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In The Beginning • Established in 1989 • By the Pacific communities residing in West Auckland • For Pacific people to access GP care rather than A&E in acute condition 2
Pacific people in New Zealand • Ethnically diverse with seven largest groups: Samoa, Cook Islands, Tonga, Niue, Fiji, Tokelau, Tuvalu • Youthful population, 50% under 25 • Low access to housing ownership • Rising unemployment, twice the national average • Low income, poor health status, low education • Very religious 3
Wider needs of the Pacific community Low Income Poor Financial Parenting Poor Housing Literacy Unemployment Poor Health Low Obesity Family Violence Literacy Qualifications Low self- High offending High teenage Immigration esteem rate pregnancy 4
The Fono’s Vision Well, safe, vibrant and informed communities Motto – caring is our culture 5
The Fono’s Integrated Model SOCIAL SERVICES & SUPPORT Northland / across Metro Auckland Family Start Pacific / Migrants Whanau Ora PUBLIC HEALTH & Mental Health SUPPORT - Pacific Mental Enua Ola Support Team Northland Health Program Family Waitemata Support CLINICAL SERVICES Healthy Violence Team Across Metro Auckland South ARI Dental Babies – Team Auckland At risk individuals Adolescent Services Healthy Wellchild Family Futures Program Community Dental Support Building Health - RN Adult / Older persons Program Financial Cervical Capability Screen Breast Minor Surgery Special RN Program Screen OCA GP Asthma / Diabetes OCA Program Primary Health Pasifika Education Bowel GP / RN Futures Day Collaborations OCA Screen Activities - - Schools/ Program Foundation Older Whanau Health M .I.T. / Unitec / North OCA - Oceania People Literacy Open Polytech OCA Career Academy Southern EDUCATION / TRAINING, NZQA certified Initiative EMPLOYMENT & MENTORING Mangere Campus 6
Clinical Services Dental Clinics (3) General Practitioner Clinics (4) Specialist Nurse Clinics Asthma Nurse Diabetes Nurse & Self Management Education Rheumatic Fever Clinics Pharmacy (3) Teaching Practice - RNZCGP 7
Social Services Whanau Ora Waitemata Family Start Family Support Mental Health Support Family Violence Support Adult and Child Safety Programmes Financial Mentoring 8
Public Health Services Enua Ola Programme Healthy Babies, Healthy Futures Wellchild Promotion Physical Activity and Nutrition Promotion Ready Steady Quit service Breast Screening Support Bowel Screening Support Matua Wellness Groups 9
Education Services Oceania Careers Academy Trades training and mentoring Re-engaging disengaged youth South Auckland Health Literacy Financial Literacy Early Education Access Parenting and Safety Programmes 10
Model of Care • Board The Fono • Vision Governance • Strategy/Policy • Implement strategy Management into operations Team effectively & efficiently • Carry out operations with care , alofa and PEOPLE professionalism • PHO, DHBs, MoH, MSD, MoJ Funders • Auckland Council • Philanthropy 11
Quality Services Cornerstone Accredited GP Practices Home and Community Sector Support Standard Accredited Baby Friendly Community Accredited CYFS Approved ACC Primary Accreditation 12
Our Challenges • Funding – less for more • Increase in costs – stagnant contract revenue • Resource constraints • Limited skilled Pacific workforce • More resource required for preventative strategies and services • Pacific youth services fragmented • Demands of a high needs population 13
Highlights • Health targets consistently achieved • Contractual obligations consistently met • Inter-sectoral contracts – health, welfare, education and justice • Strong stakeholder relationships • Priority focus on organisational developmental • Committed staff • Strong back office support 14
Our Future • Strengthen the Pacific voice using a community building framework • Consolidate Model of Care • Counselling Services • Advance Pacific Trades • Pacific Prosperity • Well, safe, vibrant and informed communities 15
Our Future • Organisation Transformation • New and Dynamic Strategy • Revitalised and Innovative Model of Care • Revised Organisation Structure • Centralisation • Information Technology overhaul • Increase access and positive outcomes for Pacific • Fanau Ola 16
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