Health Matters EBOP March 2018

Marae experience has profound impact on medical student Recently ten health students on placements at Whakatāne Hospital and surrounding community health services spent the weekend at Rongopai Marae near Gisborne. The success of the BOPDHB as a teaching and research facility for the University of Auckland's Faculty of Medical and Health Sciences has resulted in it officially becoming a Clinical Campus. The students are on the Rural Health Interprofessional programme (RHIP), a student placement joint initiative between the Bay of Plenty District Health Board (BOPDHB) Clinical School, the University of Auckland, and Health Workforce New Zealand. This makes it the fifth such campus in New Zealand and only the second outside of Auckland. Distinguished Professor Ian Reid, Deputy Dean of the Faculty, says this recognises the major contribution the BOPDHB makes to our clinical training, the excellence of the staff, and the outstanding teaching they are able to provide. The programme, launched in Whakatāne in 2012, aims to improve the recruitment and retention of health professionals in rural New Zealand. A similar programme is run through Tairawhiti DHB in Gisborne and the weekend noho marae provided an opportunity to bring students on both programmes together. Fifth year medical student Bena Law (below) shares her thoughts on the weekend marae stay. Head of the BOPDHB Clinical School Professor Peter Gilling has been appointed to the new role of Assistant Dean, Bay of Plenty, as a result of the change. Whakatāne based health students including Bena Law (centre) at Rongopai Marae. and Tikanga Māori; the sacredness of the entrance, the acknowledgements of the ancestors and to all present at the hui, as well as the importance of sharing kai. I felt incredibly privileged to learn from the kaumātua (elders), especially in the kōrero (discussions) about wairua (spirituality) with Wiremu and Lesley NiaNia and the personal story told by one of the kuia about the importance of the marae to her and its influence on her taha tinana (physical health). Entering through the kūwaha (gateway), I felt a sense of familiarity not unlike stepping through the entrance way of a traditional Chinese family temple. Although I had previously visited other marae, this was my first noho marae, and I was struck by the number of similarities between my own culture Bay of Plenty DHB receives clinical campus status This experience had a profound effect on me and made me reflect more deeply about how to better communicate with future patients on a cultural and emotional level in order to provide a higher quality of care. Medical student Bena Law is currently on placement at The Doctors Phoenix (Phoenix House) until 6 April. Considered one of New Zealand's most knowledgeable and experienced doctors, Professor Gilling has helped to oversee the steady expansion of the University's specialist training hub in the Bay of Plenty over the past eight years. "We are very pleased to have achieved this milestone in our development and are looking forward to increasing collaboration with the University. This moves our relationship to another level," he says. This year, the Bay of Plenty DHB will welcome 58 University of Auckland medical students on year-long placements, alongside students from other health programmes including nursing, pharmacy, and dietetics. Professor Peter Gilling Better care co-ordination for community nursing across the Bay Organising people’s home healthcare so they receive what they need, when they need it, and from the best provider is the ethos behind a new Bay-wide community nursing service launched this month. The BOP Community Care Coordination (CCC) Centre has been established as a 12- month demonstration site, providing a single place for people to access community nursing care, information and support. The centre’s Operations Manager Asmitha Patchay says, “We want to ensure people get timely, equitable, integrated care. Someone might have multiple connections with the healthcare system because of complex needs. It’s our job to co-ordinate that care and make sure they get the best care from the right provider.” The centre is part of new future-focussed approach to community nursing which aims to provide patients and their family/whānau with health services which are well-coordinated, simple to navigate and delivered closer to home. BOPDHB GM Planning and Funding Simon Everitt says the DHB has been working with Western Bay of Plenty Primary Health Organisation (WBOPPHO), Ngā Mataapuna Oranga (NMO), and Eastern Bay Primary Health Alliance (EBPHA) on the new approach for community nursing. Introducing a common patient and family/whānau community nursing assessment across health providers as well as giving patients and their families a greater say in directing care and support are amongst other changes being considered. Asmitha Patchay says although the service has only been operating a short time, in the first week the team handled more than 200 referrals. We’d expect those numbers to increase as people become more familiar with it.” You can contact the CCC on 0800 BOP CCC (267 222) or email:admin@bopccc.org.nz For more details visit www.bopdhb.govt.nz and search Integration Community Nursing. The BOP Community Care Coordination team: (from left) Triage Nurse Rozanne Young, Administration Support Pauline Louie, Operations Manager Asmitha Patchay, Triage Nurse Teresa Wynyard, Administration Support Bernetta Britton.