1. Locality Planning West Rodney Provider evening 22 October2013

2. Introductions & Welcome ADHB CEO Ailsa Claire Thanks to PHOs, Iwi, and HealthLink North Provider introductions Roles of Primary Care Clinical Director and North Locality Clinical Director

3. Agenda TimeItemWho 6:30 pmKarakia/WelcomeHeta Tobin, Kaumatua 6:40 pmRefreshmentsAll 7:00 pmIntroductions and overviewSue Hawken 7:10 pmPresentations and discussion  Locality planning processes  What health information (data) do we have for West Rodney? Sue Hawken, Stuart Jenkins 7:30 pmWorkshop  In your experience, what is working well?  What is not working so well?  What can we improve? – What are the key issues we can work on together over the next 12-24 months? All 8:50 pmWhere to from hereSue Hawken 9:00 pmWorkshop closeHeta Tobin, Kaumatua

4. Locality Planning Processes Drivers for change –Increasing LTC and older population –Limited resource –Aging health/medical workforce Locality Establishment Governance Group (LEGG) 3 pilot areas: West Auckland, Maungakiekie/Tamaki and West Rodney Next steps: Further process in East Rodney

5. West Rodney Pop 2012 = 32,260

6. Population 2012 Age AgeWest RodneyWaitemata DHBAuckland Region 0-146,860113,150311,170 15-399,315190,230562,960 40-6412,250180,350469,140 65+3,81568,850164,370 Total32,260552,5801,507,600 Age West Rodney WDHB 0-1421.3%20.5% 15-2413.3%14.4% 25-4424.6%27.7% 45-6429.0%24.9% 65+11.8%12.5% Total100.0% Population Estimate 2012 by Age, West Rodney, Waitemata DHB, Auckland Region. West Rodney and WDHB - % Population by Age, Population Estimate 2012

7. Ethnicity 2012 West Rodney and WDHB, % Population by Ethnicity, 2012

8. Population Projection West Rodney, Population Projection, 2006 to 2031

9. Projected Age Structure Change West Rodney – Projected Age Structure Change – 2006-2026

10. Life Expectancy Life Expectancy at Birth – WDHB & West Rodney – 2009-2011– By Sex

11. Mortality rates by age by Ethnicity Age at Death – West Rodney, 2009-2011 – Maori, Non-Maori

12. Ambulatory Sensitive Hospitalisations Adult (15-74 years) Age Standardised ASH Rate, WDHB and West Rodney 2010-2012

13. ASH by Condition, Adults ASH CategoryAdmissions% Angina and chest pain23517% Cellulitis17012% Gastroenteritis/dehydration16011% Respiratory infections - Pneumonia1128% Myocardial infarction987% Diabetes846% Kidney/urinary infection806% Asthma655% Epilepsy554% Congestive heart failure493% Other ASH29921% Total ASH1,406100% ASH by Category (Top 10) – 2010-2012, West Rodney Adults (15-74)

14. ASH by Condition, Maori, Adult ASH CategoryAdmissions% Cellulitis2415% Gastroenteritis/dehydration2415% Angina and chest pain2214% Diabetes138% Asthma117% Dental conditions96% Respiratory infections - Pneumonia96% Upper respiratory tract and ENT infections96% Congestive heart failure85% Kidney/urinary infection74% Other ASH2314% Total ASH159100% ASH by Category (Top 10) – 2010-2012, West Rodney Maori Adults (15-74)

15. Ambulatory Sensitive Hospitalisations, Child Child Age Standardised ASH Rate, WDHB and West Rodney, 2010-2012

16. ASH by Condition, Child ASH CategoryAdmissions% Dental conditions11123% Gastroenteritis/dehydration8417% Asthma8317% Cellulitis6714% Upper respiratory tract and ENT infections6012% Respiratory infections - Pneumonia429% Constipation194% Kidney/urinary infection92% Dermatitis & eczema31% GORD (Gastro-oesophageal reflux disease)31% Other ASH71% Total ASH488100% ASH by Category (Top 10) – 2010-2012, West Rodney Children

17. ASH by Condition, Maori, Child ASH CategoryAdmissions% Dental conditions3325% Asthma2821% Cellulitis2317% Gastroenteritis/dehydration1713% Upper respiratory tract and ENT infections1612% Respiratory infections - Pneumonia86% Constipation22% Dermatitis & eczema11% Rheumatic fever/heart disease11% GORD (Gastro-oesophageal reflux disease)11% Other ASH32% Total ASH133100% ASH by Category (Top 10) – 2010-2012, West Rodney Maori Children (0-14)

18. Workshop In multidisciplinary groups discuss and list:  In your experience what is working well for this community?  What is not working so well?  What can we improve? i.e. What are the key issues we can work on together over the next 12-24 months?

19. Timing and Prioritising 7.30-8.30pm Discuss in groups 8.30-8.50pm You have 20 minutes to place a coloured sticker by your top 3 priorities for the area Collate and Feedback