This is an HTML version of an attachment to the Official Information request 'Information related to the NASO Helicopter Air Ambulance Assurance Team visit to ADHB on the 28th Nov 2019'.


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Document 1
Fw: Assurance team experts available to talk with DHB Thursday afternoon
Carleine Receveur 
to:
Barry Woodmass, Jon.Gaupset, Peter Whisker
25/11/2019 07:24 p.m.
Hide Details 
From: Carleine Receveur/MOH
To: Barry Woodmass/MOH@MOH, [email address], Peter 
Whisker/MOH@MOH, 
1982
FYI
Act 
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Information 
----- Forwarded by Carleine Receveur/MOH on 25/11/2019 07:24 p.m. -----
From: Carleine Receveur/MOH
To: Keriana Brooking/MOH@MOH, [email address], Monique Burrows/MOH@MOH, 
Date: 25/11/2019 07:19 p.m.
Subject: Assurance team experts available to talk with DHB Thursday afternoon
Official 
Kia ora koutou
I have had a debrief on day one of the assurance assessment with Jim Higgins, Dave Anderson and Peter Johnson.
In the discussion I did ask if there was the opportunity to engage with the DHBs. All of the team felt that it would be 
the 
essential to hear the DHB views and would be in a position to meet this Thursday afternoon around 1-2 pm in Auckland.
Could you please advise what the best avenue would be to offer this to the DHBs being mindful that the DHB CEs may 
want to be involved in this.
NgƗ mihi
under 
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
Released 
http://www.health.govt.nz
mailto:[email address]
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Document 2
1982
Act 
Information 
Official 
the 
under 
s 9(2)(a)
Released 
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Document 3
RE: Thursday
Ailsa Claire (ADHB) 
to:
[email address], Jo Brown (WDHB), Nick Chamberlain (NDHB)
26/11/2019 05:41 p.m.
Cc:
"[email address]"
Hide Details 
From: "Ailsa Claire (ADHB)" <[email address]>
To: "[email address]" <[email address]>, "Jo Brown 
(WDHB)" <[email address]>, "Nick Chamberlain (NDHB)" 
1982
<[email address]>, 
Cc: "[email address]" <[email address]>
Hi
Act 
Thanks for this.
Do you have the TOR?
Ngā mihi 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Information 
Sent: Tuesday, 26 November 2019 5:25 PM
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Subject: Fw: Thursday
Official 
Kia ora
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
the 
Thanks
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
under 
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
Released 
From:        Carleine Receveur/MOH
To:     [email address], 
Cc:     Keriana Brooking/MOH@MOH
Date:      26/11/2019 05:10 p.m.
Subject:     Re: Thursday
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Kia ora Ailsa
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert team 
for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the NASO 
contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance service 
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
1982
Barry Woodmass - Senior contract manager (NASO)
If you could please confirm the venue I will let the team know.
Act 
Please let me know if you require any futher information at this stage.
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Information 
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Official 
From:        Keriana Brooking/MOH
the 
To:     "Ailsa Claire (ADHB)" <[email address]>, 
Cc:     Carleine Receveur/MOH@MOH
Date:      26/11/2019 12:32 p.m.
Subject:     Re: Thursday under 
Kia ora Ailsa 
The best time for the team is 1pm 
Carleine can let you know who will be attending? 
Thanks 
Released 
Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
 
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
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Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Ngā mihi,
Ailsa Claire
1982
Chief Executive
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)
  |   [email address]
Act 
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named recipients only. 
 If you are not the intended recipient, please delete this email and notify the sender immediately.  Auckland DHB accepts 
no responsibility for changes made to this email or to any attachments after it has been sent.

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attachments may contain information that is IN-CONFIDENCE and subject to
Information 
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
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under 
Released 
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Document 4
FW: Scope of the Assurance review
Jo Brown (WDHB) 
to:
[email address]
26/11/2019 08:40 p.m.
Cc:
"Ailsa Claire (ADHB)", "'[email address]'", "Nick Chamberlain 
(NDHB)"
Hide Details 
From: "Jo Brown (WDHB)" <[email address]>
To: "[email address]" <[email address]>, 
1982
Cc: "Ailsa Claire (ADHB)" <[email address]>, 
"'[email address]'" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>
History: This message has been replied to and forwarded.
Act 
1 Attachment
NRHL Assurance Process.docx
Hi Carleine
Can you please confirm what time the review team is intending to allocate to this meeting with the ADHB and 
NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB staff (all of the 
Information 
clinical reps) are already rostered for clinical duties and need to be released and cover arrangements put in 
place, so would appreciate it if you could advise urgently
Thanks
Jo
From: [email address] [mailto:[email address]] 
Official 
Sent: Tuesday, 26 November 2019 8:00 p.m.
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
the 
Subject: Scope of the Assurance review
Kia ora koutou
Please find attached the scope of the review. Since the scope was shared with the review team, we have also supplied the 
two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 25/11/19) and asked for 
under 
further information in the review report about availability of assets and timeliness of that information. 
Regards
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Released 
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
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From:      "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>, 
Cc:     "[email address]" <[email address]>
Date:      26/11/2019 05:41 p.m.
Subject:     RE: Thursday
1982
Hi
Thanks for this.
Act 
Do you have the TOR?
Ngā mihi 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM
Information 
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Subject: Fw: Thursday
Kia ora
Official 
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Thanks
the 
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
under 
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
From:        Carleine Receveur/MOH
To:     [email address], 
Cc:     Keriana Brooking/MOH@MOH
Released 
Date:      26/11/2019 05:10 p.m.
Subject:     Re: Thursday
Kia ora Ailsa
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As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert team 
for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the NASO 
contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance service 
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
1982
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
Act 
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
Information 
http://www.health.govt.nz
mailto:[email address]
Official 
From:        Keriana Brooking/MOH
To:     "Ailsa Claire (ADHB)" <[email address]>, 
Cc:     Carleine Receveur/MOH@MOH
the 
Date:      26/11/2019 12:32 p.m.
Subject:     Re: Thursday
under 
Kia ora Ailsa 
The best time for the team is 1pm 
Carleine can let you know who will be attending? 
Thanks 
Released 
Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
 
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
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Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Ngā mihi,
Ailsa Claire
1982
Chief Executive
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)
  |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
Act 
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named recipients only. 
 If you are not the intended recipient, please delete this email and notify the sender immediately.  Auckland DHB accepts 
no responsibility for changes made to this email or to any attachments after it has been sent.

****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
Information 
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
Official 
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
the 
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
under 
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
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This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway
Released 
Legal Disclaimer
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Document 4A
1982
Act 
Information 
Official 
the 
s 9(2)(b)(ii)
under 
Released 
Page 10 of 97


s 9(2)(b)(ii)
1982
Act 
Information 
Official 
the 
under 
Released 
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Document 5
Re: Service delivery compromised due to ADHB tasking
Carleine Receveur 
to:
Keriana Brooking
27/11/2019 07:21 a.m.
Cc:
Graham.Dyer, Monique Burrows, Jon.Gaupset, Barry Woodmass
Hide Details 
From: Carleine Receveur/MOH
To: Keriana Brooking/MOH@MOH, 
Cc: [email address], Monique Burrows/MOH@MOH, [email address], Barry  1982
Woodmass/MOH@MOH
Hi Keriana 
Thanks for the clarification.
We will progress the items described. 
Act 
Just one update -
The meeting on Friday with adhb and NRHL was cancelled when we collectively discussed this with 
the assurance team and NRHL.  The assurance team have all the knowledge about the aw 169 and 
can address this on Thursday. 
Nga mihi
Sent from my iPhone
On 27/11/2019, at 6:27 AM, Keriana Brooking <[email address]> 
wrote:
Information 
Mōrena  
Thinking about this overnight 
1. All of the specific information I asked in relation to NEST assets for last night I
expect will be shared with the assurance team today who are in Whangarei today so the
Official 
information can be tested and verified
2. Included in that we need a definitive view of when the S76C++ will be ready
3. The assurance team will be in a position tomorrow to talk with ADHB and NDHB
the 
staff about asset availability across the service and the assurance team’s immediate view
on actions to manage asset availability safely and appropriately
4. The meeting between ADHB and ARHT this week to share AW 169 information is
critical to addressing the information requested by ADHB. We need to be actively
supporting the approach to that meeting to get a successful outcome
5. In advance of potential agreement changes, Peter needs to get the internal information
under 
and process started (approval memo, contract variation request, what clauses would
need to be strengthened or added etc). If required, we need to move on that quickly.
Thanks 
Keriana Brooking  
DDG HSII 
Ministry of Health 
Released 
s 9(2)(a)
On 26/11/2019, at 7:06 PM, Carleine Receveur <[email address]> 
wrote:
Kia ora koutou
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Please be aware that we had our regular meeting with NRHL this afternoon and the Chief 
Executive of NEST has advised that the decision by ADHB to task all IHT to NEST has 
‘nearly broken’ the service. 
The change is resulting in longer mission times (up to 8 hours) due to increased distances.
The consequence is that this takes out an aircraft out of the region for longer periods of 
time, burns the crew hours and impacts on the crewing for the following day.
We are not sure if the Northern DHB is aware of the impact given they will have a machine 
out of area for longer periods of time, impacting their ability to respond to air tasking 
requests.
This is not just inefficient tasking, but is impacting service availability.
1982
Examples of this include:
- the tasking of a NEST asset to pick up a retrieval team from ADHB to transfer a patient to
from Whangārei to ADHB would result in four legs (fly from Whangārei to ADHB to pick upAct 
retrieval team, fly to Whangārei to pick up patient, fly back to ADHB for patient transfer,
fly back to Whangārei to return aircraft and crew to base). An asset from Auckland would
reduce the time and the legs required to complete this mission.
- NZAA tasked an organ transfer from Auckland airport to ADHB to NEST. NEST tried to
refer task to ARHT as a more efficient use of resources (as it is a 6 minute mission) but
NZAA advised they were following ADHB tasking protocols. NEST started mission but
had to return to base due to a warning light. Organ was transferred by road ambulance in
peak hour traffic. An AW169 was available for tasking at the time.
This decision has also impacted on the hours left for ISJ prior to planned maintenance, 
which will further impact service availability.
Information 
We will be asking NEST to advise NASO in writing of the impact of the current ADHB 
protocol on service availability and operational readiness of the S76 C++; how this would 
change if the AWs 169 were used for IHTs and the subsequent timing of the operational 
readiness of the 76C++.
NASO recommends that ADHB reverts back to tasking Auckland-based assets for IHT to 
Official 
reduce tasking inefficiencies, reduce provider stress, and speed up the timing of operational 
readiness of the 76C++
the 
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
under 
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Released 
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Document 6
Re: Scope of the Assurance review
Jo Brown (WDHB) 
to:
[email address]
27/11/2019 08:16 a.m.
Cc:
"Ailsa Claire (ADHB)", "[email address]", "Nick Chamberlain (NDHB)"
Hide Details 
From: "Jo Brown (WDHB)" <[email address]>
To: "[email address]" <[email address]>, 
Cc: "Ailsa Claire (ADHB)" <[email address]>, "[email address]" 
<[email address]>, "Nick Chamberlain (NDHB)" 
<[email address]>
1982
Hi Carleine
Thanks for clarifying this - we think we will need at least three hours to brief the review team on our experience.  I have 
developed an agenda for the meeting that I will get the team to review this morning and get that sent to you this 
Act 
afternoon.
We are still working on confirming a zoom capable venue and will provide these details to you hopefully with the 
agenda
Regards
Jo
Sent from my iPad
On 26/11/2019, at 10:13 PM, "[email address]" <[email address]> wrote:
Information 
Hi Jo 
I have just heard back from the team and they could do two hours and even stay longer if that was 
beneficial to you.
Nga mihi
Carleine 
Sent from my iPhone
Official 
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote:
the 
Hi Carleine
Can you please confirm what time the review team is intending to allocate to this meeting with the 
ADHB and NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB 
staff (all of the clinical reps) are already rostered for clinical duties and need to be released and cover 
arrangements put in place, so would appreciate it if you could advise urgently
under 
Thanks
Jo
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 8:00 p.m.
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Scope of the Assurance review
Released 
Kia ora koutou
Please find attached the scope of the review. Since the scope was shared with the review team, we have also 
supplied the two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 
25/11/19) and asked for further information in the review report about availability of assets and timeliness of that 
information. 
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Regards
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
1982
From:        "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>, 
Act 
Cc:        "[email address]" <[email address]>
Date:        26/11/2019 05:41 p.m.
Subject:        RE: Thursday
Hi
Thanks for this.
Do you have the TOR?
Ngā mihi 
Information 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Official 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Subject: Fw: Thursday
the 
Kia ora
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Thanks
Keriana Brooking
under 
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
Released 
From:        Carleine Receveur/MOH
To:        [email address], 
Cc:        Keriana Brooking/MOH@MOH
Date:        26/11/2019 05:10 p.m.
Subject:        Re: Thursday
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Page 3 of 4
Kia ora Ailsa
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert 
team for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the 
NASO contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance 
service 
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
1982
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
Act 
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Information 
From:        Keriana Brooking/MOH
To:        "Ailsa Claire (ADHB)" <[email address]>, 
Cc:        Carleine Receveur/MOH@MOH
Date:        26/11/2019 12:32 p.m.
Official 
Subject:        Re: Thursday
the 
Kia ora Ailsa 
The best time for the team is 1pm 
under 
Carleine can let you know who will be attending? 
Thanks 
Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
 
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
Released 
Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Ngā mihi,
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Page 4 of 4
Ailsa Claire
Chief Executive
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)   |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender immediately. 
 Auckland DHB accepts no responsibility for changes made to this email or to any attachments after it has been 
sent.

1982
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Act 
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Official 
immediately and delete this message.
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the 
Health's Content and Virus Filtering Gateway
Legal Disclaimer
<NRHL Assurance Process.docx>
under 
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legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
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Page 1 of 4
Document 7
Assurance review Thursday
Jo Brown (WDHB) 
to:
[email address]
27/11/2019 02:19 p.m.
Cc:
"Ailsa Claire (ADHB)", "[email address]", "Nick Chamberlain (NDHB)"
Hide Details 
From: "Jo Brown (WDHB)" <[email address]>
To: "[email address]" <[email address]>, 
Cc: "Ailsa Claire (ADHB)" <[email address]>, "[email address]" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>
History: This message has been replied to and forwarded.
Hi Carleine
1982
We are really struggling to get some key clinicians to this meeting due to existing clinical commitments.  Is there any chance we 
can move this meeting to an earlier start (John Beca, PICU specialist, 20 year experience of PICU retrieval service, and Director 
Starship - needs to be away by 1330) - might we start mid morning?  Can you please let me know ASAP?
Act 
With respect to admin support for the meeting, we will have NDHB participating by zoom and I would like to propose that we 
record the meeting using this technology.  I will also get a note taker present but expect that it will be hard to capture the 
substantive discussion I am anticipating we will be having.  We can then get the recording shared with all participants promptly 
after the meeting. Can you confirm that you are happy with this please?
Regards
Jo
From: Jo Brown (WDHB) 
Sent: Wednesday, 27 November 2019 8:17 a.m.
To: [email address]
Information 
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Scope of the Assurance review
Hi Carleine
Thanks for clarifying this - we think we will need at least three hours to brief the review team on our experience.  I have 
developed an agenda for the meeting that I will get the team to review this morning and get that sent to you this 
afternoon.
Official 
We are still working on confirming a zoom capable venue and will provide these details to you hopefully with the 
agenda
Regards
the 
Jo
Sent from my iPad
On 26/11/2019, at 10:13 PM, "[email address]" <[email address]> wrote:
under 
Hi Jo 
I have just heard back from the team and they could do two hours and even stay longer if that was beneficial 
to you.
Nga mihi
Carleine 
Sent from my iPhone
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote:
Released Hi Carleine
Can you please confirm what time the review team is intending to allocate to this meeting with the 
ADHB and NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB 
staff (all of the clinical reps) are already rostered for clinical duties and need to be released and cover 
arrangements put in place, so would appreciate it if you could advise urgently
Thanks
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Page 2 of 4
Jo
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 8:00 p.m.
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Scope of the Assurance review
Kia ora koutou
Please find attached the scope of the review. Since the scope was shared with the review team, we have also 
supplied the two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 
25/11/19) and asked for further information in the review report about availability of assets and timeliness of that 
information. 
1982
Regards
Keriana Brooking
Act 
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
From:      "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>, 
Information 
Cc:      "[email address]" <[email address]>
Date:      26/11/2019 05:41 p.m.
Subject:       RE: Thursday
Hi
Official 
Thanks for this.
Do you have the TOR?
Ngā mihi 
the 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM
under 
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Subject: Fw: Thursday
Kia ora
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Thanks
Keriana Brooking
Released Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
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Page 3 of 4
From:        Carleine Receveur/MOH
To:       [email address], 
Cc:      Keriana Brooking/MOH@MOH
Date:      26/11/2019 05:10 p.m.
Subject:       Re: Thursday
Kia ora Ailsa
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert 
team for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the 
NASO contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance 
service 
1982
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Act 
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Information 
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Official 
From:        Keriana Brooking/MOH
To:       "Ailsa Claire (ADHB)" <[email address]>, 
Cc:      Carleine Receveur/MOH@MOH
the 
Date:      26/11/2019 12:32 p.m.
Subject:       Re: Thursday
under 
Kia ora Ailsa 
The best time for the team is 1pm 
Carleine can let you know who will be attending? 
Thanks 
Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)  
Released On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Page 20 of 97
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Page 4 of 4
Ngā mihi,
Ailsa Claire
Chief Executive
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)   |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender immediately. 
 Auckland DHB accepts no responsibility for changes made to this email or to any attachments after it has been 
sent.

1982
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<NRHL Assurance Process.docx>
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Page 21 of 97
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Document 8
Request to discuss this afternoon  - meeting with ADHB tomorrow   
Carleine Receveur  to: Keriana Brooking
27/11/2019 03:33 p.m.
Cc: Monique Burrows
Kia ora Keriana
I have spoken with Barry who has voiced concerns around this email and the impact of the meeting 
tomorrow.
I have also received an email from Jo Brown around requesting a longer session with the assurance team 
1982
and a request to record the conversation.
Barry did ask if you were in a position to attend.
Act 
Can we please discuss:
- our approach to this meeting and agree what is in and out of scope
- how the meeting is moderated, chaired noting the tensions and also escalation from ADHB as per this
email
- NASO, MoH representation and role in the meeting
Ngā mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Information 
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Official 
the 
Keriana Brooking---27/11/2019 07:58:54 a.m.---From: Keriana Brooking/MOH To: Carleine 
Receveur/MOH@MOH,
From: Keriana Brooking/MOH
To: Carleine Receveur/MOH@MOH, 
Date: 27/11/2019 07:58 a.m.
under 
Subject: Fwd: CAA investigation
Kia ora
Can you please share with Jim and team
Released 
Thanks 
Page 22 of 97

Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
Begin forwarded message:
From: "Ailsa Claire (ADHB)" <[email address]>
Date: 27 November 2019 at 7:56:30 AM NZDT
1982
To: "[email address]" <[email address]>
Cc: "Jo Brown (WDHB)" <[email address]>, "Shay Mc Guinness 
(ADHB)" <[email address]>,  "Nick Chamberlain (NDHB)" <
Act 
[email address]>
Subject: CAA investigation
Kia ora,
I agreed to provide CAA the ADHB view of the letter to assist with their investigation.
This is what we sent.
You may find it useful to give to the review group.
As you are aware some allegations about the safety and suitability of the AW169s for air ambulance work 
have been raised and I understand that these are being  reviewed by the CAA.
Information 
Without wanting to unduly influence the outcome of the review I would like to offer some insight as to 
the type of operations that the Northern Region DHBs would be intending these aircraft on, including the 
unique challenges faced by the nature of the patients we transfer.
The aircraft have 2 basic areas of operation;
Official 
1. Primary work, including Search and Rescue (SAR)
2. Inter‐hospital transport (IHT)
The issues arising from primary work are largely the same as in other parts of the country – if anything the 
the 
ARHT service in this region are simpler as there is a high proportion of missions that go to regular 
prepared landing sites. The vast majority of these missions are conducted under Visual Flight Rules (VFR).
For IHTs the situation is quite different. ADHB a national service in respect to Paediatric Intensive Care 
(PICU) and Extracorporeal Membrane Oxygenation (ECMO) services as well as a regional Neonatal 
under 
Intensive Care (NICU) services. 

All of these services must be available to operate 24/7/365 and IHTs are commonly time‐critical 
and thus cannot be delayed. 

IHTs are often at night and/or conducted in Instrument Meteorological Conditions (IMC)

IHTs often have longer legs than most primary missions (e.g. helicopters are used for most of the
upper half of the North Island with occasional use as far south as Wellington)

IHT total mission duration is also much longer (averaging 7‐8hrs), which impacts on crew fatigue
management

Clinical team size and the quantity (and therefore weight) of equipment carried is often larger
Released than for primary missions.
I agree with you that the concerns raised in the anonymous report can broadly divided into operational 
and safety issues and that CAAs primary responsibility is in the latter (accepting that the two interact 
Page 23 of 97

when the operational limits of an aircraft and/or crew are reached).
Operational 
1. The payload/speed/range are obviously an important determinant of the usefulness of this
aircraft to us. Despite multiple requests we have been unable to get sensible information from
ARHT about this – to date we have only been told the data from the sales brochure (510nm
range and 165kn maximum speed, which we know is not realistic). Although an operational
issue, the lack of a sensible response from ARHT does raise questions about their organisation
culture (see below).
1982
2. Vibration and noise are largely an inconvenience, although significant vibration does present a
known risk to neonates.
3. Questions of reliability and high maintenance requirements. Again these are primarily of
Act 
operational importance, although they have an impact on clinical safety if they result in
increased aircraft unavailability.
Safety 
1. Autopilot and stability issues. This is my biggest concern if it is true. Many of our flights are
conducted under Instrument Flight Rules (IFR)  and are either at night or in IMC. Particularly
when considering that ARHT have traditionally performed very few IFR flights in IMC it would be
a potentially significant safety issue if autopilot or stability issues occurred during flight.
The anonymous information received regarding the aircraft type should be aggregated to a background of 
significant concerns about the operations of Auckland Rescue Helicopter Trust (ARHT), namely
Information 

ARHT has experienced significant instability at a Governance and Executive leadership level with 
the departure of two CEs in the last 12 months and changes at Board level 

ARHT is going through a period of unprecedented disruption and change – staff changes, new
base, new aircraft (and associated crew training and engineering changes), new SoPs (e.g. 24/7
HEMS staffing)

ARHT continues to over promise and under deliver – and we have multiple instances when the
Official 
information they are providing to us is clearly false – a common feature of unsafe aviation
organisations is a history of providing misleading, inaccurate and/or incomplete information to
regulators (which in this instance would include DHBs).
the 

ARHT appear to be under some financial pressure:
o
We have evidence that they are trying to shortcut due process to complete revenue
earning operations – as seen by their desire to ignore agreed training requirements for
ADHB staff.
o
We are aware that they are attempting to fundraise to cover an overspend of several
million dollars
under 
o
They are overstating the capability of the aircraft (range and speed) to secure more of
the IHT work
Ngā mihi,
Released 
Ailsa Claire
Page 24 of 97


Chief Executive
 (09) 630‐9943  ext. 22342  |  M:  s 9(2)(a)
  |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
1982
The information contained in this email and any attachments is confidential and intended for the named 
Act 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender 
immediately.  Auckland DHB accepts no responsibility for changes made to this email or to any 
attachments after it has been sent.

Information 
Official 
the 
under 
Released 
Page 25 of 97



Page 1 of 1
Document 9
Meeting with DHBs tomorrow
Carleine Receveur 
to:
Barry Woodmass, Phil, Jim Higgins (AU)
27/11/2019 04:40 p.m.
Hide Details 
From: Carleine Receveur/MOH
To: Barry Woodmass/MOH@MOH, Phil <[email address]>, "Jim 
Higgins (AU)" <[email address]>, 
Kia ora Barry, Jim and Phil
1982
I have spoken with Monique who has liaised with Keriana on the meeting tomorrow with ADHB. Both are comfortable 
that there is not a NASO (MoH / ACC) presence based on these guidelines for the meeting.
Act 
Their position on the meeting is:
What it is:
The role of the assurance team will be to listen and receive information from the DHB. This is part of their information 
gathering for the assurance work and will be fed back to NASO (ACC and MoH).
The assurance team can answer questions of a factual manner e.g AW capability etc
What it isn't:
Critiquing or making decisions
A forum for NASO (ACC / MoH) to have a say
Information 
Questions for the assurance team:
- confirming time availability (I have indicated 1 - 3pm) however Jo has requested a mid morning start and a longer
period of time. I would not believe that this is possible due to commitments already in play. I just need confirmation.
- request from Jo to record the meeting. Both Keriana and Monique have indicated that they are okay about this but
would leave the preference to the assurance team.
Once you have confirmed, I will get back to Jo,
Official 
Ngā mihi
the 
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
under 
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Released 
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Page 1 of 5
Document 10
RE: Assurance review Thursday
Jo Brown (WDHB) 
to:
[email address]
27/11/2019 05:11 p.m.
Cc:
"Ailsa Claire (ADHB)", "[email address]", "Nick Chamberlain (NDHB)"
Hide Details 
From: "Jo Brown (WDHB)" <[email address]>
To: "[email address]" <[email address]>, 
Cc: "Ailsa Claire (ADHB)" <[email address]>, "[email address]" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>
History: This message has been replied to.
Hi Carleine
1982
Can you please give me an update re timing of meeting – I need to finalise arrangements and let the team know
Thanks
Jo
Act 
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 2:27 p.m.
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
Hi Jo
I will check in with team now and get back to you.
Nga mihi
Carleine 
Information 
Sent from my iPhone
On 27/11/2019, at 2:19 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
We are really struggling to get some key clinicians to this meeting due to existing clinical commitments.  Is there any chance we 
Official 
can move this meeting to an earlier start (John Beca, PICU specialist, 20 year experience of PICU retrieval service, and Director 
Starship - needs to be away by 1330) - might we start mid morning?  Can you please let me know ASAP?
With respect to admin support for the meeting, we will have NDHB participating by zoom and I would like to propose that we 
the 
record the meeting using this technology.  I will also get a note taker present but expect that it will be hard to capture the 
substantive discussion I am anticipating we will be having.  We can then get the recording shared with all participants promptly 
after the meeting. Can you confirm that you are happy with this please?
Regards
Jo
under 
From: Jo Brown (WDHB) 
Sent: Wednesday, 27 November 2019 8:17 a.m.
To: [email address]
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Scope of the Assurance review
Hi Carleine
Thanks for clarifying this - we think we will need at least three hours to brief the review team on our experience.  I have 
developed an agenda for the meeting that I will get the team to review this morning and get that sent to you this 
afternoon.
Released 
We are still working on confirming a zoom capable venue and will provide these details to you hopefully with the 
agenda
Regards
Jo
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Page 2 of 5
Sent from my iPad
On 26/11/2019, at 10:13 PM, "[email address]" <[email address]> wrote:
Hi Jo 
I have just heard back from the team and they could do two hours and even stay longer if that was beneficial 
to you.
Nga mihi
Carleine 
Sent from my iPhone
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote:
1982
Hi Carleine
Act 
Can you please confirm what time the review team is intending to allocate to this meeting with the 
ADHB and NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB 
staff (all of the clinical reps) are already rostered for clinical duties and need to be released and cover 
arrangements put in place, so would appreciate it if you could advise urgently
Thanks
Jo
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 8:00 p.m.
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Scope of the Assurance review
Information 
Kia ora koutou
Please find attached the scope of the review. Since the scope was shared with the review team, we have also 
supplied the two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 
25/11/19) and asked for further information in the review report about availability of assets and timeliness of that 
information. 
Official 
Regards
Keriana Brooking
Deputy Director-General
the 
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
under 
From:      "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>, 
Cc:      "[email address]" <[email address]>
Date:      26/11/2019 05:41 p.m.
Subject:       RE: Thursday
Released HiThanks for this.
Do you have the TOR?
Ngā mihi 
Ailsa Claire
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Page 3 of 5
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Subject: Fw: Thursday
Kia ora
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Thanks
1982
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
Act 
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
From:        Carleine Receveur/MOH
To:       [email address], 
Cc:      Keriana Brooking/MOH@MOH
Date:      26/11/2019 05:10 p.m.
Subject:       Re: Thursday
Information 
Kia ora Ailsa
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert 
team for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the 
NASO contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance 
service 
Official 
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
the 
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
under 
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Released 
From:        Keriana Brooking/MOH
To:       "Ailsa Claire (ADHB)" <[email address]>, 
Cc:      Carleine Receveur/MOH@MOH
Date:      26/11/2019 12:32 p.m.
Subject:       Re: Thursday
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Page 4 of 5
Kia ora Ailsa 
The best time for the team is 1pm 
Carleine can let you know who will be attending? 
Thanks 
Keriana Brooking 
DDG HSII 
1982
Ministry of Health 
s 9(2)(a)  
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
Act 
Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Ngā mihi,
Ailsa Claire
Chief Executive

Information 
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a) |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender immediately. 
 Auckland DHB accepts no responsibility for changes made to this email or to any attachments after it has been 
sent.

Official 
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If you are not the intended recipient, do not read, use, disseminate,
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If you have received this message in error, please notify the sender
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Page 5 of 5
<NRHL Assurance Process.docx>
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attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
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Content and Virus Filtering Gateway
1982
Legal Disclaimer
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Statement of confidentiality: This e-mail message and any accompanying
Act 
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
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Official 
the 
under 
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Document 11
RE: Assurance review Thursday 
to
Jo Brown (WDHB) 
[email address]
 27/11/2019 06:13 p.m. 

Cc "Ailsa Claire (ADHB)", "[email address]", "Nick Chamberlain (NDHB)"

1982
Act 
AGENDA NASO Review team NRHL 281119..docx  
 2019-09-18 NZ IHT for CICM.PDF  
Thanks Carleine 
That’s a bit disappointing as John’s contribution is significant for this discussion and you can 
appreciate how hard it is to release clinicians at such short notice. 
Information 
Attached is the draft agenda we have put together and this lists the planned ADHB and NDHB 
attendees – noting Northland is expected to confirm additional clinical representatives joining us via 
zoom.  We have deliberately developed a very structured meeting to ensure al  elements of 
Northern region IHTs are covered off – both the context, our historical experience and our actual 
experience is able to be covered off.   I am happy to rearrange the agenda if the reviewers have 
specific items they wish to cover off that is not already identified here. 
Official 
I also attach a paper written by two DHB ICU specialists (CCDHB and HBDHB) who have 
responsibilities for IHT services within their respective DHBs – this paper was prepared by them to 
the 
inform an annual meeting.  This provides an informative summary of IHTs in NZ and it might be 
helpful to share this with the reviewers ahead of the meeting tomorrow.   
Regards 
Jo 
under 
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 5:50 p.m. 
To: Jo Brown (WDHB) 
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB) 
Subject: Re: Assurance review Thursday 
Hi Jo 
Released 
Apologies, the assurance team have been busy and needed time to plan their next steps. 
Unfortunately they are not in a position to amend the 1pm start time.  
Could you please send through the agenda you have drafted so I can discuss with the 
assurance team later tonight. 
Page 32 of 97

Nga mihi  
Carleine 
Sent from my iPhone 
On 27/11/2019, at 5:11 PM, Jo Brown (WDHB) <[email address]> wrote: 
Hi Carleine 
1982
Can you please give me an update re timing of meeting – I need to finalise arrangements and let the 
team know 
Act 
Thanks 
Jo 
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 2:27 p.m. 
To: Jo Brown (WDHB) 
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB) 
Subject: Re: Assurance review Thursday 
Information 
Hi Jo 
I will check in with team now and get back to you. 
Nga mihi 
Carleine  
Sent from my iPhone 
Official 
the 
On 27/11/2019, at 2:19 PM, Jo Brown (WDHB) <[email address]> wrote: 
 Hi Carleine 
under 
We are really struggling to get some key clinicians to this meeting due to existing clinical 
commitments.  Is there any chance we can move this meeting to an earlier start (John Beca, PICU 
specialist, 20 year experience of PICU retrieval service, and Director Starship - needs to be away by 
1330) - might we start mid morning?  Can you please let me know ASAP? 
Released 
With respect to admin support for the meeting, we will have NDHB participating by zoom and I 
would like to propose that we record the meeting using this technology.  I will also get a note taker 
present but expect that it wil  be hard to capture the substantive discussion I am anticipating we will 
be having.  We can then get the recording shared with al  participants promptly after the meeting. 
Can you confirm that you are happy with this please? 
Page 33 of 97

Regards 
Jo 
1982
From: Jo Brown (WDHB)  
Sent: Wednesday, 27 November 2019 8:17 a.m. 
To: [email address] 
Act 
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB) 
Subject: Re: Scope of the Assurance review 
Hi Carleine 
Thanks for clarifying this - we think we will need at least three hours to brief the review team 
Information 
on our experience.  I have developed an agenda for the meeting that I will get the team to 
review this morning and get that sent to you this afternoon. 
We are still working on confirming a zoom capable venue and will provide these details to 
Official 
you hopefully with the agenda 
the 
Regards 
Jo 
under 
Sent from my iPad 
On 26/11/2019, at 10:13 PM, "[email address]" 
<[email address]> w
rote: 
Hi Jo 
Released 
I have just heard back from the team and they could do two hours and even stay longer if that 
was beneficial to you. 
Nga mihi 
Page 34 of 97

Carleine  
Sent from my iPhone 
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote:  1982
Hi Carleine 
Act 
Can you please confirm what time the review team is intending to al ocate to this meeting with the 
ADHB and NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB 
staff (all of the clinical reps) are already rostered for clinical duties and need to be released and 
cover arrangements put in place, so would appreciate it if you could advise urgently 
Information 
Thanks 
Jo 
Official 
From: [email address] [mailto:[email address]]  
Sent: Tuesday, 26 November 2019 8:00 p.m. 
To: Ailsa Claire (ADHB) 
the 
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB) 
Subject: Scope of the Assurance review 
Kia ora koutou  under 
Please find attached the scope of the review. Since the scope was shared with the review team, we 
have also supplied the two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and 
Clinical Crew Training 25/11/19) and asked for further information in the review report about 
availability of assets and timeliness of that information.  
Regards 
Released 
Keriana Brooking 
Deputy Director-General  
Health System Improvement and Innovation  
Ministry of Health, 133 Molesworth Street  
PO Box 5013, Wellington 6145, New Zealand 
Page 35 of 97

Mobile: s 9(2)(a)
  
Email: [email address] 
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.  
From: 
 "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>
1982
Cc:  
 "[email address]" <[email address]>
Date:        26/11/2019 05:41 p.m.
Subject:        RE: Thursday
Act 
Hi  
Thanks for this.  
Do you have the TOR? 
Ngā mihi 
Information 
Ailsa Claire  
Chief Executive  
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
 
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM  Official 
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]> 
Cc: [email address] 
Subject: Fw: Thursday  
the 
Kia ora 
We have had a few emails cross over so I thought I would include everyone in that I have seen on 
emails today.   under 
Thanks 
Keriana Brooking 
Deputy Director-General  
Health System Improvement and Innovation  
Ministry of Health, 133 Molesworth Street  
PO Box 5013, Wellington 6145, New Zealand 
Mobile: s 9(2)(a)
  
Email: [email address] 
Released 
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi. 
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
From:        Carleine Receveur/MOH  
To: 
 [email address],  
Cc:  
  Keriana Brooking/MOH@MOH
Page 36 of 97

Date: 
 26/11/2019 05:10 p.m.
Subject: 
 Re: Thursday
Kia ora Ailsa 
As per Keriana's email below, please find confirmation of the attendees for the meeting with the 
1982
Assurance Expert team for this Thursday at 1pm.  
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to 
face with the NASO contracted assurance team to hear and understand the Northern DHB views on 
the Northern air ambulance service  
Act 
Attendees:  
Jim Higgins - Specialist advisor (PWC)  
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)  
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd) 
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)  
Barry Woodmass - Senior contract manager (NASO) 
If you could please confirm the venue I will let the team know.  
Please let me know if you require any futher information at this stage. 
Information 
Nga mihi 
Carleine Receveur 
Manager National Ambulance Sector Office 
Ambulance Services 
Community and Ambulance 
Official 
Health System Improvement 
Health System Improvement and Innovation 
Ministry of Health 
Mobile: s 9(2)(a)
 
the 
http://www.health.govt.nz 
mailto:[email address] 
under 
From:        Keriana Brooking/MOH  
To: 
 "Ailsa Claire (ADHB)" <[email address]>, 
Cc:  
  Carleine Receveur/MOH@MOH  
Date: 
 26/11/2019 12:32 p.m.
Subject: 
 Re: Thursday
Released 
Kia ora Ailsa 
Page 37 of 97

The best time for the team is 1pm  
Carleine can let you know who will be attending?  
Thanks  
Keriana Brooking  
DDG HSII  
1982
Ministry of Health 
s 9(2)(a)
  
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:  Act 
Kia ora  
Just trying to organise Thursday.  
Do you have some times when people wil  be available and TOR/names so I can brief people our end? 
Ngā mihi, 
Information 
Ailsa Claire  
Chief Executive 
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)
  |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png> 
Official 
The information contained in this email and any attachments is confidential and intended for the named 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender 
immediately.  Auckland DHB accepts no responsibility for changes made to this email or to any attachments 
the 
after it has been sent.  
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Document 11A
AGENDA 
NRHL Review Panel – meeting with Northland and Auckland DHBs 
Meeting 1300 – 1600 Thursday 28 November 2019 

NASO 
ADHB 
1982
Jim Higgins - Specialist advisor (PWC) 
Dr Shay McGuinness, Clinical Director Air 
Phil Hogan - Aeromedical expert 
Ambulance Service 
(Heliport Design Group Pty Ltd) 
Dr John Beca, Director, Starship Hospital  
Act 
Peter Johnson - Air worthiness 
Diane Fuller, Nurse Specialist, Transport, PICU 
certification and regulation advisor 
Shirley Wilson, Nurse Specialist, Transport, NICU 
(Heliport Design Group Pty Ltd) 
Jo Mack, Operations Manager, Air Ambulance 
David Anderson - Chief Pilot 
Service 
aeromedical specialist (Heliport Design  Joanne Brown, Funding Manager Hospitals (Chair) 
Group Pty Ltd) 
Dr Barry Snow, Director Adult Medical Services 
Barry Woodmass - Senior contract 
Dr Mark Edwards, Chief of Quality, Risk and Safety 
manager (NASO) 
Melissa Moser, Executive Business Manager to 
CEO 
NDHB (via ZOOM) Information 
Melissa Nathan-Patuawa, Business Manager, 
Infrastructure & Commercial Services 
Sarah Hoyle, Risk and Emergency Manager 
Item 
Who 
Time 
1  Welcome and Introductions 
Al  
15 
Official 
(1300-1315) 
2  Review Panel expectations of meeting outcomes 
Review team 
10 
(1315-1325) 
the 
3  Overview ADHB national and regional retrieval services  Shay McGuinness 
15 
including overview of national IHT Tasking and 
(1325-1340) 
Coordination arrangements 
4  Overview NDHB regional IHT services – air and road 
Melissa Nathan-
15 
ambulance services 
Patuawa 
(1340-1355) 
5  Experience of providers pre supply agreement 1 April -  Shay McGuinness 
20 
under 
operational, clinical, contractual including available 
Jo Mack 
(1355-1415) 
capacity (ADHB and NDHB) 
John Beca 
Diane Fuller 
Shirley Wilson 
Melissa Nathan-
Patuawa 
6  Implementation of new supply agreement 
Jo Brown 
15 
• Contracted capacity – four helicopters (2 x
Shay McGuinness 
(1415-1430) 
Released 24/7, 2 x 10/24
• Implementation and transition planning
including contingency planning
• Delayed asset implementation
• Communication – one/two providers
Page 41 of 97

• Clinical crew training requirements - October
scheduling
• Changes to pre hospital tasking
7  Notable events 
 Shay McGuinness 
15 
• June
Jo Brown 
(1430-1445) 
(1) PICU Waikato tasking delay – RCC conflict
• July
Melissa Nathan-
(1) Northland tasking incident – Airdesk/
Patuawa 
Rawene/BK
(2) Auckland - no IHT overnight cover
1982
• September
(1) HKZ maintenance early/prolonged
maintenance
Act 
(2) Auckland  – no HT overnight cover
• October
(1) Auckland - no IHT overnight cover
(2) Removal of asset from NSH and delayed
engine replacement
(3) Delayed PICU retrieval – conflict with P1
NICU
• November
(1) Auckland – no IHT overnight cover
(2) Delayed NICU retrieval - Northland
Information 
(3) Declined P1 PICU tasking - PNth
(4) Roster gaps  22nd – 24th
(5) Declined/delayed tasking 25th
8  Northland Issues 
Melissa Nathan- 
10 
• October/November issues register – summary
Patuawa 
(1445-1455) 
of issues multiple delayed taskings
Official 
9  Asset and Crew plan 
Jo Brown 
15 
• Forward plan - timeline
Shay McGuinness 
(1455-1510) 
• Frequency of changes/updates
the 
• Inconsistency of information – Exec summary,
Asset/Crew plan, Forward Outlook
• Late notification of changes - weekends
• Roster gaps – HKZ from Sept – current
10  Minimum contract requirements 
Jo Brown 
10 
under 
• Training schedules and roster gaps (schedule 5,
(1510-1520) 
clause 7.7)
• Four helicopters – 2PIFR capable
• Back up helicopters – Service Specification
clause 10.1.3
11  Northern region capacity and capability 
Jo Brown 
15 
• Interim capacity – immediate and
Shay McGuinness 
(1520-1535) 
short/medium term
Melissa Nathan- 
• Current supplier capacity – assets and staff
Patuawa 
Released 
• Safety of operations + GPP assessment
12  Other 
10 
• Changes in pre hospital tasking
Shay McGuinness 
(1535-1545) 
• Tracplus
Jo Brown 
Page 42 of 97

13  Any other matters – review panel 
10 
(1545-1555) 
1982
Act 
Information 
Official 
the 
under 
Released 
Page 43 of 97



Page 1 of 9
Document 12
RE: Assurance review Thursday
Ailsa Claire (ADHB) 
to:
[email address], Jo Brown (WDHB)
28/11/2019 06:43 a.m.
Cc:
"[email address]", "Nick Chamberlain (NDHB)"
Hide Details 
From: "Ailsa Claire (ADHB)" <[email address]>
To: "[email address]" <[email address]>, "Jo 
Brown (WDHB)" <[email address]>, 
1982
Cc: "[email address]" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>
Kia ora
Act 
I was not aware that there had been a request for CEOs to be present.
I have absolute confidence that the staff  will be able to present the issues.
Should additional questions that only CEOs can answer occur I am sure Nic and I can make ourselves 
available at a later time.
it is important that this meeting is conducted in an open and constructive manner.
It would be helpful if at least some of your team could make themselves available earlier so they 
obtain the benefit of Johns experience.
I am assuming someone from NASSO will be in attendance if Barry is not attending.
I think it would be helpful for NASSO to hear and understand the views of the staff at ADHB.
Regards
Information 
Ailsa
From: [email address] <[email address]>
Date: 27 November 2019 at 7:27:11 PM NZDT
To: Jo Brown (WDHB) <[email address]>
Official 
Cc: Ailsa Claire (ADHB) <[email address]>, [email address] 
<[email address]>, Nick Chamberlain (NDHB) 
<[email address]>
the 
Subject: RE: Assurance review Thursday
Kia ora Jo
Thank you for your email. I can confirm that the assessment team are able to attend from 1pm - 4pm.
We have reviewed the attached agenda and the assessment team have no adjustments to this. Can you please note that 
Barry Woodmass will no longer being attending the meeting.
under 
We have reviewed the DHB attendees and note that there are no DHB CEs present. Can you please confirm that this is 
correct.
The assessment team are happy to have the conversation recorded. We do ask that we receive an unedited copy please. 
Can you please confirm that this is still your intent.
Also to note that the assessment team are happy to answer questions around the AW 169s.
Ngā mihi
Released 
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
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Page 2 of 9
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
From:        "Jo Brown (WDHB)" <[email address]>
To:        "[email address]" <[email address]>, 
Cc:        "Ailsa Claire (ADHB)" <[email address]>, "[email address]" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>
1982
Date:        27/11/2019 06:13 p.m.
Subject:        RE: Assurance review Thursday
Act 
Thanks Carleine
That’s a bit disappointing as John’s contribution is significant for this discussion and you can appreciate how hard it is to 
release clinicians at such short notice.
Attached is the draft agenda we have put together and this lists the planned ADHB and NDHB attendees – noting 
Northland is expected to confirm additional clinical representatives joining us via zoom.  We have deliberately developed 
a very structured meeting to ensure all elements of Northern region IHTs are covered off – both the context, our 
Information 
historical experience and our actual experience is able to be covered off.   I am happy to rearrange the agenda if the 
reviewers have specific items they wish to cover off that is not already identified here. 
I also attach a paper written by two DHB ICU specialists (CCDHB and HBDHB) who have responsibilities for IHT services 
within their respective DHBs – this paper was prepared by them to inform an annual meeting.  This provides an 
informative summary of IHTs in NZ and it might be helpful to share this with the reviewers ahead of the meeting 
Official 
tomorrow.   
Regards
Jo
the 
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 5:50 p.m.
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
under 
Subject: Re: Assurance review Thursday
Hi Jo
Apologies, the assurance team have been busy and needed time to plan their next steps. Unfortunately 
they are not in a position to amend the 1pm start time. 
Could you please send through the agenda you have drafted so I can discuss with the assurance team 
later tonight.
Released 
Nga mihi 
Carleine 
Sent from my iPhone
On 27/11/2019, at 5:11 PM, Jo Brown (WDHB) <[email address]> wrote:
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Page 3 of 9
Hi Carleine
Can you please give me an update re timing of meeting – I need to finalise arrangements and let the team know
Thanks
Jo
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 2:27 p.m.
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
1982
Subject: Re: Assurance review Thursday
Hi Jo
Act 
I will check in with team now and get back to you.
Nga mihi
Carleine 
Sent from my iPhone
On 27/11/2019, at 2:19 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
Information 
We are really struggling to get some key clinicians to this meeting due to existing clinical commitments.  Is there any 
chance we can move this meeting to an earlier start (John Beca, PICU specialist, 20 year experience of PICU retrieval 
service, and Director Starship - needs to be away by 1330) - might we start mid morning?  Can you please let me know 
ASAP?
Official 
With respect to admin support for the meeting, we will have NDHB participating by zoom and I would like to propose 
that we record the meeting using this technology.  I will also get a note taker present but expect that it will be hard to 
capture the substantive discussion I am anticipating we will be having.  We can then get the recording shared with all 
the 
participants promptly after the meeting. Can you confirm that you are happy with this please?
Regards
Jo
under 
From: Jo Brown (WDHB) 
Sent: Wednesday, 27 November 2019 8:17 a.m.
To: [email address]
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Scope of the Assurance review
Hi Carleine
Thanks for clarifying this - we think we will need at least three hours to brief the review team on our 
Released 
experience.  I have developed an agenda for the meeting that I will get the team to review this 
morning and get that sent to you this afternoon.
We are still working on confirming a zoom capable venue and will provide these details to you 
hopefully with the agenda
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Page 4 of 9
Regards
Jo
Sent from my iPad
On 26/11/2019, at 10:13 PM, "[email address]" 
<[email address]> wrote:
Hi Jo 
I have just heard back from the team and they could do two hours and even stay longer if that was 
beneficial to you.
1982
Nga mihi
Carleine 
Sent from my iPhone
Act 
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
Can you please confirm what time the review team is intending to allocate to this meeting with the ADHB and NDHB 
team and from what time (I have indicative start time of 1300).  Most of the ADHB staff (all of the clinical reps) are 
already rostered for clinical duties and need to be released and cover arrangements put in place, so would appreciate it 
Information 
if you could advise urgently
Thanks
Jo
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 8:00 p.m. Official 
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Scope of the Assurance review
the 
Kia ora koutou
Please find attached the scope of the review. Since the scope was shared with the review team, we have also supplied the 
two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 25/11/19) and asked for 
further information in the review report about availability of assets and timeliness of that information. 
under 
Regards
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
Released 
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
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Page 5 of 9
From:        "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>, 
Cc:        "[email address]" <[email address]>
Date:        26/11/2019 05:41 p.m.
Subject:        RE: Thursday
1982
Hi
Thanks for this.
Do you have the TOR?
Act 
Ngā mihi 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Information 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Subject: Fw: Thursday
Kia ora
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Official 
Thanks
Keriana Brooking
the 
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
under 
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
From:        Carleine Receveur/MOH
To:        [email address], 
Cc:        Keriana Brooking/MOH@MOH
Date:        26/11/2019 05:10 p.m.
Released 
Subject:        Re: Thursday
Kia ora Ailsa
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Page 6 of 9
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert team 
for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the NASO 
contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance service 
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
1982
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
Act 
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
Information 
mailto:[email address]
From:        Keriana Brooking/MOH
Official 
To:        "Ailsa Claire (ADHB)" <[email address]>, 
Cc:        Carleine Receveur/MOH@MOH
Date:        26/11/2019 12:32 p.m.
the 
Subject:        Re: Thursday
under 
Kia ora Ailsa 
The best time for the team is 1pm 
Carleine can let you know who will be attending? 
Thanks 
Released 
Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
 
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
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Page 7 of 9
Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Ngā mihi,
Ailsa Claire
Chief Executive
1982
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)
  |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
Act 
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named recipients only. 
 If you are not the intended recipient, please delete this email and notify the sender immediately.  Auckland DHB accepts 
no responsibility for changes made to this email or to any attachments after it has been sent.

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If you are not the intended recipient, do not read, use, disseminate,
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under 
Statement of confidentiality: This e-mail message and any accompanying
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If you are not the intended recipient, do not read, use, disseminate,
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If you have received this message in error, please notify the sender
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<NRHL Assurance Process.docx>
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Page 8 of 9
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attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
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1982
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
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Legal Disclaimer
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Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
Information 
****************************************************************************
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Official 
Legal Disclaimer
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the 
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
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legal privilege.
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distribute or copy this message or attachments.
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1982
Act 
Information 
Official 
the 
under 
Released 
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Document 13
Re: Assurance review Thursday
Keriana Brooking 
to:
Ailsa Claire (ADHB)
28/11/2019 07:26 a.m.
Cc:
Carleine Receveur, "Jo Brown (WDHB)", "Nick Chamberlain (NDHB)"
Hide Details 
From: Keriana Brooking/MOH
To: "Ailsa Claire (ADHB)" <[email address]>, 
Cc: Carleine Receveur/MOH@MOH, "Jo Brown (WDHB)" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>
1982
Kia ora Ailsa 
There wasn’t an expectation that CEOs be present, we understand that the staff will be able to present the 
issues.
Act 
I made the decision to not have a NASO staff member there and to agree the suggestion it be taped. I fully 
support the reset of the relationship between NASO and the DHBs, we only have one staff member with 
the assurance team and I didn’t think it was appropriate that they attended. We have another day scheduled 
Thursday 12 December that we are arranging that while I don’t expect the clinicians to have to repeat 
themselves, I want a fuller Ministry, ACC, NASO group to engage with the DHB teams. 
Nga mihi
Keriana Brooking  
Information 
DDG HSII 
Ministry of Health 
s 9(2)(a)
On 28/11/2019, at 6:43 AM, Ailsa Claire (ADHB) <[email address]> wrote:
Kia ora
Official 
I was not aware that there had been a request for CEOs to be present.
I have absolute confidence that the staff  will be able to present the issues.
Should additional questions that only CEOs can answer occur I am sure Nic and I can make 
ourselves available at a later time.
the 
it is important that this meeting is conducted in an open and constructive manner.
It would be helpful if at least some of your team could make themselves available earlier so 
they obtain the benefit of Johns experience.
I am assuming someone from NASSO will be in attendance if Barry is not attending.
I think it would be helpful for NASSO to hear and understand the views of the staff at ADHB.
under 
Regards
Ailsa
From: [email address] <[email address]>
Date: 27 November 2019 at 7:27:11 PM NZDT
To: Jo Brown (WDHB) <[email address]>
Cc: Ailsa Claire (ADHB) <[email address]>, [email address]
<[email address]>, Nick Chamberlain (NDHB) 
Released 
<[email address]>
Subject: RE: Assurance review Thursday
Kia ora Jo
Thank you for your email. I can confirm that the assessment team are able to attend from 1pm - 4pm.
We have reviewed the attached agenda and the assessment team have no adjustments to this. Can you please note 
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that Barry Woodmass will no longer being attending the meeting.
We have reviewed the DHB attendees and note that there are no DHB CEs present. Can you please confirm that 
this is correct.
The assessment team are happy to have the conversation recorded. We do ask that we receive an unedited copy 
please. Can you please confirm that this is still your intent.
Also to note that the assessment team are happy to answer questions around the AW 169s.
Ngā mihi
Carleine Receveur
Manager National Ambulance Sector Office
1982
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Act 
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
From:        "Jo Brown (WDHB)" <[email address]>
To:        "[email address]" <[email address]>, Information 
Cc:        "Ailsa Claire (ADHB)" <[email address]>, "[email address]" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>
Date:        27/11/2019 06:13 p.m.
Subject:        RE: Assurance review Thursday
Official 
Thanks Carleine
That’s a bit disappointing as John’s contribution is significant for this discussion and you can appreciate how 
the 
hard it is to release clinicians at such short notice.
Attached is the draft agenda we have put together and this lists the planned ADHB and NDHB attendees –
noting Northland is expected to confirm additional clinical representatives joining us via zoom.  We have 
deliberately developed a very structured meeting to ensure all elements of Northern region IHTs are covered off 
– both the context, our historical experience and our actual experience is able to be covered off.   I am happy to
under 
rearrange the agenda if the reviewers have specific items they wish to cover off that is not already identified
here.
I also attach a paper written by two DHB ICU specialists (CCDHB and HBDHB) who have responsibilities for IHT 
services within their respective DHBs – this paper was prepared by them to inform an annual meeting.  This 
provides an informative summary of IHTs in NZ and it might be helpful to share this with the reviewers ahead of 
the meeting tomorrow.   
Regards
Released 
Jo
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 5:50 p.m.
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
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Hi Jo
Apologies, the assurance team have been busy and needed time to plan their next steps. 
Unfortunately they are not in a position to amend the 1pm start time. 
Could you please send through the agenda you have drafted so I can discuss with the assurance 
team later tonight.
Nga mihi 
Carleine 
Sent from my iPhone
1982
On 27/11/2019, at 5:11 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
Act 
Can you please give me an update re timing of meeting – I need to finalise arrangements and let the team know
Thanks
Jo
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 2:27 p.m.
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
Information 
Hi Jo
I will check in with team now and get back to you.
Nga mihi
Carleine 
Sent from my iPhone
Official 
On 27/11/2019, at 2:19 PM, Jo Brown (WDHB) <[email address]> wrote:
the 
Hi Carleine
We are really struggling to get some key clinicians to this meeting due to existing clinical commitments.  Is there 
any chance we can move this meeting to an earlier start (John Beca, PICU specialist, 20 year experience of PICU 
under 
retrieval service, and Director Starship - needs to be away by 1330) - might we start mid morning?  Can you 
please let me know ASAP?
With respect to admin support for the meeting, we will have NDHB participating by zoom and I would like to 
propose that we record the meeting using this technology.  I will also get a note taker present but expect that it 
will be hard to capture the substantive discussion I am anticipating we will be having.  We can then get the 
recording shared with all participants promptly after the meeting. Can you confirm that you are happy with this 
please?
Released 
Regards
Jo
From: Jo Brown (WDHB) 
Sent: Wednesday, 27 November 2019 8:17 a.m.
To: [email address]
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
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Subject: Re: Scope of the Assurance review
Hi Carleine
Thanks for clarifying this - we think we will need at least three hours to brief the review team 
on our experience.  I have developed an agenda for the meeting that I will get the team to 
review this morning and get that sent to you this afternoon.
We are still working on confirming a zoom capable venue and will provide these details to you 
hopefully with the agenda
Regards
1982
Jo
Sent from my iPad
Act 
On 26/11/2019, at 10:13 PM, "[email address]" 
<[email address]> wrote:
Hi Jo 
I have just heard back from the team and they could do two hours and even stay longer if that 
was beneficial to you.
Nga mihi
Carleine 
Sent from my iPhone
Information 
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
Official 
Can you please confirm what time the review team is intending to allocate to this meeting with the ADHB and 
NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB staff (all of the clinical 
reps) are already rostered for clinical duties and need to be released and cover arrangements put in place, so 
would appreciate it if you could advise urgently
the 
Thanks
Jo
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 8:00 p.m.
under 
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Scope of the Assurance review
Kia ora koutou
Please find attached the scope of the review. Since the scope was shared with the review team, we have also 
supplied the two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 
25/11/19) and asked for further information in the review report about availability of assets and timeliness of that 
information. 
Released 
Regards
Keriana Brooking
Deputy Director-General
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Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
From:        "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" 
1982
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>, 
Cc:        "[email address]" <[email address]>
Date:        26/11/2019 05:41 p.m.
Subject:        RE: Thursday
Act 
Hi
Thanks for this.
Do you have the TOR?
Ngā mihi 
Information 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM
Official 
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Subject: Fw: Thursday
the 
Kia ora
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Thanks
under 
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
Released 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
From:        Carleine Receveur/MOH
To:        [email address], 
Cc:        Keriana Brooking/MOH@MOH
Date:        26/11/2019 05:10 p.m.
Subject:        Re: Thursday
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Kia ora Ailsa
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert 
team for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the 
NASO contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance 
service 
1982
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
Act 
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Information 
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Official 
the 
From:        Keriana Brooking/MOH
To:        "Ailsa Claire (ADHB)" <[email address]>, 
Cc:        Carleine Receveur/MOH@MOH
Date:        26/11/2019 12:32 p.m.
Subject:        Re: Thursday
under 
Kia ora Ailsa 
The best time for the team is 1pm 
Released 
Carleine can let you know who will be attending? 
Thanks 
Keriana Brooking 
DDG HSII 
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Ministry of Health 
s 9(2)(a)
 
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Ngā mihi,
1982
Ailsa Claire
Chief Executive
Act 
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)
|   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender immediately. 
 Auckland DHB accepts no responsibility for changes made to this email or to any attachments after it has been 
sent.

Information 
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
Official 
immediately and delete this message.
****************************************************************************
the 
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
under 
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
Released 
immediately and delete this message.
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Legal Disclaimer
<NRHL Assurance Process.docx>
****************************************************************************
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attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
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1982
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Act 
Legal Disclaimer
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
Information 
immediately and delete this message.
****************************************************************************
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Official 
Legal Disclaimer
****************************************************************************
the 
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
under 
immediately and delete this message.
****************************************************************************
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
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Released 
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Statement of confidentiality: This e-mail message and any accompanying
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If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
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Document 14
Re: Assurance review Thursday
Keriana Brooking 
to:
Ailsa Claire (ADHB)
28/11/2019 07:29 a.m.
Cc:
Carleine Receveur, "Jo Brown (WDHB)", "Nick Chamberlain (NDHB)"
Hide Details 
From: Keriana Brooking/MOH
To: "Ailsa Claire (ADHB)" <[email address]>, 
Cc: Carleine Receveur/MOH@MOH, "Jo Brown (WDHB)" <[email address]>, "Nick Chamberlain 
(NDHB)" <[email address]>
Kia ora 
1982
I forgot to mention that I am happy to zoom in for the first 1/2 hour and last 1/2 hour if that was helpful 
Keriana Brooking  
Act 
DDG HSII 
Ministry of Health 
s 9(2)(a)
On 28/11/2019, at 7:26 AM, Keriana Brooking <[email address]> wrote:
Kia ora Ailsa 
There wasn’t an expectation that CEOs be present, we understand that the staff will be able to present the 
issues.
I made the decision to not have a NASO staff member there and to agree the suggestion it be taped. I fully 
Information 
support the reset of the relationship between NASO and the DHBs, we only have one staff member with the 
assurance team and I didn’t think it was appropriate that they attended. We have another day scheduled 
Thursday 12 December that we are arranging that while I don’t expect the clinicians to have to repeat 
themselves, I want a fuller Ministry, ACC, NASO group to engage with the DHB teams. 
Nga mihi
Keriana Brooking  
Official 
DDG HSII 
Ministry of Health 
s 9(2)(a)
the 
On 28/11/2019, at 6:43 AM, Ailsa Claire (ADHB) <[email address]> wrote:
Kia ora
I was not aware that there had been a request for CEOs to be present.
I have absolute confidence that the staff  will be able to present the issues.
Should additional questions that only CEOs can answer occur I am sure Nic and I can make 
under 
ourselves available at a later time.
it is important that this meeting is conducted in an open and constructive manner.
It would be helpful if at least some of your team could make themselves available earlier so 
they obtain the benefit of Johns experience.
I am assuming someone from NASSO will be in attendance if Barry is not attending.
I think it would be helpful for NASSO to hear and understand the views of the staff at ADHB.
Regards
Ailsa
Released 
From: [email address] <[email address]>
Date: 27 November 2019 at 7:27:11 PM NZDT
To: Jo Brown (WDHB) <[email address]>
Cc: Ailsa Claire (ADHB) <[email address]>, [email address]
<[email address]>, Nick Chamberlain (NDHB) 
<[email address]>
Subject: RE: Assurance review Thursday
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Kia ora Jo
Thank you for your email. I can confirm that the assessment team are able to attend from 1pm - 4pm.
We have reviewed the attached agenda and the assessment team have no adjustments to this. Can you please note 
that Barry Woodmass will no longer being attending the meeting.
We have reviewed the DHB attendees and note that there are no DHB CEs present. Can you please confirm that 
this is correct.
The assessment team are happy to have the conversation recorded. We do ask that we receive an unedited copy 
please. Can you please confirm that this is still your intent.
Also to note that the assessment team are happy to answer questions around the AW 169s.
Ngā mihi
1982
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Act 
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
From:        "Jo Brown (WDHB)" <[email address]>
Information 
To:       "[email address]" <[email address]>, 
Cc:      "Ailsa Claire (ADHB)" <[email address]>, "[email address]" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>
Date:        27/11/2019 06:13 p.m.
Subject:        RE: Assurance review Thursday
Official 
Thanks Carleine
That’s a bit disappointing as John’s contribution is significant for this discussion and you can appreciate how hard 
the 
it is to release clinicians at such short notice.
Attached is the draft agenda we have put together and this lists the planned ADHB and NDHB attendees – noting 
Northland is expected to confirm additional clinical representatives joining us via zoom.  We have deliberately 
developed a very structured meeting to ensure all elements of Northern region IHTs are covered off – both the 
context, our historical experience and our actual experience is able to be covered off.   I am happy to rearrange 
the agenda if the reviewers have specific items they wish to cover off that is not already identified here. 
under 
I also attach a paper written by two DHB ICU specialists (CCDHB and HBDHB) who have responsibilities for IHT 
services within their respective DHBs – this paper was prepared by them to inform an annual meeting.  This 
provides an informative summary of IHTs in NZ and it might be helpful to share this with the reviewers ahead of 
the meeting tomorrow.   
Regards
Jo
From: [email address] [mailto:[email address]] 
Released 
Sent: Wednesday, 27 November 2019 5:50 p.m.
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
Hi Jo
Apologies, the assurance team have been busy and needed time to plan their next steps. 
Unfortunately they are not in a position to amend the 1pm start time. 
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Could you please send through the agenda you have drafted so I can discuss with the assurance 
team later tonight.
Nga mihi 
Carleine 
Sent from my iPhone
On 27/11/2019, at 5:11 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
Can you please give me an update re timing of meeting – I need to finalise arrangements and let the team know
1982
Thanks
Jo
Act 
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 2:27 p.m.
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
Hi Jo
I will check in with team now and get back to you.
Nga mihi
Carleine 
Sent from my iPhone
Information 
On 27/11/2019, at 2:19 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
Official 
We are really struggling to get some key clinicians to this meeting due to existing clinical commitments.  Is there 
any chance we can move this meeting to an earlier start (John Beca, PICU specialist, 20 year experience of PICU 
retrieval service, and Director Starship - needs to be away by 1330) - might we start mid morning?  Can you 
please let me know ASAP?
the 
With respect to admin support for the meeting, we will have NDHB participating by zoom and I would like to 
propose that we record the meeting using this technology.  I will also get a note taker present but expect that it 
will be hard to capture the substantive discussion I am anticipating we will be having.  We can then get the 
recording shared with all participants promptly after the meeting. Can you confirm that you are happy with this 
please?
under 
Regards
Jo
From: Jo Brown (WDHB) 
Sent: Wednesday, 27 November 2019 8:17 a.m.
To: [email address]
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Scope of the Assurance review
Hi Carleine
Released 
Thanks for clarifying this - we think we will need at least three hours to brief the review team 
on our experience.  I have developed an agenda for the meeting that I will get the team to 
review this morning and get that sent to you this afternoon.
We are still working on confirming a zoom capable venue and will provide these details to you 
hopefully with the agenda
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Regards
Jo
Sent from my iPad
On 26/11/2019, at 10:13 PM, "[email address]" 
<[email address]> wrote:
Hi Jo 
I have just heard back from the team and they could do two hours and even stay longer if that 
was beneficial to you.
Nga mihi
Carleine 
1982
Sent from my iPhone
Act 
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote:
Hi Carleine
Can you please confirm what time the review team is intending to allocate to this meeting with the ADHB and 
NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB staff (all of the clinical 
reps) are already rostered for clinical duties and need to be released and cover arrangements put in place, so 
would appreciate it if you could advise urgently
Thanks
Jo
Information 
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 8:00 p.m.
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Scope of the Assurance review
Kia ora koutou
Official 
Please find attached the scope of the review. Since the scope was shared with the review team, we have also 
supplied the two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 
25/11/19) and asked for further information in the review report about availability of assets and timeliness of that 
information. 
the 
Regards
Keriana Brooking
Deputy Director-General
under 
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
Released 
From:        "Ailsa Claire (ADHB)" <[email address]>
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>, 
Cc:      "[email address]" <[email address]>
Date:      26/11/2019 05:41 p.m.
Subject:        RE: Thursday
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Hi
Thanks for this.
Do you have the TOR?
Ngā mihi 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
1982
Sent: Tuesday, 26 November 2019 5:25 PM
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]>
Cc: [email address]
Act 
Subject: Fw: Thursday
Kia ora
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Thanks
Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Information 
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
From:        Carleine Receveur/MOH
To:       [email address], 
Official 
Cc:      Keriana Brooking/MOH@MOH
Date:      26/11/2019 05:10 p.m.
Subject:        Re: Thursday
the 
Kia ora Ailsa
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert 
under 
team for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the 
NASO contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance 
service 
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
Released 
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
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Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
From:        Keriana Brooking/MOH
To:       "Ailsa Claire (ADHB)" <[email address]>, 
1982
Cc:      Carleine Receveur/MOH@MOH
Date:      26/11/2019 12:32 p.m.
Subject:        Re: Thursday
Act 
Kia ora Ailsa 
The best time for the team is 1pm 
Carleine can let you know who will be attending? 
Thanks 
Information 
Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
 
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
Official 
Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
the 
Ngā mihi,
Ailsa Claire under 
Chief Executive
 (09) 630-9943  ext. 22342  |  M:s 9(2)(a)
  |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender immediately. 
 Auckland DHB accepts no responsibility for changes made to this email or to any attachments after it has been 
sent.

Released 
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
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If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
1982
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
Act 
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Legal Disclaimer
<NRHL Assurance Process.docx>
****************************************************************************
Information 
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message. Official 
****************************************************************************
the 
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Legal Disclaimer
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
under 
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
Released 
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Legal Disclaimer
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
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legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Legal Disclaimer
1982
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
Act 
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway
Information 
Official 
the 
under 
Released 
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Document 15
RE: Assurance review Thursday
Jo Brown (WDHB) 
to:
[email address], Ailsa Claire (ADHB)
28/11/2019 11:58 a.m.
Cc:
"[email address]", "Nick Chamberlain (NDHB)"
Hide Details 
From: "Jo Brown (WDHB)" <[email address]>
To: "[email address]" <[email address]>, "Ailsa Claire (ADHB)" 
<[email address]>, 
Cc: "[email address]" <[email address]>, "Nick Chamberlain 
(NDHB)" <[email address]>
1982
Hi Keriana
Apologies for the delay in responding to you – you are of course most welcome to join for any time of the meeting, but from my 
perspective it isn’t a requirement and I know we will have the opportunity for a more fulsome discussion in December.
Act 
The full recording of the meeting will be shared with the MOH so it is available for the reviewers to reference as soon as we can 
technically share it (we had some IT challenges due to file size when we did the same during the most recent procurement 
process – but I’m assured these have been sorted).  
Regards
Jo
From: [email address] [mailto:[email address]] 
Sent: Thursday, 28 November 2019 7:29 a.m.
To: Ailsa Claire (ADHB)
Information 
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
Kia ora
I forgot to mention that I am happy to zoom in for the first 1/2 hour and last 1/2 hour if that was helpful 
Keriana Brooking 
Official 
DDG HSII 
Ministry of Health 
s 9(2)(a)
the 
On 28/11/2019, at 7:26 AM, Keriana Brooking <[email address]> wrote:
Kia ora Ailsa
There wasn’t an expectation that CEOs be present, we understand that the staff will be able to present the 
issues.
under 
I made the decision to not have a NASO staff member there and to agree the suggestion it be taped. I fully 
support the reset of the relationship between NASO and the DHBs, we only have one staff member with the 
assurance team and I didn’t think it was appropriate that they attended. We have another day scheduled 
Thursday 12 December that we are arranging that while I don’t expect the clinicians to have to repeat 
themselves, I want a fuller Ministry, ACC, NASO group to engage with the DHB teams. 
Nga mihi
Keriana Brooking 
DDG HSII 
Released 
Ministry of Health 
s 9(2)(a)
On 28/11/2019, at 6:43 AM, Ailsa Claire (ADHB) <[email address]> wrote:
Kia ora
I was not aware that there had been a request for CEOs to be present.
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I have absolute confidence that the staff  will be able to present the issues.
Should additional questions that only CEOs can answer occur I am sure Nic and I can make 
ourselves available at a later time.
it is important that this meeting is conducted in an open and constructive manner.
It would be helpful if at least some of your team could make themselves available earlier so 
they obtain the benefit of Johns experience.
I am assuming someone from NASSO will be in attendance if Barry is not attending.
I think it would be helpful for NASSO to hear and understand the views of the staff at ADHB.
Regards
Ailsa
From: [email address] <[email address]>
1982
Date: 27 November 2019 at 7:27:11 PM NZDT
To: Jo Brown (WDHB) <[email address]>
Cc: Ailsa Claire (ADHB) <[email address]>, [email address]
<[email address]>, Nick Chamberlain (NDHB) 
Act 
<[email address]>
Subject: RE: Assurance review Thursday
Kia ora Jo
Thank you for your email. I can confirm that the assessment team are able to attend from 1pm - 4pm.
We have reviewed the attached agenda and the assessment team have no adjustments to this. Can you please note 
that Barry Woodmass will no longer being attending the meeting.
We have reviewed the DHB attendees and note that there are no DHB CEs present. Can you please confirm that 
this is correct.
The assessment team are happy to have the conversation recorded. We do ask that we receive an unedited copy 
please. Can you please confirm that this is still your intent.
Information 
Also to note that the assessment team are happy to answer questions around the AW 169s.
Ngā mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Official 
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
the 
http://www.health.govt.nz
mailto:[email address]
under 
From:        "Jo Brown (WDHB)" <[email address]>
To:        "[email address]" <[email address]>, 
Cc:        "Ailsa Claire (ADHB)" <[email address]>, "[email address]" <[email address]>, "Nick 
Chamberlain (NDHB)" <[email address]>
Date:        27/11/2019 06:13 p.m.
Subject:        RE: Assurance review Thursday
Released 
Thanks Carleine
That’s a bit disappointing as John’s contribution is significant for this discussion and you can appreciate how hard 
it is to release clinicians at such short notice.
Attached is the draft agenda we have put together and this lists the planned ADHB and NDHB attendees – noting 
Northland is expected to confirm additional clinical representatives joining us via zoom.  We have deliberately 
developed a very structured meeting to ensure all elements of Northern region IHTs are covered off – both the 
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context, our historical experience and our actual experience is able to be covered off.   I am happy to rearrange 
the agenda if the reviewers have specific items they wish to cover off that is not already identified here. 
I also attach a paper written by two DHB ICU specialists (CCDHB and HBDHB) who have responsibilities for IHT 
services within their respective DHBs – this paper was prepared by them to inform an annual meeting.  This 
provides an informative summary of IHTs in NZ and it might be helpful to share this with the reviewers ahead of 
the meeting tomorrow.   
Regards
Jo
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 5:50 p.m.
1982
To: Jo Brown (WDHB)
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
Act 
Hi Jo 
Apologies, the assurance team have been busy and needed time to plan their next steps. 
Unfortunately they are not in a position to amend the 1pm start time. 
Could you please send through the agenda you have drafted so I can discuss with the assurance 
team later tonight. 
Nga mihi 
Carleine 
Sent from my iPhone 
On 27/11/2019, at 5:11 PM, Jo Brown (WDHB) <[email address]> wrote: 
Information 
Hi Carleine
Can you please give me an update re timing of meeting – I need to finalise arrangements and let the team know
Thanks
Jo
Official 
From: [email address] [mailto:[email address]] 
Sent: Wednesday, 27 November 2019 2:27 p.m.
To: Jo Brown (WDHB)
the 
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Assurance review Thursday
Hi Jo 
I will check in with team now and get back to you. 
Nga mihi  under 
Carleine 
Sent from my iPhone 
On 27/11/2019, at 2:19 PM, Jo Brown (WDHB) <[email address]> wrote: 
Hi Carleine
We are really struggling to get some key clinicians to this meeting due to existing clinical commitments.  Is there 
Released 
any chance we can move this meeting to an earlier start (John Beca, PICU specialist, 20 year experience of PICU 
retrieval service, and Director Starship - needs to be away by 1330) - might we start mid morning?  Can you 
please let me know ASAP?
With respect to admin support for the meeting, we will have NDHB participating by zoom and I would like to 
propose that we record the meeting using this technology.  I will also get a note taker present but expect that it 
will be hard to capture the substantive discussion I am anticipating we will be having.  We can then get the 
recording shared with all participants promptly after the meeting. Can you confirm that you are happy with this 
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please?
Regards
Jo
From: Jo Brown (WDHB) 
Sent: Wednesday, 27 November 2019 8:17 a.m.
To: [email address]
Cc: Ailsa Claire (ADHB); [email address]; Nick Chamberlain (NDHB)
Subject: Re: Scope of the Assurance review
Hi Carleine 
1982
Thanks for clarifying this - we think we will need at least three hours to brief the review team 
on our experience.  I have developed an agenda for the meeting that I will get the team to 
review this morning and get that sent to you this afternoon. 
Act 
We are still working on confirming a zoom capable venue and will provide these details to you 
hopefully with the agenda 
Regards 
Jo 
Sent from my iPad 
On 26/11/2019, at 10:13 PM, "[email address]" 
<[email address]> wrote: 
Hi Jo 
Information 
I have just heard back from the team and they could do two hours and even stay longer if that 
was beneficial to you. 
Nga mihi 
Carleine 
Sent from my iPhone 
Official 
On 26/11/2019, at 8:40 PM, Jo Brown (WDHB) <[email address]> wrote: 
the 
Hi Carleine
Can you please confirm what time the review team is intending to allocate to this meeting with the ADHB and 
NDHB team and from what time (I have indicative start time of 1300).  Most of the ADHB staff (all of the clinical 
reps) are already rostered for clinical duties and need to be released and cover arrangements put in place, so 
would appreciate it if you could advise urgently
under 
Thanks
Jo
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 8:00 p.m.
To: Ailsa Claire (ADHB)
Cc: [email address]; Jo Brown (WDHB); Nick Chamberlain (NDHB)
Subject: Scope of the Assurance review
Kia ora koutou
Released 
Please find attached the scope of the review. Since the scope was shared with the review team, we have also 
supplied the two emails from Jo Brown (NRHL Contract Arrangements 24/11/19 and Clinical Crew Training 
25/11/19) and asked for further information in the review report about availability of assets and timeliness of that 
information. 
Regards
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Keriana Brooking
Deputy Director-General
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
From:        "Ailsa Claire (ADHB)" <[email address]>
1982
To:        "[email address]" <[email address]>, "Jo Brown (WDHB)" 
<[email address]>, "Nick Chamberlain (NDHB)" <[email address]>, 
Cc:        "[email address]" <[email address]>
Date:        26/11/2019 05:41 p.m.
Act 
Subject:        RE: Thursday
Hi
Thanks for this.
Do you have the TOR?
Ngā mihi 
Information 
Ailsa Claire
Chief Executive 
P: 09 - 6309943 extn 22342 M: s 9(2)(a)
From: [email address] [mailto:[email address]] 
Sent: Tuesday, 26 November 2019 5:25 PM
To: Ailsa Claire (ADHB) <[email address]>; Jo Brown (WDHB) <[email address]>; Nick 
Chamberlain (NDHB) <[email address]>
Official 
Cc: [email address]
Subject: Fw: Thursday
Kia ora
the 
We have had a few emails cross over so I thought I would include everyone in that I have seen on emails today.
Thanks
Keriana Brooking
Deputy Director-General
under 
Health System Improvement and Innovation
Ministry of Health, 133 Molesworth Street
PO Box 5013, Wellington 6145, New Zealand
Mobile: s 9(2)(a)
Email: [email address]
Kia ora, if this email reaches you out of hours, I don't expect a reply outside of your office hours, 
it's just a convenient time for me to send an email, nga mihi.
----- Forwarded by Keriana Brooking/MOH on 26/11/2019 05:23 p.m. -----
From:        Carleine Receveur/MOH
Released 
To:        [email address], 
Cc:        Keriana Brooking/MOH@MOH
Date:        26/11/2019 05:10 p.m.
Subject:        Re: Thursday
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Kia ora Ailsa
As per Keriana's email below, please find confirmation of the attendees for the meeting with the Assurance Expert 
team for this Thursday at 1pm.
We have framed the meeting as an opportunity for  Northern DHB representatives to meet face to face with the 
NASO contracted assurance team to hear and understand the Northern DHB views on the Northern air ambulance 
service 
Attendees:
Jim Higgins - Specialist advisor (PWC)
Phil Hogan - Aeromedical expert (Heliport Design Group Pty Ltd)
Peter Johnson - Air worthiness certification and regulation advisor (Heliport Design Group Pty Ltd)
David Anderson - Chief Pilot aeromedical specialist (Heliport Design Group Pty Ltd)
Barry Woodmass - Senior contract manager (NASO)
1982
If you could please confirm the venue I will let the team know.
Please let me know if you require any futher information at this stage.
Act 
Nga mihi
Carleine Receveur
Manager National Ambulance Sector Office
Ambulance Services
Community and Ambulance
Health System Improvement
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
http://www.health.govt.nz
mailto:[email address]
Information 
From:        Keriana Brooking/MOH
To:        "Ailsa Claire (ADHB)" <[email address]>, 
Cc:        Carleine Receveur/MOH@MOH
Date:        26/11/2019 12:32 p.m.
Official 
Subject:        Re: Thursday
the 
Kia ora Ailsa 
The best time for the team is 1pm 
under 
Carleine can let you know who will be attending? 
Thanks 
Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
 
On 26/11/2019, at 12:27 PM, Ailsa Claire (ADHB) <[email address]> wrote:
Released 
Kia ora
Just trying to organise Thursday.
Do you have some times when people will be available and TOR/names so I can brief people our end?
Ngā mihi,
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Ailsa Claire
Chief Executive
 (09) 630-9943  ext. 22342  |  M:  s 9(2)(a)   |   [email address]
Auckland District Health Board| Level 1| Building 37 | Auckland City Hospital
<image001.png>
The information contained in this email and any attachments is confidential and intended for the named 
recipients only.  If you are not the intended recipient, please delete this email and notify the sender immediately. 
 Auckland DHB accepts no responsibility for changes made to this email or to any attachments after it has been 
sent.

1982
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attachments may contain information that is IN-CONFIDENCE and subject to
Act 
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
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Health's Content and Virus Filtering Gateway 
Information 
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attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
Official 
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
the 
****************************************************************************
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Health's Content and Virus Filtering Gateway 
under 
Legal Disclaimer
<NRHL Assurance Process.docx> 
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attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
Released 
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Health's Content and Virus Filtering Gateway 
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Legal Disclaimer
****************************************************************************
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attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
1982
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Act 
Legal Disclaimer
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
Information 
This e-mail message has been scanned for Viruses and Content and cleared by the Ministry of 
Health's Content and Virus Filtering Gateway 
Legal Disclaimer
****************************************************************************
Official 
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
the 
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************
under 
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Health's Content and Virus Filtering Gateway
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If you are not the intended recipient, do not read, use, disseminate,
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If you have received this message in error, please notify the sender
Released 
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Page 1 of 4
Document 16
Fw: Fwd: Thursday meeting with Assurance Panel
Monique Burrows 
to:
jim.higgins, philip.hogan
29/11/2019 08:43 p.m.
Cc:
Carleine Receveur, Barry Woodmass, Peter Whisker, Dawn Kelly
Hide Details 
From: Monique Burrows/MOH
To: [email address], [email address], 
Cc: Carleine Receveur/MOH@MOH, Barry Woodmass/MOH@MOH, Peter Whisker/MOH@MOH, 
1982
Dawn Kelly/MOH@MOH
History: This message has been replied to and forwarded.
Hi Jim and Phil,
Act 
Please see the below email from Jo Brown at ADHB. 
Great feedback on the session you had with them yesterday so thanks for doing that.
In Jo's email she raises:
- the decision to cease having an asset located on the North Shore base as a contributory
factor in an escalation of issues with service gaps
- a desired state asset configuration.
Can you please consider these points as part of your assurance review?
Information 
Peter - can you please start pulling together what a set of variations to the contract with 
NRHL might look like? Would be good to have this for when Keriana, Carleine and I head to 
Auckland on 11 or 12 Dec.
Thanks
Official 
Monique 
Sent from IBM Verse
the 
Keriana Brooking --- Fwd: Thursday meeting with Assurance Panel ---
From:
"Keriana Brooking" <[email address]>
To:
"Monique Burrows" <[email address]>
Date:
Fri, 29/11/2019 3:57 PM
under 
Subject:
Fwd: Thursday meeting with Assurance Panel
Keriana Brooking  
DDG HSII 
Ministry of Health 
s 9(2)(a)
Released 
Begin forwarded message:
From: "Ailsa Claire (ADHB)" <[email address]>
Date: 29 November 2019 at 2:38:27 PM NZDT
To: "Graham Dyer" <[email address]>, "Nick Chamberlain (NDHB)" 
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<[email address]>,  "Keriana Brooking" 
<[email address]>, "Russell Simpson" 
<[email address]>
Subject: FW: Thursday meeting with Assurance Panel
From: Jo Brown (WDHB) <[email address]>
Date: 29 November 2019 at 2:33:33 PM NZDT
1982
To: Ailsa Claire (ADHB) <[email address]>
Cc: Shay Mc Guinness (ADHB) <[email address]>
Subject: FW: Thursday meeting with Assurance Panel
Act 
Hi Ailsa
Thanks for the email that you have sent acknowledging everyone’s contribution to the meeting 
yesterday – I am sure this will be well received.  I just wanted to give you a brief update from 
my perspective following yesterday’s discussion. The panel were professional, were engaged 
and were listening.  We learnt that yesterday was day 4 of a 4 day review process and they 
expected they would be providing a report to the MOH within the next two weeks.  
The meeting was well attended by clinical and operational staff from both Northland and 
Auckland who reorganised their time to be there at such short notice, which I think is a 
Information 
reflection of the breadth and extent of the concerns held by a number of individuals across 
both DHBs.  Separately and collectively the staff were able to convey in very real terms what 
the experience of the new supply agreement has been for each of them and the teams they 
represented.  There was a lot to get through and the panel were happy to extend their time 
with us (for which we were grateful) to enable us to have the opportunity to share all the 
information we felt was important for them to know.  
Official 
There were explicit references to the loss of the teamwork as a result of the many changes 
including specifically, the loss of a designated helicopter (and therefore consistent flight crew) 
the 
familiar with the national IHT work, how important this teamwork is to the safe and reliable 
provision of the clinical services being delivered, and the impact that this loss of teamwork has 
had on the level of confidence of our clinical staff when undertaking PICU/NICU retrievals.  It 
was shared that there is increased concerns amongst individuals within clinical teams as a 
result of their experiences, and it was made clear that our teams undertake flight work on a 
under 
voluntary basis.  The loss of any staff willing to undertake this work means there was an 
increased likelihood that there may be times when we would be unable to deliver the national 
retrieval services, and this was a new risk that had arisen as a result of the experiences since 1 
April and was very concerning for us.    
This crystallised for us that the increased frequency of issues that has occurred since October 
has coincided with the withdrawal of the designated national IHT North Shore based helicopter 
(that occurred without any agreement with us), that had been on the North Shore historically 
for a long period of time and post 1 April.  
Released 
The panel confirmed that ARHT will be crewing their second aircraft with a single pilot so this 
aircraft will not be suitable (and therefore unavailable) for IHTs – noting that this 2nd aircraft 
only provides capacity for 10 hours per day. 
This is very significant as:
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Page 3 of 4
 This means the supply agreement actually provides only three national IHT capable
helicopters (and only one in Auckland)
 The first ARHT aircraft already does at least 700hrs/year of primary work (this is a high
number of hours for a single aircraft and exceeds the threshold of 650 hours used by
NASO to trigger consideration of an additional helicopter.
 We have learned that the ARHT aircraft is being used further afield for primary
missions than has been the case previously and this in addition to the points above
severely limits the availability of the ARHT assets for IHTs. Note that the draft report
(received today) regarding the Nov 6th delayed NICU retrieval supports this as ARHT
had been tasked to Kaitaia and then to a subsequent patient transfer from Whangarei
to Auckland, thus making the crew unavailable to do the NICU retrieval.
1982
The limitations of the ARHT capacity for national IHT in Auckland is further impacted on by the 
back-up helicopter being a different asset type (BK117 vs AW169).  Recent events have  Act 
demonstrated that the pilots rostered at any one time are not all equally qualified to fly both 
types of helicopter and as the BK gets used less and less the pilots will deskill further, which 
means this will not be a suitable asset to back up long term. It is likely therefore that there will 
be further gaps impacting on the availability of the ARHT assets during any planned and 
unplanned maintenance. 
It is our view that we must have a national IHT designated asset (a 5th helicopter) crewed and 
available on the North Shore and this needs to be re-established without any further delay.  
Without a dedicated IHT aircraft there is little or no chance the expectations of the ADHB IHT 
clinical retrieval teams about availability (>99% of the time) of an aircraft will be met.  
Information 
While we understand the assurance panel is assessing the ability of the provider to establish 
additional capacity, we shared our perspective that the current gaps (and delays) we continue 
to experience show that in part the provider/s continue to have insufficient pilots trained in 
(all) the types of assets now in place to use the helicopters they advise are available.  There still 
seems to be a view that it is the count of helicopters that is important, as opposed to the 
rostered ability to deploy them at any time or simultaneously to the contracted level of 
Official 
capacity.  Given the provider is unable to staff four helicopters to the level of the contracted 
capacity right now, it is highly unlikely they can crew a 5th in any near term.  
the 
Balancing the risks to patients requiring national IHT retrievals, with the pre hospital (primary) 
Auckland demands and limited capacity for IHTs, and the primary and IHT needs in Northland, 
it is our view that:
 One of the new 76C++ need to be relocated to the NSH and designated for national
under 
IHTs and crewed at least for the hours it was available up until mid-October – and this
should be done without waiting for a report from the assurance panel
 The second S76 C++ should be based in Whangarei and crewed 24/7
 IAL (76A) should be retained as a back-up aircraft for these two new NEST aircraft (as
per the requirements of the contract for a back up aircraft)
 HGW (Helilink aircraft currently covering daytime primary missions in Whangarei)
should be retained until the 5th helicopter is operational. The advantage of HGW being
the second aircraft in Whangarei is that it comes complete with flight crew so doesn’t
put further pressure on NEST to staff three helicopters.
Released 
These arrangements would provide us (effectively immediately) with an Auckland based 5th
helicopter designated for use for national IHT retrievals which everyone agrees is needed (and 
is what was identified as being needed in March when the national CEs supported our 
recommendation) and this can remain in place until the procurement (preferred supplier) 
outcome is in place (5 months from the date of an agreement being established). 
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Note that given the concerns raised by our clinical flight staff regarding the risk to the 
sustainability on the national retrieval service (and the voluntary basis on which our staff 
participate in flight services) I wonder if the national CEs need a more detailed briefing and 
update on the Northern region situation
Please let me know if you need any further information or clarification
Regards
Jo
1982
Joanne Brown
Funding and Development Manager - Hospitals
Planning and Funding

Auckland and Waitemata District Health Boards
Act 
Ph: +64 9 486-8920 ext: 43261 | Fax: +64 9 441-8957
Mobile: 
s 9(2)(a)
| Email: [email address]
Information 
Official 
the 
under 
Released 
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Document 17
Fwd: Thursday meeting with Assurance Panel
Carleine Receveur 
to:
Jon Gaupset
30/11/2019 09:43 a.m.
Hide Details 
From: Carleine Receveur/MOH
To: "Jon Gaupset" <[email address]>, 
Sent from my iPhone
Begin forwarded message:
1982
From: Monique Burrows <[email address]>
Date: 29 November 2019 at 8:43:34 PM NZDT
Act 
To: [email address], [email address]
Cc: Carleine Receveur <[email address]>, Barry Woodmass 
<[email address]>, Peter Whisker <[email address]>, Dawn Kelly 
<[email address]>
Subject: Fw: Fwd:  Thursday meeting with Assurance Panel
Hi Jim and Phil,
Please see the below email from Jo Brown at ADHB. 
Great feedback on the session you had with them yesterday so thanks for doing that.
Information 
In Jo's email she raises:
- the decision to cease having an asset located on the North Shore base as a contributory
factor in an escalation of issues with service gaps
- a desired state asset configuration.
Can you please consider these points as part of your assurance review?
Official 
Peter - can you please start pulling together what a set of variations to the contract with 
NRHL might look like? Would be good to have this for when Keriana, Carleine and I head to 
Auckland on 11 or 12 Dec.
the 
Thanks
Monique 
Sent from IBM Verse
under 
Keriana Brooking --- Fwd: Thursday meeting with Assurance Panel ---
From:
"Keriana Brooking" <[email address]>
To:
"Monique Burrows" <[email address]>
Date:
Fri, 29/11/2019 3:57 PM
Subject:
Fwd: Thursday meeting with Assurance Panel
Keriana Brooking  
Released 
DDG HSII 
Ministry of Health 
s 9(2)(a)
Begin forwarded message:
From: "Ailsa Claire (ADHB)" <[email address]>
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Page 2 of 4
Date: 29 November 2019 at 2:38:27 PM NZDT
To: "Graham Dyer" <[email address]>, "Nick Chamberlain (NDHB)" 
<[email address]>,  "Keriana Brooking" 
<[email address]>, "Russell Simpson" 
<[email address]>
Subject: FW: Thursday meeting with Assurance Panel
From: Jo Brown (WDHB) <[email address]>
Date: 29 November 2019 at 2:33:33 PM NZDT
1982
To: Ailsa Claire (ADHB) <[email address]>
Cc: Shay Mc Guinness (ADHB) <[email address]>
Subject: FW: Thursday meeting with Assurance Panel
Act 
Hi Ailsa
Thanks for the email that you have sent acknowledging everyone’s contribution to the meeting 
yesterday – I am sure this will be well received.  I just wanted to give you a brief update from 
my perspective following yesterday’s discussion. The panel were professional, were engaged 
and were listening.  We learnt that yesterday was day 4 of a 4 day review process and they 
expected they would be providing a report to the MOH within the next two weeks.  
The meeting was well attended by clinical and operational staff from both Northland and 
Auckland who reorganised their time to be there at such short notice, which I think is a 
reflection of the breadth and extent of the concerns held by a number of individuals across 
Information 
both DHBs.  Separately and collectively the staff were able to convey in very real terms what 
the experience of the new supply agreement has been for each of them and the teams they 
represented.  There was a lot to get through and the panel were happy to extend their time 
with us (for which we were grateful) to enable us to have the opportunity to share all the 
information we felt was important for them to know.  
There were explicit references to the loss of the teamwork as a result of the many changes 
Official 
including specifically, the loss of a designated helicopter (and therefore consistent flight crew) 
familiar with the national IHT work, how important this teamwork is to the safe and reliable 
provision of the clinical services being delivered, and the impact that this loss of teamwork has 
the 
had on the level of confidence of our clinical staff when undertaking PICU/NICU retrievals.  It 
was shared that there is increased concerns amongst individuals within clinical teams as a 
result of their experiences, and it was made clear that our teams undertake flight work on a 
voluntary basis.  The loss of any staff willing to undertake this work means there was an 
increased likelihood that there may be times when we would be unable to deliver the national 
retrieval services, and this was a new risk that had arisen as a result of the experiences since 1 
under 
April and was very concerning for us.    
This crystallised for us that the increased frequency of issues that has occurred since October 
has coincided with the withdrawal of the designated national IHT North Shore based helicopter 
(that occurred without any agreement with us), that had been on the North Shore historically 
for a long period of time and post 1 April.  
The panel confirmed that ARHT will be crewing their second aircraft with a single pilot so this 
aircraft will not be suitable (and therefore unavailable) for IHTs – noting that this 2nd aircraft 
only provides capacity for 10 hours per day. 
Released 
This is very significant as:
 This means the supply agreement actually provides only three national IHT capable
helicopters (and only one in Auckland)
 The first ARHT aircraft already does at least 700hrs/year of primary work (this is a high
number of hours for a single aircraft and exceeds the threshold of 650 hours used by
NASO to trigger consideration of an additional helicopter.
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Page 3 of 4
 We have learned that the ARHT aircraft is being used further afield for primary
missions than has been the case previously and this in addition to the points above
severely limits the availability of the ARHT assets for IHTs. Note that the draft report
(received today) regarding the Nov 6th delayed NICU retrieval supports this as ARHT
had been tasked to Kaitaia and then to a subsequent patient transfer from Whangarei
to Auckland, thus making the crew unavailable to do the NICU retrieval.
The limitations of the ARHT capacity for national IHT in Auckland is further impacted on by the 
back-up helicopter being a different asset type (BK117 vs AW169).  Recent events have 
demonstrated that the pilots rostered at any one time are not all equally qualified to fly both 
types of helicopter and as the BK gets used less and less the pilots will deskill further, which 
means this will not be a suitable asset to back up long term. It is likely therefore that there will 
1982
be further gaps impacting on the availability of the ARHT assets during any planned and 
unplanned maintenance. 
It is our view that we must have a national IHT designated asset (a 5th helicopter) crewed and Act 
available on the North Shore and this needs to be re-established without any further delay.  
Without a dedicated IHT aircraft there is little or no chance the expectations of the ADHB IHT 
clinical retrieval teams about availability (>99% of the time) of an aircraft will be met.  
While we understand the assurance panel is assessing the ability of the provider to establish 
additional capacity, we shared our perspective that the current gaps (and delays) we continue 
to experience show that in part the provider/s continue to have insufficient pilots trained in 
(all) the types of assets now in place to use the helicopters they advise are available.  There still 
seems to be a view that it is the count of helicopters that is important, as opposed to the 
rostered ability to deploy them at any time or simultaneously to the contracted level of 
capacity.  Given the provider is unable to staff four helicopters to the level of the contracted 
Information 
capacity right now, it is highly unlikely they can crew a 5th in any near term.  
Balancing the risks to patients requiring national IHT retrievals, with the pre hospital (primary) 
Auckland demands and limited capacity for IHTs, and the primary and IHT needs in Northland, 
it is our view that:
 One of the new 76C++ need to be relocated to the NSH and designated for national
Official 
IHTs and crewed at least for the hours it was available up until mid-October – and this
should be done without waiting for a report from the assurance panel
 The second S76 C++ should be based in Whangarei and crewed 24/7
 IAL (76A) should be retained as a back-up aircraft for these two new NEST aircraft (as
the 
per the requirements of the contract for a back up aircraft)
 HGW (Helilink aircraft currently covering daytime primary missions in Whangarei)
should be retained until the 5th helicopter is operational. The advantage of HGW being
the second aircraft in Whangarei is that it comes complete with flight crew so doesn’t
put further pressure on NEST to staff three helicopters.
under 
These arrangements would provide us (effectively immediately) with an Auckland based 5th
helicopter designated for use for national IHT retrievals which everyone agrees is needed (and 
is what was identified as being needed in March when the national CEs supported our 
recommendation) and this can remain in place until the procurement (preferred supplier) 
outcome is in place (5 months from the date of an agreement being established). 
Note that given the concerns raised by our clinical flight staff regarding the risk to the 
sustainability on the national retrieval service (and the voluntary basis on which our staff 
participate in flight services) I wonder if the national CEs need a more detailed briefing and 
update on the Northern region situation
Released 
Please let me know if you need any further information or clarification
Regards
Jo
Joanne Brown
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Funding and Development Manager - Hospitals
Planning and Funding

Auckland and Waitemata District Health Boards
Ph: +64 9 486-8920 ext: 43261 | Fax: +64 9 441-8957
Mobile:
s 9(2)(a) | Email: [email address]
1982
Act 
Information 
Official 
the 
under 
Released 
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Document 18
Re: Thursday meeting with Assurance Panel
Carleine Receveur 
to:
Monique Burrows
30/11/2019 09:49 a.m.
Cc:
jim.higgins, philip.hogan, Barry Woodmass, Peter Whisker, Dawn Kelly, "Jon Gaupset"
Hide Details 
From: Carleine Receveur/MOH Sort List...
To: Monique Burrows/MOH@MOH, 
Cc: [email address], [email address], Barry Woodmass/MOH@MOH, Peter 
Whisker/MOH@MOH, Dawn Kelly/MOH@MOH, "Jon Gaupset" <[email address]>
Thanks Monique. 
1982
Jim and Phil - it would be good to discuss this with you as there is some urgency to the decision making in 
relation to lead in times etc.
The NASO team will be meeting on Monday to regroup and will get back to you on possible times  Act 
Many thanks
Carleine 
Sent from my iPhone
On 29/11/2019, at 8:43 PM, Monique Burrows <[email address]> wrote:
Hi Jim and Phil,
Please see the below email from Jo Brown at ADHB. 
Information 
Great feedback on the session you had with them yesterday so thanks for doing that.
In Jo's email she raises:
- the decision to cease having an asset located on the North Shore base as a contributory
factor in an escalation of issues with service gaps
- a desired state asset configuration. Official 
Can you please consider these points as part of your assurance review?
Peter - can you please start pulling together what a set of variations to the contract with 
the 
NRHL might look like? Would be good to have this for when Keriana, Carleine and I head to 
Auckland on 11 or 12 Dec.
Thanks
Monique 
under 
Sent from IBM Verse
Keriana Brooking --- Fwd: Thursday meeting with Assurance Panel ---
From:
"Keriana Brooking" <[email address]>
To:
"Monique Burrows" <[email address]>
Date:
Fri, 29/11/2019 3:57 PM
Subject:
Fwd: Thursday meeting with Assurance Panel
Released 
Keriana Brooking  
DDG HSII 
Ministry of Health 
s 9(2)(a)
Begin forwarded message:
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From: "Ailsa Claire (ADHB)" <[email address]>
Date: 29 November 2019 at 2:38:27 PM NZDT
To: "Graham Dyer" <[email address]>, "Nick Chamberlain (NDHB)" 
<[email address]>,  "Keriana Brooking" 
<[email address]>, "Russell Simpson" 
<[email address]>
Subject: FW: Thursday meeting with Assurance Panel
1982
From: Jo Brown (WDHB) <[email address]>
Date: 29 November 2019 at 2:33:33 PM NZDT
To: Ailsa Claire (ADHB) <[email address]>
Act 
Cc: Shay Mc Guinness (ADHB) <[email address]>
Subject: FW: Thursday meeting with Assurance Panel
Hi Ailsa
Thanks for the email that you have sent acknowledging everyone’s contribution to the meeting 
yesterday – I am sure this will be well received.  I just wanted to give you a brief update from 
my perspective following yesterday’s discussion. The panel were professional, were engaged 
and were listening.  We learnt that yesterday was day 4 of a 4 day review process and they 
expected they would be providing a report to the MOH within the next two weeks.  
The meeting was well attended by clinical and operational staff from both Northland and 
Information 
Auckland who reorganised their time to be there at such short notice, which I think is a 
reflection of the breadth and extent of the concerns held by a number of individuals across 
both DHBs.  Separately and collectively the staff were able to convey in very real terms what 
the experience of the new supply agreement has been for each of them and the teams they 
represented.  There was a lot to get through and the panel were happy to extend their time 
with us (for which we were grateful) to enable us to have the opportunity to share all the 
information we felt was important for them to know.  
Official 
There were explicit references to the loss of the teamwork as a result of the many changes 
including specifically, the loss of a designated helicopter (and therefore consistent flight crew) 
the 
familiar with the national IHT work, how important this teamwork is to the safe and reliable 
provision of the clinical services being delivered, and the impact that this loss of teamwork has 
had on the level of confidence of our clinical staff when undertaking PICU/NICU retrievals.  It 
was shared that there is increased concerns amongst individuals within clinical teams as a 
result of their experiences, and it was made clear that our teams undertake flight work on a 
voluntary basis.  The loss of any staff willing to undertake this work means there was an 
under 
increased likelihood that there may be times when we would be unable to deliver the national 
retrieval services, and this was a new risk that had arisen as a result of the experiences since 1 
April and was very concerning for us.    
This crystallised for us that the increased frequency of issues that has occurred since October 
has coincided with the withdrawal of the designated national IHT North Shore based helicopter 
(that occurred without any agreement with us), that had been on the North Shore historically 
for a long period of time and post 1 April.  
The panel confirmed that ARHT will be crewing their second aircraft with a single pilot so this 
Released 
aircraft will not be suitable (and therefore unavailable) for IHTs – noting that this 2nd aircraft 
only provides capacity for 10 hours per day. 
This is very significant as:
 This means the supply agreement actually provides only three national IHT capable
helicopters (and only one in Auckland)
 The first ARHT aircraft already does at least 700hrs/year of primary work (this is a high
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number of hours for a single aircraft and exceeds the threshold of 650 hours used by 
NASO to trigger consideration of an additional helicopter. 
 We have learned that the ARHT aircraft is being used further afield for primary
missions than has been the case previously and this in addition to the points above
severely limits the availability of the ARHT assets for IHTs. Note that the draft report
(received today) regarding the Nov 6th delayed NICU retrieval supports this as ARHT
had been tasked to Kaitaia and then to a subsequent patient transfer from Whangarei
to Auckland, thus making the crew unavailable to do the NICU retrieval.
The limitations of the ARHT capacity for national IHT in Auckland is further impacted on by the 
back-up helicopter being a different asset type (BK117 vs AW169).  Recent events have 
demonstrated that the pilots rostered at any one time are not all equally qualified to fly both 
1982
types of helicopter and as the BK gets used less and less the pilots will deskill further, which 
means this will not be a suitable asset to back up long term. It is likely therefore that there will 
be further gaps impacting on the availability of the ARHT assets during any planned and 
unplanned maintenance. 
Act 
It is our view that we must have a national IHT designated asset (a 5th helicopter) crewed and 
available on the North Shore and this needs to be re-established without any further delay.  
Without a dedicated IHT aircraft there is little or no chance the expectations of the ADHB IHT 
clinical retrieval teams about availability (>99% of the time) of an aircraft will be met.  
While we understand the assurance panel is assessing the ability of the provider to establish 
additional capacity, we shared our perspective that the current gaps (and delays) we continue 
to experience show that in part the provider/s continue to have insufficient pilots trained in 
(all) the types of assets now in place to use the helicopters they advise are available.  There still 
seems to be a view that it is the count of helicopters that is important, as opposed to the 
Information 
rostered ability to deploy them at any time or simultaneously to the contracted level of 
capacity.  Given the provider is unable to staff four helicopters to the level of the contracted 
capacity right now, it is highly unlikely they can crew a 5th in any near term.  
Balancing the risks to patients requiring national IHT retrievals, with the pre hospital (primary) 
Auckland demands and limited capacity for IHTs, and the primary and IHT needs in Northland, 
it is our view that:
Official 
 One of the new 76C++ need to be relocated to the NSH and designated for national
IHTs and crewed at least for the hours it was available up until mid-October – and this
should be done without waiting for a report from the assurance panel
the 
 The second S76 C++ should be based in Whangarei and crewed 24/7
 IAL (76A) should be retained as a back-up aircraft for these two new NEST aircraft (as
per the requirements of the contract for a back up aircraft)
 HGW (Helilink aircraft currently covering daytime primary missions in Whangarei)
should be retained until the 5th helicopter is operational. The advantage of HGW being
the second aircraft in Whangarei is that it comes complete with flight crew so doesn’t
under 
put further pressure on NEST to staff three helicopters.
These arrangements would provide us (effectively immediately) with an Auckland based 5th
helicopter designated for use for national IHT retrievals which everyone agrees is needed (and 
is what was identified as being needed in March when the national CEs supported our 
recommendation) and this can remain in place until the procurement (preferred supplier) 
outcome is in place (5 months from the date of an agreement being established). 
Note that given the concerns raised by our clinical flight staff regarding the risk to the 
sustainability on the national retrieval service (and the voluntary basis on which our staff 
Released 
participate in flight services) I wonder if the national CEs need a more detailed briefing and 
update on the Northern region situation
Please let me know if you need any further information or clarification
Regards
Jo
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Joanne Brown
Funding and Development Manager - Hospitals
Planning and Funding
Auckland and Waitemata District Health Boards
Ph: +64 9 486-8920 ext: 43261 | Fax: +64 9 441-8957
Mobile:
s 9(2)(a) | Email: [email address]
1982
Act 
Information 
Official 
the 
under 
Released 
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Document 22
RE: Fwd: Thursday meeting with Assurance Panel
philip.hogan 
to:
Monique.Burrows, jim.higgins
02/12/2019 11:37 p.m.
Cc:
Carleine.Receveur, Barry.Woodmass, Peter.Whisker, Dawn.Kelly
Hide Details 
From: <[email address]>
To: <[email address]>, <[email address]>, 
Cc: <[email address]>, <[email address]>, 
1982
<[email address]>, <[email address]>
Monique
Thank you very much for the information you have provided. We’ll make sure we address both of these 
Act 
issues.
Regards
Philip Hogan
From: [email address] <[email address]> 
Sent: 29 November 2019 18:44
To: [email address]; [email address]
Cc: [email address]; [email address]; [email address]; 
[email address]
Subject: Fw: Fwd: Thursday meeting with Assurance Panel
Information 
Hi Jim and Phil,
Please see the below email from Jo Brown at ADHB. 
Great feedback on the session you had with them yesterday so thanks for doing that.
Official 
In Jo's email she raises:
- the decision to cease having an asset located on the North Shore base as a contributory factor in
an escalation of issues with service gaps
the 
- a desired state asset configuration.
Can you please consider these points as part of your assurance review?
Peter - can you please start pulling together what a set of variations to the contract with NRHL might 
look like? Would be good to have this for when Keriana, Carleine and I head to Auckland on 11 or 
under 
12 Dec.
Thanks
Monique 
Sent from IBM Verse
Keriana Brooking --- Fwd: Thursday meeting with Assurance Panel ---
Released 
From: "Keriana Brooking" <[email address]>
To:
"Monique Burrows" <[email address]>
Date:
Fri, 29/11/2019 3:57 PM
Subject:Fwd: Thursday meeting with Assurance Panel
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Keriana Brooking 
DDG HSII 
Ministry of Health 
s 9(2)(a)
Begin forwarded message:
From: "Ailsa Claire (ADHB)" <[email address]>
Date: 29 November 2019 at 2:38:27 PM NZDT
To: "Graham Dyer" <[email address]>, "Nick Chamberlain (NDHB)" 
<[email address]>,  "Keriana Brooking" 
1982
<[email address]>, "Russell Simpson" <[email address]>
Subject: FW: Thursday meeting with Assurance Panel
Act 
From: Jo Brown (WDHB) <[email address]>
Date: 29 November 2019 at 2:33:33 PM NZDT
To: Ailsa Claire (ADHB) <[email address]>
Cc: Shay Mc Guinness (ADHB) <[email address]>
Subject: FW: Thursday meeting with Assurance Panel
Hi Ailsa
Information 
Thanks for the email that you have sent acknowledging everyone’s contribution to the meeting 
yesterday – I am sure this will be well received.  I just wanted to give you a brief update from 
my perspective following yesterday’s discussion. The panel were professional, were engaged 
and were listening.  We learnt that yesterday was day 4 of a 4 day review process and they 
expected they would be providing a report to the MOH within the next two weeks.  
Official 
The meeting was well attended by clinical and operational staff from both Northland and 
Auckland who reorganised their time to be there at such short notice, which I think is a 
the 
reflection of the breadth and extent of the concerns held by a number of individuals across 
both DHBs.  Separately and collectively the staff were able to convey in very real terms what 
the experience of the new supply agreement has been for each of them and the teams they 
represented.  There was a lot to get through and the panel were happy to extend their time 
with us (for which we were grateful) to enable us to have the opportunity to share all the 
information we felt was important for them to know.  
under 
There were explicit references to the loss of the teamwork as a result of the many changes 
including specifically, the loss of a designated helicopter (and therefore consistent flight crew) 
familiar with the national IHT work, how important this teamwork is to the safe and reliable 
provision of the clinical services being delivered, and the impact that this loss of teamwork has 
had on the level of confidence of our clinical staff when undertaking PICU/NICU retrievals.  It 
was shared that there is increased concerns amongst individuals within clinical teams as a 
result of their experiences, and it was made clear that our teams undertake flight work on a 
Released 
voluntary basis.  The loss of any staff willing to undertake this work means there was an 
increased likelihood that there may be times when we would be unable to deliver the national 
retrieval services, and this was a new risk that had arisen as a result of the experiences since 1 
April and was very concerning for us.    
This crystallised for us that the increased frequency of issues that has occurred since October 
has coincided with the withdrawal of the designated national IHT North Shore based helicopter 
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(that occurred without any agreement with us), that had been on the North Shore historically 
for a long period of time and post 1 April.  
The panel confirmed that ARHT will be crewing their second aircraft with a single pilot so this 
aircraft will not be suitable (and therefore unavailable) for IHTs – noting that this 2nd aircraft 
only provides capacity for 10 hours per day. 
This is very significant as:

This means the supply agreement actually provides only three national IHT capable helicopters
(and only one in Auckland)

The first ARHT aircraft already does at least 700hrs/year of primary work (this is a high number
1982
of hours for a single aircraft and exceeds the threshold of 650 hours used by NASO to trigger
consideration of an additional helicopter.

We have learned that the ARHT aircraft is being used further afield for primary missions than
Act 
has been the case previously and this in addition to the points above severely limits the
availability of the ARHT assets for IHTs. Note that the draft report (received today) regarding
the Nov 6th delayed NICU retrieval supports this as ARHT had been tasked to Kaitaia and then
to a subsequent patient transfer from Whangarei to Auckland, thus making the crew
unavailable to do the NICU retrieval.
The limitations of the ARHT capacity for national IHT in Auckland is further impacted on by the
back-up helicopter being a different asset type (BK117 vs AW169).  Recent events have
demonstrated that the pilots rostered at any one time are not all equally qualified to fly both
types of helicopter and as the BK gets used less and less the pilots will deskill further, which
Information 
means this will not be a suitable asset to back up long term. It is likely therefore that there will
be further gaps impacting on the availability of the ARHT assets during any planned and
unplanned maintenance.
It is our view that we must have a national IHT designated asset (a 5th helicopter) crewed and
available on the North Shore and this needs to be re-established without any further delay.
Official 
Without a dedicated IHT aircraft there is little or no chance the expectations of the ADHB IHT
clinical retrieval teams about availability (>99% of the time) of an aircraft will be met.
the 
While we understand the assurance panel is assessing the ability of the provider to establish
additional capacity, we shared our perspective that the current gaps (and delays) we continue
to experience show that in part the provider/s continue to have insufficient pilots trained in
(all) the types of assets now in place to use the helicopters they advise are available.  There still
seems to be a view that it is the count of helicopters that is important, as opposed to the
rostered ability to deploy them at any time or simultaneously to the contracted level of
under 
capacity.  Given the provider is unable to staff four helicopters to the level of the contracted
capacity right now, it is highly unlikely they can crew a 5th in any near term.
Balancing the risks to patients requiring national IHT retrievals, with the pre hospital (primary)
Auckland demands and limited capacity for IHTs, and the primary and IHT needs in Northland,
it is our view that:

One of the new 76C++ need to be relocated to the NSH and designated for national IHTs and
Released 
crewed at least for the hours it was available up until mid-October – and this should be done
without waiting for a report from the assurance panel

The second S76 C++ should be based in Whangarei and crewed 24/7

IAL (76A) should be retained as a back-up aircraft for these two new NEST aircraft (as per the
requirements of the contract for a back up aircraft)

HGW (Helilink aircraft currently covering daytime primary missions in Whangarei) should be
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retained until the 5th helicopter is operational. The advantage of HGW being the second aircraft in 
Whangarei is that it comes complete with flight crew so doesn’t put further pressure on NEST 
to staff three helicopters. 
These arrangements would provide us (effectively immediately) with an Auckland based 5th
helicopter designated for use for national IHT retrievals which everyone agrees is needed (and 
is what was identified as being needed in March when the national CEs supported our 
recommendation) and this can remain in place until the procurement (preferred supplier) 
outcome is in place (5 months from the date of an agreement being established). 
Note that given the concerns raised by our clinical flight staff regarding the risk to the 
1982
sustainability on the national retrieval service (and the voluntary basis on which our staff 
participate in flight services) I wonder if the national CEs need a more detailed briefing and 
update on the Northern region situation
Act 
Please let me know if you need any further information or clarification
Regards
Jo
Joanne Brown
Funding and Development Manager - Hospitals
Planning and Funding

Auckland and Waitemata District Health Boards
Ph: +64 9 486-8920 ext: 43261 | Fax: +64 9 441-8957

Information 
Mobile:s 9(2)(a)
| Email: [email address]
****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
Official 
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
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under 
Released 
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Document 25
Out of scope
1982
Act 
Information 
s 9(2)(a)
Official 
----- Forwarded by Monique Burrows/MOH on 04/12/2019 01:58 p.m. -----
the 
From: "Shay Mc Guinness (ADHB)" <[email address]>
To: "[email address]" <[email address]>, 
Cc: "[email address]" <[email address]>, "[email address]" <[email address]>, 
"[email address]" <[email address]>, "Jo Brown (WDHB)" <[email address]>, "[email address]" 
<[email address]>
Date: 04/12/2019 12:45 p.m.
Subject: RE: Aw 169 range
under 
Let me expand further.
This is a standard calculation (called “weight and balance”) that is done before every mission. In essence:
1. You calculate the weight of the aircraft with all added equipment
2.
Released 
You then add the weight of crew and passengers
3. You take this off the MTOW (maximum take off weight) and this tells you how much fuel you can carry
4. You know how far you are going to fly and the fuel burn at different speeds. Knowing the weather (wind speed
and direction mainly) information lets you know how long it will take.
5. You know what fuel reserves you have to carry
6. You know what alternates you have to hold for IFR flights
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Page 5 of 7
From the above you can calculate if you have enough fuel to get to your destination without stopping for more.
For our IHT teams in the 76C++ we are always going to be able to carry full tanks of fuel. For the 169 this is not the case (as it has 
an MTOW >500kg less than a S76 despite the empty weight being only around 200kg lighter – i.e. the 76 can carry 300kg more 
which equals about an hours more fuel).
It is my belief that with a full IHT team (e.g. ECMO team) its unlikely that the 169 could have full fuel tanks – what we want to 
know is what impact this will have on range.
A second point is that the 169 uses a lot more fuel when it flies faster (c.f. the 76) – what we want to know is will this result in 
the aircraft having to fly slower to be more economical so that it can fly further – and what will this do to overall transport time 
(e.g. it may be better to use a FW)
1982
The w&b stuff is completely routine – but if ARHT don’t want to tell us then please ask them to provide a full copy of their flight 
manual (including supplements plus a copy of their w&b calculator (they will have one) and I will get someone to crunch the 
Act 
numbers.
The second part (that involves “usual” weather and likely alternates for IFR flight) requires a bit more nuance – but I would 
expect an experienced NZ operator to be able to work through the numbers.
The bottom line is that the only explanation for ARHT not providing this information themselves is that they are overstating the 
capabilities of the 169 (which we know they are) or are just being difficult.
Either way I have been asking for this info for .3 months and have got nowhere.
Regards
Information 
Shay
From: [email address] <[email address]> 
Sent: Wednesday, 4 December 2019 11:39 AM
To: Shay Mc Guinness (ADHB) <[email address]>Official 
Cc: [email address]; [email address]; [email address]; Jo Brown (WDHB) 
<[email address]>; [email address]
Subject: RE: Aw 169 range
the 
I will check what can be done Shay and come back to you.
Monique
Monique Burrows
Group Manager Primary Health Care System Improvement and Innovation
Acting Manager Office of the Deputy Director-General
under 
Health System Improvement and Innovation
Ministry of Health
Mobile: s 9(2)(a)
Released 
From:        "Shay Mc Guinness (ADHB)" <[email address]>
To:     "[email address]" <[email address]>, "Jo Brown (WDHB)" <[email address]>, 
Cc:      "[email address]" <[email address]>, "[email address]" <[email address]>, 
"[email address]" <[email address]>, "[email address]" <[email address]>
Date:        04/12/2019 11:16 a.m.
Subject:        RE: Aw 169 range
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Page 6 of 7
Unfortunately it is not much use at all.
We are asking for “real world” information i.e. it needs to include realistic clinical crew numbers and patient weight (as detailed 
in my previous emails) – importantly it also needs to include likely NZ weather and typical alternates. This is why we require the 
data from a NZ operator (ARHT) with experience of NZ conditions.
The attached is just another theoretical best case – not complete garbage like the ARHT email but not particularly informative 
either.
Regards
Shay
1982
From: [email address] <[email address]> 
Sent: Wednesday, 4 December 2019 10:13 AM
To: Jo Brown (WDHB) <[email address]>; Shay Mc Guinness (ADHB) <[email address]> Act 
Cc: [email address]; [email address]; [email address]; 
[email address]
Subject: Fw: Aw 169 range
Hi Jo and Shay, 
Attached is the information that Phil Hogan has gathered in relation to the payload, range and speed of the AW169 as compared 
to the S76C++. 
I hope this is of use in developing your tasking arrangements for the use of AW169s for IHTs. 
Jo - I have received your list sent this morning of questions outstanding and will work through this also. 
Information 
Thanks 
Monique 
Monique Burrows
Group Manager Primary Health Care System Improvement and Innovation 
Acting Manager Office of the Deputy Director-General Official 
Health System Improvement and Innovation 
Ministry of Health
Mobile: s 9(2)(a)
the 
----- Forwarded by Monique Burrows/MOH on 04/12/2019 10:07 a.m. -----
From:        <[email address]>
To:     <[email address]>, <[email address]>, <[email address]>, <[email address]>, 
under 
Cc:      "David Anderson" <[email address]>, "'Peter Johnson'" <[email address]>, <[email address]>
Date:     03/12/2019 04:07 p.m.
Subject:     Aw 169 range
Monique 
Attached is  a copy of the range details for the AW 169, it also compares the S76 C&&. The speed chosen we believe is 
Released 
reasonable although it is slightly generous for the S76 (perhaps 5 – 10 knots slower with external equipment). The AW169 is 
listed as red at a weight of 4814 kgs which is 14 kg over maximum take off weight, the reality is that the starting fuel, flight to 
ADHB and loading time is about 60 to 80 kg fuel. After this point they would pick up the medical crew and extra equipment, 
allowing them to have maximum fuel from Ardmore. 
The performance chart can have parameters changed as required.  Obviously unfavourable winds, temperature extremes, 
alternative destinations as required by air traffic control, etc. will alter the effective range. It is planned to include this in our 
evaluation but thought it may be useful for you earlier. If you have any questions please don’t hesitate to contact me.   
Regards 
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Philip Hogan 
Heliport Design Group ****************************************************************************
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1982
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[attachment "Copy of Performance_.xlsx" deleted by Monique Burrows/MOH] 
Act 
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legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
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Official 
the 
under 
Released 
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