Long-Term Conditions Network & Health Navigator Charitable Trust
ISSN: 1197-6693   No.51: February 2019
News and upfront
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.
Collaboration for innovation across the health sector

The Ministry of Health has created a short survey to help identify how quality improvement and innovation can be better shared and supported across the sector. The Ministry will use the survey results to explore potential improvements.

The survey closes on Monday 11 March and can be accessed here.
Recommended resources
Heart Foundation resources update

Updated healthy eating guide

The Heart Foundation has updated their healthy eating guide. The booklet ‘Eating for a Healthy Heart’ includes the latest information on popular food topics. Hard copies are $1 each and available here. The booklet can also be read online.

Updated A5 angina information sheet
Updated quit smoking pamphlet

New Canadian Food Guide

This new food guide from Canada, has a broader focus on what foods should be eaten. It also provides useful information about food related behaviours and has some good advice and ideas relevant to New Zealanders.

The guide is an online tool accessed here.

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
Impact of Peer Support on Acute Care Visits and Hospitalizations for Individuals With Diabetes and Depressive Symptoms: A Cluster-Randomized Controlled Trial

The authors examined the effects of peer support on acute care and hospital utilization in individuals with diabetes with or without depressive symptoms. They concluded Peer support lowered acute care visits and hospitalizations for individuals with depressive symptoms but not for those without depressive symptoms; these findings can guide resource allocation for population health management.

Full article can be accessed here.

ʹAla Moʹui Progress Report: Pacific Health care utilisation

This report, from the Ministry of Health, is focused on Pacific peoples’ health service utilisation. It shows areas where the health sector is performing well for Pacific peoples and where further improvement is needed.

Copies can be downloaded here.

He Pikinga Waiora: supporting Māori health organisations to respond to pre-diabetes

The authors concluded Māori health organisations are important actors in systems seeking to improve outcomes and eliminate health inequities. Support from funders and policy makers will be required to build on the strengths of these organisations and to overcome system challenges.

Full article can be accessed here.
Effectiveness of text message based, diabetes self management support programme (SMS4BG): two arm, parallel randomised controlled trial

The authors aimed to determine the effectiveness of a theoretically based and individually tailored, text message based, diabetes self management support intervention (SMS4BG) in adults with poorly controlled diabetes.

Article can be accessed here.

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
Acceptance and Commitment Therapy Workshops

Acceptance and Commitment Therapy, known as ‘ACT’ (pronounced as the word ‘act’) is a mindfulness based cognitive behavioural therapy that has a major emphasis on values, forgiveness, acceptance, compassion, living in the present moment, and accessing a transcendent sense of self. 

ACT has proven effective with a variety of problems including pain, addictions, depression, obsessive compulsive disorder, anxiety and stress. More information can be found on the event website
CSANZ 3rd Indigenous Cardiovascular Health Conference 2019

Abstracts submission closes 18 Feb 2019
Earlybird registration closes 15 April 2019

Wellington 12th — 13th June 2019
More information can be found here
CSANZ 19 - New Zealand Annual Scientific Meeting

Abstract submission closes 25 Feb 2019
Earlybird registration closes 15 April 2019

Wellington 13th — 15th June 2019
More information can be found here
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 © 2019 Health Navigator NZ, All rights reserved.

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