Co-design of youth appropriate services for young people with rheumatic fever/rheumatic heart disease in Counties Manukau District.

Aim: To co-design a rheumatic fever service model which enables young people with acute rheumatic fever/rheumatic heart disease (ARF/RHD) and their families to access the health and wellbeing services they need.

Method: Co-design, a collaborative and participatory approach, was used to gather experiences and ideas from 21 consumers and 30 health professionals. Thematic analysis was undertaken.

Cost-effectiveness of biennial screening for diabetes related retinopathy in people with type 1 and type 2 diabetes compared to annual screening.

Objective: Examine the health and economic impact of extending screening intervals in people with Type 2 diabetes (T2DM) and Type 1 diabetes (T1DM) without diabetes-related retinopathy (DR).

Setting: Diabetic Eye Screening Wales (DESW).

Study Design: Retrospective observational study with cost-utility analysis (CUA) and Decremental Cost-Effectiveness Ratios (DCER) study.

Poisoning due to tutin in honey-a report of an outbreak in New Zealand.

Aim: In autumn 2008, an outbreak of toxic honey poisoning was identified. The outbreak was not recognised initially until three cases from one family group presented to hospital, with a common factor of recent consumption of locally produced honey. The aim of this study was to investigate potential cases of this honey poisoning and determine which toxin was involved.

Is a rheumatic fever register the best surveillance tool to evaluate rheumatic fever control in the Auckland region?

Aim: To determine the most accurate data source for acute rheumatic fever (ARF) epidemiology in the Auckland region.

Method: To assess coverage of the Auckland Regional Rheumatic Fever Register (ARRFR), (1998-2010) for children <15 years and resident in Auckland at the time of illness, register, hospitalisation and notification data were compared. A consistent definition was applied to determine definite and probable cases of ARF using clinical records.

Antimicrobial stewardship using pharmacy data for the nurse-led school-based clinics in Counties Manukau District Health Board for management of group A streptococcal pharyngitis and skin infection.

Aim: To evaluate antimicrobial usage in the school-based clinics against operating guidelines.

Method: Antimicrobial prescribing data (2014) from 10/18 participating pharmacies serving 14,153/23,588 primary school children of the programme were accessible. Prescriptions from 5/10 pharmacies were available for identifying type, amount, and indication of the medicine.

Nurse-led school-based clinics for rheumatic fever prevention and skin infection management: evaluation of Mana Kidz programme in Counties Manukau.

Aim: To evaluate registered nurse-led school clinics in 61 primary and intermediate schools in Counties Manukau.

Methods: The evaluation (conducted August–December, 2014) collated evidence concerning service delivery, outcomes, value for money and effectiveness.

Results: 97% (23,756/24,497) of eligible children were consented, 11% (20,696/191,423) of throat swabs taken (February 2013–September 2014) were culture positive for Group A Streptococcus (GAS); 20,176 were treated.

Registered nurse assessment and treatment of skin sepsis in New Zealand schools: the development of protocols.

Background: Skin infection is the commonest medical cause of hospitalisation in school children. Disadvantaged children, usually Maori or Pacific, have high rates of preventable diseases.

Aim: To improve access to early treatment for skin infections using nurse-led school clinics in South Auckland, including provision of antibiotics under delegated standing orders.

Nurse-led school-based clinics for skin infections and rheumatic fever prevention: results from a pilot study in South Auckland.

Aim: To assess the acceptability and feasibility of delivering targeted primary health care in a decile one primary school setting.

Method: A pilot public health nurse (PHN)-led clinic was set up in a South Auckland primary school (roll approximately 400). The clinic was based on a previous sore throat clinic model with modifications aimed at improving programme feasibility and effectiveness.

Measuring potentially avoidable and ambulatory care sensitive hospitalisations in New Zealand children using a newly developed tool.

Objectives: To use a newly developed tool to measure Potentially Avoidable (PAH) and Ambulatory Care Sensitive (ACSH) Hospitalisations in New Zealand children. To consider whether these tools provide any insights into the role policies or programmes which address the underlying determinants of health (e.g.

Developing a tool to monitor potentially avoidable and ambulatory care sensitive hospitalisations in New Zealand children.

Background: In New Zealand there has been increasing interest in reducing avoidable hospitalisations, particularly from conditions treatable in primary care. To date avoidable hospitalisations in children have been monitored using adult tools which contain many conditions irrelevant to children. Further, New Zealand has large socioeconomic gradients in hospitalisations for many paediatric conditions, suggesting that the social determinants of health also heavily influence avoidable hospitalisations in this age group.

Healthcare services funded by Counties Manukau District Health Board for people in the last year of life.

Introduction: The last year of life is often associated with a high level of healthcare utilisation and cost. To date, little information is available regarding the healthcare utilisation patterns in the last year of life in New Zealand.

Aim: To describe the healthcare utilisation patterns and costs of the residents of Counties Manukau District Health Board (CMDHB) region in the 1-year period prior to death in 2008.