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Have a heart

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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:

Patient centred?

Mental Health Patient: “You need to be really fucked up to get help… I guess the budget doesn’t stretch to hope.”[1]

Fair?

1 million NZers are reporting access barriers to primary care, and the number is increasing each year.  

Effective?

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. 

 Actions:

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.[2] 

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.

To Start:

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.

References:

[2] NZ Treasury 2016.

Help boost my petition before we deliver it to Parliament next Tuesday

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This petition is not organized by UCAN, we are sharing this important plea from Yes we Care, please CLICK ON THIS LIVE-LINK and add your signature

Hana Ready and YesWeCare.nz

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.

Hana

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Political parties endorsing the Health Charter

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Over the last month UCAN chair person Debbie Leyland has asked each political party if they would consider endorsing the UCAN Health Charter.

UCAN is happy to announce that the following parties have endorsed the charter and have also confirmed that they will work with UCAN and other networks to implant the charter.

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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.

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UCAN is affiliated to no political party.

UCAN presentation to CCDHB

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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.

Thank you.


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.

 

Community Candidates Forum: Have your say!

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PLEASE NOTE! CHANGE OF VENUE INFORMATION

UCAN FORUM VENUE CHANGE Poster ( A4)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.
Candidates include
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

“Health is so much more than health”: UCAN delivers Health Charter and Election Statement to MP’S.

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On Tuesday 15 August, members of UCAN and supporters met on Parliament steps to hand over the Ucan Health Charter and Election statement UCAN Health Charter 2016 to Members of Parliament.

We were joined by supporters and by the fabulous, The Brass Razoo Band.

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We began with Lisa with baby Zac. Lisa represented Tick for Kids. Tick for Kids and Child Poverty Action Group

Muriel Tunoho spoke on behalf of living Wage Network Living Wage and Health Care Aotearoa HCA Healthcare: Home and Paul Barber then spoke from The Equality Network The Equality Network and The New Zealand Council of Catholic Social Service .

Screen Shot 2017-08-22 at 10.02.19 PM.pngFrom left to right. Debbie UCAN, Lisa and baby Zac, Tick for kids,CPAG, Muriel, living wage, HCA, Paul Equality Network, NCCSS.

Grant Robertson, Finance Minister from the Labour Party,

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Jan Logie, Spokesperson for Social Development from The Green Party both gave their commitment to support the UCAN Health Charter and make it a reality as did

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Ria Bond, Health Spokesperson, NZ First

This is a positive result as we have 3 political parties that have committed to our Charter.

For more information Please visit our website at ucannz.org.nz

Denbie Leyland

From NZ Doctor: ” Homes, incomes, access to care raised in election challenge to all parties”

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Great reportage from Virginia McMillian, Journalist from NZ Doctor magazine:


Virginia McMillan vmcmillan@thehealthmedia.co.nz Tuesday 15 August 2017, 3:31PM

Patients’ experiences living on low pay and in cold, overcrowded houses are too common, Hutt Union Community Health Service chair and Living Wage New Zealand committee member Muriel Tunoho says.

Both the organisations that Ms Tunoho serves have endorsed a Health Charter (see illustration) that proposes liveable incomes and homes as rights for all. The charter was today handed over to Labour MP Grant Robertson outside Parliament.

 

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Health rights as described in the Health Charter, endorsed by a range of organisations including the NZNO and the Public Health Association

The charter, developed by the United Community Action Network, received the support of Mr Robertson and New Zealand First’s acting health spokesperson Ria Bond.

UCAN sees the charter as a founding document for health. Coordinator Debbie Leyland told the small gathering in the Parliament grounds it was a challenge by which to hold to account all MPs and political parties.
Ms Leyland says the typical waits of two months for mental healthcare (“if you’re lucky”) are not acceptable, and nor are the country’s high rates of suicide, homelessness and mental illness.

One tangible way to address poverty

Ms Tunoho says the living wage is one tangible way to address poverty. The point was underscored by Paul Barber, NZ Council of Christian Social Services’ policy advisor, who said benefits were too low and beneficiaries’ health suffered the most.

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UCAN’s Debbie Leyland, Tick for Kids’ Lisa Woods with baby Zach, Living Wage NZ’s Muriel Tunoho and Council of Christian Social Services’ Paul Barber 

“One of the best health treatments is to lift benefits and lift incomes for the lowest-income people. It’s the simplest treatment and it can be administered tomorrow if we want to,” Mr Barber said.

Instead, the Government was arrogantly paying down debt “with the anguish of the poor”.

Thirty-seven organisations belong to the Equality Network, which has endorsed the UCAN charter, he said.

More funded visits for children – NZ First

Ms Bond said her party wants to lift the funding for under-13s care to cover three visits a year, and to raise the age at least to 15.

Mr Robertson said equitable access to healthcare was a mark of a decent society.

Speaking for the Tick for Kids and the Child Poverty Action Group, Lisa Woods called on all political parties to ensure New Zealanders have the resources they need to thrive.

Child Poverty Action is a signatory to the charter, as are the Public Health Association, the public health department of the University of Otago, Wellington, the three Wellington union health clinics and the NZ Nurses Organisation, among others.

NZNO president Grant Brookes says the organisation welcomes the charter, “a refresh of the original primary healthcare vision”, and its focus on population health and eliminating disparities.

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