Long-Term Conditions Network & Health Navigator Charitable Trust
ISSN: 1197-6693   No.50: December 2018
News & Upfront
Thank you and Merry Christmas

Thank you to everyone for your support and contributions throughout the year. We couldn't do this without you!
Best wishes from the Health Navigator team for a happy and safe Christmas and holiday season.
Understanding pain video

This video provides an animated introduction to the difference between acute and chronic pain. Developed by the Health Navigator NZ team with support from Pharmac. Watch the video here.

Tips for managing chronic pain - VIDEO

A second video has been created highlighting some tips and self-care advice for people living with chronic pain.

The video can be viewed here.

Te Ao Auahatanga Hauora Māori: Māori Health Innovation Fund – Analysis of Te Kākano Seeding Innovation 2013-17

The Te Ao Auahatanga Hauora Māori: Māori Health Innovation Fund supports Māori health providers for up to four years to scope design, develop, implement and evaluate their vision of innovative initiatives that effectively meet the health needs of whānau, hapū, iwi and their wider communities. This document illustrates highlights and stories of innovations trialed in the first stage of Māori innovation funding between 2013 and 2017 under the Te Kākano/seeding innovation category.

Copy of report can be downloaded here.
Recommended resources
There are over 70 new topics on the Health Navigator website this month.
ADHD in adults
Asthma – first aid
Apple cider vinegar
Coconut oil – is it good for you?
Gingivitis (gum inflammation)
Gout landing page
Maori health landing page
Vegan diet
Coke has promised 'less sugar'
What's new
Tuberculin skin test
Glecaprevir & pibrentasvir (see Maviret)
Immunisation during pregnancy
Squeezy NHS pelvic floor app (for women)
plus much more
Self management related research
Pain self-management survey

A team at the University of Otago are conducting a national online survey investigating NZ clinicians’ views on recommending online resources (websites, apps and online forums) for promoting self-management in people with chronic pain. They are keen to reach a wide range of clinicians and invite you to complete their survey.or more information about the research project here. All health professionals are invited to participate.
Training & CME updates
Certificate in Pacific Nutrition

This course is designed for those already working in the health sector who want to learn more about Pacific nutrition. It is delivered in a fun and interactive way. The course offers the opportunity to gain a recognised certificate as awarded by the Auckland University of Technology (AUT).
Where: Auckland

Visit website for course dates for 2019
PHARMAC Seminars

Watch videos from previous seminars as continuing medical education for GPs, nurses, midwives and pharmacists:

Red Whale

This is a comprehensive update developed in the UK and adapted for NZ by the Goodfellow Unit. Designed for New Zealand based primary health care professionals: GPs, Primary Care Nurses, Nurse Practitioners, Pharmacists. "We do all the legwork to bring you up to speed on the latest evidence and guidance."

2018 Red Whale online
Digital health and care congress 2018

This two-day congress provided a forum for health and care professionals to come together and learn from successful adoptions and practical implementations of digital health and care.View presentations and videos here.
Articles & trends of interest
The role and impact of community health workers in childhood obesity interventions: a systematic review and meta‐analysis

The purpose of this review was to explore the role and effectiveness of community health workers in childhood obesity interventions.
The findings demonstrate that partnering with community health workers may be an important strategy for reducing childhood obesity disparities and advancing health equity.

Full article can be accessed here.
How does it feel to be a problem? Patients' experiences of self-management support in New Zealand and Canada

The aim of the study was to offer health providers advice on how to support patient self-management.
The authors concluded that providers who establish relationships with patients can support them to self-manage and improve health outcomes. Delivery of self management support components, in the absence of a relationship, is unlikely to be either acceptable or effective. Providers need to be aware that social determinants of health can constrain patients' options to self-manage.

Full article can be accessed here.
Weight stigma – five unspoken truths

Weight stigma is a negative response to someone based on their weight. It is the fourth most common form of social discrimination amongst adults – after age, gender and race. It is the only form of discrimination still widely deemed to be socially acceptable. This blog in ‘The Conversation’ discusses weight stigma and describes the effects.

Full article can be accessed here.
White Paper: IHI Innovation System

This white paper describes how a health care organization might create its own internal innovation system, based on the needs of the organization, that focuses on improving health care delivery. Nearly 30 years of experience with innovation at IHI is shared, using examples to highlight how to move through this process, determine what is right for your organization, and balance innovation activities with ongoing operations.

Full article can be accessed here.
Applying Community Organizing Principles to Restore Joy in Work

In a recent article published by NEJM Catalyst, Institute for Healthcare Improvement (IHI) President and CEO, Derek Feeley, DBA, and Executive Director, Jessica Perlo, MPH, share their thoughts on applying community organizing principles to restore joy in work.

Full article can be accessed here.
The Participatory Zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement

This paper introduces Mental Health Experience Co-design (MH ECO), a peer designed and led adapted form of Experience-based Co-design (EBCD) developed in Australia. MH ECO is said to facilitate empowerment, foster trust, develop autonomy, self-determination and choice for people living with mental illnesses and their carers, including staff at mental health services.

Full article can be accessed here.
Strategies for building capacity for improvement at scale

Deputy Director of Improvement, Penny Pereira , chaired a session at the Health Foundation’s annual event to explore how the UK health and care sector can build the improvement capability it needs. David Fillingham from the Advancing Quality Alliance (AQuA), Ruth Glassborow from Healthcare Improvement Scotland, and Adam Sewell-Jones from NHS Improvement shared their expertise. Some of the key themes from the discussion were captured.

Full article can be accessed here.
Top Tips for Improving your Acute Demand Management

This document is designed to identify gaps in local acute service delivery. It provides tips to implement strategies for teams, departments and organisations wanting to see improved practice and improved health outcomes for their patients.

Full document can be accessed here.
Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial

Type 2 diabetes is a chronic disorder that requires lifelong treatmnt. This paper aimed to assess whether intensive weight management within routine primary care would achieve remission of type 2 diabetes.

Full article can be accessed here.
The CAHPS Ambulatory Care Improvement Guide - Practical Strategies for Improving Patient Experience

The extensive and growing use of the CAHPS surveys in ambulatory settings has created a demand for practical strategies that health plans, medical groups, physician practices, and other organizations can use to improve patients’ experiences with care. This improvement guide is aimed at executives, managers, physicians, and other staff who are responsible for assessing patient experience and improving the quality of health care services.

Full article can be accessed here.
What's on
Focused Acceptance and Commitment Therapy Workshops

The FACT model is a therapy where clients focus on accepting the feelings for what they are, committing to making a change they can realistically make and that will enable them to move on and passed this feeling of being 'stuck', to living a more thriving life again.

Achieve big results from brief consultations. More information can be found on the event website
International Society for Research on Internet Interventions (ISRII) - to be held in Auckland

Are you interested in all things digital to support health and behavioural interventions? Submissions are currently open to submit an abstract for an oral presentation, symposium, panel discussion, poster +3, or a Pecha Kucha.

The conference will focus on how digital interventions can make a difference in the real world by improving the health and wellbeing in communities.

Auckland 13th — 15th Feb 2019
More information can be found on the event website

Subscription information
Suggestions & regional news
We are always interested in receiving suggestions, regional news and articles for future editions of the Long-Term Conditions Bulletin NZ. Send to

To subscribe or unsubscribe, email:

Editors: Pat Flanagan and Dr Janine Bycroft
Copyright © 2018 Health Navigator NZ, All rights reserved.

Want to change how you receive these emails?
You can update your preferences or unsubscribe from this list.