29 October 2021

The weekly newsletter of Auckland PHO provides details of events, meetings, clinical information and PHO Programmes to our Practices
COVID-19 Important Information for Practices  
Farewell and Welcome

Today is the last day for Dr KK Yam, Dr Thomas Doo and Practice Nurse Beng Choo Tan from Meadowbank Medical Centre, who are hanging up their stethoscopes and retiring from general practice.  We have appreciated their loyalty and service over the years and wish them well in their new endeavours.

Welcome to Dr Luke Wee, who has bought Meadowbank Medical Centre.  We look forward to the new era for the practice.

COVID-19 Important Information for Practices
Post-webinar resources
Covid in the home – what primary care needs to know

Here's the link and resources from last nights webinar on home management of Covid-19 patients. Covid in the home – what primary care needs to know

Encouraging faster second doses of the COVID-19 vaccine
Published by Auckland, Counties Manukau and Waitematā DHBs on 29/10/2021 11:30:39 AM.

Please encourage patients to get their second dose of the COVID-19 vaccine as quickly as possible after their first dose.

With COVID-19 currently circulating in the community, it’s important that people are fully vaccinated as quickly as possible to help prevent them from getting very sick or hospitalised if they do get COVID-19.

People will also need to be fully vaccinated to access many services under the government’s new traffic light framework.

The second dose needs to be at least 21 days after the first dose. Patients will have the strongest immunity two weeks after the second dose.

Labtests website consumable ordering outage
Published by Labtests on 29/10/2021 2:34:22 PM.

Start date/time:  Friday, 29 October 2021 Finish date/time Sunday, 31 October 2021 20:00
What this means to you:  
We will be performing a scheduled change to migrate across to a new Consumables ordering web site. This is needed because we are upgrading our consumables web page over the weekend.   We are confident that you will find the new consumables ordering system is easier to navigate and more user friendly. 

The consumables ordering website will NOT be available until Monday. Urgent orders may be phoned to 09 574 7399 option 2.

Please note that from Monday 01 Nov 2021 the links to the ordering forms on our consumables ordering page will be different. Please bookmark or save the new link to your favourites in your browser.
If you have any questions call Labtests on 09 574 7399 option 2.
See printable version attached.
211029 Lab Update re consumable ordering outage.pdf [349.9 KB]
To send feedback, please email
Important Information for Practices

Primary Maternity Services Notice 2021

The Primary Maternity Services Notice 2007 (the 2007 Notice) which sets out the current terms, services and fees for community-based primary maternity care providers will be replaced by the 2021 Notice later this year.

Implementing funding of $85 million (over four years) allocated in Budget 2020 required the 2007 Notice to be updated so it could deliver funding for additional primary maternity care to women with complex needs, and to women living in rural areas. The Ministry of Health undertook a public consultation on proposed changes to the 2007 Notice from 4 September to 13 November 2020.

Further information can be found here

A recorded webinar about these changes will be available soon on Ministry of Health website.  In the meantime, below is the information regarding any change to PMS.

Communication to General Practitioners and obstetricians who use the following PMS systems/IT providers: 
 •  Valentia 
 •  My Practice 
 •  Best Practice 
 •  Intrahealth  

If you wish to provide primary maternity services under the 2021 Notice, changes are required to the PMS system that you use currently to submit these claims.  

Electronic claims under the 2021 Notice cannot be submitted until your PMS system changes are implemented. 

If your PMS system changes have been implemented for the go live date of 29 November 2021 then you do not need to do anything. 

If your PMS system changes have not been implemented prior to 29 November 2021, you will not be able to submit any claims for services provided under the 2021 Notice until the PMS system changes have been implemented by your respective IT vendor. 

Please contact your IT vendor directly for further information and guidance.  

To minimise the impact on your claiming for primary maternity services provided under the 2021 Notice, the Ministry of Health is working in conjunction with IT vendors to support the required PMS system changes. 

MRI Accreditation - Update from Dr Stephen Kara

GPs have expressed an interest in GP MRI accreditation. To gain accreditation GPs must attend a practical session, including small hands-on group sessions, to demonstrate the necessary clinical skills to assist with making a clinical diagnosis prior to making an MRI request. To date, clinical diagnosis prior to the MRI request has formed part of the success of the pilot, which has led to the nationwide programme. 

Due to Covid alert levels, practical sessions are currently unable to go ahead, and therefore the accreditation process is unfortunately delayed until further notice. Please be re-assured that practical sessions will re-commence as soon as it is safe to do so, and we will be back in touch. In the interim, please continue to manage or refer musculoskeletal (MSK) presentations as you normally would. Note, we are experiencing a reduced number of MSK injury presentations at present. Support during this time remains available via telehealth consultations or from sports physicians, orthopaedic surgeons and physiotherapists. Thank you for your patience.

We are keeping a register of clinicians interested in training, when we are able to open this back up again. If you would like to express an interest, please email and we can add you to our list. We will then let you know once we have confirmed dates. If you would like a refresher, the training resources can be found on the Learn website. Access to this site will have been provided when you initially undertook your accreditation. We can also look at a virtual refresher course if we have enough interest. Please register your interest for a virtual refresher course at

Auckland Regional HealthPathways PHO Quarterly Report - July to September 2021

Please find attached the Auckland Regional HealthPathways PHO Quarterly Report for July to September 2021

There is valuable information provided in the report, including:

  • Details about an upcoming Webinar on “Managing COVID-19 in the community”
  • Important updates to the COVID-19 section
  • Details of our recently localised and updated pathways

There is also a quarterly report of the COVID-19 pathways for your information.  This includes information on the number of page views for each of the COVID-19 pathways during this quarter as well as the number of times each pathway has been viewed over time.

GP Research Review

Of current interest, a study comparing the efficacy of the Pfizer and Astra-Zeneca vaccines against the Delta and Alpha variants of COVID-19 has shown lower rates of efficacy of both of these vaccines against the Delta strain and has emphasised the importance of receiving two doses.

Please see attachment below for GP Research Review Issue 182 , and you can also view the issue online here

Other highlights in this review include:
 •  CRP point-of-care testing and antibiotic prescribing
 •  Coffee consumption and incident tachyarrhythmias
 •  Acupuncture and medical expenditure in migraine patients


Zooms, Webinars and Education
HealthPathways Education webinar - Managing COVID-19 in the community,
Topic: Managing COVID-19 in the community
Date: Wednesday 3 November
Time: 7.00 pm – 8.00 pm
Register now
The webinar will introduce an evolving clinical pathway for safely managing COVID-19 positive patients in the community. Topics will include risk stratification, remote monitoring and escalation of care, and next steps to supporting primary care nationally.

Our presenters are:
  • Dr Samantha Murton
    President, Royal New Zealand College of General Practitioners
  • Dr Justine Lancaster
    GP, Chief Clinical Advisor, Primary Care at the Ministry of Health
  • Dr Janine Close
    GP, HealthPathways Clinical Editor
Please see flyer attached. Details can also be found on HealthPathways: Upcoming Education Events and homepage.

The format will be a Zoom webinar, followed by a moderated discussion using the Zoom Q&A feature. The session will be recorded and later hosted on HealthPathways, for those unable to attend the live session.

This activity has been endorsed by RNZCGP and has been approved for up to 1 CME credit.

Two upcoming IMAC webinars on 3rd & 4th November, 2021
IMAC invites you to attend two upcoming webinars and view several resources supporting each webinar. One is on receiving the 3rd COVID-19 vaccine dosage for immunocompromised people, and the other focuses on conversations about vaccination.

Details for each webinar can be found on IMAC website, and registration can be done via the links below. More information will be provided closer to the due date.

Webinar 1: 3rd dose for immunocompromised webinar and resources

Title: Additional COVID-19 vaccine for severely immunocompromised people
Panelists: Dr. Edwin Reynolds, Medical Advisor, and Jane Morphet, Clinical COVID-19 Education Manager at The Immunisation Advisory Centre
Date and time: Wednesday 3rd November 2021 at 1-2pm.

The COVID-19 Technical Advisory Group has recommended that individuals aged 12 and older who are severely immunocompromised receive a third primary dose of the Pfizer COVID-19 vaccine. The attached resource and upcoming webinar will discuss this in more detail.

Please find more information here on immunocompromised people receiving their third vaccine dosage.

More information on the upcoming webinar will be released on IMAC website here.
Register Here


Webinar 2: Reaching those yet to get their COVID-19 Vaccine webinar and resources:

Title: Reaching those yet to get their COVID-19 Vaccine
Panelists: Professor Nikki Turner, Medical Director at The Immunisation Advisory Centre, and Dr Jess Berentson-Shaw, Co-Director at The Workshop
Date and time: Thursday 4th November 2021 at 4-5pm.

This upcoming webinar and supporting resources will help to provide some guidance on engaging members of the public who have not yet received their COVID-19 vaccination.

Please find more information here on some quick conversation tips to encourage people to get vaccinated.

More information on this upcoming webinar can be found on our website here.
Register Here
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, 2 November
Time: 9am

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

Join Zoom Meeting
Meeting ID: 404 026 6333 
Passcode: 210

We look forward to seeing you all at the Team Huddle. Please email if you would like to receive a calendar invitation.
Ministry of Health Maternity Stakeholder Information Sessions
A reminder about the Ministry of Health’s maternity Stakeholder Information Sessions
This Auckland  session is being held to discuss the changes to the Primary Maternity Services Notice 2021, the Health Information Standards Organisation (HISO) Maternity Care Summary Standard and the New Zealand Perinatal Spine projects.  
The Primary Maternity Services Notice 2021 has been gazetted, with the changes coming into effect on November 29, 2021.  

Session information 
The Stakeholder Information Session has been adapted due to alert level changes. Please see the RSVP details below to indicate your intention to attend one of these remaining sessions. 
Should there be any further changes to the COVID-19 Alert Level, these events may be postponed in accordance with the guidance issued for gatherings and events. 
Please note that the remaining Auckland Stakeholder Information Session has been scheduled with the assumption Auckland will be at Alert Level 2 at the time of this session. 

Date  Time  Location  Venue 
22nd November 
11:30am - 4:00pm  Rawene Centre 
33 Rawene Road 
Chelsea Bay Room
Responding to the invitation  
To RSVP for one of the scheduled events, please email 
and provide the following information: 
  • Your name 
  • Contact email address 
  • Your role 
  • Your usual location of work 
  • The date, time and location of the Stakeholder Information Session you would like to attend 
  • Any dietary requirements.  
A light lunch will be provided for each Stakeholder Information Session. 


Useful resources 
In advance of attending a Stakeholder Information Session, it would be useful to re-visit the following documents:  The Primary Maternity Services Amendment Notice (2020) details the 2020 fee schedule in place as of July 1, 2020. This fee schedule was then replaced by The Primary Maternity Services Amendment (2) Notice (2020) in place from October 1, 2020 (see below).  The Primary Maternity Services Amendment (2) Notice (2020) details the interim increase in payments which has been in place to distribute specific funding provided in Budget 2020. This funding was allocated to remunerate care for women with complex clinical and social care requirements, and those whānau living rurally.  The Categories for Referral are particularly relevant to the Additional Care Supplement, which will be discussed during the Information Session.  

Coeliac NZ Conference 2021

Due to the extended lockdown restrictions Coeliac NZ has made the decision to transition our conference on the 13th of November to a virtual platform. This will now be a browser based live event with interactive tools incorporating live and pre-recorded presentations, so now it will be easier for anyone in NZ to attend given it is online. The Medical Seminar Master Class is from 8am to 9:30 am on Saturday the 13th of November and the main conference is from 10am to 4pm.
Coeliac NZ will be bringing together inspirational healthcare and community educators in both guest speakers and interactive settings, and there will be lots of time for networking and kōrero. The conference will take place on its own Virtual Platform incorporating live and pre-recorded presentations. Attendees will be able to ask questions of the panelists via the Q&A. There will also be virtual breakout rooms. You will have an opportunity to connect with your peers, health experts, and others with an interest in coeliac disease as well as learn tips and tricks to enjoy a gluten-free lifestyle.
Attendees will have a wide variety of interaction tools on the platform that will enable them to: meet other attendees, chat, or Video chat, 1-1 appointment setting, Q&A, polls, 30 days post event access to on demand content and the opportunity to participate in a leader board competition.  The current agenda sees the conference take place over one day with an early morning medical seminar, main stream, and a youth stream. The event includes plenary sessions, panel discussions and a workshop. The youth stream will be managed via the breakout room on the virtual platform.
Coeliac NZ extends to Auckland PHO GPs and Practice Nurses a special offer is $55 including GST for the medical seminar and conference. 

As this is an exclusive discounted offer including the main conference and medical seminar for the same price so you can’t purchase through the website link -  interested people need to email Fred Tan our Administrator with GPs 2021 in the subject line and include their name, phone number and contact email so we can send an invoice for their tickets at the discounted offer.


Familal Breast and Ovarian Cancer Conference 
The New Zealand Familial Breast and Ovarian Cancer Conference was planned to be held in Wellington in person. The NZFBOC appreciates these are stressful times, but they have now confirmed it will be a fully virtual conference to be held on Friday 5 November 2021.

All sessions will be recorded and available to view 'on-demand' for 90 days after the end of the conference.

It will provide a unique opportunity to bring together for the first time clinicians and experts across this field in Aotearoa, Australia and the UK, to participate in a day of knowledge sharing.

The aim is to:

  • build bridges between services or areas of expertise
  • connect with each other
  • learn about the latest research, testing, management and more.

The programme is intended for health professionals however registrations from other interested public and consumers (people impacted by familial breast and ovarian cancer) are also welcome.

More info and registration:

Please contact Dr. Simone Petrich if you have any question

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Auckland PHO · 210 Khyber Pass Road · Grafton · Auckland, Auckland 1023 · New Zealand