Annual Report 2017 Annual Report 2017

Annual Report 2017 Annual Report 2017

TRUSTEES Chairperson Harry Mikaere Vice Chairperson Lucy Steel Executive Committee Members Taima Campbell Liane Ngamane David Taipari Enrolled Population 7388 Servicing the entire Hauraki rohe. Cover image Mist rolls in at Kuoutunu Marc Checkley 2015 Sourced from 500px.com BY-NC-ND

CONTENTS Tiamana Kōrero 2 Manukura Hauora Kōrero 3 Youth INtact 4 Ohu Kāinga 5 Ohu Oranga 6 Ohu Hinengaro 6 Ohu Tangata 7 Ohu Hauora 7 Financial Report 8 Financial Statements 10 Kaumātua 13 1

KŌRERO O TE TIAMANA Whakataka te hau ki te uru Whakataka te hau ki te tonga Kia makinakina ki uta, kia mataratara ki tai Kia hi ake ana te ata kura, He tio, he huka, he hau hu. Tihei mauri ora. Nga kuru pounamou kua ngaro i te tirohanga kanohi moe mai ra koutou i te moenga te whakarahia. He whakamanawanui te mihi ki a Kiingi Tuheitia ki aia hoa rangatira a Te Atawhai, ki a raua tamariki, mokopuna, me te whare arikinui tonu. Paimarie kia ratou. Tēnā koutou katoa e rau rangatira ma, Now in our twenty-third full year of operations, Te Korowai Hauora o Hauraki s high level strategic kaupapa remains the improvement of access to quality services for high-needs individuals and their whānau. The organisation s CEO and management continue to achieve this based on strong collegial support for all of our ohu, cost-efficient operations, sound clinical leadership and close community relationships. Following this strategic philosophy, Te Korowai Hauora o Hauraki is strengthening its range of services to meet the needs of whānau from a kaupapa Māori perspective. Supporting people at risk of chronic disease and active management of on-going rheumatic, respiratory, cardiac and diabetic illnesses are a continuing focus for the organisation. Hauora Hinengaro needs a lot more attention and resources to deal with the increasing numbers of young Māori men and women who are struggling and whakamomori in this environment. Continual improvement in achievement against national PHO targets and the development of virtual health services to improve access for rurally isolated communities are also being targeted to aid staff in better managing services and clients. Te Korowai Hauora o Hauraki management, staff and trustees have worked diligently in the provision, maintenance and delivery of services to our clients throughout the large area of Pare Hauraki - Thames, Paeroa, Te Aroha, Waihi, Whitianga, and Coromandel. Te Korowai Hauora o Hauraki is the largest single provider of health services in the rohe of Hauraki. Our financial performance and position have been a real challenge for the organisation over the 2016/17 year. The achievement of a break even financial outcome has been the rightful result of smart work and co-operation by management and an all-of-staff approach to finding efficiencies. The Board and management will be working strategically to improve the financial performance for the 2017/2018 financial year by improving service contracts and focussing on greater efficiency of services in all areas of business. With a new Government in place we are hopeful that there will be a greater emphasis on key areas and look forward to what this may mean for our organisation. The trustees of Te Korowai Hauora o Hauraki are very thankful for the dedication and commitment of each individual member of our staff and management, all of whom have worked very diligently this year, providing great care and aroha to our people. E kui ma e koro ma ngā mihi ki a koutou mo tō koutou tautoko, awhina, manaaki i tā tatou kaimahi o Te Korowai Hauora o Hauraki. To my fellow Trustees, thank you all once again for all the support, great governance and commitment to the ongoing development of our kaupapa for the whānau of Pare Hauraki. Mauri ora, Harry Haerengarangi Mikaere Tiamana Harry Mikaere Tiamana 2

MANUKURA HAUORA KŌRERO E kore te pūmahara e rehu ki te pō, ki ō tātau whakatiketike kua tītapu atu ki Te Rauroha, ki Rangiātea rā ia i roto i te tau nei. Haere rā koutou i te ara kūiti i whakatauria ai te ara o Rangi. Waiho mai ōu koutou uri i raro i te maru o tō koutou korowai. Kāti, he pō ka ngaro noa ki tua, he ao ka hua mai ki waho, tēnā tātau katoa. Kei ngā kōwhao rau o Marutūahu, kei aku nui, kei aku rangatira, kei runga aku ohaoha e tāwhiowhio atu ana ki a koutou, mō koutou i whakarangatira i tā tātau kaupapa i tēnei tau. Mai kore ake tā koutou ū ki te whakakitenga o Te Korowai Hauora o Hauraki me ōna kōiriiritanga katoa, kua kore rawa ō tātau whāinga e tutuki noa. Nā konā ka aukaha te rere o taku mihi ki ngā kāhui katoa kua tautoko mai i Te Korowai Hauora o Hauraki e kī ana te kōrero, nāu te rourou, nāku te rourou, ka ora ai te iwi. The past year has seen many highs and some lows and throughout the everchanging landscape of health we have remained steadfast to our goals and aspirations of Hauraki a healthy nation. It is this lofty goal that provokes us and moves us to do better, to reach further and to expect more from our services than ever before. We have also seen a change in Government and for the not for profit sector this can mean many things. We remain hopeful that this Government will continue to see a place for the smaller provider who dares to be different. So, to highlight a few of the achievements at the end of each year is difficult as we have the luxury to look back on a whole year and see so many. Perhaps if we start from our babies and move our way up. Riana Manuel Manukura Hauora We continue to see the delivery of Tamariki Ora services to our whānau. We also have a number of services being delivered via our kura to assist in the health and wellbeing of our tamariki. Our school based clinic and combined model of care project was completed in collaboration with Te Wharekura o Manaia and, as a result, will now see the same model rolled out into other wharekura and kurakaupapa througout Hauraki/Waikato. Our Rangatahi Youth Summit was another highlight and was so well attended this year. A huge highlight of this kaupapa was the attendance of our kaumātua at this hui and the interaction during the have a cuppa workshop was simply brilliant. Our clinical services reviewed their model of care and as a result, implemented the walk-in clinics at three of our four locations. These have seen many benefits for our whānau, but most of all have seen an increase in the enrolled numbers, appointments for all as needed, and a decrease in the fee-for-service which we must pay when our whānau have to attend A&E and/or other practices. The clinics continue to be a major issue for our organisation and we are working on a number of ideas to help improve their bottom line. Our Home Based Support Services have seen another year of growth and this in spite of the changing environment and challenging funding parameters. Our team have continued to work fluidly through these changes, resulting in stable services and, most importantly, a level playing field for our staff with the introduction of pay parity. We have also continued to increase the training opportunities for staff, thus improving the overall service delivery. We have introduced our first year of reo classes run inhouse. These have not only improved the ability of staff to interact in our national language, but have also sent a clear message to our whānau that we are interested and engaged in te ao Māori. Moving forward we expect to see a lot of movement in the mental health services as we all try and create a better space for our whānau. So as you can see, an eventful year with many highlights and lots of learning and we look forward to the next 12 months. I would like to thank our kaumātua for all of their support, our Board for another great year and great leadership, my management team and all of our kaimahi for their dedication and, of course, we thank all of our whānau, as it is for you that we do this and with you that we will continue to climb. Ma te huruhuru ka rere te manu, Riana Manuel Manukura Hauora 3

YOUTH INTACT This service is now fully bedded in and has seen every one of our high schools throughout Hauraki with better access to services, counsellors and our youth support worker. We have had a number of new members come into our team and this continues to drive our service development. The need continues to grow and our young people continue to be at risk and that is a theme that we have uncovered throughout our progress. We have also maintained a presence on the governance group, ensuring that we are providing leadership around this contract at both governance and operational levels. We have also seen the establishment of key support groups throughout the motu and we have witnessed mana motuhake in the way that our young people have been instrumental in the launches for the Youth AOD services. 4

OHU KĀINGA Our Ohu Kāinga (Home Assist) service continues to grow and develop; the past 12 months have seen just under 20% growth in this service area. This, along with major changes to the contract itself including the introduction of guaranteed hours for our workers, in between travel costs, and pay equity legislation, has seen this team extremely busy this year. The number of service coordinators has been increased to accommodate this growth and our service coordinator for the Tokoroa area is now co-located at Tokoroa Hospital alongside the DSL assessor. This will allow for further growth in the southern region. The year has seen a focus on upskilling and training for our staff, with the following achievements during 2017: Basic First Aid training - 46 support workers Full First Aid Training - All coordinators and Manager Open Minds Open Doors training - 40 support workers Clinical Coordinator (Registered Nurse) graduated with a Post Graduate Diploma in Advanced Nursing Ongoing professional development and training includes: Clinical Coordinator (Registered Nurse) completing Masters Degree in Nursing Service Development Coordinator enrolled in the Careerforce Business Administration & Technology for Social, Health & Hygiene Sectors (Level 3) Service Coordinators x 3 enrolled in New Zealand Certificate in Health & Wellbeing (Level 4 Advanced) Support Workers x 40 enrolled in New Zealand Certificate in Health & Wellbeing (Level 3) Support Workers x 26 enrolled in New Zealand Certificate in Health & Wellbeing (Level 2) We continue to maintain strong working relationships with all parties in the sector and our provision of professional, high quality service is widely recognised. Maintaining a focus on being the preferred provider of home based support service in the Hauraki and South Waikato areas has resulted in continued strong, sustainable growth during 2017. The Ohu Kāinga team, like all others, has done us proud throughout the year. This has been a result of the fantastic leadership of manager Sharron Kane, the strengths of our coordination team throughout the motu, and the dedication of our team of support workers. Mauri ora ki a koutou. 5

OHU ORANGA The Oranga o te Tangata ohu has delivered a diverse range of events, activities and programmes throughout 2017. Their Whānau Ora service is currently working with just under 100 whānau across the rohe, identifying goals and aspirations and assisting to navigate change. Positive impacts have also been made with the delivery of further successful Driver Licence programmes and with supporting whānau into employment opportunities throughout the rohe. The Iwi Health Promotion team supported a very successful Youth Summit this year, themed Past, Present and Future - Be the Change. The Summit was attended by high schools from all round the rohe. The growing interest in the Te Mata Rangatira programme now sees it being delivered in four high schools in the area. The year has seen numerous requests for housing support. Two of the Oranga o te Tangata team have now trained with Waikato DHB as housing assessors for the Whare Ora Healthy Homes initiative, supporting whānau to create healthier homes that are warmer, drier, and safer. Our Whare Aroha op shop continues to provide low cost items to whanau and community. During 2017 they embraced the 'Say No to Plastic' initiative with a group of whānau making material bags to be used in the shop as well as up-cycled, bespoke bags for sale. Our Oranga Wairua service continues to offer support for individuals and their whānau who have been diagnosed with a life limiting illness. The service includes a social worker and our Kaiwhakaora who offers traditional healing for those on the programme. Thanks to Hauraki PHO who helps with funding of this service. Project Energise has had very successful outcomes in schools promoting healthy kai and physical activity. Our team have been involved in revamping the traditional sausage sizzle into a healthy choice, alongside instigating school, inter school and whānau Tapuwae and Ki o Rahi tournaments. Reducing stigma and discrimination in accommodation settings has been a focus area for the Like Minds Like Mine service throughout 2017 and culminated with the launch of Every Seashell has a Story a collaborative short film project, in December. OHU HINENGARO With a full cohort of practitioners now in place and the introduction of two team leaders to help lead out our clinical and non-clinical services, we are continuing to improve access to Mental Health services for our whānau. We continue to be actively involved in the Child Adolescent Mental Health governance group and the need for this service continues to grow at an alarming rate. Our young people are at huge risk around mental health, drugs and alcohol, self harming and suicide issues and we will continue to advocate for better access to services for our rangatahi. We remain ever hopeful that, with the reintroduction of the Commission for Mental Health, we will also see more meaningful solutions to the very complex issues that face our whānau. 6

OHU TANGATA The organisation has grown in the past year, increasing by 8.1% or 19 staff members. Predominantly this growth is in our Home Assist team with increasing numbers of Support Workers providing home help and personal care to our elderly and disabled. Of this increase, 89% identified as being Māori. professional development, and align to our organisation vision, mission and values. We are particularly proud of our workforce and enjoy investing in their growth and development to continue delivering high quality services to our community. Our staff turnover continues to be below national averages with a year to date turnover of 11.7%, 5.8% of which are staff who identify as Māori, equating to an 88.2% stable workforce. With the anticipated changes at Government level, the organisation is focussed on improving existing staff knowledge and qualifications, and being fully prepared for new opportunities to deliver much needed services to our clients. We are very excited to continue to receive New Graduate staff or staff completing national qualifications to further support their professional development in their chosen career. In 2017 we have supported a Nurse Practitioner and s new General Practitioner in their studies and in January 2018 we look forward to welcoming a New Graduate Registered Nurse. Our annual Employee Satisfaction Survey was very positive, with a significantly high number of staff stating they enjoy coming to work, they feel valued and are working on their OHU HAUORA This year we have introduced our walk-in clinics which were one of the initiatives identified in the review of our model of care. We have three hours daily dedicated to walk-in clinics and this has hugely improved the accessibility of appointments for our clients. They can attend our clinic during this time, be seen and triaged by a nurse, and see a GP if necessary. What we have learnt is that many of the acute issues our clients face are often able to be attended to by our nurses and this means more GP appointments become available for those who need them in a timely fashion. We have also seen a huge reduction in the number of our clients attending the hospital Emergency Department. This has been evidenced by the reduction in the number of our clients on the hospital s Frequent Presentation list, from 25 a year ago to only 2 last month. We continue to work well with our base hospital in Thames and we are now involved in the NETP (New Graduate Nursing Programme) which is a collaboration between ourselves, Thames Hospital, Waikato Hospital, and Community Based nursing services. This will ensure we are able to provide a sustainable workforce specifically designed for our rohe. Our GP Registrar has just completed his first year examinations and it has been a wonderful year growing and developing our own work force. We will be continuing to apply for Registrar positions into the future. 7

FINANCIAL REPORT 2017 This year s financial result, whilst positive, does not reflect the large amount of work that continues by Te Korowai in monitoring spending and ensuring it aligns with funders expectations. Again this year our fee for service arms, GP clinics and Home Assist contribute to over 50% of our revenue. Home Assist revenue has grown by over 28% since our 2015 financial year end. Government legislation changes have required extensive work be done by both the Home Assist, Finance and Human Resource teams and Te Korowai was able to meet all deadlines in respect of Guaranteed Hours Funding from 1st April 2017 and Care and Support Workers Pay Equity settlement from 1 July 2017. Total revenue of $9,368m is up $158k from last year. Our major sources of revenue were: Home Assist $3,473,000 Government contracts $3,373,000 GP clinic services/ Capitation $2,072,000 Grants $193,000 Rents received $117,000 Other $140,000 Our business units reported Gross Profits are: GP Clinics $135,000 HomeAssist $329,000 Hinengaro $480,000 Oranga Te Tangata $467,000 Other clinical $140,000 Costs applied to these units are: Infrastructure and operational costs $924,000 Management and administration costs $610,000 NET SURPLUS $17,000 8

Te Korowai's net assets decreased by $73,000. Whilst the Statement of Financial Position reports negative working capital of $796,000 this includes $451,000 of borrowing facilities that were renewed subsequent to balance date and $571,000 of deferred revenue which we are working with our funders to reinvest during 2018. Total assets of $3,871,000 comprise: Fixed Assets $2,607,000 Intangibles $51,000 Cash and cash equivalents $786,000 Deposits held $4,000 Accounts Receivable $423,000 Total liabilities of $2,256,000 comprise: Accounts Payable $202,000 Employee Entitlements/ PAYE payable $536,000 GST Payable $235,000 Deferred Income $571,000 Bank Loan $712,000 Melanie Shea ACA Financial Controller 9

STATEMENT OF COMPREHENSIVE REVENUE AND EXPENSE Te Korowai Hauora o Hauraki Inc For the year ended 30 June 2017 2017 2016 Notes $ 000 $ 000 Revenue from exchange transactions Government and patient funding 8.960 8,910 Other Income 4 215 129 Revenue from non-exchange transactions Grant Income 13 193 164 Total revenue 9,368 9,203 Depreciation expense 5a 177 176 Amortisation expense 5a 18 20 Employee benefits expense 5a 7,364 6,980 Other expenses 5a 1,744 1,729 Finance costs - net 5b 48 59 Total operating expenses 9,351 8,964 Surplus/(deficit) for the year 17 239 Total other comprehensive revenue and expenses 0 0 Comprehensive revenue and expense 17 239 For and on behalf of the Executive Committee: : H Mikaere L Steel... a b c Chairman Deputy Chairman.. 23 November 2017 a 923 November 2017 10

STATEMENT OF FINANCIAL POSITION ASSETS Current assets Te Korowai Hauora o Hauraki Inc As at 30 June 2017 2017 2016 Notes $ 000 $ 000 Cash and equivalents 6 790 779 Trade and other receivables 7 423 473 Total current assets 1,213 1,252 Non-current assets Property, plant and equipment 8 2,607 2,632 Intangibles 8 51 60 Total non-current assets 2,658 2,692 Total assets 3,871 3,944 LIABILITIES Current liabilities Trade and other payables 9 1,544 1,363 Borrowings 10 465 68 Total current liabilities 2,009 1,431 Borrowings 10 247 915 Total non-current liabilities 247 915 Total liabilities 2,256 2,346 Net assets 1,615 1,598 Net assets/equity Accumulated comprehensive revenue and expense 1,615 1,598 Total net assets/equity 1,615 1,598 11

ACKNOWLEDGEMENTS Kaumātua Taumata Ngā Roopu Kaumātua o Hauraki Hauraki Māori Trust Board Hauraki Primary Health Organisation Waikato District Health Board Ministry of Health Ministry of Social Development Te Ngira - Whānau Ora Collective Ngā Whānau o Hauraki Mō tātou o Hauraki 12

KAUMĀTUA Our five Kaumātua roopu around the rohe continued to meet fortnightly or monthly for social and educational activities throughout 2017. They travelled around New Zealand to participate in Olympic events in Kaitaia, Hamilton and Maniapoto. The roopu have run many very successful events over the year with lots of fun and laughter had by all. In May next year the Te Aroha roopu (Green Tea Brigade) will host the 2018 Kaumātua Olympics. 13

www.korowai.co.nz Thames 210 Richmond Street 07 868 0033 Paeroa 43 Belmont Road 07 862 9284 Coromandel 225 Kapanga Road 07 866 8084 Te Aroha 221 Whitaker Street 07 884 9208 Whitianga 21 Coghill Street 07 869 5244