Latest Event Updates
On Thursday 24 May, UCAN presented the following submission to the Wellington City Council Housing Strategy.
We want to record our support for the draft Strategy and thank the Council for the leadership it has shown in this area. We also acknowledge the importance of the social housing provided by the City and the improvements that have been and are being made to that housing stock.
Given the progress that has been made we ask the Council to consider taking the following action when finalising the Council Housing Strategy:
- Delegate the Council’s governance responsibilities for the strategy clearly.
- Define the enabling role of the Council explicitly.
- Commit to a continuation of the Council’s role as leader, facilitator and advocate for a housing mix that ensures ‘all Wellingtonians are well housed’.
- Define the other agencies with political (as distinct from operational) responsibilities for ensuring there is an appropriate mix of social housing.
- Define the populations that require ‘social housing’, including citizens with enduring mental illnesses.
- Define the critical interfaces that are required to maintain an appropriate mix of supported housing for people with mental illness, particularly health services.
- Obtain a definitive ‘evidential contribution’ of the level of residential need among people with enduring mental illness from the Capital and Coast District Health Board, as recommended in the Mellsop Report.
- Analyse the use of the services developed by the Housing First consortium as an starting point for monitoring and estimating the level and type of supported housing required in Wellington.
This submission does not imply that the Council should change the scope of its operational activities or assume additional responsibilities for providing housing or ‘wrap around’ services.
Debbie Leyland represented UCAN at the Wellington meeting of the Mental Health and Addictions Inquiry. It was a fantastic opportunity to meet the renowned health advocate Prof. Mason Durie. The meeting was a well facilitated listen session with some heart-rending accounts being delivered from the floor on experiences of hardship and tragedy due to a failing health services.
We hope for dramatic change from this process.
UCAN’s advice to political parties on forming a Coalition agreement on Health.
The NZ Health system is in serious need of attention to its heart – the current ticker has been badly neglected, with severe restrictions to its love supply. Signs of ischemia abound but are being ignored. We urgently need to support a compassionate workforce supported by compassionate organisations.
Signs of Health System Ischemia:
Mental Health Patient: “You need to be really fucked up to get help… I guess the budget doesn’t stretch to hope.”
1 million NZers are reporting access barriers to primary care, and the number is increasing each year.
The population’s self reported health status is declining in the most recent health survey, despite increasing life expectancy – we are living longer in poorer health.
Building compassionate health organisations:
Leadership – Senior health leaders need to lead the way.
Critical DHB leadership positions in the Auckland region need separating. Counties Manukau has been merged with the two other Auckland Boards by having a common chair, putting at risk decades of work to ensure effective resourcing of the largest high need population in the country. We need to stop the DHB money flowing from the poor to the rich in Auckland immediately.
DHBs needs to be stopped from sucking community services dry. Currently they are taking money from the community sector ;millions of dollars, away from where where care is most effective and efficient.
On the other hand, small DHBs have been left to wither – they need stronger DHB pairing with larger DHBs on the basis of the patient’s referral pathways. Such pairings need to be structured so that the large does not consume the small unless it really is better for patients, especially patent access.
Free primary medical care available in every community. One million people have an unmet need for primary medical care. The cost of care for these patients is the biggest barrier, including the cost of drugs. There is low availability of primary medical care services, particularly in deprived areas. Barriers are bigger for those with chronic conditions, especially mental illness. A primary health care approach with a focus on equity and social justice is required across the health system.
It needs a more sophisticated response than National’s current plan to up the VLCA scheme for CSC holders. History yells us that only some GPs pass these subsidies on to patients, the rest goes to increasing GP incomes as they maintain their ‘right to charge”. Only some general practices have the passion, the rest will just clip the ticket, and this is becoming more common as family practices are increasingly being replaced by corporate entities. Funding should target practices with a social purpose who do make care accessible to those with most need and who do effectively manage chronic conditions in the community. Where no suitable organisations with a social purpose exist and the needs are high, the government should establish accessible primary care services itself.
Free primary care should be extended to people with mental illness (who currently die 20 years earlier than the rest of the population not from their mental illness but from chronic diseases).
Free primary care for the frail elderly. We must guarantee universal access to care for our elders group in their final years. Often that care is best provided in the community and this is where the support is required.
A specific rural health investment fund is required for remote rural areas to support community based services, starting with Northland, Rotorua and East Cape, based on their high health need and geographic isolation.
 NZ Treasury 2016.
OCT 6, 2017 — My daughter Ariana killed herself less than two months ago after she was turned away by mental health services. With political parties in coalition talks right now – we have the best chance we have ever got to win change.
I’ve seen that New Zealand First are in talks with both National and Labour about a coalition. NZ First said before the election they support an urgent enquiry into our mental health crisis but we need to make sure Winston Peters forces this to happen as a condition of a coalition.
Can you share my petition again to get another surge in numbers so he sees how important mental health services are to New Zealanders?
My daughter died because she didn’t get the mental health care she needed, even after I begged.
This is our chance to make sure no one suffers like my daughter did, or I am.
We need to get word to Winston Peters that New Zealanders want an urgent mental health inquiry – so we can assess the need and get proper services and funding.
Can you please share this petition as we urgently need more numbers.
I am trying to get a meeting with Winston Peters to deliver the petition next week – a surge in numbers will help me get this meeting.
This is a critical moment, and I thank you so much for your support.
Over the last month UCAN chair person Debbie Leyland has asked each political party if they would consider endorsing the UCAN Health Charter.
UCAN members look forward to meeting with these parties after the election to make the UCAN Health Charter a cornerstone in a health system we can all be proud of.
UCAN also would like to take this opportunity to acknowledge the public endorsements of the NZNO – New Zealands Nurses Organization, The Equality Network, Porirua Union and Community Health Service, Hutt Union Health Service, Newtown Union Health Service, Department of Public Health at the School of Otago in Wellington, the Wellington branch of the Public Health Association and the College of Nurses Aotearoa NZ.
UCAN is affiliated to no political party.
On Wednesday 22nd August UCAN made the following presentation to the CCDHB Governance Board.
Good afternoon. I will speak to the item about the ‘Citizens’ Health Council’.
The UCAN network strongly supports the moves the Board is making to draw on the knowledge and concerns of the residents of the District.
We also know from experience that it is not easy to facilitate productive public discussion in this political environment.
As most Board members know we have contributed to the public discussion of Health by drafting a Health Charter.
The Charter has been endorsed by a majority of the members of this Board, a dozen well known organisations and three political parties.
We produced the Charter because the equity of primary health provision – I mean ‘primary health’ defined broadly – was being undermined in the Capital and Coast District.
We noticed that the changes in Capital and Coast planning and funding were favouring people with the money, knowledge and day to day capabilities to manage their access to health services.
We were particularly concerned as community and union health services suffered a series of cuts and restructurings that changed the nature of primary health care.
For example, the disappearance of integrated, locality-based models for primary health such as SECPHO.
We doubt that the efficiencies being driven by the national consortium of General Practices as ‘Health Care Home’ are designed for or by high needs populations.
Given these kinds of national strategies, we also note that the logic of your funding arrangements seems to encourage the Board to prioritise the needs of your predominantly low NZ Dep populations.
There are deprived populations in this District, perhaps not as geographically concentrated as in other Districts.
Our other principle concern is provision for group living and day time activity for people with enduring mental illness.
We regard the events that led to the closure of Mahora House has a scandal that has not been addressed properly. A year has past since the Board received the Mellsop report.
However we acknowledge and support preparatory work done by this Board to consider improvements across the system for people with mental illness.
We suggest that the two issues I’ve raised – primary health care for high needs populations and residential and day provision for people with mental illness – should be early items on the agenda of the Citizens’ Health Council.
We also suggest that you call for nominations to the Council so that those who cope with the situations I have described have an opportunity to influence and validate the selection process.
A nomination process would also increase the likelihood of forming a genuinely diverse and creative Council.
Objectives of DHBs
Every DHB has the following objectives:
(a) to improve, promote, and protect the health of people and communities:
(b) to promote the integration of health services, especially primary and secondary health services:
(ba) to seek the optimum arrangement for the most effective and efficient delivery of health services in order to meet local, regional, and national needs:
(c) to promote effective care or support for those in need of personal health services or disability support services:
(d) to promote the inclusion and participation in society and independence of people with disabilities:
(e) to reduce health disparities by improving health outcomes for Maori and other population groups:
(f) to reduce, with a view to eliminating, health outcome disparities between various population groups within New Zealand by developing and implementing, in consultation with the groups concerned, services and programmes designed to raise their health outcomes to those of other New Zealanders:
(g) to exhibit a sense of social responsibility by having regard to the interests of the people to whom it provides, or for whom it arranges the provision of, services:
(h) to foster community participation in health improvement, and in planning for the provision of services and for significant changes to the provision of services:
(i) to uphold the ethical and quality standards commonly expected of providers of services and of public sector organisations:
(j) to exhibit a sense of environmental responsibility by having regard to the environmental implications of its operations:
(k) to be a good employer in accordance with section 118 of the Crown Entities Act 2004.
PLEASE NOTE! CHANGE OF VENUE INFORMATION
UCAN is hosting a community public forum in the southern Wellington suburb of Newtown, in the Newtown Community Hall, on the corner of Constable and Daniel St
We have invited candidates to come and join the forum so they can hear first hand people’s experience trying to get the health care that they need.
Paul Eagle Labour Party
Jan Logie Green Party.
We also will have speakers representing The Living Wage Movement and The Equality Network.
Special appearance from The Brass Razoo Band!
We hope you can join in this important conversation.
We hope we’ll see you there at the Newtown Community Hall, on the corner of Constable and Daniel St. 2nd September 1-2 pm.
UCAN MAKE A DIFFERENCE