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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Trustees
Harry Mikaere
Lucy Steel
Irene Kereama-Royal
Taima Campbell
Glen Tupuhi
Execu�ve Management Team
Jon Royal — Chief Execu�ve
Gwendol Welburn — General Manager — Opera�ons
Debbie Petersen-Pilcher — General Manager — Service Integra�on
Diane McDermo� — General Manager Business Development
Melanie Shea - Financial Controller
Chartered Accountant
Leo Bourke
Auditors
PricewaterhouseCoopers
Head Office
210 Richmond Street
Thames 3500
Ph: 07 868 0033
Fax: 07 868 5389
www.korowai.co.nz
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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Trustees ......................................................................... 2
Execu�ve Management Team ........................................ 2
Chartered Accountant .................................................... 2
Auditors .......................................................................... 2
Head Office ..................................................................... 2
Table of Contents ........................................................... 3
Vision, Misson, Values.................................................... 4-5
Chair’s Report ................................................................ 6-7
CEO’s Report .................................................................. 8-10
Financial Report ............................................................ 11
Financial Statements ................................................... 12-13
Senior Management Team’s Highlights.......................... 14-15
Staff Highlights ............................................................. 16-17
Demographics of registered pa�ents............................. 18
Strategic Objec�ves...................................................... 19
Table of Contents
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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Mission
“To con�nually strive for excellence in the
way we provide our services to our People
Vision - Hauraki as a Healthy Na�on
Photo: CAPS Hauraki Right2BSafe Child Sexual Abuse Preven�on Campaign 2013
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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Core Values
Whanaungatanga
We ensure we always work together as a whānau and in doing so create a
sense of unity
Loyalty - We protect and trust one another
Respect - Every one of us has value and is treated with dignity and respect. We
value and cherish our diverse and rich backgrounds and skills
Manaakitanga
We care for one another
Integrity - We keep our promises by pu�ng reality into our words and walking
the talk
Transparency - We con�nually demonstrate to others the way in which we
operate is professional and business like
Kotahitanga
We stand together as one, one whānau, one organisa�on, one community
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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
It gives me great pleasure to present the 15th annual report of Te Korowai Hauora o
Hauraki to this Hui for the financial year ending 30 June 2014.
Te Korowai board, CEO and the Execu�ve Management Team and staff have worked
�relessly to reduce the revenue loss iden�fied in the financial year ending 30 June
2014 and there has been an enormous sacrifice made by our CEO and all his staff to
record this excellent outcome.
Trustees have made a number of very tough decisions this year to bring about the
necessary changes to ensure the ongoing sustainability and economic management
of Te Korowai in the provision of quality health services on an ongoing basis to all
our beneficiaries and clients of Pare Hauraki.
The board is an�cipa�ng that the financial year ending June 30 2015 will be another
tough year as the board and management work towards balancing the financial per-
formance and financial posi�on of Te Korowai into the black for the incoming year.
Major Events
It has been another very busy year for the board of Te Korowai Hauora o Hauraki.
Over the past 12 months, there have been greater efficiencies iden�fied, measured,
ac�vated and remedied by the CEO, GM, Team Leaders and staff that was ini�ated,
supported and approved by the board.
Te Korowai was involved in the support of the one-day Hauraki Kapa Haka fes�val
held on Saturday, 18 October at the Kerepehi marae.
Mental Health
Annual stats are quite alarming in regards to the over-representa�on of young
Māori men in this par�cular area of health need. While we are doing the best we
E ngā mana, e ngā karangatanga maha o Pare Hauraki
Tēnei te mihi ki ngā kua riro ki te kāpunipunitanga o te ao wairua
Ki a tātou te hunga ora, ki ngā whānau e hapai ake i ngā kaupapa
Hauora o te wā
Ngā mihi ki tō tātou Kīngi a Tūhei�a me te kāhui ariki whānui tonu
Paimarie
Tēnā hoki tātou katoa
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Chair’s Report
Harry Mikaere
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
can to support all ages of our people challenged with this problem, we need to do more with less resources
and H & R.
Te Korowai Kaumātua o Hauraki Te Korowai Hauora o Hauraki
There is s�ll a con�nuing steady growth of kaumātua joining Te Korowai Hauora o Hauraki with hui being organ-
ised regularly throughout each kāinga in Hauraki and Te Ika a Māui. This con�nues to a be a highlight for many of
our kuikui and karaua in regards to social networking, kapa, waiata, hākinakina, hikoi and
whakawhanaungatanga.
Whakaumaharatanga ki Kemara Tukukino
Ko tēnei te poroporoaki ki tā tātou ranga�ra, ko hinga te tōtara o te waonui
Haere atu ra, e Kemara, kia Hawaikinui, kia Hawaikiroa, kia Hawaiki pāmamao
ki te hono o te ao wairua
Rātou kia rātou te hunga mate
Tātou ano ki a tātou te huna ora
Tēna koutou katoa
Te Korowai Team
To all our dedicated and energe�c and excellent staff of Te Korowai - thank you all for the great work that you
have carried out in regards to the professional health services that you have all been providing to all the people
over the past 12 months to maintain a high level of mobility, wellness and independence within their kāinga
throughout Hauraki.
To my fellow directors, thank you all for your dedica�on, hard work and remedies that have been made to bring
about the changes going forward. Those changes will be far more sustainable to the overall clinical services that
have been provided to the more rurally isolated communi�es in Hauraki.
This will also ensure government’s health targets that have plagued a large number of clinical GP services in
Hauraki will meet these targets going forward, which is aimed at greater health services being provided in
a �mely and effec�ve manner.
Harry Haerengarangi Mikaere
Chair of Te Korowai Hauora of Hauraki
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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Anei ano te mihi ki a koutou e nga kanohi ora e huihui mai nei i raro i te kaupapa
o te rā, arā, te hui ā tau mo Te Korowai Hauora o Hauraki. Ka huri taku kanohi
aianei ki a rātou kua hoki atu ki te kai aki o te pō. Ae hoki, e kore rawa tātou e
wareware ki nga pou whakarae o te Korowai Hauora o Hauraki, kua wehe atu ki
te waahi ngaro. No reira he whakaaronui atu ki a whaea Janey, rātou ko Kemara
Tukukino, ko Hone Te Moananui. No reira, e nga mate, haere, moe rā, ka .
Heoi ano, rātou e te hunga mate ki a rātou, tātou e te hunga ora ki a tātou, huri
noa o te motu nei, tena rā koutou katoa.
Once again this has been a year of ngā piki me ngā heke, ngā wero me ngā wini. It
has been yet another year where we have been fiscally challenged and pushed to
remain on the right side of the ledger.
Clinic viability con�nues to be our biggest concern. The fact is, we lose around
$500,000 annually from our clinics alone. To balance our books we have to take any
savings from other services like HBSS and Mental Health. Consequently, this impacts
on their ability to grow or develop further. It also impacts on EMT’s ability to
achieve things like reduce the $1.2m debt hanging over our heads. This is not sound
business prac�ce. But I do want to stress that this is not a cri�cism of the clinical
services team – rather, it is that the configura�on of the model is wrong. The team
themselves are commi4ed and hardworking.
One op�on is to sell off all the clinics, but we know that this would not sit well with
our stakeholders – and secondly it doesn’t match with our philosophy of providing a
wholesome service of health and wellbeing. A plan is in place to address this clinic
loss, but it will take some �me to embed the new approach and will require careful
monitoring, key personnel and buy-in from all the ‘players’ to get to a point of clinic
self-sustainability. It is accepted that in some of our most rural areas this may s�ll
not be possible – but it is an aim we will strive for.
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Hu�a te rito o te harakeke, kei hea rā te kōmako e kō?
Kī mai ki ahau, he aha te mea nui o te Ao?
Māku e kī atu, he tangata, he tangata, he tangata
CEO’s Report
Jon Royal
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
At the beginning of this year we embarked on a programme of developing a
workable solu�on, focusing on three specific areas: 1: Streamlining administra�ve process-
es; 2: Implemen�ng an appropriate Model of Care (MoC), and 3: Clinic viability
Whilst the administra�on of clinics has improved markedly and we have successfully piloted
our MoC in the Thames clinic, matching the MoC with the target of viability across all clinics con�nues to be a
challenge.
However there is a poten�al opportunity ahead of us if we all had the courage to think ahead.
Being aware that some�me in the near future, we know there will be a shrinking GP pool and an increasing
growth in nursing skill-sets and experience, it makes sense for us to seriously consider the role of Nurse
Prac��oner. We will s�ll need GPs – they will carry out the higher level diagnos�c work required, but for general
requirements like flu, wounds etc. nurse prac��oners are fully capable. It is s�mula�ng to think we in Hauraki
could lead such a development on this scale (not just one, but four clinics). And it would provide a more cost
effec�ve and long term solu�on. So that’s exci�ng.
Over this past year there has been quite a focus on reviewing all our services to ensure we remain both effec�ve
in delivery and efficient in our use of our resources. So a number of reviews have been carried out (or near
comple�on). For example, the implementa�on of our clinical ‘MoC’ has been a result of a year-long change pro-
cess of driving be4er performance throughout all aspects of our clinical opera�ons (as stated at the beginning of
this report). Home-based Support Services has been reviewed and is now a stand-alone unit alongside the likes of
clinical services and Mental Health. The review showed this service has the poten�al to expand outside Hauraki
rohe – this being an objec�ve within our Business Plan.
Over the last 6 months I have had greater on-the-ground engagement with our services teams and in par�cular
our Mental Health team and Kuia Koroua Services. This has been hugely beneficial to me, I have gained a true un-
derstanding of the daily opera�ons and the great work they do. I have recently completed a review of Kuia &
Koroua services, as a result there will be posi�ve changes in store for this team. As part of this review I was able
to get around mixing and mingling with all our Kaumātua groups. That was cool.
A review of the Execu�ve Management Team has also just been completed, with the same ‘lens’ – i.e.
effec�veness and efficiency. There is enough evidence to suggest changes are likely here as well, but too early at
this stage to be specific. It would be negligent of me not to men�on that as part of a deliberate EMT growth
strategy; new revenue was $1,347,000 more than 2013. This is a great achievement.
There are significant changes pending in the public sector, driven from a government ambi�on to demand more
from the putea spent – wan�ng “more for less” appears to be the signal. Concepts such as Outcomes-Based
Funding and Social Bonds indicate a clear change in purchasing methods. Another signal coming from the policy-
makers is the no�on of “big is best” - it is no�ceable that the na�onal and even regional Con�nued: P10
9
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
providers are being considered for contracts over local providers, e.g. NUMA
(Whānau Ora), and Care NZ (HBSS). In order for us to compete as a prime
contractor, we have to collaborate with other like-minded providers in and
outside our rohe.
However, with the con�nued government focus on raising Māori health status
(comparable to non-Māori), our point of difference - that being a kaupapa Māori
driven organisa�on, is likely to stand us in good stead with those bigger providers.
At the same �me it is impera�ve we start thinking ‘regional’ as well and begin
forming alliances with those more established regional and na�onal providers –
and we con�nue to develop our “social determinants” approach rather than
remain strictly health.
Before finishing, I wish to acknowledge the massive amount of work the en�re
organisa�on has undertaken over the past year. The rela�ve fledgling teams of
Oranga Wairua and Hauraki Ora alongside the more established teams such as the
Clinical team, Hinengaro, Kuia & Koroua support, Whakamana te Tangata, HBSS
(including our caregivers), our Opera�ons team, Comms, our administra�on support
people, Marlene – and the Execu�ve Management Team. It would be fantas�c to be
able to say that next year is going to be a lot be4er, but like all similar organisa-
�ons , we are far less resourced than say government agencies and we will always
be needing to ‘�ghten our belts’ and “do more for less.” If we can get our clinic
configura�on right, I firmly believe Te Korowai will con�nue to get stronger.
To the Taumata - Roy, Mariana and Wynnie, although we did not meet as oEen as I
would have wanted, I am so pleased that you are always there when I reach out to
you. The �me you rallied around our Mental Health Team when they needed your
support, was very much appreciated by them. Thank you! Finally on behalf of all of
Te Korowai Hauora o Hauraki, staff, I wish to again pay respect to all those who have
passed on, but in par�cular Whaea Jane Poutu, Matua Kemara Tukukino and Matua
John Te Moananui. It is well known the huge commitment these three have given to
Te Korowai Hauora o Hauraki and the wider Hauraki community, over the years.
Koutou maa, you will be sorely missed.
Heoi ano koutou maa, kia tau te rangimarie.
Jon Royal — Chief Execu�ve Officer
CEO’s Report continued from P8
10
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
An extract from the audited General Purpose
Financial Statements for the year ended 30 June
2014 is a4ached. PWC have substan�ally
completed the audit of Te Korowai Hauora o
Hauraki (the ‘Society’ or ‘Te Korowai’) for the
year ended 30 June 2014.
The Statement of Financial Performance indicates
that 2014 saw a reported profit of $372,000. This
result reflects the returning from the Balance
Sheet revenue held from previous years of
$458,000. The year’s opera�onal result is
therefore an $86,000 loss.
Again a busy year in the finance area with the
con�nua�on of refining new processes from last
year; the accoun�ng system, payroll system and
Con�nuCare system for Home Based Support.
Income for 2014 was $1,347,000 more than 2013.
The significant increases were;
Grant Income - $130,000 Trust Waikato released
this year on final comple�on of Brian Boru
refurbishments as per grant obliga�ons
HBSS Income - $693,000 of which $328,000 was
released from previous years on se4lement of
outstanding audits
Contract Income - $297,000
Total expenses increased by $829,000 or 11%.
The Statement of Financial Posi�on shows that at
30th June 2014, Te Korowai had $570,000 in the
bank and in December 2013 a pre-arranged
facility of $300,000 was drawn down. Current
assets are less than current liabili�es which s�ll
poses cash-flow restraints on the organisa�on.
The Statement of Financial Posi�on also shows a
total debt to total asset ra�o of 60% at 30th June
2014. Land and Buildings iden�fied as surplus to
requirements once sold will assist in reducing the
debt to total asset ra�o to between 50 and 55%.
Financial Report
11
Ma te rongo, ka mohio
Ma te mohio, ka marama
Ma te marama, ka matau
Ma te matau, ka ora.
Through listening comes awareness Through awareness comes understanding Through understanding comes knowledge
Through knowledge comes well-being.
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
12
In accordance with our engagement le�er we confirm we have substan�ally
completed our audit of Te Korowai Hauora o Hauraki (the ‘Society’ or ‘Te Korowai’)
for the year ended 30 June 2014 (pricewaterhouseCoopers).
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
13
In accordance with our engagement le�er we confirm we have substan�ally
completed our audit of Te Korowai Hauora o Hauraki (the ‘Society’ or ‘Te Korowai’)
for the year ended 30 June 2014 (pricewaterhouseCoopers).
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Te Korowai has seen substan�al growth
in our Home Based Support Services;
with well over 500 clients we have
steadily become the largest provider in
our geographical area. I believe this is
due to the hard work of our staff and
the con�nued support of our
communi�es. Recently we have started
to deliver these much needed services
in Matamata, Morrinsville and
Gordonton. This is added to almost a
20% increase in revenue from 2013-
2014.
Like Minds Like Mine: The bid for the
Like Minds Like Mine contract has been
successful and enables Te Korowai to
con�nue working with people with
mental health issues, par�cularly its
focus on rangatahi.
Oranga Wairua: Te Korowai was
successful in securing 4 years funding
for our Oranga Wairoa ( pallia�ve care)
General Manager Business Development
Diane McDermott
Senior Management Team
General Manager Operations
Gwendol Welburn
The Opera�ons roopu have con�nued to operate strongly
throughout the past year reaching milestones set.
Assets: The fleet of company vehicles has reduced to 38 (from
57 in 2011), and is being upgraded as per the Property and Asset
Management Strategy and as cash flow allows. For staff safety
and to improve u�lisa�on of the fleet, funding has been secured
to install 15 GPS units – with the view of covering the en�re fleet. CONTINUED: P15
team from the
Ministry of Health’s
innova�on funds to
develop how we
work with others
delivering services
to those with life limi�ng illness (in
par�cular Hospice Waikato) . If you
would like to know more about this
service please read our
G book , which you will find by following
this link: h4p://www.korowai.co.nz/
publica�ons_resources/
oranga_wairua_palla�ve_care
Business Development team: Our
Business Development team has been
boosted by the talents of Jo Ann
Belworthy Senior Communica�ons
Advisor who produces our Kōrero o te
wā and works with our teams to market
the great services delivered by Te
Korowai.
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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
FROM: P14 The proper�es at 4 Mueller Street
(Waihi) and 311 Mackay Street (Thames) have
been listed for sale as directed.
Informa�on Technology (IT) has been a focus
over the past 12 months and we have achieved a
be4er managed WAN service between all clinics.
New VOIP phone soEware has been installed
which provides opportuni�es in regards to a
centralised call centre. Two of three stages have
been completed in regards to our server upgrade,
with the final stage an�cipated to be completed
by the end of January 2015. An IT audit has been
completed and we now have a five-year plan in
General Manager Service Integra�on
Debbie Petersen-Pilcher
2014 has been a busy year across the services
and 2015 is looking to be just as busy. Thanks to
all the hardworking staff.
Thames has been trialling a new model of care
and we have appointed a health care assistant to
support our clinical staff. Next steps are to roll
the model of care across the rest of the prac�ces.
Te Korowai received funding for a newly
graduated nurse to work in our clinics for 12
months and in February we appointed Ellie. In
July we appointed Prac�ce Manager Di Te Tau
to work across all our clinics. Long term
Coromandel doctor Sue Greig re�red in August,
which saw Te Korowai look at different
sustainable models for the area, including the
Nurse Prac��oner model.
Emergency Department (ED) at Thames Hospital
wants to reduce the number of pa�ents who
a4end ED who could be managed by their GP.
place. A project has been carried out
on an organisa�on wide performance
monitoring system, which would be
hugely suppor�ve of the opera�onal running of
the organisa�on, along with audi�ng
requirements and evidence for future growth.
Human Resources and Compliance: All audits to
this point have been successfully carried out to
the sa�sfac�on of the auditors. We con�nue
with Cornerstone accredita�on – having
completed year two. Opera�onal and Strategic
risk registers have been developed and are
regularly monitored and updated.
This year Te Korowai prac�ces
have rolled out Primary Op�ons,
which allows GPs to support some pa�ents in the
prac�ce who may have normally gone to ED.
Acute clinic appointments have also been
introduced, which is working well.
Our Oranga Wairua (Pallia�ve Care) Service
began working with Hospice Waikato to combine
the specialism that Hospice Waikato brings with
the ‘home-based’ support approach to pallia�ve
care that Te Korowai offers.
Kaumātua Services have supported the local
Kaumātua groups monthly and Te Korowai now
offers a weekly, nurse-led clinic at the newly
started Kura Kaupapa o Manaia in a joint venture
with Midlands Health Network.
Hinengaro (mental health) service has had an
upgrade with the development of voca�onal
service and navigator roles.
Gwendol Welburn FROM P:12
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December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Carrie humbled by award
Whakamana i te Tangata iwi health
promoter Carrie Taipari now stands
alongside Associate Health Minister
Hon Tariana Turia as this year’s
recipient of the Public Health
Associa�on’s Tu Ranga�ra mo te Ora
Award. The award is given each year
to an individual, whānau, hapu or iwi
group who has made a significant
contribu�on to Māori Hauora, with
Tariana Turia a past recipient. Carrie Taipari and partner Frank Thorne.
Matariki kapa haka
About 48 students from Thames
South school entertained
kaumātua and Te Korowai staff to
celebrate Matariki. Te Korowai
staff joined in the kapa haka with
Ni�n Sukumaran and Cindy
Dargaville also taking on the
pukana challenge.
Special guests at hui
The Honourable Tariana Turia
joined the Paeroa kaumātua rōpū
at their monthly hui in August,
alongside Hauraki Māori Party
candidate Susan Cullen. From le�
Val Yeates, Karen Clouston, Tariana
Turia, Susan Cullen, Lesley
Madgwick and Bridget Pakinga.
Employee Highlights
16
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
Mental Health awareness
Te Korowai was well represented at a Like
Minds Like Mind Quiz Night to celebrate Mental
Health Awareness Week. The event also paid
tribute to the late Whaea Jane Poutu. Team
members dressed up in the spirit of the “Keep
Learning” theme, with Project Energizer’s Adam
Steele keeping everyone under control as Quiz
Leader. From le�, Ni�n Sukumaran, Adam
Steele and Trish Knight.
Tri Māori fundraiser
Congratula�ons to the Tri Māori
entrants. By compe�ng, CEO Jon Royal
and Business Development Manager
Diane McDermo4 raised $2575 for an
air chair for Oranga Wairua. From le�,
Maryann & Jon Royal, Debra & Doug
Keenan, Idaline Tamehana, Diane
McDermo , Be"na Hunter and Vel
Kopa. Front Whaea Tracey.
Pink For A Day
Te Korowai staff got into the spirit of a
good cause when they went Pink For A
Day in October to raise funds for, and
awareness of, Breast Cancer. The
Coromandel team, right, won the Best
Dressed award and won themselves
morning tea for all.
Employee Highlights
17
From le�, Katrina Burrell, Raewyn Allison-Potae, Jessica
Henson and Kath Makiri.
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
This sec�on describes the demographic characteris�cs of the registered popula�on of Te
Korowai Hauora o Hauraki prac�ce, compared to the demographics of all registered pa�ents
in New Zealand. This data is taken from Health Stat Primary Health Care Intelligence
provided by CBG LTd, funded by MoH.
Popula�on Pyramid as at 31 October 2014
Ethnicity Distribu�on as at 31 October 2014
Sex distribu�on as at 31 October 2014
Depriva�on Percentage of Pa�ents to Quin�le 5 as at 31 October 2014
Depriva�on quin�le is a score
represen�ng the level of socio-
economic depriva�on of the area
where the person resides. Quin�le 1
is the least deprived and quin�le 5 is
the most deprived. Unspecified
depriva�on refers to an address that
could not be geocoded.
Registered patient demographics
18
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
19
December 13, 2014
ANNUAL REPORT— Te Korowai Hauora o Hauraki
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