In a first for Turanga Health, its Te Karaka medical centre has nurse practitioner Jackie Clapperton filling in for Dr Mark Devcich while he is away on leave.
Jackie is widely known on the East Coast as a dedicated, brave and extremely professional St John ambulance intensive care paramedic.
But she is also a nurse practitioner – a nurse who has completed years of advanced education so she can provide a wide range of assessment and treatment, and prescribe medication. Jackie is the only St John intensive care paramedic/nurse practitioner in the country and now she is breaking new ground at the tiny medical centre in Te Karaka owned by Turanga Health.
Jackie, who wears her distinctive dark green St John uniform while at work in Te Karaka, will be working in the clinic for the rest of the month.
A more in-depth article on Jackie, her background, and comment from those who have supported her during her training, is coming soon.
Seventeen Gisborne GPs now have a better understanding how the Treaty of Waitangi affects their work after spending a unique evening with Māori health provider Turanga Health.
The Tuesday evening training which began with a shared meal and ended with a bus tour, covered critical issues relevant to the Treaty of Waitangi, it’s historical, and contemporary, context. The focus was on analysis and interpretation of the way in which the Treaty can be applied to contemporary health situations.
GPs who attended all work at medical centres that are part of Midlands Health Network (MHN). MHN provides doctors, nurses, and other health staff in this district with tools they need to get the best health outcomes for patients. Turanga Health is part of MHN.
For one Gisborne GP, Simon Spenceley from Three Rivers Medical, the experience was distinctive. He described it as “an informative and enjoyable meeting illustrating the history and diverse interpretations of the Treaty.”
It was the first time Turanga Health has offered the training on behalf of MHN, and Turanga Health CEO Reweti Ropiha says it’s something they’ve wanted to do for a long time.
“It was important to us as a partner in MHN that the local perspective of the Treaty be front and centre. The Treaty provides a framework for Māori and non-Māori to exercise control over their health and wellbeing. The key parts we wanted to address last night were understanding the Treaty, and addressing inequities in health care.”
Mr Ropiha says it was refreshing to be applying the three Ps of the Treaty: partnership, participation and protection, in real time.
“Equally important was sharing some of the history of this region with the GPs. And that’s why we took them on a bus tour,” adds Mr Ropiha.
GPs took a short bus tour up over Kaiti Hill. The trip was narrated by Ripeka Winitana who has an avid interest in local Maori history and tikanga.
Dr Spenceley said the entire evening “was made all the more interesting by the interactive bus trip”.
Turanga Health looks forward to sharing more local Maori history with the GPs later in the year when it showcases a new-look activity programme combining exercise with heritage trails and information for participants.
Join the revival along with hundreds of secondary school sportsmen and women due in Gisborne next month for the 2015 New Zealand Secondary Schools Ki o Rahi Championship.
That’s the call of one of Tairāwhiti’s most passionate Ki o Rahi coaches Rongomai Smith, who says the tournament will be a physical spectacle not to miss.
“There’s going to be heaps of touch skills on display, dummies, spins and dives. It’s a spectacle. And it can get quite physical especially with the top teams. “
The traditional Māori game of Ki o Rahi, which dates back to pre-European times, has a growing following at school level and last year’s National Tournament in Wellington was the first to be held under the umbrella of the New Zealand Secondary Schools Sports Council (NZSSC).
This year the event is in Gisborne at the Rectory Field Friday 10 and Saturday 11 April. A pōhiri on Thursday 9 April will be Te Poho o Rāwiri Marae, Queen’s Drive Kaiti with meetings for team managers and referees to follow.
Rongomai Smith is a PE teacher at Te Kura Kaupapa Māori o Ngā Uri a Māui. He incorporates Ki o Rahi into his lesson as the game draws on core Māori values such as manaakitanga and whanaungatanga. “As well as basic skills like passing and catching I want to teach about communication and working together as one. Ki o Rahi does that.”
This year’s national tournament is hosted by Turanga Health. Staff member Shane Luke says last year, the final was between Te Wharekura o Rakaumanga, from Huntly, and a combined Gisborne Boys' and Girls' High team, with Te Wharekura o Rakaumanga narrowly retaining their title. In the playoff for third and fourth place Taita Collage beat Tolaga Bay Area School.
“I can’t wait to see the rivalry between those schools play out again. But I’m also keen to see new entrants into the national competition like qualifiers Horouta Wananga and Kawakawa Mai Tawhiti hold their own on the field.”
Supporters, fans, and public are invited to watch the action both days at the Rectory Field. Grandstand seating is provided as well as toilets and food. Spectators are encouraged to visit the tertiary education provider expo also at the grounds.
What: 2015 New Zealand Secondary Schools Ki o Rahi Championship
Where: Games played at Gisborne Boys’ High School Rectory Field
When: Friday 10 April and Saturday 11 April, 10am start
For more information: contact Shane Luke, Turanga Health, (06) 869 0457
Tuesday 11 November 2014
Watched by crisp lettuce and the swirling morning mist LeaderBrand harvesting staff have a new way of starting work – a paddock warm-up preparing their bodies for the day ahead.
The ten to15 minute set of exercises and stretches increases blood flow to the working muscles and gives the heart advance notice there’s about to be an increase in activity. Crew members gently start to move major muscle groups and lightly stretch tendons and nerves.
“It’s about looking after our staff” says Lettuce Crop Manager Andrew Rosso who oversees harvest crews picking five days a week year round. “The team is working hard with plenty of lifting and bending all day, so the exercises are a proactive approach for keeping our staff injury free.”
Mr Rosso says it’s a way to warm up the muscles and the mind. “It’s something different we can offer in addition to the health checks; an ice breaker for the morning where we can have a laugh while prepping for the day.”
Harvester Shayne Biddle says the warm-ups are a welcome addition to his working day and a way to reduce the chance of injury. “It’s an opportunity to get our crew fitter and that’s got to be good because then we can work faster,” says the 24-year-old.
Fellow harvester Kim Stafford says she has always built stretches into her morning routine at home, so doesn’t mind doing the warm-ups once she gets to work. “I feel good after doing the exercise so I think it’s a really good idea.”
Crews learned the paddock-based workouts from Turanga Health fitness instructor Stephanie Broughton who has led exercise programs in some unusual places but never amongst lettuce.
“Warming up before physical work should be as normal as warming up before playing sport or exercising. It reduces the chance of soft tissue injuries to things like your ligaments, tendons, and muscles by allowing your muscles and joints to move through a greater range of motion easily and safely.”
Stephanie joined the crew for the early morning work-outs over a number of days making sure each exercise was performed correctly. Armed with enough information the crew now does the warm-ups and warm-downs by themselves.
Mr Rosso said warm-up exercises may seem unconventional to some staff but keeping them safe is a priority and it will quickly become the norm. “New staff joining our crews won’t know any difference. It will be standard before-work and after-work practice.”
The early morning exercise routines follow LeaderBrand’s adoption of Turanga Health’s Workplace Wellness Tū Mahi programme. Turanga Health nurses and kaiāwhina visit LeaderBrand staff and carry out health checks in a state-of-the-art mobile clinic. Nurses look at age, gender, ethnicity, weight, family history, blood pressure, glucose and cholesterol levels, and diabetic and smoking status. Each person’s risk of developing heart problems in the next five years is assessed. Where appropriate some people are directed to see their GP and others are referred to Turanga Health’s smoking cessation kaiāwhina. Turanga Health visited the lettuce crew most recently while they picked lettuce in O’Grady’s Road. Of the 44 LeaderBrand staff seen that morning four were referred to their GP for follow up and 11 were registered with a smoking cessation programme.
For more information contact: Gordon McPhail, LeaderBrand Farm Manager, 867 3863 or Dallas Poi, Project Manager, Turanga Health, (06) 869 0457.
Image Captions: Image 1: Stephanie Broughton from Turanga Health corrects Shayne Biddle’s stretching technique during an early morning warm-up. Image 2: Turanga Health’s Stephanie Broughton and LeaderBrand Harvester Shayne Biddle. Image Credit: Brennan Thomas, Strike Photography.
Tuesday 5 August, 2014
New Maori Sports Tournament launched
With the Glasgow Commonwealth Games 2014 wrapped up, Gisborne Year 7 and 8 rangatahi now have their own unique sporting tournament to look forward to!
It’s the first time a Tākaro Tawhito Traditional Maori Games Tournament has been held in the district and games on offer include well known Ki-o-Rahi and the lesser known Horohopu and Tapu Ae.
Turanga Health has created the event as part of its ongoing work to increase physical activity amongst rangatahi. It’s the first time Turanga Health has managed three different Tākaro Tawhito at one tournament. “We’ve taken some new, but old, games to local schools and taught the rangatahi (youth) and teachers how to play,” says Population Health Kaiāwhina Shane Luke. “The interest has been phenomenal and it made sense to end the module with a tournament where the tauira (students) can test their skills against other kura (schools).”
For nearly a century, traditional Māori games have been abandoned in favour of popular European games such as rugby, cricket and netball. But games like Tapu Ae, Ki-o-Rahi and Horohopu are making a comeback. Revival of the games was assisted by the 2009 creation of Rangatahi Tu Rangatira or R2R, a Wellington-based Māori health organisation specializing in using Maori games as an activator for youth.
Horohopu is a game where rangatahi get to whirl a distance throwing poi called Poi Toa like a slingshot above their heads. “Kids love the distance throwing aspect of the game” says Shane. Tapu Ae is a large team game with attackers, defenders and lots of tackling or ripping depending on the age of the participants.
Turanga Health taught the games to rangatahi from Muriwai, Manutuke, Patutahi, Matawai, and Whatatutu Schools as well as Te Karaka Area School and Te Kura Kaupapa Māori o Ngā Uri a Maui. They will all have teams at the tournament which is expected to attract over 200 students.
Turanga Health is using the tournament to promote Rheumatic Fever prevention. Participants and parents are are reminded that if a child has a sore throat and especially if the family is Māori or Pacific, they need to be taken to a doctor, nurse or community worker and get a throat swab. Children and young people are the most likely to get rheumatic fever. It occurs after a ‘strep throat’ – a throat infection caused by Group A Streptococcus (GAS) bacteria.
The Year 7 and 8 Tākaro Tawhito Māori Games Tournament will be Tuesday 12 August 2014, at Te Kuri a Tuatai Marae, 307 Lytton Road, starting with karakia at 9am.
For more information contact:
Dallas Poi, Turanga Health (06) 869 0457
Friday 25 July 2014
Rural Health Services Unaffected Despite Sale of Buildings
Turanga Health’s general practice and rural health services will continue despite potential changes to who owns the Te Karaka and Matawai health buildings, says Turanga Health Chief Executive Reweti Ropiha.
“Changes in who owns the bricks and mortar do not necessitate any changes in the level of service we offer patients in Matawai and Te Karaka. Patients will still be able to see the doctor and the nurse in their own communities”.
Mr Ropiha’s comments came after an announcement from current building owners, Tairawhiti District Health, that it intends to sell the buildings Turanga Health currently operates out of. Since 2010 Turanga Health has rented a house on Rangatira Road, and the Waikohu Health Centre on Station Road in Te Karaka, from Tairawhiti District Health.
Turanga Health has maintained the Rangatira Road house but no doctor has lived there since 2010. Turanga Health spent around $20,000 refurbishing the Waikohu Health Centre in 2011 creating more space for patient consultations, a smart welcoming waiting room and reception area, and better office and meeting space for health staff. Mr Ropiha said it was likely any new owner of the Waikohu Health Centre building would continue to want Turanga Health as tenants.
Mr Ropiha says Turanga Health is owned by local iwi and its services are community-based and patient-directed. “We are intertwined with the community and as a result influenced by the community. There is no change in everyone’s dedication to this service.”
Turanga Health also rents a main road house in Matawai. There is no one currently living in the house. Once a week the visiting Waikohu Health Centre doctor, and or nurses, use the small clinic room on the roadside of the house to see patients.
Mr Ropiha says more often now Piki Te Ora, Turanga Health’s state-of-the-art mobile clinic, is used to manage patient clinics. Cervical screening, influenza vaccination, and diabetes clinics are also done in the clinic which is known locally as ‘the bus’.
“The bus is a contemporary clinic which features all the technology and equipment you would expect to find in a static clinic. It’s warm, offers privacy for consultations, and is cleverly compact.” Mr Ropiha says there is no reason the bus couldn’t be used for the normal weekly rural clinics. There is also an opportunity for Turanga Health to invest in an existing community facility. “Turanga Health is interested to see if there is an appetite in the Matawai community for us to help add value to an existing setting”.
For more information contact:
Reweti Ropiha, Turanga Health Chief Executive, (06) 869 0457.
Friday 21 March 2014
Accreditation Official Endorsement of Turanga Health's Services
Patients looked after by Turanga Health can rest assured that when they come into contact withTuranga Health staff and programmes they are in safe hands.
Turanga Health has proved itself to be a fully roadworthy health organisationhaving being awarded the equivalent of a "warrant of fitness" certificate from New Zealand health audit agency DAA*.
Known as accreditation, it’s a testing process for an organisation. It’s like signing up for a voluntary warrant of fitness and getting recognition that the organisation is performing well, says Turanga Health CEO Reweti Ropiha.
Depending on the level of quality an organisation demonstrates, it can earn accreditation for anything between one and four years.Turanga Health has earned four-year accreditation.
"We wanted to go through the accreditation programme so we knew our whānau and patients were getting the best possible care. We did this for them. They deserve the best and our team has proved that our care is definitely that," says Mr Ropiha.
“The idea of accreditation is to improve the quality of health organisations in New Zealand. To achieve it, it takes months of self-assessmentof your processes. And it’s about finding any areas that need ironing out,”added Mr Ropiha.
Turanga Health Quality Manager Shirley Keown said achieving the four-year accreditation has taken months of team effort.
"We have tested ourselves against the highest standards in New Zealand. It's taken months and months to do. It's huge.”
She says going through accreditation meant if a problem was found, the organisation couldfix it and make things even better. It’s the second time Turanga Health has been through the DAA accreditation process. The first was four years ago and Turanga Health performed well, necessitating only minor recommendations to processes and completing the periodic review.
Accreditors came for two days in December 2013 and because this was the second round of accreditation DAA set the bar high, says Ms Keown. DAA auditors looked at many processes, policies and procedures including the way Turanga Health maintains the privacy of personal health information; access for whānau with disabilities; recalling tamariki for immunisation; job descriptions; orientation; infection control; and ongoing educational activities for staff. Many of these match up with goals in the Turanga Health Quality Plan.
Ms Keown now has the pleasurable job now of organising for half a dozen large accreditation certificates to be framed and displayed around Turanga Health’s buildings for the public and staff to reflect on.
*The DAA Group is one of New Zealand’s leading providers of quality and risk management auditing services to the health and disability sector. For more information see http://www.daagroup.co.nz/
For more information contact:
Turanga Health CEO Reweti Ropiha: (06) 869 0457 or 027 283 2030.
Thursday 23 January 2014
3 on 3 Basketball taking Gisborne and NZ by storm
Gisborne is joining the nationwide craze this summer with a ‘3 on 3’ basketball tournament at the YMCA, Friday 24 January 2014.
The Gisborne competition is aimed at keeping teenagers busy during another hot day of summer. It coincides with Basketball New Zealand’s 3x3 National Tour which tips off the same weekend in Auckland.
Gisborne hasn’t made it on the national tour schedule so Turanga Health has organised a battle of the neighbourhoods for the locals. “Enter for fun with your mates and see who will come out on top. There’s a major prize up for grabs,” says Turanga Health organiser Shane Luke.
3 on 3 basketball is a global phenomenon. “Basketball New Zealand statistics show basketball is the leading participation sport for Kiwi kids aged 5-18, but not all of them play in formal competitions. The national tour and our local competition are taking it to the next level,” says Mr Luke.
3 on 3 is a form of the game where New Zealand has already enjoyed success. Tall Blacks Isaac Fotu, Rueben Te Rangi and Tai Webster combined to help capture the inaugural FIBA Youth 3X3 World Championship in 2011.
“With the international basketball federation pushing to have it included in the 2020 Olympics, it’s a game that’s growing in popularity and we hope Gisborne is included in the national competition next year.” Basketball New Zealand is expanding the competition to 12 centres next year and 14 centres after that.
Mr Luke said the appeal of 3 on 3 is that it is fast, easy to play, and no one is left warming the bench!
Saturday’s tournament follows on from a successful Term 4 basketball programme in some of this region’s intermediate and secondary schools; and last year’s New Zealand Breakers tour of Gisborne - both organised by Turanga Health.
Tournament games will be 10 minutes and played on a half court. It starts at 3pm and will be a round robin, followed by finals. Register your mixed or single sex teams one of four ways: at the YMCA 2.30pm on the day, by ringing Turanga Health on (06) 869 0457, at the Turanga Health Derby St office, or on facebook.com/turangahealth.
Fruit and water will be available on the day and Turanga Health is looking for young volunteers to help with registration, scoring, and other tournament tasks.
For more information contact Shane Luke (06) 869 0457 or 027 702 6455.
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