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Grey Power March 2018

The Grey Power Magazine is a prime national news source for its readers – New Zealand men and women over 50. Circulated quarterly to more than 68,000 members, Grey Power Magazine reports on the policies of the Grey Power Federation, and the concerns of the elderly, backgrounding and interpreting official decisions which affect their lives.


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NZ GREYPOWER MAGAZINE » MARCH 2018 47 From page 45 ernment listings of the phone directories and this will now occur to ensure easy access to anyone who needs their help. Grey Power’s gain was the receipt of knowledge for members, the opportunity to explain difficulties some older people may face and involvement in re-instatement of MSD phone numbers in the directory 2. HEALTH 2.1 Medicines NZ meeting was attended by J. Millar and J. Pentecost plus Graeme Jarvis, General Manager and other Medicines NZ personnel – Medicines NZ goals are to: – Give NZ patients wider access to new medicine through the public health system – Request the NZ govt. to invest $40 per person, per year to immediately clear and fund the medicines waiting list – Ensure that new medicines are recognised as a cost-effective solution for the NZ public health system – Request the govt. to provide a budget boost for publicly funded medicines (see Medicines NZ website). The meeting’s purpose was to obtain, for our members, information and updates/ solutions to the possible over-prescription of opiates to older people. Response: We were provided with an article ‘Medication-related patient harm in NZ Hospitals,’ researched by Gillian Robb, Elizabeth Loe, Ashika Maharaj, Richard Hamblin & Mary E Seddon which was published in NZMJ, 11 August 2017, Vol 130, N0 1460. It concluded that medication-related harm is common, more likely to affect older people, especially women and that opioids accounted for the most harm, i.e. for 40% of all harm; also, that they were implicated in the most severe harm. A collaborative national approach involving all DHBs is required and work is now under-way both locally and nationally to decrease harm from opioids and other high-risk medicines and reduce economic impact on the health system Grey Power’s gain was to become more informed on the problem of opioid over-use and to receive the assurance that considerable work is underway to reduce medication-related harm from opioids and other medicine. 4 2.2 General Practices NZ (GPNZ) meeting was attended by J. Millar and J. Pentecost with Fiona Thompson GPNZ CEO. For sale For sale from Grey Power Rotorua from Grey Power Rotorua 2.3 Ministry of Health (MoH) Meeting was attended by J. Millar, J. Pentecost and MoH personnel. The meeting’s purpose was to receive answers to our questions. Elective surgery – Q. will the MoH support a national criterion for access to elective surgery procedures? Response: there are new national criteria across most specialities but DHBs can apply different thresholds and a graph re geographic variation in access to elective surgery was provided to us. This is available on the full Grey Power Federation web-site lobby report. The patient Impact on Life Questionnaire – a copy is available on the full website lobby report. This questionnaire is used as part of the clinical prioritisation process for orthopaedic, cataract, plastic and general surgery (currently being implemented). It is expected that all future prioritisation tools will also incorporate it. NB: Grey Power has submitted re the general surgery questionnaire. A copy of the MoH guidance information sent to DHBs regarding their communications and letters to patients was also provided. MoH would appreciate any feed-back on this – please request the document from donjomillar@gmail. com or The MoH also asked that patients contact the Ministry if they have individual experience concerns re access to elective services. We would also like to hear of any concerns. * The Healthy Aging Strategy(HAS) – Q. ‘because DHBs put their own interpretation on MOH policy, what is being done to ensure that the HAS is being ad- This organisation provides support and advocacy services for general practice networks. The meeting’s purpose was to become ministered in the manner in which it was informed re: intended?’ - We believe that an advisory The subsidy for GPs and its impact on committee should over-see its implementation. community service card holders – we believe that currently the assistance from Response was that it is early days, there this card for Why GP visits keep is completely it Secret?” inconsequentialmunity works, MoH have a total commit- is a need to change how home and com- Why keep it Secret?” Fiona stated that the very low-cost access scheme (VLCS) a practical general 24-page formula booklet does which ual allows need as us the to whole record bottom all our vital line – information they ment to the strategy; they look at individ- not work out to for a practical help high those or low 24-page left incomes behind and booklet when which we look die. allows at the us whole to record person. all our vital information that funding to formulas help those depend left behind on Govt. when we die. Better mental health care – Q. ‘how formulation. After seeing a similar booklet published can we work by Southern towards Cross this when Health we Care hear many She also provided years After seeing ago us with Rotorua a similar Amy Grey Down’s booklet Power published that member a psychiatrist by Murray Southern in Guise Cross charge took Health of inpatients on the Care task many of 2017 paper entitled reproducing years ‘From ago Rotorua Theory the contents to Grey Practice: The Promise reproducing Power – with can member additions dictate Murray whether and amendments Guise support took people on – then the can task kindly of gifted of the Primary booklet the Care contents to Grey in New Power – with be Rotorua. additions present, flout and amendments a patient’s rights – then not kindly Zealand’. It recommends, gifted the booklet amongst to Grey other Power to Rotorua. have students present and refuse to issues that: We’re now on our 4 th reprint] provide To cover medical costs including information increased even when postage, – The Ministry “Why We’re of Keep Health now it on Secret?” (MoH) our 4should th is reprint] priced the at To $5.00 cover patient or costs $4.50 has given including per copy written increased for 10 and or verbal more. postage, develop a primary “Why Keep care monitoring Secret?” is programme which With would Christmas be used approaching, to under- it could Response be a practical was that stocking-filler. patients can have priced permission?’ at $5.00 or $4.50 per copy for 10 or more. stand patients’ With views Christmas of the approaching, care they it could a support be a person practical with stocking-filler. them during consultations “Nothing etc. is surer and than we were death directed and taxes”. receive, and to As make Murray health says care in more the foreword responsive to their While As Murray needs. none The of says us programme wishes in the to foreword dwell to on the “Nothing either, Health “Why is surer and Keep Disability than It Secret?” death Commissioners’ either, allows and taxes”. us to should cover document While communication, none all of our us wishes important partnership, coordination our to dwell information so website “Why those Keep responsible It Secret?” for carrying allows us out to document wishes and physical all are our clearly important and advised. emo-informatiotional needs our wishes are clearly nz/ so full those information responsible rights for carrying and out advised. – Treasury and the MoH should undertake a rigorous and data-driven primary care financing review. Payments should follow the individual as opposed to the VLCA payments that follow the practice based on the composition of enrolees. Currently, the base capitation rate is calculated on very blunt factors that are applied to outdated utilisation rates. – The MoH should explore consolidating current DHBs and PHOs regions into four to six. Each region could be serviced by one DHB and one PHO. The current structure leads to inherent conflicts of interest for DHBs as they try to balance their responsibilities to both provide and fund services. Separating DHBs’ dual functions as a provider and a funder also needs an extensive and objective review. Cost of visits to GPs – we support action to reinstate personal access at a lower rate for those who have to make regular visits to the doctor. The government has changed this from personal to medical centre registration – more discussion re this is required Grey Power’s gain was to add the recommendations provided above to its lobbying knowledge as a base for further action procedures etc. Grey Power’s gain was to obtain background knowledge to enable further informed lobbying 2.4 Pharmac meeting was attended by J. Millar and J. Pentecost along with Janet McKay from Pharmac The meeting’s purpose was to hear answers to the following questions: Shingles – Q. will pharmacies be able to administer the free shingles vaccine alongside the flu injection? Response was that people over 60 years must be vaccinated by their general practitioner (G.P)/nurse – we will advocate for community pharmacies to administer both vaccines simultaneously – we would also like members to let us know whether they get their flu vaccine from their G.P or their pharmacy. Grey Power’s gain was to clarify where the shingles vaccine can be administered NB: Grey Power, along with other stake-holders, on members’ requests, has lobbied for free shingles vaccine for older people – the achievement of this is very welcome. Diabetes pumps – Q. does Pharmac fund diabetes pumps? Response was that they do but a special authority is needed, people must have type one diabetes and meet certain criteria to receive a subsidy- funding is targeted to those most in need – people should attend a diabetes clinic to find out if a pump is suitable for them and whether they meet the criteria. Blood glucose meters – most people will have no change – for full information please visit notification-2017-11-16-diabetes-management-products/ or your pharmacy. Grey Power’s gain was to obtain information for members re diabetes equipment For sale from Grey Power Rotorua Why keep it Secret? A practical 24-page booklet which allows us to record all our vital information to help those left behind when we die. After seeing a similar booklet published by Southern Cross Health Care many years ago Rotorua Grey Power member Murray Guise took on the task of reproducing the contents – with additions and amendments – then kindly gifted the booklet to Grey Power Rotorua. GREY POWER GREY ROTORUA POWER INC. P O Box 414 ROTORUA INC. P Rotorua O Box 3040 414 Rotorua 3040 Contact phone: SEND TO: 07 346 1739 Contact phone: SEND Name: TO: 07 346 1739 Cheques payable to: Name: Grey Power Rotorua Inc. Cheques payable to: Grey Power Rotorua Inc. Internet banking: Complete order form at our Internet banking: . website Complete order form at our . website and pay by internet banking. Include reference WKIS and pay by internet banking. Purchase Include reference at our office WKIS Cash/cheque payment Purchase at our office Cash/cheque payment We’re now on our 4th reprint to cover costs including increased postage, “Why Keep it Secret?” is priced at $5 or $4.50 per copy for 10 or more. As Murray says in the foreword “Nothing is surer than death and taxes”. While none of us wishes to dwell on either, “Why Keep It Secret?” allows us to document all our important information so those responsible for carrying out our wishes are clearly advised. Purchase Order for Booklet Purchase Order for Booklet “Why keep it Secret?” “Why keep it Secret?” Payment must accompany order Payment must accompany order Postal Address Postal . Address . Postcode Postcode QTY DESCRIPTION UNIT PRICE TOTAL QTY DESCRIPTION UNIT PRICE TOTAL Booklet “Why keep it Secret?” Booklet “Why keep it Secret?” $5.00 per copy or $4.50 each for 10 copies or more [Includes Postage & Packing] $5.00 per copy or $4.50 each for 10 copies or more [Includes Postage & Packing] WE DO NOT HAVE EFTPOS 2.5 Pharmacy Guild of NZ meeting was attended by J. Millar and J. Pentecost along with personnel from the Guild which is a membership organisation providing support and services to community pharmacy owners. The meeting’s purpose was to become informed re the possible deregulation of pharmacies. The concerns are that such action may: – Reduce access to medicines and pharmacy services in rural and lower socioeconomic areas – Reduce patient choice if the market is dominated by big chains as over-seas experience has shown – Not improve affordability of medicines and medical devices because Pharmac determines prescription prices etc. – Increase patient risk because of competitive effects. Grey Power’s gain was to acquire information to enable it to make a decision on whether to lobby on this issue 2.6 Meeting with ACC was attended by J. Millar and J. Pentecost along with S. Meyrick (Manager Business Process Management, ACC) and other ACC personnel. The meeting’s purpose was to provide our views on how ACC forms and letters could be improved to meet the needs of the older population. We pointed out: a) That the blue writing on pale blue background (particularly in reference to the claim form) is difficult to read and the font size is too small. Response: ACC are looking at how they can make it easier to make changes to forms and to simplify the complexity of Continues page 49 . .

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