1. Locality Planning West Rodney NGO workshop 27 November 2013

2. Agenda TimeItemWho 12:00pmKarakiaHeta Tobin, Kaumatua Host welcomeScott Arrol Light lunchAll 12:20pmIntroductions and overviewFacilitated by Dr Sue Hawken and Dr Stuart Jenkins 12:40pmPresentations and discussion  Locality planning processes  What health information (data) do we have for West Rodney? 12:50pmWorkshop: In your experience  What health services are working well for West Rodney?  What health services are not working so well for West Rodney?  What health services can we improve on for West Rodney over the next 12-24 months? All 1:50pmWhere to from here:  Next steps  How would you like us to engage with you going forward? Dr Sue Hawken and Anne Curtis 2:00pmWorkshop closeHeta Tobin, Kaumatua

3. Locality planning processes A ‘locality’ is a geographical area that includes all people who live in the area. A locality approach aims to place local communities at the heart of how health services are planned and where and how they are delivered. This will help us to Work with our communities and our primary care providers to identify the key health concerns in a particular area. Support conversations with other government and local government organisations for ‘collective impact’. Support increased community voice in health decisions for better outcomes. Ensure the best value for dollar for each community. Develop innovative solutions to the challenges that may arise from changes in workforce and population trends. Grow healthy communities.

4. Locality planning processes What we have done to date Locality Establishment Governance Group set up (April 2013) Clinical Director appointed for North Auckland localities (May 2013) Three pilot areas chosen: West Auckland, Maungakiekie/Tamaki and West Rodney West Rodney provider workshop held (Oct 2013) Where to from here Wider community engagement in West Rodney Identify priority areas for West Rodney Further process in East Rodney 2014

5. West Rodney Pop 2012 = 32,260

6. West Rodney age structure

7. In 2012 West Rodney had a similar age structure to Waitemata DHB as a whole. West Rodney’s population has slightly more children 0-14 years and slightly less people aged 65+ than Waitemata DHB as a whole. In 2026 An increasing older population is expected for West Rodney –The 65+ population of West Rodney is expected to grow by about 5,500 people between 2006 and 2026. –That means 19% of the West Rodney population will be aged 65+ in 2026 (verses 9% in 2006).

8. West Rodney population projection In 2012 The estimated population of West Rodney was 32,260 In 2026 The estimated population of West Rodney is 46,740 This is a 45% increase (over 14,000 people). This includes a growing older population (as shown on the previous slide)

9. West Rodney ethnicity 2012 A greater proportion of Māori population (compared to the total population of Waitemata DHB) A smaller proportion of Asian and Pacific populations (compared to the total population of Waitemata DHB) West Rodney’s Māori population is about 33% (0 to 14 years). For Non- Māori the proportion of children is about 20%.

10. West Rodney life expectancy From 2009 to 2011 The life expectancy is 83 years (very similar for the Waitemata DHB total population). Age at death for West Rodney shows differences between Māori and Non-Māori. –50% of Non-Māori deaths lived past 75 years while only 20% of Māori lived past 75 years of age.

11. Hospital admissions ReasonAdmissions% Heart disease38227% Cellulitis (skin infection)17012% Gastroenteritis/dehydration16011% Chest infection1128% Diabetes846% Kidney/urinary infection806% West Rodney Adults (15-74 years) 2010-2012

12. Hospital admissions ReasonAdmissions% Heart disease3019% Cellulitis (skin infection)2415% Gastroenteritis/dehydration2415% Diabetes138% Asthma117% Dental conditions96% Chest infection96% Upper respiratory tract and ENT infections96% West Rodney Māori Adults (15-74 years) 2010-2012

13. Hospital admissions ReasonAdmissions% Dental conditions11123% Gastroenteritis/dehydration8417% Asthma8317% Cellulitis (skin infection)6714% Upper respiratory tract and ENT infections6012% Chest infection429% West Rodney Children (0-14 years) 2010-2012

14. Hospital admissions ReasonAdmissions% Dental conditions3325% Asthma2821% Cellulitis (skin infection)2317% Gastroenteritis/dehydration1713% Upper respiratory tract and ENT infections1612% Chest infection86% West Rodney Māori Children (0-14 years) 2010-2012

15. Workshop In groups discuss and list: In your experience:  What health services are working well for West Rodney?  What health services are not working so well for West Rodney?  What health services can we improve on for West Rodney over the next 12-24 months? (use post-it notes for each idea)

16. Where to from here Write up outcomes of workshop Further engagement opportunities –Sat 30 Nov, 9am-1pm Helensville & Parakai Farmers Market, Te Whare Oranga ō Parakai –Sat 7 Dec, 10am-2.30pm South Kaipara Safe Summer Campaign, War Memorial Hall, Helensville How would you like us to engage with you going forward?