Presented by: Michelle Rodda, Katie Durbin
Hawke’s Bay in North Island of New Zealand is known for its temperate climate, Art Deco architecture and wineries. With a population of 161500 and area of 14111 km2, Hawkes Bay is made up of five main areas Havelock north, Hastings, Napier and two rural areas of Central Hawkes bay to the south and Wairoa to the north. We have a higher than national average percentage of Maori, our indigenous people. CHB has a population of 6500 and is 45 minutes away from centre of town, there is a GP lead inpatient unit. Wairoa has a population of 4200 and a 2 hour drive, with GP service that also manage their inpatient unit. Within both these rural areas often patients live more than an hour’s drive away from local health centre.
As part of our local and national palliative care strategic plans there is a commitment to providing equitable and accessible palliative care to all. As we are all aware this can be challenging in remote areas. Our rural areas are resourceful and resilient and keen to look after their own but need skills and knowledge to support this. This presentation discusses the work we have done over the last two years with the rural areas of Wairoa and CHB. There have been wins and obstacles along the way as we have worked alongside them to address challenges faced with providing palliative care and supporting the community to care for their dying. It is rewarding that we are now seeing progress and are starting on the next leg of the journey making what we have achieved sustainable.