Counties Manukau District Health Board Disability Support ...€¦ · Summary of Action Items as at 1 6th July 2014 DATE ITEM ADDED ITEM DETAIL RESPONSIBILITY (GM/ADVISORY COMMITT

Counties Manukau District Health – Disability Support Advisory Committee Agenda

Counties Manukau District Health Board Disability Support Advisory Committee Meeting Agenda Wednesday, 16th July 2014 at 3.30pm – 4.30pm, Manukau Board Room, Lambie Drive Time Item Page No

3.30pm 1.0 Welcome

3.30pm – 3.35pm 2.0 Governance 2.1 Attendance & Apologies 2.2 Disclosure of Interests/Specific Interests 2.3 Acronyms 2.4 Confirmation of Previous Minutes (18 June) 2.5 Action Items Register

1 2-5 6 7-9 10-11

3.35pm – 4.00pm

3.0 Presentation 3.1 Whaanau Ora – Rachel Haggerty, NHC

12-38

4.00pm -4.15pm

4.15pm – 4.30pm

4.0 Discussion Papers 4.1 Stroke Service Update 4.2 Over 65’s Living with Disabilities

39-40 41-42

5.0 For Information Only 5.1 NZ Statistics Data – Ezekiel Robson 5.2 Disability Coordinator Job Descriptions – Ezekiel

Robson

43-55 56-64

Next Meeting: Wednesday 20th August 2014, Lambie Drive

1

BOARD MEMBER ATTENDANCE SCHEDULE 2014 – DiSAC Name

Jan 26 Feb 26 Mar 16 Apr 21 May 18 June 16 July 20 Aug 24 Sept 22 Oct 26 Nov 17 Dec

Lee Mathias

No

Mee

ting

Colleen Brown (Chair)

Sandra Alofivae

X

David Collings

X *

George Ngatai

X

Dianne Glenn

Reece Autagavaia

X

Mr Sefita Hao’uli

X

Ms Wendy Bremner

Mr Ezekiel Robson

X

* Attended part meeting only

2

BOARD MEMBERS’ DISCLOSURE OF INTERESTS

16th July 2014 Member Disclosure of Interest

Dr Lee Mathias • MD Lee Mathias Limited

• Trustee, Lee Mathias Family Trust • Trustee, Awamoana Family Trust • Chair Health Promotion Agency • Deputy Chair Auckland District Health Board • Director, Pictor Limited • Director, iAC Limited • Advisory Chair, Company of Women Limited • Director, John Seabrook Holdings Limited • Chairman, Unitec

Sandra Alofivae

• Chair of the Auckland South Community Response Forum (MSD appointment)

• MSD Member, Auckland Social Policy Forum, Auckland Council

• Member, Fonua Ola Board • Appointed to the Ministerial Forum on Alcohol

Advertising & Sponsorship • Board member Pacifica Futures

David Collings

• Chair, Howick Local Board of Auckland Council • Member Auckland Council Southern Initiative

Colleen Brown • Chair Parent and Family Resource Centre Board (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, Early Childhood Education Taskforce for

COMET • Member, Manurewa Advisory Group • Member, Child Advocacy Group – Manukau • MSD Member, Auckland Social Policy Forum,

Auckland Council • Deputy Chair, Auckland City Council Disability

Strategic Advisory Group • Chair ECE Implementation Team Auckland South • Chair 11Much Trust

3

George Ngatai • Arthritis NZ – Kaiwhakahaere • Chair Safer Aotearoa Family Violence Prevention

Network • Director Transitioning Out Aotearoa • Director BDO Marketing • Board member Manurewa Marae

Dianne Glenn • Member – NZ Institute of Directors • Member – District Licensing Committee of Auckland

Council • Life Member – Business and Professional Women

Franklin • President – National Council of Women

Papakura/Franklin Branch • Member – UN Women Aotearoa/NZ • Vice President – Friends of Auckland Botanic Gardens

and Member of the Friends Trust • Member – Friends of Regional Parks • Life Member – Ambury Park Centre for Riding

Therapy Inc. • CMDHB Representative - Franklin Health

Forum/Franklin Locality Clinical Partnership

Reece Autagavaia • Member, Pacific Lawyers’ Association • Member, Labour Party • Member, Auckland Council Pacific Peoples Advisory

Panel • Board Member, United Otara Market

Sefita Hao’uli

• Trustee Te Papapa Pre-school Trust Board • Deputy Chair: Anau Ako Pasifika Inc. (Pacific ECE

provider) • Member Tufungalea Tonga Inc. (Promoting and

Growing Lea Tonga) • Member Tonga Business Association & Tonga

Business Council Advisory roles: • Counties Manukau District Health Board • Toko Suicide Prevention Project (Ministry of Health) • Tala Pasifika (NZ Heart Foundation Pacific Tobacco

Control) • (On short-list for the Pacific Advisory Board, Auckland

Council) • Primary ITO & MBIE: Ola e Fonua Project. Consultant: • Government of Tonga: Manage RSE scheme in NZ • Alliance Health: Community Engagement &

Communication Advice.

4

• Ministry of Business Innovation and Employment: Policy Advice and Leadership Training

• Pacific Perspectives/Auckland University: Health research projects

• NZ Heart Foundation (Tala): Communication Strategy and Advice.

• NZ Translation Centre: Translates government and health provider documents.

• Mana Trust: Advice on health literacy collaboration between Maori and Pacific providers.

• Member Pacific Advisory Panel of the Auckland Council.

Ezekiel Robson • Auckland Council Disability Strategic Advisory Group • Department of Internal Affairs Community

Organisation Grants Scheme Papakura/Franklin Local Distribution Committee

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

Wendy Bremner • CEO Age Concern Counties Manukau Inc

• Member of Auckland Social Policy Forum • Member of Health Promotion Advisory Group (7 Age

Concerns funded by MOH)

5

DISABILITY SUPPORT ADVISORY MEMBERS’ REGISTER OF DISCLOSURE OF SPECIFIC INTERESTS Specific disclosures (to be regarded as having a specific interest in the following transactions) as at 16th July 2014 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.

18th 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.

6

Glossary

ACC Accident Compensation Commission ADU Assessment and Diagnostic Unit ARDS Auckland Regional Dental Service BT Business Transformation CADS Community Alcohol, Drug and Addictions Service CAMHS Child, Adolescent Mental Health Service CNM Charge Nurse Manager CT Computerised Tomography CW&F Child, Women and Family service DNA Did not attend ESPI Elective Services Performance Indicators FSA First Specialist Assessment (outpatients) FTE Full Time Equivalent ICU Intensive Care Unit iFOBT Immuno Faecal Occult Blood Test MHSG Mental Health service group MoH Ministry of Health MTD Month To Date MOSS Medical Officer Special Scale OHBC Oral health business case ORL Otorhinolaryngology (ear, nose, and throat) PACU Post-operative Acute Care Unit PHO Primary Health Organisation PoC Point of Care SCBU Special care baby unit SMO Senior Medical Officer SSU Sterile Services Unit TLA Territorial Locality Areas WIES Weighted Inlier Equivalent Separations YTD Year To Date

7

Minutes of the meeting of the Counties Manukau Health

Disability Support Advisory Group Wednesday 18 June 2014

held at Counties Manukau Health Boardroom, 19 Lambie Drive, Manukau

commencing 3.30pm

COMMITTEE MEMBERS PRESENT: Dr Lee Mathias (Board Chair) Ms Colleen Brown (Committee Chair) Ms Dianne Glen Ms Wendy Bremner Mr Ezekiel Robson Mr Sefita Hao’uli Mr Apulu Reece Autagavaia Ms Sandra Alofivae

ALSO PRESENT: Mr Martin Chadwick (Director Allied Health)

APOLOGIES: Apologies were received and accepted from Mr George Ngatai, Mr David Collings and Mr Geraint Martin.

WELCOME The Committee Chair welcomed all those present. 2.2 DISCLOSURE OF INTERESTS The Disclosures of Interest were noted with no amendments. 2.2 SPECIFIC INTERESTS The Committee noted Mr Ezekiel Robson’s past interest with the Be.Institute/Be.Accessible Leadership Alumi in relation to Item 4.2 on this agenda. 2.3 ACRONYMS The acronym list was noted. 2.4 CONFIRMATION OF PREVIOUS MINUTES Confirmation of the Minutes of the Counties Manukau Health Disability Support Advisory Committee meeting held 21 May (agenda pages 7-9).

8

Resolution (Moved Ms Colleen Brown/Seconded Ms Dianne Glenn) That the minutes of the Counties Manukau Health Disability Support Advisory Committee meeting held 21 May 2014 be approved. Carried 2.5 ACTION ITEMS REGISTER Health literacy – the Committee requested Mr Chadwick to follow up with Janine Bycroft, ADHB for an updated presentation from Health Navigator. Resolution (Moved Ms Colleen Brown/Seconded Ms Dianne Glenn) That the Action Items Register of the Counties Manukau Disability Support Advisory Committee be received (agenda pages 10-11). Carried 3. PRESENTATION 3.1 Wayfinding Update Ms Jenny Pooley, Project Manager provided a powerpoint presentation (agenda pages 12-23). A copy of the presentation is available on the CMDHB website. Looked at how people get information queues across the organisation. There were several wayfinding hotspot destinations where signage was inconsistent with overload of visual communication. We now have developed information hubs in lobbies – these are located by volunteer stations so people can ask at these stations for assistance if required. We have service specific signage for the hot spots (ie. Radiology) and we’ve identified buildings by use of portals internally as some buildings were unnamed and there were no internal or external queues to advise when you had left one building or entered another. We have also reintroduced the Rainbow Corridor as the main spine of the hospital. The Chair thanked Ms Pooley for her informative presentation. 4. DISCUSSION PAPERS 4.1 Thesis Paper Summary on How Disabled Advisors Operate in DHBs Ms Ezekiel Robson took the Committee through the paper. Noted that the Committee will come back to the paper at a later date. 4.2 Be.Accessible Manukau Super Clinic Proposal Mr Martin Chadwick took the Committee through the proposal (agenda pages 24-34).

9

Resolution That the Board accept the quote from Be.Institute to assess the accessibility of all aspects of the Manukau Super Clinic for our patients and their families. Moved (Dr Lee Mathias/Seconded Ms Colleen Brown) Carried 4.3 Health Passport Update Mr Martin Chadwick took the Committee through the update (agenda page 35). The Franklin Health Forum have voiced a desire to be part of a trial of the Health Passport. The Committee agreed that Mr Chadwick discuss with the Franklin Health Forum a potential trial of the Health Passport and to ascertain how much a small case study would cost. Apulu Reece Autagavaia closed the meeting with a prayer. The meeting concluded at 4.45pm. Signed as a correct record of a meeting of Counties Manukau Health‘s Disability Support Advisory Committee meeting held 18 June 2014. Chair Ms Colleen Brown Date

10

Disability Support Advisory Group Meeting Summary of Action Items as at 16th July 2014

DATE ITEM ADDED

ITEM DETAIL RESPONSIBILITY (GM/ADVISORY COMMITTEE)

COMMENTS/ UPDATES

WHEN COMPLETE

Aug 2011 Policies That policies need to be sent for

review to DiSAC before implementation of policy and the Committee to receive a brief analysis to be put in papers for following meeting.

Mr Chadwick Ongoing

February 2012 Stroke Guidelines Information on the CMDHB stroke unit rehabilitation project & compliance with stroke guidelines.

Mr Chadwick (Dana Ralph-Smith)

June/July

February 2012 Dignified Patient Handling Further update including information on staff training including the policy for use of bed rails.

Mr Chadwick (Denise Kivell) July/August

March 2012 Whaanau ora How does Whaanau Ora work to meet the needs of the disability communities and health of older people

Mr Chadwick June/July

16 April 2014 Wayfinding Do a walk through of the hospital to see how the new wayfinding signage works/feels.

Mr Ezekiel Robson/Mr

Martin/Ms Brown

Walk through arranged for 18 June

16 April 2014 People with disabilities over 65yrs

Contact GM ARHoP to understand if there is a clear process for people to follow who have not been assessed or are cared for at home with minimal support etc.

Mr Martin

TBC

16 April 2014 Attendance at Meetings Board secretary to send out a letter to local community bodies notifying dates for future CPHAC/DiSAC meetings so people get in the habit of attending these meetings.

Lyn Butler Letter sent to community groups June 2014.

11

DATE ITEM ADDED

ITEM DETAIL RESPONSIBILITY (GM/ADVISORY COMMITTEE)

COMMENTS/ UPDATES

WHEN COMPLETE

21 May 2014 Health Literacy Updated presentation from Dr Sinclair

& Alan Kuyper Mr Chadwick November

21 May 2014 Disability Support Update Samantha Dalwood, WDHB Disability Strategy Coordinator is invited to talk about her role at WDHB. Obtain copies of the Auckland Council disability coordinator job descriptions.

Mr Chadwick

Ms Brown/Mr Robson

June/July/August July

21 May 2014 CPHAC Director’s Report Mr Robson to seek a written report from Mr Hefford in relation to items from his 21 May CPHAC Director’s Report.

Mr Ezekiel Robson

TBC

18 June 2014 Action Items Register Follow up with Janine Bycroft, ADHB to get an updated presentation from Health Navigator.

Mr Chadwick

TBC

18 June 2014 Be.Institute Proposal Mr Chadwick to table a paper for the Board to accept the quote from Be.Institute to assess the accessibility of all aspects of the Manukau Super Clinic for our patients and their Whaanau.

Mr Chadwick

TBC

18 June 2014 Health Passport Discuss with the Franklin Health Forum a potential trial of the Health Passport and to ascertain much a small case study would cost.

Mr Chadwick TBC

© National Hauora Coalition© National Hauora Coalition

Having an impact: a new approach

Implementing the Whanau Ora System in CMH

012


Introduction• The National Hauora Coalition is a Maaori led organisation

that, under the BSMC process supported by the Minister of Health, developed the Whaanau Ora system to improve outcomes for Maaori, Pacific and high needs communities.

• The NHC has a Memorandum of Understanding with the CMH Board and is the Lead Agency partnering with CMH to improve Maaori, Pacific and high needs health gain through deploying the Whaanau Ora System.

• This is a brief overview of our system and the three key areas we are working with CMH:

– Maori Service Integration

– Whaanau Ora Networks and Social Innovation Hubs

– Maatua Pepi Tamariki Pilot Project

013

© National Hauora Coalition

THE WHANAU ORA SYSTEM

IN BRIEF

014


BETTER SYSTEMS TO SUPPORT

STRONGER WHANAU

Strongly supporting whaanau to establish and maintain connections that nourish wellbeing,

pathways, supports and resources

“whaanau e ora ana”

015


The solutions are in families

Strong Whanau

Healthy

Connected

Engaged

Knowledge able

016


Social Things Matter

Mortality – 50%

Morbidity – 50%Tobacco use

Diet and exercise

Alcohol and drug use

Unsafe sex

Access to care

Quality of care

Education

Employment

Income

Family / social support

Community safety

Environmental quality

Built environment

Health behaviours(30%)

Clinical care(20%)

Social and economic factors (40%)

Physical environment (10%)

Health factors

Health outcomes

Programmesand policies

Extracted from Willems van Dijk and Kushion (2011) Multiple Determinants of Health and the County Health Rankings

• Health outcomes are determined by how people live in their community;

• Study that shows that health outcomes are influenced 20% by the quality of clinical care; and 80% by other factors.

017


All pepi and tamariki

(children) have the best start in

life

All rangatahi (young people)

realise their potential

All whānau (families) are in control of their

health and social well-

being

Whānau (families) live

well with a long term condition

Whānau Ora Outcomes“Things that matter for people”

Aligning the activity of clinical and social services to support the aspirations of individuals and families so they can look after their own wellbeing now, and in the future.

018


Designing integrated health and social services

Health

Risk & protective

factors

Housing

Education

Income

Cultural & social

connection

The evidence is clear that these are the social determinants and factors that determine the baseline and in which there must be improvement to see a consequential improvement in health gain for Maaori, Pacific and high needs communities.

019


The performance measurement framework• Effort

– How much is being done?– How well is it being done?

• Effect– Does change circumstance;– Does it provide coverage;– What does it change for whaanau

• Outcome & Impact– The outcome for the community– A change in the quality of life

• Population Indicators– Proving health gain and impact for the District Health Board

Measurement changes what services do and define what becomes important.

020


They are all connected

through the outcomes

framework

021

© National Hauora Coalition© National Hauora Coalition022


THE PROJECTS

Maaori Service integration

Investing in services that will improve Maaori health

gain;

Whaanau ora networks

Networks and social innovation to support health

and social service integration in Mangere and

Manukau;

Maatua pepi & tamariki project

Targeting underserved Maaori mothers in CMH;

023


INTEGRATION OF CONTRACTED

MAAORI SERVICES

The NHC is the lead contractor, on behalf of CMH, to manage the

delivery and integration of these services to improve Maaori health

gain.

024


Service Integration Project Purpose• Aligning the investment with outcomes for whānau to contribute

towards;

– Giving pepi & tamariki the best start in life;

– All rangatahi realising their potential;

– Whānau living well with a long term condition;

– Whānau are in control of their own health and wellbeing.

• Targeting the investment to specific populations in communities where Māori whānau live to improve Māori health outcomes;

• Promoting consistency and reducing variability in the contracts including overhead allocations, pricing and reporting requirements;

• Targeting specific health outcomes and health targets for Māori;

• Encourage network approaches to strengthen performance and provide more comprehensive responses.

025


Maaori Service Integration

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

500,000

1 4 7 101316192225283134374043464952555861

Current Maaori Health Contracts by $ Value

• 61 contracts for 9 providers;

• Value from $2k to $400k;

• Inconsistent overheads;

• Variable prices for the workforce;

• Low level reporting requirements;

• Working hard but limited evidence that the services were working for Maaori;

026


Integration Methodology

• What it is you are trying to change?Outcomes framework

• Be clear about who the change is for.Target the population

• Know what’s happening now.Analyse existing services

• Make sure the best partners are at the table for new perspectives.Create an Alliance

• Evidence informed strategies that work for the target population.Co-design a set of strategies

• Align activities across providers and their networks.Develop shared CTO

• Agree the measures and indicators using the outcomes framework.Measure impact

• Contracts are in place that reflect the agreements & reward impact.Outcomes Contract

027


New integrated services• Whānau Ora Outcomes 500 (WhOO 500)

– Whānau ora case management teams strengthening access to whānau ora approaches and building whānau champions;

– To support whaanau where lifestyle change that will improve health status and

– Provided in Manurewa, Papakura and Franklin to 500 whaanau.

• Oranga Ki Tua Ko Tahi Manu 1000 (OKT1000)– OKT multidisciplinary teams providing case management & packages of support;

– Includes nursing and case management expertise to support whaanau with medical long term conditions;

– Provided in Manurewa, Papakura & Franklin to 1,000 whaanau.

• Matua, Pepi & Tamariki – Transforming a Generation (MPT-TAG500)– Two MPT multidisciplinary teams providing case management, packages of support and build whānau

champion;

– Includes nursing and case management expertise with a specialist focus on support for mothers and their babies including supporting social and specialist support;

– Provided in Manurewa & Papakura to 500 whaanau.

• Wahine Oranga – Rangatahi 300 (Rangatahi300)– One multidisciplinary team supporting rangatahi mothers using approaches that are successful for youth;

– This service will support a greater number of young mothers than currently supported in teen pregnancy units and secondary schools;

– Provided in Manurewa & Papakura to 300 young people.

028


What has been achieved?• Contracts consolidated to five service specifications:

– The four integrated services and Well Child, which has been ring fenced for this first year.

• Consistent use of a clinical nurse and whaanau ora practitioner team;

• A focus on a high quality skilled whaanau ora workforce;

• Targeting of the limited resources to Maaori whaanau

– 80% Maaori and 20% non-Maaori

• Targeting areas of DHB priority for population outcomes:

– Young mothers; long term conditions; wellbeing for high risk Maaori populations;

• Outcomes based performance measurement framework that will clearly demonstrate the impact of the services on health gain for these populations.

029


WHAANAU ORA NETWORKS &

MPT

The following service models are being explored and have been

developed within the communities. They are still in development:

- Establish and operate two whanau ora networks, one in Mangere

and one in Manukau;

- Implement Maatua, Pepi & Tamariki pilot sites;

NB: The Whanau Ora Networks are now known as Social Service

Hubs

030


Social Innovation

Hub

Whānau Lifestyle

Education

Housing

FamilySafety

Education Employ-

ment

Social Services

Mātua, Pepi &

Tamariki

Whānau Ora

Network

Oranga Ki Tua

Support

Rangatahi Services

Social Innovation Hub

Capability:

• Referral processes

• Knowledge of providers, and services available inthe community

• Eligibility

• Ability to provide feedback

• Ability to gather information and identifywhanau need

• Reporting capacity

Whānau Ora Network

Network of social and health providers that canprovide co-ordinated (potentially through the hub)

Whānau Ora Practitioners

Provision for integrated, holistic, and whānau centriccase management.

Whānau Ora Networks & Practitioners

20

Whānau Ora

Practitioners

031


Whaanau Ora Networks • The appropriate service model for the Whanau Ora Networks in the Mangere

and Manukau localities have been developed through a process of engagement with NGO social service providers and health providers in the Manukau and Mangere localities.

• The service model for the social service hubs is represented in the diagram below. The model is being tested with NGOs and health providers in Mangere and Manukau.

• This model illustrates some critical points:

– That integrated primary care is able to connect with the social sector in a meaningful way. The implementation of ARI makes a significant contribution to the skills in primary care being available to connect and refer individuals and families;

– The availability and capability of clinical case managers, MDT teams and community case managers to support the more complex families to connect to the

– The interests of the social sector providers can be mapped to the needs of health referred whanau to ensure individuals and whaanau receive a sensible and coherent set of services.

032


Social Service Hubs

Case Management Primary Care

Social Service Case

Managers

Clinical Case

Managers / Practise

Nurses

Locality MDTs

NGO

NGO

WINZ HNZ

Integrated

Primary Care

Social Service Hubs

Supported by an e-technology system that provides access to information; coordinates referrals and measures outcomes.

More integrated primary and community care that is providing

coordination through ARI.

033


Social Innovation E-Technology• The e-technology in the hub to co-ordinate the integration of services has

been identified and the key functions include;

– Coordinates a coherent set of responses to providers in the community through a multi–sector lens using smart e-technology.

– Ensures the availability of resources is transparent to all parties through a web based technology that enables eligibility criteria, referrals and services to be identified.

– Supports referral pathways for primary care and social services.

– Coordinates response efforts of assistance to the needs of whanau.

– Measures impact of services for whanau and individuals.

– Collects and analyses real-time information on whanau living in the community,

– Monitors efforts and gathers information on results.

– Helps informs, advocates and prepare strategic / implementation plans for the deployment of experts, teams and resources.

034


Maatua, Pepi & Tamariki pilots• To ensure that the most vulnerable mothers in Manukau

receive the antenatal, maternal and early childhood care they are entitled to in a way that improves their outcomes and supports them and their whanau until their babies are three years of age.

• This will be achieved through:

– targeting vulnerable women and providing them with integrated case management services;

– the implementation of an integrated clinical and social service model that assists to mitigate the impacts social determinants of health including cultural connection so they do not act as a barrier to quality antenatal, maternal and early childhood care;

035


MPT Network Lead Proposal• The Maaori Integrated Services process has created two case

management services that will support pregnant mothers n CMH:

– Maatua, Pepi & Tamariki – Transforming a Generation (MPT-TAG500)

– Wahine Oranga – Rangatahi 300 (Rangatahi300)

• The development of a specific provider(s) into the role of MPT Network Lead is the preferred approach as they are able to bring existing contracts and services to the table.

• The NHC would work with this provider to:

– Develop the service model utilising existing services in the community of Manurewa and Papakura to wrap services around these vulnerable women;

– Support the MPT –TAG and Rangatahi providers to ensure case managers are strongly positioned to support hāpu mothers;

– Develop and support the MPT Network of services and identify and implement opportunities for service integration;

036


Approval & Implementation• Integrated Services

– A three to six month transition process is planned in each locality to deploy the integrated services within local communities;

– The transition group includes CMH and the NHC led by Tanya Pompallier CMH;

• Whanau Ora networks & MPT network

– The proposed models are being developed with the communities of Mangere and Manukau;

– Locality Groups will make the recommendations once the model is refined.

037

© National Hauora Coalition© National Hauora Coalition038

39

Counties Manukau District Health Board Update on CMH Stroke Service

Recommendation It is recommended that the Disability Support Advisory Committee note the update on CMH Stroke Services. Prepared and submitted by: Richard Small Service Manager on behalf of Brad Healey GM Medicine and Dana Ralph-Smith GM Adult Rehabilitation and Health of Older People 1. Purpose

Ensure all patients at CMH have access to stroke services aligned to the NZ Clinical Guidelines for Stroke Management 2010 (the Stroke Guidelines)

2. Update

2013-2014 DAP achievements included

1. 6 % of potentially eligible stroke patients thrombolysed –

Thrombolysis Procedures 2013/14

Q1 Q2 Q3 Q4 Total YTD

Volume of patients thrombolysed 9 8 8 n/a 27 Total potentially eligible patients 109 124 108 n/a 341 Rate of thrombolysis for eligible patients (Indicator 6%) 8.20% 6.50% 7.40% n/a 7.90%

2. 80 % of stroke patients admitted to stroke unit or organised stroke service with demonstrated stroke pathway –

Acute stroke patients being admitted to the stroke ward

Q1 Q2 Q3 Q4 Total YTD

Volume of patients admitted to stroke ward 72 75 93 n/a 240 Acute stroke patients 110 128 142 n/a 380 Rate of admission to stroke ward 65.5% 58.6% 65.5% n/a 63.2%

MoH Quarter 3 Final Ratings Report 2013/14 DHB working well to improve stroke services, including the provision of a 24/7 thrombolysis service, working with ambulance services for timely access, education and training for a stroke interdisciplinary team, improving radiology services in ED, stroke beds, and a dedicated rehabilitation area

3. New DAP measured for 2014-2014 aligned to guideline include:

40

Stroke More than 600 people in the Counties Manukau area suffer from a stroke event per annum. The long term impact of stroke on patients and their families can be significant due to loss of mobility and function across many facets of daily life.

Stroke services are provided across acute and rehabilitation environments, including community settings, Early thrombolysis intervention and acute management in a stroke unit optimise the acute period and impact following stroke onset. Timely rehabilitation ensures the best possible recovery following a stroke.

Linkages

Northern Regional DHBs and the Northern Regional Alliance (NRA) for development of regional approaches and best practice

Actions

Develop stroke thrombolysis quality assurance procedures, including processes for staff training and audit:

Workforce training to support thrombolysis Care pathways developed for thrombolysis

Continue to provide dedicated stroke units or areas for management of people with stroke, thrombolysis, and transient ischaemic attack services supported by ongoing education and training for interdisciplinary teams

Continue to implement the NZ Clinical Guidelines for Stroke Management 2010 (the Stroke Guidelines). This will include:

All stroke patients receiving early active rehabilitation by a multidisciplinary stroke team

All people with stroke will have equitable access to community stroke services, regardless of where they live

Regional

Support national and regional clinical stroke networks to implement actions to improve stroke services (refer to NRSP)

No overall resource impact anticipated

Measures

8% of potentially eligible stroke patients thrombolysed

Documented training and audit processes for thrombolysis in place by end of Quarter 2

80% of stroke patients admitted to a stroke unit or organised stroke service with demonstrated stroke pathway

90% of eligible patients will be transferred to rehab within 2 weeks

75% of patients discharged from stroke service are followed up in specialist outpatient clinic within 3 months

Attendance and contribution to regional stroke meetings and service plan development in conjunction with the Northern Regional DHBs

41

Counties Manukau District Health Board Disability Support Services

Recommendation It is recommended that the Counties Manukau Disability Support Advisory Committee receive the information below. Prepared and submitted by: Dana Ralph-Smith, General Manager Adult Rehabilitation & Health of Older People (ARHOP) Purpose

To clarifying the process for individuals over 65 and living with disabilities to be assessed if they have not been previously and/or are living at home with minimal support.

Background • A person receiving Disability Support Services does not automatically transition to Health

of Older People services on turning 65. The key factor is whether the person has an age related disability, not just on chronological age.

• It is important to identify the reason behind the support needs of a person over 65 who

has a physical, sensory or intellectual disability and has not been previously assessed. If that person has been managing independently up until after they turn 65, the onset of an additional age related disability will be the key factor for that person’s needs changing and them seeking assessment and supports. This would be the responsibility of DHB NASC.

• It is also important to identify the reason behind changes in the support needs of a

person over 65 with a physical, sensory or intellectual disability, who has been already assessed by a DSS NASC and is living at home with minimal DSS support. If the person requires additional support because of their base DSS disability, the DSS NASC will assess and provide additional supports. If the key factor to the change in the person’s need is the onset of an additional age related disability the person will transition to DHB NASC.

Eligibility Eligibility for DSS Funded Services: People who present for assessment for DSS before the age of 65 AND have a physical, intellectual, or sensory disability or a combination of these, which is likely to:

• remain even after provision of equipment, treatment and rehabilitation • continue for at least six months, and • result in a need for on-going support

42

Eligibility for Age Related Funded Services: People who present for assessment after the age of 65 AND have a physical, intellectual, or sensory disability or a combination of these, which is likely to:

• remain even after provision of equipment, treatment and rehabilitation • continue for at least six months, and • result in a need for on-going support

Eligibility for Close in Interest Funded Services: People assessed against these criteria include those who:

• present to a NASC organisation for the first time for long term supports between the ages of 50 and 65

AND • the person has a disability who have been clinically assessed by a DHB clinician or needs

assessor as being ‘close in interest’ to older people with a disability that which is likely to continue for a minimum of six months and result in the reduction of independent function to the extent that on-going support is required

Key findings from the New ZealandDisability Survey

Published 17 June 2014

About the 2013 New Zealand Disability Survey

Disability rates for selected regions

Auckland19% were limited in their daily lives by long-term impairment. This is lower than the national household rate of 23%.Taranaki

30% were limited in their daily lives by long-term impairment. Taranaki is one of four regions with a higher household disability rate compared with the national household rate.

Canterbury7% had psychological/psychiatric impairments, higher than the national household rate of 5%.

Northland19% had physical limitations and 7% had learning difficulties, both higher than the national household rates of 14% and 4%, respectively.

Note: Data includes only adults and children living in households. Data for adults living in residential care facilities is not included.

2 13

www.stats.govt.nz/disability

The 2013 Disability Survey is currently the most comprehensive source of information on disabled people in New Zealand. It collects details on characteristics of disabled people including the nature and cause of impairments, the type of support needed and how well they are faring compared with non-disabled people.For this survey, 23,000 disabled and non-disabled children and adults living in private households were surveyed across the country, as well as 1,000 adults living in residential care facilities.

In the survey, disability is defined as long-term limitation (resulting from impairment) in a person’s ability to carry out daily activities.

Data from the survey will continue to be released throughout 2014. For the latest information see www.stats.govt.nz/disability.

Contact usIf you would like to request more information from the Disability Survey please email [email protected].

Post Statistics New Zealand Information Centre PO Box 2922 Wellington 6140

Phone 0508 525 525 toll-free or +64 4 931 4600

Fax +64 9 920 9395

043

Prevalence of disabilityMain impairment type for disabled adults and children

Impairment rates for males and females in total population

Distribution of disabled people by age and sex

Cause of impairments for disabled adults and children

All of New Zealand

24%

Mäori

26%

Adults

of the New Zealand population were identified as disabled (1.1 million people).

Disease or illness

Accident or injury

Existed at birth

Ageing

Other cause

In this image the disabled population is represented by 100 people. For example, 6 out of 100 disabled people are boys aged less than 15 years.

Note: Due to rounding, figures may not add to 100.

For adults, ‘other’ includes impaired memory, learning, and speaking. For children, ‘other’ includes impaired learning, speaking, and developmental delay. Note: Due to rounding, figures may not add to 100.Adults are aged 15 years and over, and children are aged 0 to 14 years.

of the Mäori population were identified as disabled (176,000 people).

47%of adults impaired by accident or injury reported that the accident or injury occurred at work.

Hearing

Vision

Physical

Intellectual

Psychological/psychiatric

Other

0 5 10 15 20%

90% of physically disabled people were limited in their mobility.

MaleFemale

42%

34%

31%

11%

25%

3%

49%

33%

23%

Disease or illness

Accident or injury

Existed at birth

Other causeChildren

47%

8%

20%

7%

5%

1%

7%

12%

4%

21%

12%

54%

Age group (years)

Males

Females

0–14 15–44 45–64 65+

Adults

Children

Physical

HearingIntellectual

Psychological/psychiatricVision

Other

044

Disability Survey: 2013 Embargoed until 10:45am – 17 June 2014

Key facts In 2013, 24 percent of the New Zealand population were identified as disabled, a total of 1.1

million people. The increase from the 2001 rate (20 percent) is partly explained by our ageing population. People aged 65 or over were much more likely to be disabled (59 percent) than adults under 65

years (21 percent) or children under 15 years (11 percent). Māori and Pacific people had higher-than-average disability rates, after adjusting for differences in

ethnic population age profiles. For adults, physical limitations were the most common type of impairment. Eighteen percent of

people aged 15 or over, 64 percent of disabled adults, were physically impaired. For children, learning difficulty was the most common impairment type. Six percent of children, 52

percent of disabled children, had difficulty learning. Just over half of all disabled people (53 percent) had more than one type of impairment. The most common cause of disability for adults was disease or illness (42 percent). For children,

the most common cause was a condition that existed at birth (49 percent). The Auckland regional disability rate, at 19 percent, was lower than the national average. Bay of

Plenty and Manawatu-Wanganui (both 27 percent), Northland (29 percent), and Taranaki (30 percent) experienced above-average disability rates.

An easy-read version of key facts and a PDF brochure of key findings from the 2013 Disability Survey are available.

Liz MacPherson, Government StatisticianISBN 978-0-478-42902-217 June 2014

045

2

Commentary New Zealand Disability Survey One in four people live with disability Disability increases with age Disability rates vary by ethnic group Impairment type varies by sex and age Multiple impairment is common Main limitation is most likely to be physical Main cause of impairment is disease or illness Māori have higher disability rates than non-Māori Disability rates are lower in Auckland

New Zealand Disability Survey

In 2013, we carried out a national survey on disability for the fourth time. The New Zealand Disability Survey is currently the most comprehensive source of information on disabled people in New Zealand. It allows for comparisons between disabled and non-disabled people on key social and economic outcomes.

This first release of information from the 2013 Disability Survey focuses on the prevalence of disability across population subgroups and on disability rates for specific impairment types. Information is also available from the survey on barriers that disabled people encounter in their everyday lives, including their use of and need for support services and assistive devices. Compared with earlier disability surveys, the 2013 Disability Survey includes a greater range of information about social outcomes. In addition to the economic outcomes of labour force status, income, and educational attainment, we now have information about feelings of safety and experience of crime; social contact; and access to leisure activities.

As in the three previous surveys, disability is defined as long-term limitation (resulting from impairment) in a person’s ability to carry out daily activities. The limitations identified were self-reported or reported on behalf of the disabled person by their parent or primary caregiver.

The survey collected data from adults (aged 15 years or over) and children (under 15 years) living in private households or group homes and from adults living in residential care facilities. All of these groups are included in the data, except where stated.

One in four people live with disability

In 2013, an estimated 24 percent of people living in New Zealand were identified as disabled. A total of 1,062,000 people were limited in their ability to carry out everyday activities by at least one impairment type.

Both the number of disabled people and the disability rate are higher than in earlier surveys. The proportion of the New Zealand population in older age groups is growing, and people in these age groups are more likely to be disabled than younger adults or children. However, population ageing does not account for all of the increase. People may be more willing to report their limitations as public perception of disability changes; methodological improvements to the survey could also be a contributing factor.

046

3

Number and rate of disabled people for adults, children, and total population, 2001, 2013 Year Children(1) (0 to 14 years) Adults (15 years or over) Total population Number Rate (%) Number Rate (%) Number Rate (%)2001 92,000 11 669,000 23 762,000 202013 95,000 11 967,000 27 1,062,000 24 1. Between 2001 and 2013 we changed the screening questions for children; see the data quality section. Source: Statistics NZDisability increases with age

In 2013, 11 percent of children were disabled, compared with 59 percent of people aged 65 or over. Boys were more likely than girls to be disabled (13 percent and 8 percent, respectively). However, there was little difference in disability rates for men and women (aged 15 years and over).

Number and rate of disabled people by age and sex Age group Male Female Total population Number Rate (%) Number Rate (%) Number Rate (%) Under 15 years 60,000 13 35,000 8 95,000 11 15 to 44 years 138,000 16 145,000 16 283,000 16 45 to 64 years 149,000 28 165,000 28 314,000 28 65 years and over 169,000 58 201,000 60 370,000 59 All ages 516,000 24 545,000 24 1,062,000 24 Source: Statistics NZDisability rates vary by ethnic group

Disability rates for the four main ethnic groups were:

Māori – 26 percent European – 25 percent Pacific – 19 percent Asian – 13 percent.

Māori had a higher-than-average disability rate, despite having a younger population age profile than that of the total population.

Pacific people also have a young population age profile and the Pacific disability rate was well below the national rate.

The median age of disabled people in each ethnic group was:

Māori – 40 years European – 57 years Pacific – 39 years Asian – 45 years.

047

4

The true extent of differences between disability rates for ethnic groups is masked by the different age profile of ethnic populations.

We adjusted disability rates to the age profile of the total population, which gave:

Māori – 32 percent European – 24 percent Pacific – 26 percent Asian – 17 percent.

The age-adjusted rate is the disability rate the ethnic group would have if their population age profile was the same as that of the total population.

The age adjustment increased disability rates for the Māori, Pacific, and Asian ethnic groups, reflecting their younger age profile compared with the total population. The rate increase was smaller for Asian people due to their relatively low disability rates for older people.

Impairment type varies by sex and age

The 2013 Disability Survey asked people about their ability to carry out a range of everyday activities. Each activity was associated with a specific impairment type. Males and females, and adults and children showed differences in the extent to which they experienced different impairment types.

048

5

Physical impairment is most common type

An estimated 14 percent of the New Zealand population (632,000 people) reported that a physical impairment limited their everyday activities. This was the most common impairment type for adults (15 years or over), and is one that increases strongly with age. Forty-nine percent of adults aged 65 or over were physically disabled, compared with 7 percent of adults aged less than 45 years.

Women were more likely than men to experience physical disability (20 percent compared with 15 percent). The difference by sex was evident for all adult age groups. Physical disability rates for children were low for both girls and boys (1 percent and 2 percent, respectively).

Sensory impairments limit 11 percent of people

An estimated 484,000 people (11 percent of the total population) were limited in their everyday activities by sensory impairments (hearing and vision loss) that assistive devices such as hearing

049

6

aids or glasses did not eliminate. Hearing impairment affected 380,000 people (9 percent of the total population) and vision impairment affected 168,000 people (4 percent).

Hearing impairment was:

more likely to be experienced by men (12 percent) than women (9 percent) equally likely in boys and girls (1 percent for children) strongly related to age.

For adults over 65, 34 percent of men and 23 percent of women experienced hearing loss. This compares with 5 percent and 3 percent, respectively, for men and women aged 15 to 44.

Vision impairment was:

more likely to be experienced by women (5 percent) than men (4 percent) equally likely in boys and girls (1 percent for children) strongly related to age.

Eleven percent of adults over 65 years experienced vision impairment, compared with 2 percent for adults aged 15 to 44.

Intellectual disability rates low

At 2 percent of the population, rates of intellectual disability were low compared with other types of impairment.

Males were more likely to be living with intellectual disability (3 percent) than females (1 percent). This pattern was evident for both children and adults.

Psychological/psychiatric limitations affect 5 percent

An estimated 5 percent of the New Zealand population (242,000 people) were living with long-term limitations in their daily activities as a result of the effects of psychological and/or psychiatric impairments. Boys were more likely to be affected than girls, with impairment rates of 6 percent and 3 percent, respectively.

There was no difference by sex for adults and, although the adult rate (6 percent) was higher than the child rate (4 percent), the survey provided no evidence of rates changing with age amongst adults.

Other impairments

Four other impairment types were covered by the survey: speaking, learning, memory, and developmental delay.

A total of 358,000 adults and children (8 percent of the population) were limited by at least one of these impairment types, and males (9 percent) were more likely to be affected than females (7 percent).

050

7

Having difficulty speaking (and being understood) because of a long-term condition or medical problem affected 3 percent of the total population. Of these:

boys (5 percent) had a higher rate than girls (2 percent) men (3 percent) had a higher rate than women (2 percent).

Having difficulty learning new things because of a long-term condition or medical problem affected 5 percent of the total population. Of these:

boys (7 percent) had a higher rate than girls (4 percent) men (5 percent) had a higher rate than women (4 percent).

Questions about memory loss were only asked of adults. Five percent of the adult population had ongoing difficulty with their ability to remember. This impairment type rises with age. Ten percent of people aged 65 or over were affected, compared with 5 percent of those aged 45 to 64, and 2 percent of those aged 15 to 44. There were no differences by sex.

Questions about developmental delay are only asked of parents or caregivers who are responding on behalf of a child in their care. Rates were low, with only 1 percent of children affected by a diagnosed disorder or impairment that significantly delayed their development.

Multiple impairment is common

About half of all disabled people reported living with limitations arising from more than one impairment type. Forty-seven percent of disabled people indicated that they were limited by a single impairment type, while the remaining 53 percent were limited by more than one impairment type.

For adults, multiple impairment increases with age. Forty-two percent of adults aged 15 to 44 years reported being limited by more than one impairment type, compared with 63 percent of older adults (65 or over). Forty-eight percent of children had multiple impairments.

Main limitation is most likely to be physical

Physical impairment is the most common main limitation for disabled people. For an estimated 404,000 people (43 percent of the disabled population) physical limitation was either their only impairment, or was more limiting than the other impairments with which they were living.

For children, learning, psychological/psychiatric, and speaking difficulties were the three most common main impairments.

051

8

Main cause of impairment is disease or illness

Forty-one percent of the disabled population were limited in their daily lives by impairments that resulted from disease or illness. This was the most common cause of disabling impairment for adults (42 percent).

Accident or injury was another common cause of impairment for adults. Thirty-four percent of disabled adults were limited in their everyday lives as a result of an accident or injury. Almost half (47 percent) of adults impaired by accident or injury reported that the damage occurred at work.

The third-most common cause of impairment for adults was ageing. For 31 percent of disabled adults, ageing was the cause of at least one of the limitations they experienced. For all adults aged 65 years or over, 53 percent were limited by impairments caused by ageing.

For children, conditions that existed at birth were the most common cause of limiting impairments. Forty-nine percent of disabled children were affected by such impairments. For 33 percent of disabled children, the cause of their impairment fell under ‘other cause’. This includes conditions on the autism spectrum, attention deficit hyperactivity disorder, and developmental delay, as well as dyslexia and dyspraxia. While these conditions may have existed at birth they are not usually identified until later, and may be regarded by parents or caregivers as not having been present at birth.

052

9

Māori have higher disability rates than non-Māori

Māori were more likely to be disabled (26 percent) than non-Māori (24 percent).

Māori adults had a disability rate of 32 percent, compared with 27 percent for non-Māori adults.

Māori children had a disability rate of 15 percent, compared with 9 percent for non-Māori children.

The Māori disability rate was driven by four impairment types that were significantly more likely to be experienced by Māori than non-Māori. These types were:

psychological/psychiatric impairments difficulty with learning difficulty with speaking intellectual disability.

Māori also had slightly higher rates of vision impairment and slightly lower rates of mobility impairment than non-Māori.

The difference between disability rates for Māori men (32 percent) and Māori women (31 percent) was not significant. Māori boys, however, experienced disability at a higher rate than Māori girls (19 percent and 10 percent, respectively). The difference between boys and girls was driven by the same four impairment types as above: psychological/psychiatric impairments, learning, speaking, and intellectual disability.

053

10

Disability rates are lower in Auckland

Disability rates differ by region. The Auckland rate (19 percent) was significantly lower than the national average, while Bay of Plenty and Manawatu-Wanganui (both at 27 percent), Northland (29 percent), and Taranaki (30 percent) all experienced disability rates that were significantly higher than average. For the remaining regions, disability rates did not differ significantly from the national rate.

Regional information is available for adults and children living in households. The 4 percent of disabled adults living in residential care facilities are not included in the regional figures.

054

11

Disability rates by region Region Number of disabled people Disability rate (%) Northland 44,000 29 Auckland 271,000 19 Waikato 105,000 25 Bay of Plenty 73,000 27 Gisborne/Hawke's Bay 46,000 23 Taranaki 36,000 30 Manawatu-Wanganui 67,000 27 Wellington 114,000 22 Canterbury 143,000 25 Otago 52,000 26 Southland 27,000 26 Rest of South Island(1) 41,000 27 New Zealand 1,020,000 23 1. Includes Nelson, Tasman, Marlborough, and the West Coast regions.The younger age structure of the Auckland population partly explains the lower Auckland disability rate. The Auckland region had lower-than-average rates for:

hearing impairment (7 percent) mobility impairment (10 percent) agility impairment (5 percent) psychological/psychiatric impairment (4 percent) difficulties with speaking (2 percent).

People living in Northland had higher-than-average rates for physical limitations (19 percent) and learning difficulties (7 percent). Canterbury had a higher-than-average rate for psychological/psychiatric impairment (7 percent).

For more detailed data see the Excel tables in the ‘Downloads’ box.

055

Disability Strategy Co-ordinator

Waitemata District Health Board -JOB DESCRIPTION - Page 1

Date: 17/08/06 Job Title : Disability Strategy Co-ordinator Department : Child Women and Family Location : North Shore / Waitakere Reporting To : GM, CWFS Direct Reports :

nil

Functional Relationships with : Human Resources Learning and Development Facilities Quality Occupational Health Funding & Planning WDHB Provider services Mo Wai Te Ora hAlliance Healthlinks DISAC Committee WDHB Disability Strategy Steering Group

Purpose : To co-ordinate activities and policy development within

Waitemata DHB to promote the inclusion of people with disabilities through the implementation of the NZ Disability Strategy.

:

KEY TASKS

EXPECTED OUTCOMES

Co-ordination / Consultation

Co-ordination of the implementation the Disability Strategy

Stay abreast of best Practice Developments

Participate in the local disability community. • Co-ordinate two-way communication between the disability community and Waitemata DHB to support the implementation of the Disability Strategy.

• Maintain networks

Report on activities within WDHB • Attend regular meetings of the Waitemata DHB Disability Strategy Steering Group/

• Engage in bi- monthly national DHB NZDS Support Network Meeting.

• To report on activities to Waitemata DHB DISAC.

056



KEY TASKS

EXPECTED OUTCOMES

Maintenance of the disability strategy implementation plan

• Review plan and identify new actions bi-annually

• Maintain the project plan.

Recruitment/Retention

• Provide advice on potential barriers to employment for disabled people

• .Organize training for facilities management staff / Occ health / Service and Line Managers / HR and Recruitment.

• Monitor implementation of facility policies / Occ health / Human Resources / Recruitment.

• Provide advice on organizational planning, DAP.

• Ensure learning opportunities are available and accessible to all staff.

• Capture statistics on disabled employees within WDHB as required by MOH and identify any potential barriers.

Disability Responsive Training

Increase the overall understanding and knowledge of the New Zealand Disability Strategy issues amongst WDHB’s employees and Board Members.

• Co-ordinate and Monitor training sessions to relevant staff.

• Report on the number and percentage of staff who receive training.

• Develop the website communication promoting disability issues.

Policy

• Provide advice on inclusion of the NZDS.

• Consultation has occurred and have had input in any new relevant WDHB policies.

• Provide feedback (when required) on relevant policies

Communication and Access to Information

Improve the accessibility of public information.

• Develop an easy to read brochure on access to WDHB services for disabled people.

• Monitor complaints procedure to ensure it is accessible

• Increase WDHB provision of Braille, large print, audio and assistive hearing systems and improve access to NZ sign language interpreters.

• Provide advice on improving the accessibility of the intranet and internet

057



KEY TASKS

EXPECTED OUTCOMES

websites.

• Advise on a communications style guide for all publications.

To recognize Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992

• Company health and safety policies are read and understood and relevant procedures applied to their own work activities

• Workplace hazards are identified and reported, including self management of hazards where appropriate

• Can identify health and safety representative for area

Additional tasks as instructed • Responsive to requests from your Manager, additional tasks carried out conscientiously.

• Use of systems and processes, which ensure effective communication between clients and the service, other parts of Waitemata District Health Board and contacts outside of Waitemata District Health Board.

058



Behavioural Competencies Adheres to Waitemata District Health Boards 5 organisational Values of:

Respect Integrity

Compassion Openness

Customer Focus

Behavioural Competencies

Behaviour Demonstrated

Communicates and Works Co-operatively

• Actively looks for ways to collaborate with and assist others to improve the experience of the healthcare workforce, patients & their families and the community & Iwi.

Is Committed to Learning • Proactively follows up development needs and learning opportunities for oneself and direct reports.

Is Transparent • Communicates openly and engages widely across the organisation.

• Enacts agreed decisions with integrity.

Is Customer Focused • Responds to peoples needs appropriately and with effective results

• Identifies opportunities for innovation and improvement

Works in Partnership to Reduce Inequality in Outcomes

Works in a way that:

• Demonstrates awareness of partnership obligations under the Treaty of Waitangi.

• Shows sensitivity to cultural complexity in the workforce and patient population.

• Ensures service provision that does not vary because of peoples’ personal characteristics.

Improves health • Work practices show a concern for the promotion of health and well-being for self and others.

Prevents Harm • Follows policies and guidelines designed to prevent harm.

• Acts to ensure the safety of themselves and others.

VERIFICATION: Employee: _________________________________ Manager: _________________________________ Date: _________________________________ Review Date: _________________________________

Note: This job description forms part of an individual’s contract of employment with WDHB and must be attached to that contract.

059



PERSON SPECIFICATION

POSITION TITLE: DISABILITY STRATEGY CO-ORDINATOR

Minimum

Preferred

Qualification

Relevant tertiary qualification or partial completion

Experience

Lived experience of impairment. Sound understanding of the New Zealand Disability Strategy.

Health and Disability Sector Knowledge.

Project Management experience

Skills/Knowledge/Behaviour

Self Motivated Demonstrated initiative Computer literate. Excellent Communication .

Policy knowledge Analytical thinking

060

Waitemata DHB and Auckland DHB

Implementation of the New Zealand Disability Strategy 2013-2016

061

Page 2 of 4

Communication and Access to Information Empowering people through knowledge and understanding

Accessible Communication guidelines developed. Review of Web content and presentation. Increase formats of key documents, e.g. Strategic Plans. Review the automated telephone system with regard to access for people with disabilities. Review the possibility of improved text communication to patients. Continue the implementation of the Health Passport across both DHBs. Work with the Deaf community to improve access to interpreters. Encourage the use of interpreters for non-English speaking families.

Community and Consumer Engagement Working within a family and patient centred framework

Ensure a diverse range of disabled people are identified as stake-holders in all projects and service development. Engage regularly with the disability sector to develop their capacity to influence decision making and increase DHB responsiveness. Ensure the voice of people with learning/intellectual disabilities, particularly people with high/complex needs, is included in consumer reviews of service planning and development. Continue working with Health Links to increase health literacy through fully accessible patient information.

062

Page 3 of 4

Employment Opportunities Equal employment opportunities for people with impairments and carers

Encourage the use of supported employment agencies. Review all recruitment and employment policies and make recommendations to improve inclusion and employment opportunities for disabled people, as required. Collect data on the number of staff with disabilities (at the time of employment and/or when a disability is acquired). Work with Hiring Managers to increase disability awareness. Working with HR to look at how the DHBs support staff with Carer responsibilities.

Disability Responsiveness Educating staff and challenging stereotypes & assumptions

Work with Dieticians to improve the nutritional outcomes for disabled patients. Develop ‘Disability Champion’ roles across the DHBs. Promote the Disability Awareness e-learning module to all staff across the DHBs. Provide a range of disability awareness training, targeting specific services. Develop tools to increase staff skills for working with people with communication difficulties. Ensure public waiting areas, wards and treatment areas meet the needs of a range of impairments, including people with autistic spectrum disorders.

063

Page 4 of 4

Physical Access Overcoming a disabling society

Encourage the use of symbols and pictograms in signage and way finding. ADHB Disability Champions will complete the 2-day Barrier Free Training. An accredited Barrier Free Advisor will be involved in all new Facilities work. Adoption of Universal Design principles in all Facilities work. Building standards document developed in ADHB. A review of accessible toilets in ADHB buildings to be completed. Work with Auckland Transport to improve accessible transport between hospital sites. Investigate the reported shortage of wheelchairs available - both numbers and sizes.

064

Documents

Counties Manukau District Health Board Disability Support ...€¦ · Summary of Action Items as at 1 6th July 2014 DATE ITEM ADDED ITEM DETAIL RESPONSIBILITY (GM/ADVISORY COMMITT