Thank you to all for attending NZED Conference! 

It’s been such a pleasure to meet with you and see you again. We hope you’ve had a brilliant few days in wonderful Taupō and have enjoyed the networking and learning opportunities this conference provides each year. 

We look forward to seeing you all again next year as we reminisce and thereafter remember.  

Nāku, nā Mariska, Stephanie, Marama, Matthew, John and Ruth

Dr John Bonning
Waikato Hospital

Dr Ruth Large
Waikato Hospital

Dr Matt Valentine
Whakatane Hospital

Dr Mariska Lambert
Taupo Hospital

Stephanie Watson
Tauranga Hospital

Marama Tauranga
Bay of Plenty District Health Board

Programme

** Indicates speaker presentation slides are available

Thursday 24 October 2019
0900Pōwhiri
0930 - 1000         
Meeting Te Tiriti o Waitangi and Māori Health Equity Obligations **
John Whaanga, Deputy Director-General Māori Health
1000 - 1030The Experiences of Māori Health Professionals in the Emergency Department
Inia Tomas, Middlemore Hospital 
Marama Tauranga, Bay of Plenty District Health Board
1030 - 1100Morning Tea
1100 - 1230Introduction to Māori World View – Focusing on the values of the Manaaki Mana Strategy **
Graham Cameron, Bay of Plenty District Health Board
1230 - 1330Lunch                                                        
1330 - 1410Relationships between Emergency Departments and our Key Partners
Kris Gagliard, St John New Zealand 
Carol Limber, Canterbury District Health Board **
Andrew Slater, Homecare Medical **
1410 - 1430Afternoon Tea
1430 - 1630        Are our emergency departments a safe place for Māori?
Inia Tomas, Middlemore Hospital 
Kiri Rikihana, Australia and New Zealand College of Anaesthetists **
Peter Jones, Auckland City Hospital and University of Auckland 
David Tipene-Leach, Eastern Institute of Technology 

Facilitator: Marama Tauranga, Bay of Plenty District Health Board
1630Day 1 concludes in time to enjoy the Wairakei Hot Pools
19:30Conference Dinner
Millennium Hotel and Resort
We welcome you to embrace the equity conference theme and come ‘dressed as your best self’. 
If you choose a colour rather than an outfit then look to the whenua or the moana.

Friday 25 October 2019
0800 - 0845                                                                               Women in Emergency Department Breakfast Session
NoWEM is a community of Emergency Staff celebrating and promoting the advancement of women in medicine in Australasia. We strive to promote diversity, equality and respect in our profession, because we believe that this leads to better outcomes for our patients, our colleagues and our community.
0910 - 0930From Eire to Aotearoa – Changing Perspectives in Cultural Safety: Learnings on the Journey to Setting up An Equitable Health Group in Christchurch Emergency Department
Leanne Toney, Christchurch Hospital
0930 - 0950
The Kaupapa Maori ED Service (KMEDS): Reducing Maori ASH in the Whakatane ED **
Theresa Ngamoki, Whakatane Hospital

0950 - 1010An Audit of Risk Assessments for Suicide and Deliberate Self-Harm in ED: A Retrospective Review of Quality of Assessments **
Wayne De Beer, Waikato District Health Board

1010 - 1030Wairarapa ED’s Response to a “Hard to Reach” Community Call for Help
Kathryn Wadsworth
1030 - 1100Morning Tea
1100 - 1230Mahi Tahi: Working Together to Tackle Racism in our Emergency Departments ***
Claire Manning, Wairau Hospital
Inia Tomash, Middlemore Hospital
John Bonning, Waikato Hospital
Kate Anson, Middlemore Hospital
Kim Yates, North Shore Hospital
Marama Tauranga, Bay of Plenty District Health Board

Facilitator: Gabrielle Baker, Baker Consulting
1230 - 1320Lunch                                                        
1320 - 1340Improving Care for Older People in ED - Top Ten Thoughts
Leanne Toney, Christchurch Hospital
1340 - 1400Making a Difference Award
1400 - 1500Annual Conference Debate
When is a Lime a Lemon?
1500 - 1515Closing remarks
1515Afternoon Tea and Depart

The program is subject to change. 
      

Meet Our Presenters

Gabrielle Baker (Ngāpuhi) is a health policy expert who has worked in Māori health policy for the past decade. Gabrielle is a commentator on Māori health, and in particular the first stage of the Waitangi Tribunal's inquiry into primary health care. Gabrielle works with a range of health sector organisations committed to being pro-equity and anti-racist. You can read more about Gabrielle's work at www.bakerconsulting.co.nz.

Dr John Bonning has been a specialist EM physician for over 15 years and was Director of the Department of Emergency Medicine at Waikato Hospital in New Zealand until 2017 and Chair of the New Zealand Faculty of ACEM until 2018. He has just been elected as the first New Zealand President-Elect of ACEM. He is also Chair of the New Zealand Council of Medical Colleges. Having worked extensively in different EDs throughout New Zealand, Australia and the UK, he has a firsthand knowledge of different models of care in a variety of settings, from the smallest rural to the largest tertiary hospital. His passions in Emergency Medicine include equity and sustainability, both organisational and personal. John has various other roles as an Advanced Paediatric Life Support (APLS) and Advanced and Complex Medical Emergencies (ACME) Instructor, a Police Medical Officer and an expert advisor to the Police, Coroner, Courts and the Health and Disability Commissioner.

Graham Bidois Cameron BA (Hons), MTheol is the Pou Tikanga (Chief Advisor – Māori) for the Bay of Plenty DHB. He is a descendent of Ngāti Ranginui, Ngāti Hinerangi and Ngāti Rangiwēwehi. Graham’s role includes integrating tikanga and kawa across all services of the DHB, supporting the use and quality of te reo Māori across the DHB, supporting management and board in their Tiriti relationship with local iwi and providing education in matauranga Māori and Te Tiriti o Waitangi. He is a doctoral student at the University of Otago and lives on his turangawaewae in Te Puna with Jo and their four tamariki.

Dr Wayne de Beer is a consultant psychiatrist who has worked at the Waikato District Health Board, Hamilton since 1994. Following completion of specialist training, he has predominantly worked in the sections of Old Age, Adult Community and Addiction psychiatry. He is currently working part-time in Consultation-Liaison psychiatry service (and includes a weekly session in the Pain Clinic at the DHB). He also holds an honorary lectureship with the Auckland University and is currently the Clinical Training Director for the Waikato DHB (that focuses on post-graduate, prevocational medical education and training). Dr de Beer is involved in a number of College activities (RANZCP); including the Education Committee and is Chair of the CPD committee of the College. His primary interest remains in medical education, particularly workplace training and completed a Master’s degree in Clinical Education.

Kris Gagliardi is a practising Intensive Care Paramedic for St John New Zealand with an interest in clinical pathways and systems of care. His current role is National Patient Pathways Manager for St John, where he is responsible for leading the development of pre-hospital pathways for high-acuity conditions including STEMI, acute stroke and major trauma. He is also responsible for implementing low acuity pathways for ambulance patients in partnership with District Health Boards (DHBs) and Primary Health Organisations (PHOs) including falls prevention, smoking cessation, mental health, social support and other pathways depending on community needs. Prior to becoming the National Patient Pathways Manager for St John Kris was the pre-hospital lead for the Nelson Marlborough STEMI Pathway, New Zealand’s first comprehensive pre-hospital STEMI pathway involving pre-hospital fibrinolysis and direct transport of eligible patients to a PCI capable hospital. Kris is a trustee of the New Zealand Paramedic Education and Research Charitable Trust.

A/Prof Peter Jones is an Associate Professor of Emergency Medicine with the Department of Surgery, University of Auckland and a specialist in Emergency Medicine at Auckland City Hospital. Peter has a strong research and clinical interest in the quality of acute care and has recently published a series of studies funded by the Health Research Council exploring the effect of the Shorter Stays in ED Target on outcomes for patients. Through this research he gained unique insights into how DHBs implemented the target and as a result, how patients can benefit most from it. Peter is the Shorter Stays in ED Health Target champion with the Ministry of Health.

Theresa Ngamoki has a 30 year nursing career across primary and secondary settings within the Lakes/Bay of Plenty District Health Board with Theresa becoming a Nurse Practitioner in 2015. Reducing challenges faced by Maori to achieve health and wellness has been a mission and one that she believes is possible. The approach of the Kaupapa Maori ED service is to identify the challenges faced in the local context of health care, highlight myriad strengths and pitfalls then streamline the care of the patient/whanau journey across multiple intersections. It relies on a collective approach. Theresa was raised within Te Whanau a Apanui iwi with the marae being the centre of all things. Any spare time revolves around whānau, hapu and marae. 

Kiri Rikihana (LLB, B Soc Sci)  Te Ati Awa ki Whakarongoatai, Ngāti Raukawa, Ngāti Toa Rangatira is the General Manager (NZ) for the Australia and New Zealand School of Anaesthetists. Previously Kiri was with the Health Quality & Safety Commission for five years and held senior and executive roles in Māori health advancement and equity, Mortality Review Committees Secretariat and the Adverse Event Learning Programme. Kiri is the founding Chair of the interagency health equity hub and is a community (consumer) member of the board of the Royal Australasian College of Medical Administrators (RACMA).  Kiri speaks regularly on the responsibility of health and public sector organisations to design strategies to achieve equity and Te Tiriti responsibilities into their systems and structures.


Andrew Slater is the CEO of Homecare Medical and is responsible for New Zealand’s integrated National Telehealth Service (NTS), which was established nearly four years ago. NTS brought several different national helplines onto one platform and developed them to be available across seven digital channels. In the past year 1 in 8 people in New Zealand got in touch by phone, text, email or webchat to access free 24/7 services including Healthline, Quitline, 1737, need to talk?, Alcohol/Drug, Gambling, Elder Abuse, Poisons and sexual harm support services. These people have been able to access the advice, care, and support they deserve when they need it most.Andrew leads a clinical organisation of 400 frontline health and mental health nurses, counsellors, advisors, poisons officers, psychiatrists and support staff - who are based in four call centres around the country as well as emergency tele-triage nurses located in ambulance communication centres and over 160 staff working from their home offices from Kaitaia to Invercargill. Andrew’s mandate set by the New Zealand Government and reason for getting out of bed each day is to bring about fundamental innovative change to the health and mental health space, facilitating new and equitable ways of delivering virtual care. He is focussed on expanding the capacity and reach of health, wellness and counselling services to virtually support people to stay well and connect them seamlessly with care when they need it.Before joining Homecare Medical, Andrew had a strategic leadership role with Vigil Monitoring who specialise in real-time health monitoring technology.  Prior to this role Andrew was responsible for planning, service development and transformation at St John. In this role, he led the development of the first national plan for the ambulance service.

Marama Tauranga is a Māori woman, mother, daughter, partner and health professional whose ancestors were transformational leaders that valued people, education and the pursuit of higher knowledge. Ratana and the prophets of Parihaka were courageous in their convictions, seeking to understand injustice and suffering whilst protecting human dignity, rights and wellbeing. Like my ancestors I am looking for opportunities to embrace meaningful change through for future generations by honouring our past, valuing all worldviews, challenging the status quo, building bridges, connecting people, systems and processes to achieve Pae Ora.


Prof David Tipene-Leach has come from Pōrangahau and is of Ngāti Kere descent. David is am presently working as Professor of Māori and Indigenous Research at the Eastern Institute of Technology in Napier, Hawke’s Bay. David has been a GP, an academic and a public health physician. His research focus has been on the development of culturally resonant services for Māori, particularly around the development of the wahakura and the Safe Sleep programme, smoking cessation in pregnancy and the creation of Māori-resonant antenatal services for SUDI prevention. David has also moved into the wider area of cultural safety, in particular, the mental health and vulnerable children’s sectors and in the training and ongoing accreditation of medical practitioners. Another particular area of interest has been in the prevention of diabetes, in particular, the treatment of pre-diabetes.

Dr Inia Tomas is a consultant at Middlemore Hospital and has worked as a Registrar in the Auckland region since 2010. Inia has worked in Emergency Medicine in Australia and Ireland. Inia’s has an interest in in Māori and indigenous health and have been part of ACEM's Assessing Cultural Competency reference group and Manaaki Mana Strategy steering group. Inia has 3 young children, plays over 40’s football even though he is only 39, and a keen armchair sportsman.

Dr Leanne Toney began her medical career in Northern Ireland, in 2002, before moving to Aotearoa in 2006 where she began training in Emergency Medicine. She is now a FACEM at Christchurch Hospital where her interests are varied but include care of older people in the ED, trainee education and wellbeing, choosing wisely, paediatric emergency medicine and equitable health. In 2018 she set up and chairs the multidisciplinary Cultural Safety in the ED Group, which has worked to promote the goals of ACEM’s Manaaki Māori strategy within the Emergency Department.  

Kathryn Wadsworth is the Charge Nurse Manager of Acute Services in the Wairarapa which is made up of an Emergency Department and co-joined High Dependency Unit.  She has held this position for approximately two years and is enjoying the unique challenges of this role.  Kathryn has 19 years’ experience as a nurse and is passionate about providing quality care to the Wairarapa community and its visitors whilst supporting staff in advancing practice in the rural environment.  She holds a position on the National CENNZ committee representing the greater Wellington region. 

Kathryn had an opportunity to bring the unique skills of an Emergency Department team to a specific group of the community that simply doesn’t engage with the health sector.  This work has enabled a unique opportunity to address some inequities within the wider community. 


Contact Us

For any queries relating to the conference, please contact Cassandra Pizziol, ACEM Event Coordinator on: 

Address

Level 13, 114 The Terrace, Wellington 6001

Phone

+61 (03) 9320 0444