Drug checking licensing scheme testing methods amendment form

Source: New Zealand Ministry of Health

If a licensed provider wishes to use a drug checking testing method not on the approved lists (Table 2 and Table 3 on the Ministry of Health drug checking webpage), or to use a method they are not currently licensed for, they will need to satisfy the Director-General of Health (or delegated authority) that the technology is safe to implement and fit for its intended purpose. Licensed providers must show that their workforce is competent to use the drug checking testing methodology before they will receive approval. New testing methods can only be used by a licensed provider once written approval is received from the drug checking licensing team and the provider is licensed to do so.

Complete the following information for any requested additions of drug checking testing methods to a provider’s licence.

Drug checking licensing scheme service delivery model amendment form

Source: New Zealand Ministry of Health

If a licensed provider wishes to use a service delivery model not on the approved list (Table 1 of the Ministry of Health drug checking webpage), or wishes to use a model not currently licensed for, they will need to satisfy the Director-General of Health (or delegated authority) that the model is safe to implement and fit for its intended purpose. Licensed providers must show that their workforce is competent to use a service delivery model before they will receive approval. New models can only be used by a licensed provider once written approval is received from the drug checking licensing team and the provider is licensed to do so.

Complete this form for any requested addition of drug checking service models to a provider’s licence.

Fluffy, super snuggly and loves people!

Source: Waikato District Health Board

L-R Waikato ED staff enjoying a visit from Amethyst – Kneeling – Tanya Suthers, Amethyst, Back – Rushi Jeyakumar, Lillian Pan, Lynne Kemp, Rhi Buckley and Collene Pacis

According to registered nurse Lynne Kemp, these are just some of the qualities needed for being a successful therapy dog. Lynne is talking about Amethyst, her 17-month-old Border Collie, who visits Waikato Hospital’s emergency department (ED) once a week.

Amethyst and Lynne are registered with Canine Friends Pet Therapy, a New Zealand-wide network of owners who bring their dogs to visit people in hospitals and residential care facilities.

“I started working with Canine Friends about four years ago, with Sapphire, my six-year-old long-haired Weimaraner,” says Lynne. “I love doing things with my dogs, and I loved the idea of being able to bring my dog to work. When I heard the ED was considering a canine therapy programme, I jumped at the chance to be involved.”

At Waikato Hospital, therapy dogs already visit the Critical Care Unit, Paediatric wards and others, but Emergency Medicine Consultant Dr Lillian Pan could see the positive impact they would have in the ED.

“The benefits of pet therapy are well established,” says Lillian. “But there are only a handful of studies done in emergency departments.

“A 2022 Canadian study demonstrated a significant reduction in pain, anxiety and depression after a 10-minute therapy dog visit, and an American study from 2019 noted that patients who interacted with therapy dogs needed less opioid pain medication during their ED stay.

“We wanted to gauge how people would feel if we brought dogs into our ED. We surveyed a total of 126 staff, patients and whānau and the response was overwhelmingly positive, with 93% in favour.

“The comments ranged from ‘People would love this, especially the kids’ and ‘When people see dogs in an unusual setting, it makes them focus less on their pain or trauma’, to ‘Just pure unconditional love – what’s not to love?’” says Lillian.

“It’s often a scary experience coming into the ED, with lots of people and plenty of activity going on,” adds Lynne. “Interacting with a dog is a great distraction, and it seems to have a calming effect on patients and whānau.”

That initial proposal was put forward over a year ago and, since July, Lynne and Amethyst have been visiting Waikato ED once a week to spend time with paediatric and short-stay patients. A staff volunteer acts as a ‘doggie chaperone’ and pre-screens patients for suitability, while care is taken for infection control and hygiene.

Just last week, they had a special encounter with a 10-year-old girl.

“I entered the room and Amethyst went over to her. Her whole face lit up with the biggest smile,” says Lynne.  “Her mum said that was the first time she had seen her smile since their arrival the day before.

“It was so heartwarming to see, and reinforced the reason for my visits,” she says.

The visits are not just for patients, either. Both Lynne and Lillian are quick to emphasise how beneficial canine therapy is for the ED’s kaimahi.

“Amethyst’s visits brighten everyone’s day. It’s good for staff, especially when it’s busy and they have upsetting cases to deal with,” says Lynne.

So, what makes a paw-fect therapy dog?

L-R Lyn Kemp and Amethyst spent some time with patient Jan who thought Amethsyt was just lovely

“My dog Frankie, an eight-year-old Bichon Frise, is ideally suited to being a therapy dog and regularly visits a local nursing home. He’s calm, loves everyone and is happiest when he’s the centre of attention – especially if there are treats involved,” says Lillian.

“When I first visited a rest home with Sapphire, it didn’t go so well. There was a cat that Sapphire spent all her time trying to find! So being calm and not easily distracted is important,” explains Lynne.

Lillian agrees: “Dougal, my other dog, is a little scamp and would cause chaos if he ever went on a visit!” she laughs.

There has been tremendous support from staff to get the project off the ground. The Critical Care Team shared information about their therapy dog mahi, and Lillian had two ED trainees, Rushi Jeyakumar and Julie Taylor, to support the ED programme with her. ED leadership staff Liz Courtney and Simon Ainsworth were instrumental in pushing the project ahead.

Lillian says the benefits of pet therapy in emergency departments is a topic that needs further exploration within the medical community. “Implementing this programme gives Waikato Hospital ED a unique opportunity to contribute to further research in the area,” she says.

“I love coming in with Amethyst. Even though we are only there for an hour, seeing the happiness she brings is lovely,” adds Lynne.

Evidence Brief: Invasive group A streptococcus and skin infections

Source: New Zealand Ministry of Health

Summary

Group A streptococcus (GAS) bacteria is a pervasive pathogen, spread through airborne droplets and skin-to-skin contact, that may lead to invasive group A streptococcus (iGAS), post-streptococcal glomerulonephritis (PSGN), acute rheumatic fever (ARF) or rheumatic heart disease (RHD). The onset of iGAS is often sudden, and the disease progresses rapidly. It can result in serious health outcomes such as loss of limbs or severe scarring, brain damage, hearing loss or learning disabilities. Without timely treatment, sepsis can rapidly lead to tissue damage, organ failure and death. 

People with socio-economic disadvantage are at greater risk of GAS and iGAS infections; the prevalence of GAS infections is commonly associated with low-quality and inadequate housing. Lack of access to clean water, homelessness and drug injection are other contributing risk factors. 

Physiologically, the role of GAS infections in pharyngitis is well understood, likely because of its role in the sequalae of ARF. However, there is increasing recognition of the role of GAS skin infections in the development of iGAS, ARF, RHD and PSGN.

Since 2022, the number of iGAS cases reported has increased internationally, including in New Zealand. Case rates have increased beyond those recorded in 2017 (pre-COVID-19 pandemic), and cases in 2023 showed large ethnic disparities. In 2023, the decision was made to start the process to make iGAS a notifiable disease in New Zealand. The Deputy Director of Public Health commissioned this evidence brief in anticipation of iGAS being made a notifiable disease in 2024.

The brief reports on a systematic review of the prevalence of GAS skin infections in cases of iGAS, ARF, RHD and PSGN. It also reports on a scoping review of the evidence on risk factors and prevention of GAS skin infections and provides an analysis of knowledge gaps within the current evidence to inform future research priorities.

Pilot public transport subsidy concludes

Source: Waikato District Health Board

The public transport subsidy pilot launched on 16 October 2023 as a collaborative effort between Health New Zealand |Te Whatu Ora and Waikato Regional Council ends on 30 September.

During the trial, passengers using their Bee Card to get on or off the bus at the Pembroke Street and Hague Road stops would get an automatic 50 percent discount on the fare. Health NZ Waikato Operations Director for Clinical and Operational Support, Melinda Ch’Ng said the number of bus passengers had increased during the trial which was a benefit to the environment and reduced pressure on hospital parking for patients and staff. However, the funding for this pilot finishes on 30 September.

Other public transport enhancements set up during the pilot will continue past the end date, including the provision of additional buses to accommodate more people using the service, and adjusted bus timetables to align with staff shift hours. Designated transport hub parking was also made available, allowing staff to conveniently park near bus routes.

Although we are no longer able to cover the subsidy, Melinda says it doesn’t mean you should stop using public transport and Bee cards will continue to be available from the hospital cafes.

“Buses remain a convenient and cost-effective way to reach Waikato Hospital and by continuing to use them you can avoid the stress of finding parking, while contributing to a more sustainable future.

For more information about Hamilton and regional buses visit busit.co.nz or call 0800 205 305.

Draft Suicide Prevention Action Plan for 2025 – 2029 Public consultation document

Source: New Zealand Ministry of Health

Suicide prevention efforts in New Zealand are guided by these two documents:

  1. Every Life Matters – He Tapu te Oranga o ia Tangata: Suicide Prevention Strategy 2019–2029 (He Tapu te Oranga)
  2. Suicide Prevention Action Plan 2019–2024 for Aotearoa New Zealand

The strategy contains the framework for a national approach to suicide prevention and was designed to be supported by two five-year action plans that would contain the practical activities to drive change.  

The first Suicide Prevention Action Plan, covering 2019–2024, will expire at the end of this year.

The Ministry of Health has led the drafting of a new action plan which is strongly aligned with the Government’s Mental Health portfolio priorities, which in this context are to:  

  • improve access to suicide prevention and postvention support
  • grow a workforce that is able to support those at risk of or impacted by suicide
  • strengthen our focus on prevention and early intervention across the range of factors that can influence suicide
  • improve the effectiveness of suicide prevention and postvention supports by improving research and data collection.

The draft action plan draws from the insights that communities, families and people with lived experience have shared around what they need from government to prevent suicide, as well as the key evidence and research.  

The draft action plan focuses on a range of initiatives and actions that health agencies and government agencies have committed to that will support suicide prevention.

Te Weu me Te Wai: Research into the health and wellbeing impacts of adverse weather conditions

Source: New Zealand Ministry of Health

In 2023 a series of extreme weather events occurred, including Cyclone Gabrielle on 13 February. The Ministry of Health (the Ministry) commissioned research Te Weu me Te Wai – Research into health and wellbeing impacts of adverse weather conditions to understand how health and the health system was impacted by these events. The research was completed in July 2024 and was undertaken as a partnership between two community organisations, Te Weu Tairāwhiti and Sustainable Hawke’s Bay, with the University of Auckland. The research examines the impacts from the extreme weather on the health and wellbeing of affected communities and how the health system responded. 

The researchers have provided extensive recommendations for the health system, health providers, the emergency response sector and to prepare for further impacts from climate change. These recommendations have been informed by detailed analysis of the experiences of 143 whānau Māori, Pacific Peoples, disabled people, youth and the elderly who resided in Te Tairāwhiti and the Hawke’s Bay. These participants were first responders, heath workers, council staff, and members of the public. Key findings included:

  • bolstering localised community capacity, capability, and connections will enable communities to support themselves and control emergency responses, increasing the likelihood of improved health and wellbeing outcomes after an extreme weather event
  • strengthening the connection and presence of health services within local communities is likely to improve health and wellbeing outcomes 
  • government disaster procurement policy needs to include health and wellbeing as an outcome where the impact of damage to infrastructure such as telecommunications, power, water, transport, internet and human resources has on healthcare services and outcomes is incorporated.

Read the report

Measuring Public Health Behaviours and Intentions – Wave Two

Source: New Zealand Ministry of Health

In June 2023, the Public Health Agency, within the Ministry of Health, commissioned research and evaluation agency Verian to undertake a series of research projects and population surveys into attitudes and behaviours related to public health measures following the COVID-19 pandemic. The purpose of this research was to examine the impact of COVID-19 on New Zealanders’ attitudes and behaviours towards public health measures and use this knowledge to better prepare the Ministry, and other decision makers, for future pandemics and other major health threats.

This work is split into two parts, each with two reports. The first part is two repeated behavioural surveys to monitor adherence to public health measures over time, covering both intention and actual behaviour. The second part is a qualitative analysis to explore drivers of COVID-19 related public health behaviours, and a report to quantify the impact of barriers and other factors on adherence to public health measures. All four reports can be found at COVID-19 behavioural science research

This report, Measuring public health behaviours and intentions – wave two is the second report based on repeat surveys. To inform this report, 1,642 people were surveyed online and 200 people were surveyed over the phone, between 20 May 2024 and 9 June 2024. Māori and Pacific peoples were over-sampled to ensure sufficient sample sizes for analysis. Interviewees came from different parts of New Zealand, urban and rural, and a range of occupations and living situations.

Overall, the report suggests that in June 2024, a smaller proportion of New Zealanders were following public health advice to protect themselves and others from respiratory disease when compared to November 2023.

The reports reflect the beliefs of those people surveyed and not the views of the Ministry of Health.

The report will help enhance the Ministry’s understanding of people’s attitudes to public health measures and provides ideas on how to communicate important public health information and support people taking protective and preventative measures.

COVID-19’s role in shaping reactions to public health advice and New Zealanders’ preferences for handling a new pandemic

Source: New Zealand Ministry of Health

In June 2023, the Public Health Agency, within the Ministry of Health, commissioned research and evaluation agency Verian to undertake a series of research projects and population surveys into attitudes and behaviours related to public health measures following the COVID-19 pandemic. The purpose of this research was to examine the impact of COVID-19 on New Zealanders’ attitudes and behaviours towards public health measures and use this knowledge to better prepare the Ministry, and other decision makers, for future pandemics and other major health threats.

This work is split into two parts, each with two reports. The first part is two repeated behavioural surveys to monitor adherence to public health measures over time, covering both intention and actual behaviour. The second part is a qualitative analysis to explore drivers of COVID-19 related public health behaviours, and a report to quantify the impact of barriers and other factors on adherence to public health measures. All four reports can be found at COVID-19 behavioural science research

This report, COVID-19’s role in shaping reactions to public health advice and New Zealanders’ preferences for handling a new pandemic is the second report in Part Two, the mixed method project. It follows on from the qualitative report Life since the pandemic: How the COVID-19 pandemic experience has shaped public attitudes and beliefs on public health, infectious disease and vaccination. This report outlines the results of a quantitative survey aiming to quantify the impact of barriers and other factors on adherence to public health measures. It was informed by 1,655 people surveyed online and 200 people surveyed over the phone, conducted between 17 April and 9 May 2024. Māori and Pacific peoples were over-sampled to ensure sufficient sample sizes for analysis. Interviewees came from different parts of New Zealand, urban and rural, and a range of occupations and living situations.

Overall, the report suggests:

  • Most people will get vaccinated and respond to public health advice in response to a future pandemic. However, some people are now less likely to heed public health advice than they were before the COVID-19 pandemic.
  • Many of the ways used during the COVID-19 pandemic to keep New Zealanders informed, such as daily briefings and webpages, would be effective in a future pandemic.
  • Most people want information directly from health authorities focused on how infection spreads and clear advice about when to stay home.

The reports reflect the beliefs of those people surveyed and not the views of the Ministry of Health.

The report will help enhance the Ministry’s understanding of people’s attitudes to public health measures and provides ideas on how to communicate important public health information and support people taking protective and preventative measures.

Health and Independence Report 2023

Source: New Zealand Ministry of Health

The Ministry of Health – Manatū Hauora plays an essential role in monitoring the health system performance and supporting the Government to set the strategic direction and policy for health. The report provides robust data from 2023 and shows the progress we have made in many areas, as well as challenges we have encountered, such as disparities in health outcomes within our communities. 

The report contains four main sections with a range of information about the population, health measures, causes of health loss and determinants of health and wellbeing.  

  • People of Aotearoa New Zealand – an overview of the population of Aotearoa New Zealand, including equity, population estimates and population demographics.
  • Health Measures – information about the health of New Zealanders, including health expectancy, mortality, mental wellbeing, chronic pain, and diabetes.
  • Causes of health loss – covers major causes of health loss, including both mortality (deaths) and morbidity (poor health).
  • Determinants of Health and Wellbeing – the wider determinants that influence people’s mental and physical health, such as socioeconomic factors, the physical environment, and barriers to accessing healthcare. 

Indicator tables that provide key data from the 2023 report, with additional breakdowns of the statistics are also available.

Additional unpublished data that was used to inform the Health and Independence Report 2023 has been shared on the Ministry of Health – Manatū Hauora GitHub page.