednesday, 9 March 2016. (Moved : /Seconded: ) Chair 9 March 2016 Colleen Brown Date

Items once ticked complete and included on the Register for the next meeting, can then be removed the following month.


Disability Support Advisory Committee Meeting – Action Items Register – 9 March 2016 DATE ITEM ACTION DUE DATE RESPONSIBILITY COMMENTS/UPDATES COMPLETE

11.3.2015 5.1 Disability Strategy – Statistics 9 March &

1 June Mr Chadwick Refer Item 3.1 on this agenda

11.3.2015 5.1 Disability Strategy - Health Literacy

9 March Mr Chadwick Refer Item 3.1 on this agenda

3.6.2015 2.4 Maaori Health – quarterly report against current work programme in relation to engagement with Maaori on disability issues. Copy of the Maaori Health Plan be provided.

9 March/ 1 June 9 March

Riki Nia Nia Riki Nia Nia

A copy of the 15/16 MHP has been added to the Diligent Resource Centre. The draft 16/17 MHP Indicators were provided to 2 March CPHAC meeting.

3.6.2015 2.5 Manawhenua community representative for this Committee.

Pending Mr Chadwick 3.6.2015 - deferred to Board Chair for follow-up with Manawhenua. 18.11.2015 – Dr Mathias confirmed that Manawhenua have identified a disabled Maaori representative and that this needs to be followed up with them.

3.6.2015 5. Mr Hao’uli suggested that a Pacific community representative with a disability focus be appointed to the Committee and he would step down.

Pending Ms Brown This position has been approved by the Board chair. Ms Brown to now finalise how to appoint to the position. 18.11.2015 – Ms Brown to follow up with Mr Sefita Hao’uli on his suggestion that he step down to allow a Pacific representative with a disability focus to be appointed.

Items once ticked complete and included on the Register for the next meeting, can then be removed the following month.


DATE ITEM ACTION DUE DATE RESPONSIBILITY COMMENTS/UPDATES COMPLETE

26.8.2015 2.5 Regional DiSAC Meeting - Mr Chadwick to arrange.

1 June Mr Chadwick Refer Item 3.1 on this agenda.

26.8.2015 3.1 Disability Strategy – Community Dialogue GM Localities to return to DiSAC in one year for an update. Population Health to look into the available published data from MoH to see if it tells us where disabled people are located, broken down by localities, so we can foster better connections into the locality governance & working groups. For discussion:

Who has the resources to plan, fund & undertake a current state & gap analysis of community groups and services per locality from a disability perspective;

Who can resource disability stakeholder engagement per locality for sustainable service design and development.

24 August 9 March 9 March/ deferred to June

Mr Chadwick Mr Chadwick Mr Chadwick

Pending outcome of Item 3.1 on this agenda Pending outcome of Item 3.1 on this agenda

18.11.2015 3.1 Clinician Capability – Work-plan findings and actions to be reported back.

1 June Mr Chadwick/ Ms Wiseman

18.11.2015 4.1 Health Navigator Health Navigator & Healthpoint link to be added to the front page of the CM Health website

9 March Mr Chadwick Both logos have been added on the CM Health Home Page.

18.11.2015 5.1 Terms of Reference A Resolution to Board was passed to align the CM Health DiSAC ToR with the joint ADHB/WDHB ToR for consistency across the Auckland region.

9 March Mr Chadwick 25.11.15 - this has been passed to the Board Secretary to progress.


Counties Manukau District Health Board Disability Support Advisory Committee

Whaanau Ora Update

Recommendation It is recommended that the Disability Support Advisory Committee: Receive the attached report noting our endeavor to:

Apply an outcome based approach to Whaanau Ora with Maaori health providers

Work more closely and collaboratively with Te Pou Matakana in the future

Prepared and submitted by: Riki Nia Nia, General Manager, Maaori Health Background Whaanau Ora Planning & Prioritisation In November 2015, the Whaanau Ora Partnership Group agreed to a set of indicators to support Whaanau Ora. The Whaanau Ora Partnership Group is a Crown-iwi advisory body responsible for the strategic leadership of Whaanau Ora. Chaired by the Minister for Whaanau Ora, it consists of equal membership comprising six representatives from the Iwi Chairs Forum (identified by the National Iwi Chairs Forum) and six Ministers representing the Crown. The Whaanau Ora Partnership Group provides leadership to Whaanau Ora by setting its direction and priorities and overseeing its progress and success. The five government agencies are Ministries of Health, Finance, Education, Social Development, and Economic Development. Health sector activity will need to focus on progress in five key areas that contribute to Whaanau Ora - mental health, asthma, oral health, obesity and tobacco – to achieve accelerated progress towards health equity for Maaori and Pacific and Whaanau Ora in the next four years. In addition to progress in these areas, DHBs will be expected to continue work with the three Whaanau Ora Commissioning Agencies across the country. Whaanau Ora in our hospital Last year we reviewed the internal Maaori support service and strengthened the model of care which means the service is now more targeted and operating using a case management approach. To strengthen this approach we have appointed a new clinical leader (Audra Laughland) with many years of experience working with our Maaori communities. The new service now prioritises our children and their families. In the future we will be able to report the impact of the service for the whaanau it supports and works with. Whaanau Ora in the community We continue to work toward the implementation of a Whaanau Ora Outcomes Contracting approach with Maaori health providers in our community that are within the Integrated Services


Agreement. Our aim is to begin this new contracting approach on 1 July 2016. By aligning our provider’s services to an outcomes framework we will be in a better place to articulate the impact of these providers services for the whaanau they support and work with. Whaanau Ora Commissioning GM Maaori health (from DHBs) have met with Te Pou Matakana (North Island Whaanau Ora Commissioning Group) at the national level and agreed to work together to advance Whaanau Ora in our local communities. While this discussion is still in its formative stages we have agreed the following:

1. Whaanau Ora Commissioning Groups will have a standing agenda item on all future Tumu Whakarae Hui agenda (National GM Maaori Health Network Meeting)

2. To meet locally to identify opportunities for working together with common providers (in CM Health this is Kotahitanga Whaanau Ora Collective) to identify areas we can strengthen our mutual endeavours for the achievement of better whaanau ora outcomes particularly in the areas of mental health, asthma, oral health, obesity and tobacco.

North Island Whaanau Ora commissioning Group (Te Pou Matakana) Te Pou Matakana is the North Island Whaanau Ora commissioning agency. They are responsible for commissioning initiatives that will drive whaanau health and wellbeing by building on the strengths and assets of Māori communities in the region. The Te Pou Matakana Outcomes Framework is a set of tools and processes that enable them to collect the data needed:

• To prove that Te Pou Matakana is having the impact it intends to have • To improve its outcomes for whaanau.

Te Pou Matakana has three key Whaanau Ora products, namely:

1. Collective Impact for Whaanau (Collective Impact is the commitment of a group of Whaanau Ora Partners from different sectors, to be known as a Whaanau Ora Partnership, to a common agenda for achieving Whaanau Ora outcomes).

2. Whaanau Direct (Whaanau Direct aims to enhance the skills and ability of whaanau to grow resilience and respond positively in situations, and enable whaanau to access resources directly in ‘moments that matter).

3. Kaiarahi (Navigation) It is anticipated that this approach will lead to the collaborative and innovative behaviours needed to achieve the best outcomes for whaanau.


Counties Manukau District Health Board Disability Support Advisory Committee DiSAC 2015 Review - Planning for 2016 Focus

Recommendation It is recommended that the Disability Support Advisory Committee: Receive this report. Endorse a regional DiSAC meeting to occur in June. Endorse the regional DiSAC meeting to have a focus on data pertaining to the disability community, namely:

What data is collected and can be shared pertaining to the disability community at a regional population health level.

Processes in place with DHB systems to identify a consumer touching our services who is living with a disability.

Endorse a focus on the local DiSAC for 2016 on:

Monitoring progress on the initiatives underway around clinician literacy.

Monitoring the maturation of the Localities and Community Boards to be able to ensure the voice of the disability community is heard.

Learning from social media campaigns that have been undertaken by CM Health (ie) SnapChat smoking cessation initiative, positive peer pressure to reduce smoking around the hospital, and to determine if there are any lessons that can be applied to raising awareness around the disability community.

Continuing to engage with Health Point and Health Navigator to ensure there is adequate representation of material pertaining to the disability community.

Prepared and submitted by: Martin Chadwick, Director of Allied Health. Purpose In March 2015 DiSAC made the decision to pick up the work that was started by the Disability Advisory Group (DAG) and focus on four key areas over the 2015 calendar year. At the beginning of the 2016 meeting schedule it is timely to review progress against these streams and to confirm an approach for the remainder of the calendar year. Background The initial driver diagram that drove the focus for DiSAC is represented below. The identified goal for activity is that Counties Manukau Health (CM Health) be responsive to the specific needs of the disabled and older persons communities. Identified barriers to achieving this goal where lack of consumer health literacy, lack of clinician literacy, lack of community dialogue, and lack of statistics specific to disabled communities.


Disability Action Plan 2013-15

Problem/Goal Change Concepts2° Driver1° Driver

CMH is responsive to the

specific needs of the

disabled and older

persons communities

Lack of Consumer

Health Literacy

Lack of Clinician

Literacy

Lack of

Community

Dialogue

Lack of opportunities to purposefully

engage with the disabled/older persons

communities

Lack of purposefulness around collating

information on services available

Lack of statistics

Specific to

Disabled

communities

Information provided is often not culturally

approrpiate

Lack of education in schools around

disability issues

Limited information around advocacy for

disability communities

Need to make the patient the expert

No celebration of disabilities within the

workplace

Limited availability of education pertaining

to disability issues

Lack of a Health Needs Assessment

specific to the disabled community

At the March meeting an extended session was facilitated with Population Health with a specific lens on Maaori living with disability and the Maaori Disability Action plan for Disability Support Services 2012-2017. Outcomes from this session were a recommendation of support for the First 2000 Day strategy given the impact on early life disability. Also there was a recommendation around liaising further with ACC due to the high statistical representation of Maaori and the need for this to be a focus with prevention strategies. A report back on some of this work is a further paper within the agenda. Feedback was also received from Be.Accessible and the assessment of the Manukau Super Clinic providing a view of how appropriate and accessible our facilities are for the disabled community with an initial silver rating and a clear pathway for a gold rating. In June, the DiSAC Committee focused on Clinician Literacy with a review of the CLAD 8 Module as well as reviewing the documentation prepared by Te Pou to facilitate disability workforce development. Kim Wiseman for the Building Capability Team within Ko Awatea spoke and facilitated a session of the current on-boarding and ongoing development systems in place. The outcome of this session was for Kim’s team to work up what a greater focus on the competencies required of our workforce in working with the disabled community. This work was reported back to the Committee in August and November, and included the enacted plans around celebrating the International Day of Persons with Disabilities. This theme was also carried through with the Winter Ball with a theme of Diversity with a particular focus on embracing people living with a disability. The August session for DiSAC had a strong focus on the voice of the consumer. Presentations were received from the four Locality General Managers as well as the Chair of the Consumer Council. The principles of co-design were reviewed as a part of this session, as well as the linkages to the wider community. The Locality General Managers were able to describe the various stages each locality is at in formally engaging with their respective communities and the next steps that each plans to take.


Feedback was received by the presenters that each opportunity needs to take into account the specific voice of those living with disability as well. The theme of Consumer Health Literacy was continued with the November meeting with a presentation from Health Navigator. This presentation detailed the wealth of information that is available on the website, and it also highlighted the potential for more in the way of information specific to the needs of the disability community that could be represented within the website. Assessment With the work undertaken over the 2015 calendar year, it is timely to review how the focus of DiSAC has been reflected in the original Action Plan. An update taking into account the Committee meetings from 2015 is represented below:

Disability Action Plan 2013-15

Problem/Goal Change Concepts2° Driver1° Driver

CMH is responsive to the

specific needs of the

disabled and older

persons communities

Lack of Consumer

Health Literacy

Lack of Clinician

Literacy

Lack of

Community

Dialogue

Lack of opportunities to purposefully

engage with the disabled/older persons

communities

Lack of purposefulness around collating

information on services available

Lack of statistics

Specific to

Disabled

communities

Information provided is often not culturally

approrpiate

Lack of education in schools around

disability issues

Limited information around advocacy for

disability communities

Need to make the patient the expert

No celebration of disabilities within the

workplace

Limited availability of education pertaining

to disability issues

Lack of a Health Needs Assessment

specific to the disabled community Maaori Disability Action Plan for Disability Support

Services 2012-2017

Support for the First 2000 Days Strategy and ACC given

the high statistical representation of Maaori

Be.Accessible assessment of the Manukau Super Clinic

Patient Experience Week

Organisational Values Refresh

International Day of Persons with Disabilities

Celebratiopn

Learning Modules ReFresh

Work Plan for 2016

Locality Community Engagement

Patient & Whaanau Experience Programme

Health Navigator Feedback

Health Navigator Feedback

Be.Accessible Assessment

Patient & Whaanau Experience Programme

In this diagram there has been an attempt to represent the progress against the four key themes. With the secondary drivers, a value judgement has been made as to whether progress has been made with green representing good tangible action, and further action planned. Yellow represents where there has been some action, and there is scope for considerable work to be undertaken. Red represents where there has been no tangible action taken to date. Yellow/red represents where there has been some nominal action, but with limited focus specifically on the disability community. While a subjective assessment, it is affirming to note that the area most under the control of CM Health (Clinician Literacy) has seen some tangible gains in the previous year and there are plans for on-going action in the coming year. Community dialogue has also demonstrated progress under the establishment of Localities and the progress towards Community Boards within each, and the Consumer Council. Lessor progress has been made under the streams of Statistics specific to the disability community, and Consumer Health Literacy.

Documents

Counties Manukau District Health Board Disability Support ... · Jan Feb 11 Mar Apr May 3 June July 26 Aug Sept Oct 18 Nov Dec Lee Mathias (Board Chair) ... A draft work plan for