may primary are news...clicking here or contact dr vikas sethi, linical lead, 0211523963,...
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Primary Care News
May 2016 Issue 54
Keeping up communication between Auckland and Waitemata DHBs and Primary Care
Content in this Issue:
Clinical Services Update Support, Education and Opportunity
Clinical Services Updates
DHB Primary care Clinical contacts and Next Issue
The Next Auckland DHB Primary Care Open Evening….
‘Latest Approaches and Innovations in the Management of
the Health of Older Persons’
Auckland DHB would like to invite all General Practitioners and Practice Nurses working in the Auckland District to their next Primary Care Open Evening. This programme was very successful last year with lots of interest from General Practitioners and Practice Nurses. The evening will be held at Auckland City Hospital on the evening of Tuesday 31st May 2016.
Attendees report that they enjoy meeting key hospital management and specialists, and having the opportunity to discuss clinical and local issues with them. The May meeting will take a patient journey perspective examining a number of common clinical issues that arise in older age including polypharmacy, managing falls and frailty. Auckland DHB will also have information available on their new geographically based locality service model, and there will be the opportunity to meet key staff working in your locality.
There will also be site familiarisation tours of the Department; presentations by those working in these areas, and time for Q&A. Please also note this event qualifies for continuing medical education (CME) points. To register or for further information please contact Sarah Horn at [email protected].
A similar programme will also be run for those primary care specialists working in Waitemata DHB area, and will focus on Abnormal Uterine Bleeding (AUB) with a practical session on the following interventions: pipelle, Mirena, and pessary. This session will be held on 26th July at the Waitakere Hospital Awhina Centre, in the Snelgar Building. For further information or to register please contact: [email protected].
The Auckland Regional HealthPathways Survey
The Pathways team are currently conducting a survey to ensure that Auckland Regional HealthPathways meet the needs of General Practices in the Auckland Region. They are seeking your thoughts regarding ways in which Auckland Regional HealthPathways can assist your practice. The survey will only take a couple of minutes of your time to complete. Please click here to access the survey.
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Clinical Services Updates Contd.
May 2016 Issue 54
Safety in Practice (SIP) - An Auckland Regional Initiative The aim of Safety in Practice (SIP) is to enhance the quality improvement capability of General Practices (GPs) within the Auckland region, through a specific focus on patient safety. SIP (adapted from the Scottish Patient Safety Programme in Primary Care) enables practices to learn skills that will allow them to more confidently manage the constant change that is occurring in the health sector.
The 2014/15, the Safety in Practice programme saw a collaborative of 23 general practice groups involved. This has increased to 32 general practices this year.
Improvement Advisors (IAs) from the three DHBs and a Clinical Lead work with PHO staff within practices to provide quality improvement support and facilitation to assist with:
Up-skilling teams in improvement methodology
Identification of current systems, processes and behaviours
Data analysis
Re-design of practice systems and processes
PDSA testing of small-scale change and familiarity with the SIP care bundle audit tools
Practice-based meetings allow reflection on data collected and to identify areas of change to be tested within the practice. The HSQC, RNZCGP, GPNZ and NZNC are strong supporters of SIP.
Planning for Year 3 is underway, with the capacity for 70 practices to come on board.
Practices get a remuneration of $5,400 p.a., and are expected to participate in four learning sessions; attend practice meetings with PHO staff, IAs and the clinical lead; and to submit monthly audit data. They are also expected to test the trigger tool and safety climate survey at their practice.
For more information or to enrol in the programme please visit the Safety in Practice website by clicking here or contact Dr Vikas Sethi, Clinical Lead, 0211523963, [email protected]
New Haematuria Clinic Trial - Auckland DHB Auckland DHB Urology service is implementing a trial Haematuria Clinic for three months, for patients who
present with macro-haematuria and a high suspicion of cancer. We aim to see these patients within 14 days of
referral. The trial will initially be for three patient appointments per clinic but will increase to seven over the
coming months.
The purpose is to condense diagnostics and treatment pathway options into one visit for patients and so
improve their time to treatment.
The clinic will be held fortnightly on a Monday at Greenlane Clinic Centre and will include:
Ultrasound imaging Flexible cystoscopy A discussion with the patient regarding treatment options Agreement on a surgical date where appropriate Pre-admission health questionnaire
Referrals should be sent by e-referral and marked as ‘urgent’ and urine cytology should be carried out prior to referral. Contact person is Dr Kathy McDonald, Primary Care Director Surgery ADHB, [email protected]
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Clinical Services Updates Contd.
May 2016 Issue 54
Pathways Activity
Static Pathways Development
Auckland Regional HealthPathways provides General Practices with locally developed service
information and decision support to assist in the daily management of patients. The project continues
to make sound progress with 200 pages of information localised to date.
Localised static pathways available to date include:
To access these and other pathways, please register for access:
URL: http://aucklandregion.healthpathways.org.nz
Dynamic, patient specific, real-time, clinical pathways
The target of 92 practices to be trained in the pilot phase has been reached, and the tool is now available on most dashboards. 461 medical professionals have enrolled 1, 982 patients onto a pathway to date.
Sexual Health Pathways: Other Pathways:
Male and female Sexual Health Checks Community Pharmacy
Chlamydia Plain X-Ray requests
Contact Tracing Diagnosis of Diabetes
Gonorrhoea Diabetes Medications
Syphilis Diabetes Specialised Nursing
Urethritis Emergency Department requests update
Vaginal Discharge Sudden Unexplained Death of an Infant (SUDI)
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May 2016 Issue 54
Changes to National Cervical Screening Programme Reports
PHO Data-match reports now available:
Practices enrolment data is matched electronically with the National Cervical Screening Programme (NCSP) register.
This is provided monthly to PHOs to calculate coverage rates and to provide information to practices.
This report will now replace the monthly overdue reports that practices are used to receiving from the NCSP register.
The report is in a spreadsheet format, which can be used to clinically prioritise overdue women, provide information about women screened elsewhere, and identify women who are not on the register.
To find out more about these reports contact your PHO.
Paper based monthly overdue reports:
These reports are no longer routinely sent to practices by the NCSP register.
Reports can still be requested via the Auckland regional register team.
Paper based quality of smear reports:
The National Cervical Screening Programme will no longer send out quality of smear reports.
Unsatisfactory results have been reduced significantly since the introduction of Liquid Based Cytology
Information about unsatisfactory smears is still recorded on the NCSP register.
A quality of smears report can be requested from the Auckland Regional register team if required for professional development or if self- monitoring is indicated.
Further information: www.nsu.govt.nz
Auckland Regional Register Coordinator: Hadir Elkerdani Tel: 09-630 9943 X: 27827 | Fax: 0800 500 513 | Mobile: 021 893768 | Email: [email protected]
Clinical Services Updates Contd.
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May 2016 Issue 54
CareConnect eReferral Update for Waitemata GPs
The Older Adults, Allied Health and District Nursing services are now electronically reviewing eReferrals. Please use the Older Adults form to refer to community services, including rehabilitation, Outpatients clinic and NASC. Use Mental Health (‘Reason for Referral “Mental Health services for Older People”) when making referrals patients 65 years or older for mental health referrals. Use the Allied Health and District Nursing forms to refer for community services for patients sixteen years and older.
Support, Education and Opportunity
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May 2016 Issue 54
Make eReferrals Easier to Launch from your PMS
Just follow the instructions below…..
Once you have this on your MedTech toolbar, you can use the icon to launch eReferrals forms directly.
This option is a bit quicker than using which takes you to the HealthLink page, then you have to click again to launch eReferrals forms.
For further information on the eReferral project at Waitemata DHB please contact Mel Juer on [email protected]
Support, Education and Opportunity Contd.
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May 2016 Issue 54
Support, Education and Opportunity Contd.
FREE HPV Course Now On-line - A National Initiative
For the latest information about HPV and HPV vaccines, a free HPV update course is now available online.
A one hour online course designed for health professionals who provide advice to parents/caregivers or general public on the HPV immunisation programme, is now available from the IMAC website by clicking here The course is free and you can log in and out at any time, so you can complete this all at once or in smaller sessions as time allows. Additional links and optional reading is included for those interested in extra information.
To complete the course there is a set of multi choice questions to answer, and a certificate is provided.
Influenza Vaccine Offered to Patients Attending Waitemata DHB Dialysis Units
Influenza season is upon us. Due to funding changes by PHARMAC, the Waitemata Renal Service will be offering centre haemodialysis patients the Influvac ® influenza vaccine during May.
Patients who consent will be given Influvac ® 45micrograms in 0.5mL subcutaneously. This will be recorded in the National Immunisation Register (NIR) so that providers in primary care can view this information.
For further information please contact the Renal Service on:
09 4406930 or [email protected]
Self-Management Courses across Auckland and Waitemata DHBs areas
Free diabetes self-management courses are available for people living in Auckland and Waitemata DHB areas with Type 2 diabetes, a high risk of CVD, or who have pre-diabeties. For courses run by Waitemata PHO on the North Shore or in West Auckland click here ProCare also run these self-management education courses across Auckland and Waitemata DHB areas. For further information please click here or contact Nivedita or the Self Management Education team: [email protected] , Telephone 09 354 7770, or text or call 027 339 5740. Auckland PHO run courses in Central Auckland, please contact Wayde for further information: [email protected] or Telephone 09 379 4022.
CME Event Calendar
To view current CME/CPD opportunities within the Auckland and Waitemata Districts please follow this
link. If you have events that you would like us to include on the training calendar, please send infor-
mation to: [email protected].
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May 2016 Issue 54
Support, Education and Opportunity Contd.
Primary Care Contacts and Next Issue
Auckland DHB GP Help & Consultant Advice Lines GP Help Line - to speak to medical staff 09 307 2800 Consultant Advice Lines Cardiology: Admissions phone 09 307 2800 for Cardiology Registrar on call, Consultant Advice 09 375 4388
General Medicine: General Medicine Consultant: 021 555 256 , General Medicine Registrar: 021 938 477
General Surgery: 021 938 931
Gynaecology: 09 307 2800 and ask for the on call Gynaecologist
Obstetrics: 09 307 2800 and ask for the on call Obstetrician
Neurology: 09 375 3484
Renal: 021 938 167 (9.00am-5.00pm Mon-Fri)
Respiratory: 09 375 3414
ED SMO: 021 410 539 (Available from 0800 to 2400 every day)
Gastroenterology: 021 884 631 On-call Registrar
Endocrine Registrar: 021 323 715
The Acute Eye Referral Line: 09 630 9964
Paediatric: 021 740 271
Starship Children’s Hospital Emergency: 09 307 4902
Waitemata DHB GP Help Line
GP Help Line - to speak to medical staff - 09 486-8908
Big White Wall - An Online Tool
Big White Wall is an online tool for your patients, funded by Auckland DHB. It provides online support, therapeutic interventions, validated tools, health information and resources, and clinical support. Many users report improved wellbeing and self-management skills from using the site. Big White Wall is great for your patients that have depression, anxiety, stress, health anxiety or loneliness and can be used by those waiting for mental health services or to provide additional 24 hour support.
Big White Wall is free for your patients and accessible at www.bigwhitewall.com. For more infor-mation contact [email protected] or 021 847 886
New Primary Care News e-Format Available
The Auckland and Waitemata DHBs Primary Care Newsletter is now also available in an electronic format. Click here to subscribe to the e-version. Please feel free to pass on comments about our newsletter to:[email protected]
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May 2016 Issue 54
Do you want to Contribute to our Primary Care Newsletter?
The Auckland and Waitemata DHB’s Primary Care newsletter is a monthly newsletter for general practitioners and practice nurses across Auckland and Waitemata districts. Please keep your articles to 100 words or less with a link to a website where recipients will find more information. Please ensure the articles have already been written rather than providing information via fliers or emails. Also, please consider how your content is relevant to Primary Care, what do they need to know. Include:
photos/illustrations/logos as high-res, jpegs or image files complete articles in word documents or in the body of the email a contact person and their details listed within the article.
The content deadline for the next issue is 5.00pm, 6 June 2016. Please send all contributions to: [email protected].
Primary Care Contacts and Next Issue Contd.
DHB Clinical Contacts for Primary Care
Auckland and Waitemata DHB Planning, Funding and Outcomes
Stuart Jenkins, Primary Care Clinical Director [email protected]
Jean McQueen, Primary Care Nursing Director [email protected]
Auckland DHB Primary Care Directors
Diana Good, Women’s Health [email protected]
Barnett Bond, Paediatrics [email protected]
Rob Wallace, Adult Medicine and Oncology [email protected]
Kristin Good, Mental Health [email protected]
Kathy McDonald, Surgery [email protected]
Jim Kriechbaum, Cardiovascular Community and Long Term Conditions [email protected]
Jock Carnachan, Orthopaedics, [email protected]
Janine Bycroft, Planning, Funding and Outcomes [email protected] Waitemata DHB Primary Care Advisor Kim Bannister, [email protected]