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FRIDAY FACTS 

12 November 2021


The weekly newsletter of Auckland PHO provides details of events, meetings, clinical information and PHO Programmes to our Practices
CONTENT - COVID
COVID-19 Important Information  |  COVID-19 Vaccination Updates   |   Zooms, Webinars and Education
CONTENT - NON COVID -  PRACTICE INFORMATION
Auckland PHO News
POAC funding for testing claims schedule

The DHBs have updated information regarding claiming for COVID-19 related testing and conversations.  Currently their payment schedule (due to their internal processes) are three weeks behind because of the additional data matching required due to out sourced laboratories.

Super Saturday, GP conversations and home visits up to 31st October are scheduled for payment on.

There is also an audit of $250 assessment claims in progress and we will update the network when there is further information about this.
Notice of Auckland PHO Annual General Meeting

Shareholders are invited to join Directors at the 2021 Annual General Meeting.
Guest Speaker, Auckland PHO Clinical Director, Dr Charlotte Harris.  Living in a COVID Environment in 2022.


Date:   Thursday, 9 December 2021
Time:   6.30pm
Via Zoom
RSVP: priscilla@aucklandpho.co.nz
2021 End of Year Dinner and Awards
Sadly, yet again, due to the pandemic, we are unable to hold this annual event.  We will let you know of our alternative arrangements soon.
COVID-19 Important Information
Update for General Practice Teams regarding the changes for shorter stays in Managed Isolation Facilities followed by a period of self-isolation 

MoH Update for General Practice teams regarding the changes for shorter stays for NZ returnees in managed isolation facilities (MIF) followed by a period of self-isolation at home for 3 days and the role of primary health care


From 14 November 2021, the isolation period for people entering New Zealand from overseas will change from 14 days to 10 days. This reflects the fact most returnees now report being fully vaccinated, infection rates are low (2-3/1000) and that we identify the majority (80%) of the COVID cases by day 7.

The first 7 days of the 10-day isolation period will still be undertaken in a Managed Isolation Facility, if they remain negative for COVID on testing, the final 3 days will be completed in self-isolation in their own accommodation.

We are writing to inform you about this change in case you are contacted by a returnee during their self-isolation period.

Returnees are tested on days 1, 3, and 6 for COVID-19 while in a Managed Isolation Facility. As part of this new arrangement, they are also required to seek a test on day 9 of their self-isolation period. Their time in self-isolation cannot end until they have a negative Day 9 test result.

Additional information will be provided to people who will be self- isolating including:
  • basic hygiene measures
  • advice to call the COVID-19 Healthline or their GP to inform them that they have recently arrived from overseas and are self-isolating and need to arrange the Day 9 test. The same applies if they develop symptoms during the self-isolation period, or if they have any other health needs. For emergencies they will call 1 1 1
 
If they produce a positive COVID-19 result, Public Health will be notified and the normal process for the case management of covid 19 infection will begin.

Role of General Practice/Primary Care
Primary Health providers should continue to provide care to their patients, with the knowledge that their patient is at slightly higher risk of COVID-19. Therefore consultations (other than COVID-19 testing) should be done virtually, unless they must be conducted face-to-face and cannot be delayed until after the person's self-isolation period ends. Refer to the Ministry of Health website for guidance regarding PPE use in this instance.

Any treatments that can be delayed until after the self-isolation period should be delayed.

If you have any other questions, please refer to https://www.health.govt.nz/post-miq-self-isolation for more information.

 
COVID-19 Vaccination Updates
AstraZeneca vaccine
Published by Auckland, Counties Manukau and Waitematā DHBs on 11/11/2021 11:33:39 AM.

While the Pfizer COVID-19 vaccine continues to be the primary vaccine used in New Zealand, work is underway to introduce the AstraZeneca vaccine as an alternative option.

This option will be available for people who cannot have the Pfizer vaccine for medical reasons (estimated only to be a few hundred people) and people who need to be immunised against COVID-19 because of the nature of their work (like healthcare workers), but who have other reasons not to have the Pfizer vaccine.

The Ministry of Health expect to have more detail about the introduction of this alternative option available next week. We will provide an update then.


COVID-19 vaccination conversations initiative for those with long-term conditions (LTCs) – further information
On Tuesday 9 November, we extended the General Practitioner and Nurse Practitioner proactive vaccination conversation initiative. This now includes patients with long term conditions (LTCs) who have not yet had their first COVID-19 vaccination. 

We have subsequently been asked to provide a definition of a Long Term Condition (LTC). A LTC can be defined as any ongoing, long term or recurring condition that can have a significant impact on a person’s life. Related terms for LTCs are ‘non-communicable diseases’ and ‘chronic conditions’. LTCs include but are not limited to conditions such as diabetes, cancers, cardiovascular diseases, respiratory diseases, mental illness, chronic pain, chronic kidney disease and dementia. Clinician discretion is appropriate when determining patient eligibility for these conversations.

Please send feedback to Sarah.Hartnall@waitematadhb.govt.nz
Important Information for Practices

New Zealand Medical Journal
The latest New Zealand Medical Journal is out today.

This issue features an editorial on New Zealand's staffed ICU bed capacity and COVID-19 surge capacity

Included are articles on the response to the COVID-19 pandemic at the rural hospital base, Food, nutrition and cancer, the cost of Breast cancer on New Zealand's public health system, use and results of systemic treatments for de novo and recurrent metastatic breast cancer, barriers to physical activity in prostate cancer survivors and more.

A viewpoint explores how to improve the safe use of 5-fluorouracil and capecitabine in cancer patients and clinical correspondence on the quality of life after oesophageal stenting.

Login: Barbara@aucklandpho.co.nz |  Password: Yellow2020

Zooms, Webinars and Education
Living Well with Diabetes Free Workshop on Zoom
Day Course
Tuesdays 10-11am
November 16th, 23rd, 30th
December 7th
Evening Course
Tuesdays 7-8pm
November 16th, 23rd, 30th
December 7th
Registration: please email saphiya@aucklandpho.co.nz and a zoom link will be sent to you
For more information please see attachment below or visit http://aucklandpho.co.nz/services/dsme/


NovemberOnlineDSME.pdf
Zoom Huddle
Auckland PHO would like to invite Nurse Practitioners/Practice Nurses/HCAs and Practice Managers to join our “Zoom Huddle” The Zoom Huddle sessions will provide everyone with an opportunity to raise any clinical issues/questions or concerns and collaboratively share information and experiences from which we all can learn.
 
The Zoom Huddle session is scheduled for every Tuesdays. Next session is on
Date: Tuesday, 16 November
Time: 9am

Facilitators:
Alison Brown - Clinical Advisor
Aaron Piano - Vaccinator and Cold Chain Assessor
Shanaz Khan - Child Health and Immunisation Services Advisor

Join Zoom Meeting 
https://us02web.zoom.us/j/4040266333?pwd=OHJWSmxyNnphbThuRzFydWpMMlIyQT09
Meeting ID: 404 026 6333 
Passcode: 210


We look forward to seeing you all at the Team Huddle. Please email priscilla@aucklandpho.co.nz if you would like to receive a calendar invitation.
COVID-19 vaccination programme webinar – Tuesday 16 November, 5.30pm-6.30pm
Published by Auckland, Counties Manukau and Waitematā DHBs on 11/11/2021 8:09:16 AM.

Join us to find out the latest on the COVID-19 vaccination programme in metro Auckland and how primary care can continue to provide their support.

The webinar will include:
  • The final push to reach the 90% fully vaccinated target and the next steps.
  • Dr Matire Harwood from Papakura Marae Health Clinic talking about those who are vaccine hesitant in their community and sharing her insights about how to encourage vaccination.
  • Tevita Funaki, CEO at The Fono, talking about their vaccination approach with their Pacific community and practical tips and insights.
  • A clinical update from Dr Nikki Turner, Medical Director of the Immunisation Advisory Centre (IMAC).
  • A questions and answers session.
This webinar is aimed at GPs, general practice staff, practice nurses and staff and staff working for primary care providers, primary health organisations, urgent care and community pharmacies.

Register now. If you're not able to attend, still register and we'll send you the recording afterwards.

Please send feedback to Sarah.Hartnall@waitematadhb.govt.nz
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Auckland PHO · 210 Khyber Pass Road · Grafton · Auckland, Auckland 1023 · New Zealand