Sent by: Tony Brown/MOH
To: Tony Brown/MOH@MOH,
Released
cc:
07/08/2018 03:34 p.m.
bcc:
Subject: Fw: Please find attached reporting for agreement number 350549
For e-filing
Tony Brown
Portfolio Manager
Chronic Disease Prevention
under the Official Information Act 1982
System Outcomes I Services Commissioning I Ministry of Health
DDI: + 64 7 929 3633 / Mobile s 9(2)(a) / E: [email address] I Hamilton Office: Level 4, 73 Rostrevor
Street, Hamilton, PO Box 1031, Waikato Mail Centre 3204
----- Forwarded by Tony Brown/MOH on 07/08/2018 03:33 p.m. -----
From:
Performance Reporting/MOH
To:
Tony Brown/MOH@MOH,
Date:
07/08/2018 03:12 p.m.
Subject:
Please find attached reporting for agreement number 350549
Sent by:
Lily Zhang
Lily Zhang
Purchasing Team
Payments and Purchasing
Sector Operations
Finance and Performance
Ministry of Health
DDI: 03 474 8097
Fax: 03 474 8582
http://www.health.govt.nz
mailto:[email address]
----- Forwarded by Lily Zhang/MOH on 07/08/2018 03:12 p.m. -----
From:
Pip King <[email address]>
To:
"'[email address]'" <[email address]>,
Date:
30/07/2018 12:25 p.m.
Subject:
MOH/PUB/Tony Brown: 242785/350549/02 Lakes DHB Tobacco control report
Pip King
Released
Portfolio Manager
Lakes DHB
Rotorua 07 349‐7823
Taupo 07 376‐1049 extn 5849
s 9(2)(a)
[email address]
under the Official Information Act 1982
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. The Lakes District Health Board website is
www.lakesdhb.govt.nz
MOH Tobacco control Jan-June 2018.doc
Released
under the Official Information Act 1982
Released
Lakes DHB: January-June 2018
Output One: Tobacco Control Leadership
Service description
Performance measures
Achievements for the period January-June 2018
under the Official Information Act 1982
1.1 You wil continue to implement and o You wil continue to provide Most of this period has been spent ending the work of
review the progress of the Tobacco
six monthly reporting against
the smokefree team and Ministry of Health DHB
Control plan for your district
.
the Tobacco Control Plan
agreement work, following the notification from the
through the District Annual
Ministry of exit of this contract. The staff were notified in
Plan.
November 2017 providing a period of transition.
Transition plan written
Meeting with Tipu Ora to explore areas where this
provider could work in the DHB to take over some of the
work. Areas which were identified as requiring ongoing
resourcing-staff training, smokefree coordination across
the district, accessing and supply of bulk NRT products,
smokefree training to new staff and overseas locums,
leadership of population wide smokefree policy groups
(council, retailers, other government agencies).
1.2 You wil continue to provide leadership o You wil continue to provide o Promoting the Rauora trial in collaboration with the
related to tobacco control within the
six monthly reporting against
University of Auckland.
DHB area. This may include:
the Tobacco Control Plan
through the District Annual o Smokefree team members are part of the Rauora Kaitiaki
Coordination of the local tobacco
Group
control sector
Plan.
o Smokefree co-ordinator and Smokefree Midwife continued
Undertaking gap/needs analysis
to provide specialist smoking cessation services to
related to tobacco control
Rotorua hospital patients and caregivers who smoke and
ensure referral to cessation providers in the community
Further
Smokefree
policy
development
are completed.
Systematical y
ensure tobacco
o Smokefree co-ordinator continued to provide specialist
control is included as a key activity
smoking cessation to al Lakes DHB staff who request
in all DHB health documents
cessation support.
Engagement with sectors outside of
o Coordination of the Lakes Auahi Kore/Smokefree
Coalition group who meet monthly. This group is an
1 / 9
Released
health
intersectional group that share an interest in Auahi
Kore/Smokefree projects and give a united voice across
Publication of local activities
the region. Members are from Stop Smoking Service,
Development of evidence based
Primary and Secondary care, Public Health, tertiary, HPA,
tobacco control initiatives at a local
Rotorua Lakes Council and NGO sector
level
o High visibility from Smokefree Coordinator and Smokefree
Supporting al services contracted
Midwife around the DHB site on a daily basis.
under the Official Information Act 1982
by the DHB to establish and/or
maintain smokefree environments
o Continue to provide smokefree education-cessation group
based information to alcohol and drug residences.
Support on-going clinical and
community leadership in tobacco
o LMC smokefree resource packs distributed to al LMC’s
control.
o Maternity and ED smokefree packs distributed to all
identified smokers who want support to stop and want a
referral for fol ow up.
o Continued displays in the Lakes DHB Atrium, ED,
Children’s and Maternity units which are well received.
o Continue to support Tipu Ora SSS and promote their
service within Lakes DHB.
o Meet with stakeholders to develop script to increase
referrals
o LMC to refer al smokers to Smokefree team and Tipu Ora
Stop Smoking Service
o WorkWel Plan supports Smokefree. The plan puts in
place simple, effective strategies for managing
employees/patients and visitors wellbeing.
o
Output Two: Planning and Provision of Cessation Support
Note that Cessation Support refers to all cessation activity and includes
A, B and refer to C components delivered by all health workers in al health settings
Specialist Cessation services, delivered by individuals or services that specialise in smoking cessation
Referrals between health and cessation services.
2 / 9
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Service description
Performance measures
Progress for the period June-December 2015
2.1 You wil develop and maintain
capacity to plan and fund all
You wil :
o Specialist Smoking Cessation services provided in the six
cessation activity (including
months.
Continue
to provide six
specialist cessation services)
monthly reporting against the o 1. Al smoking cessation services funded by Lakes DHB were
across the district (primary,
Tobacco Control Plan through
exited on 30 June 2018 as a result of the Ministry exiting the
under the Official Information Act 1982
secondary and community
the District Annual Plan.
Lkaes DHB contract. . Up until then the following were funded
settings). Should local
i.
A 1.0 FTE Smokefree Coordinator based in Lakes
specialist cessation services
Achieve the Health Target
DHB provides specialist cessation support to hospitalised
be transferred to DHBs in the
patients, outpatients and peri-op in Rotorua hospital. This
future, the costs of any
person also delivers services in the community when
additional administration costs
requested including smoking cessation at Toi Oho Mai
wil be met through this
and in the wider Lakes community. Her presence
contract.
supports their progress towards becoming smokefree.
She also supports and facilitates smokefree training
within the DHB and the Lakes community. She is also a
member of the Lakes Auahi Kore/Smokefree Coalition
Group and the Team Leader for WSFD, Stoptober
and facilitates group smoking cessation entities in the
community.
ii.
A 0.6 FTE Clinical Smokefree Midwife educator
works across primary and secondary care to ensure work
towards the 90% of pregnant smokers are supported to
quit right from first contact. The target groups are
pregnant teenagers and pregnant Maori. She also follows
up women and their families post-natal y.
i i.
A 0.7 FTE (RN) Tobacco Dependence Clinic
smokefree cessation service is active in primary care at
Western Heights Health Centre to proactively and
reactively offer al their patients who smoke support to
quit, free NRT and access to other meds. This practice
has a high Maori, high deprivation and high smoking
population. To date this service has been overwhelmed
and surprised by the uptake of patients wishing to quit.
Most of the clients responding to the service are as a
direct referral from Primary and secondary care across
Rotorua for patients who meet the threshold. Smoking
cessation consults are all free and the practice is
3 / 9
Released
covering the cost of the prescription charge by way of
charge back from the local pharmacy. This programme
includes the general practitioner and Practice Nurse
having a special interest in smoking cessation around
pharmacology options for patients. They are finding that
the length of time to deal with clients wanting to quit has
been underestimated. Their unique practice population
under the Official Information Act 1982
has seen other health problems arising once the patients
have quit such as mental health issues, obesity, alcohol
dependency and others. This smoking cessation service
is integrated into the community maternal and child
health community and primary care model of care. This is
part of a demonstration integration site for the MOH . The
advantage of this service is the holistic approach to
whanau covering all the health needs and being able to
prescribe.
iv.
Provide free nicotine inhalers to mental health
patients while inpatients. This is very successful and we
would like to see this rolled out to community availability.
v.
Ongoing education with community mental health
and access to NRT to provide for Tangata Whaiora.
o Lakes DHB orders bulk NRT on behalf of the Public Health
Unit which is distributed to NGO sectors in Tauranga,
Whakatane, Taupo and Turangi.
2.2 You wil plan and provide all
You wil :
o Smokefree Coordinator and Smokefree Midwife were
core and generalist cessation
accredited as national smokefree trainers with the Nationals
activity across your district (in
o Continue
to provide six
Training Service Al iance (NTS).
all settings), based on the
monthly reporting against the
needs of your district. This
Tobacco Control Plan through o Smokefree team continued to facilitate smokefree training of
ABC in the Lakes region to new staff, locums and new graduate
may include:
the District Annual Plan.
nurses and specifical y new staff from overseas.
Systems to support the
o Achieve the Health Target in
o Continued referral to Quitline, Tipu Ora Stop Smoking Service
delivery of ABC in
secondary care
clinical practice
o Report on advice and help to
o Mary McLean and Denise Aitken continued to provide clinical
quit provided to smokers in
leadership in Primary and Secondary care
Training
of
health
workers in ABC
primary care settings through o Smokefree Coordinator continued to provide specialist
the
Primary
Care
cessation to Lakes DHB staff.
4 / 9
Released
Clinical leadership
Performance
Programme, o Hospital midwives referred all smoking women to smokefree
aiming for 80% by June 2011.
team for assessment and then referred to Stop Smoking
Referral
systems
between health and
Service Tipu Ora. .
cessation services
o ABC training package developed and stop smoking medicines
has been accredited by the NTS al iance.
Specialist
cessation
service provision
under the Official Information Act 1982
2.3 You wil monitor and analyse
You wil provide an ethnicity
Maori, Pacific and pregnant
breakdown for health target In the 6 months period January to June 2018 the advice given to
women referrals and service
reporting of prevalence and hospitalized Maori and Pasifika patients was 91.8% and 93.9%
uptake, to ensure that there is
brief advice.
respectively. The smoking prevalence rates for these ethnic
no disparity of care and to
groups were 32.3% and 22.2%.
inform service planning for
For maternity, the prevalence figure was 19.7% with advice given
priority populations.
sitting at 89.22%.
2.4 You wil continue to promote o
A performance measure for o NRT is on the impress system in al units and ED. Referrals
the use of NRT across health
NRT use wil be developed in
are sent to smokefree team and where applicable NRT is
settings. You wil provide
consultation with DHB’s.
given to patients before their discharge.
nicotine replacement therapy
Once agreed, DHB’s wil
(NRT) to all inpatients
report on this measure.
o Quickmist and inhalator are on impress stock in Maternity
identified as requiring support
o Please refer to the break down of NRT at the end of this
for acute nicotine withdrawal.
document.
o Al new House Officer and Registered Medical Officers during
their orientation to Lakes DHB have been told, that all
identified smokers need to have NRT administered
immediately and this needs to be written up on the patients
drug chart.
2.5 You wil participate in national
o You wil continue to provide six
o Smokefree coordinator along with Toi Te Ora is providing
service development work
monthly reporting against the
support and leadership with the Rotorua Lakes Council with
where appropriate, and wil
Tobacco Control Plan through
their smokefree policies regarding the Councils, Energy
adhere and implement any
the District Annual Plan.
Events Centre and Museum.
national
data
col ection,
service specifications and/or
o Rotorua Lakes Council are now into phase 2 of smokefree
guidelines that are developed
plan for smokefree environments to include streets (food and
where appropriate.
pub streets).
5 / 9
Released
under the Official Information Act 1982
Tobacco Control Contract 350549-00
Financial Report Jan-June 2017
Note: the deficit is a result of timing of the
NGO contracts.
Revenue
Jan-June 2017
Revenue contract 350549
-267,500
Total Revenue
-267,500
Contract Expenditure (NGO Contracts)
Health Reporoa
9,000
RAPHS
Qashab
35,000
Ngati Pikiao
26,500
Tipu Ora
Awhi Midwives-THCT
13,000
Qashab - WHHS
35,000
7 / 9
Released
Total Contract Expenditure
166,000
HSSS Expenditure (PopH)
06.6018.191201.000
137,288
under the Official Information Act 1982
Total HSSS Expenditure
137,288
Total Expenditure
303,288
(Surplus)/Deficit
35,788
Pop Health Expenditure Detailed
Internal Revenue - Pop Health Funding
-137,288
Senior Nurses
25,939
Comm. Support Workers
34,940
Supervisors
0
Admin & Clerical
22,315
Patient Consumables
365
Central Nervous System (BNF 04)
173
Crockery & Hardware
7
Cleaning Supplies
32
Cleaning - Outsourced
173
Rents -Property
1,405
Maintenance - Electrical
0
Motor Vehicles – Transport charge
90
Staff Travel – Domestic
271
Staff Accom & Meals
0
Software Charges – Maintenance Fees
2,960
Telecomms – Line Rentals
615
Telecomms – Local
228
Other equipment - Depreciation
6,000
8 / 9
Released
Minor purchases < $1000
10,046
Minor purchases < $1000
0
Stationery & Supplies
629
Stationery - Photocopy
743
Postage, Courier & Freight
275
Reception and Catering
0
under the Official Information Act 1982
Advertising
657
Internal allocation
27,458
(Surplus)/Deficit
-1,967
9 / 9
Sent by: Tony Brown/MOH
To: Pip King <[email address]>,
Released
cc: Karen Evison <[email address]>, Marieke Wass
03/09/2018 09:49 a.m.
<[email address]>,
bcc:
Subject: RE: Lakes DHB Financial statement for the last 12 months
Hi Pip,
Thank you for sending me through the financial expenditure report for the Tobacco Control contract.
Regards
under the Official Information Act 1982
Tony Brown
Portfolio Manager
Chronic Disease Prevention
System Outcomes I Services Commissioning I Ministry of Health
DDI: + 64 7 929 3633 / Mobile s 9(2)(a) / E: [email address] I Hamilton Office: Level 4, 73 Rostrevor
Street, Hamilton, PO Box 1031, Waikato Mail Centre 3204
Pip King
Hi Tony Please find attached the Lake...
31/08/2018 02:18:44 p.m.
From:
Pip King <[email address]>
To:
"'[email address]'" <[email address]>,
Cc:
Karen Evison <[email address]>, Marieke Wass
<[email address]>
Date:
31/08/2018 02:18 p.m.
Subject:
RE: Lakes DHB Financial statement for the last 12 months
Hi Tony
Please find attached the Lakes DHB financial report for 2017‐18 year.
Pip King
Portfolio Manager
Lakes DHB
Rotorua 07 349‐7823
Taupo 07 376‐1049 extn 5849
s 9(2)(a)
[email address]
From: [email address] [mailto:[email address]]
Sent: Thursday, 30 August 2018 2:39 p.m.
To: Karen Evison
Subject: Lakes DHB Financial statement for the last 12 months
Hi Karen,
Released
Can you please provide me with the last 12 months of expenditure versus budget for the DHB Tobacco
Control contract - contract Number 350549 for the period 1 July 2017 to 30 June 2018. This statement was
not supplied in the last monitoring report from Pip.
Thanks
Tony Brown
under the Official Information Act 1982
Portfolio Manager Chronic Disease Prevention System Outcomes I Services Commissioning I Ministry of Health
DDI: + 64 7 929 3633 / Mobile s 9(2)(a) / E: [email address] I
Hamilton Office: Level 4, 73 Rostrevor
Street, Hamilton, PO Box 1031, Waikato Mail Centre 3204
************************************************************************
****
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.
************************************************************************
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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
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. The Lakes
District Health Board website is www.lakesdhb.govt.nz
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. The Lakes District Health Board website is
www.lakesdhb.govt.nz Financial report 17-18.xls
Released
under the Official Information Act 1982
Tobacco Control Contract 350549-00
Financial report July 2017-June 2018
Tobacco Control Contract 350549-00
July 2017-June 2018
Underspend from 2016-17
-79,425
Released
Revenue 2017-18
-535,000
Total Revenue 2017-18
-614,425
Contract Expenditure (NGO Contracts)
Health Reporoa
18,000
Midland Health Network
40,000
QASHAB
70,000
Tuwharetoa Health Charitable Trust
93,000
Mokoia Community Association
40,000
Ringakaha Primecare
39,425
under the Official Information Act 1982
Total Contract Expenditure
300,425
Maternal and child health SUDI programme (Hapu Wananga)
40,000
HSSS Expenditure (Pop H)
274,572
Total HSSS expenditure
372,000
Total Expenditure
614,997
(Surplus/Deficit
572
FY Actuals FY Budget
Account Description
17/18
17/18
Internal Revenue - Pop Health Funding
-274,572 -274,572
MOSS
0
0
Senior Nurses
54,840
52,828
Comm. Support Workers
69,747
68,136
Admin & Clerical
17,394
44,135
Protective Clothing
0
91
Sharps & Syringes
0
32
Patient Consumables -med supplies
1,607
0
Patient Consumables -o2 equip
0
144
Patient Consumables -other
350
550
Central Nervous System (BNF 04)
6,964
2,659
Cleaning Supplies
235
300
Rents -property
3,027
3,027
Maintenance – Electrical
8
10
Motor Vehicles – Transport charge
812
559
Staff Travel – Domestic
489
1,000
Software Charges – enhancements
2,960
0
Software Charges – Maintenance Fees
0
1,870
Telecomms – Line Rentals
0
1,278
Telecomms Mobile Ph
2,146
0
Telecomms Minor Pur
252
0
Other equipment – Depreciation
759
759
Minor purchases < $1000
5,029
0
Minor purchases < $1000
1,044
1,000
Stationery & Supplies
1,521
2,000
Stationery - Photocopy
156
0
Photocopying Rech
534
1,000
Postage, Courier & Freight
76
322
Reception and Catering
613
1,000
Advertising
10,255
79,527
Internal allocation
54,913
54,915
-38,841
42,570
-38,841
42,570
Document Outline
