Tuesday 20 September 2011, 5:50PM
New Zealand Doctor reporters were in Christchurch on 4
September attending the RNZCGP annual conference when the first 7.1
magnitude quake struck. Since then we have attempted to keep
general practice up to date withth impact on people and
practices of the earthquakes that occurred over subsequent months.
The stories below are a collection of articles appearing in our
print publication. At the time of the quakes we provided
comprehensive online coverage with links to information coming out
of Civil Defence and other government agencies. These can be found
by using the search function on this website.
PHOTOGALLERIES --- 4 September
2010 --- 22 February 2011
Record of earthquakes to date - Geonet
7 September 2011
Quake preparedness not taken seriously
Liane Topham-Kindley
Cantabrians did not expect an earthquake in their region and were
generally unprepared, new research shows. "Everyone thought the big
one would be in Wellington," Victoria University psychology
professor John McClure says…read more
New funding model on agenda in Canterbury
Liane Topham-Kindley
New configurations of health services and funding models in general
practice are being considered in Canterbury in the wake of the
region's earthquakes. Canterbury DHB's earthquake response has
centred around providing more services in the community, and these
services require new funding models, the DHB's planning and funding
manager, Carolyn Gullery, says…read more
Neighbours give first aid for mind
Liane Topham-Kindley
The most effective social support after the Canterbury earthquakes
came from neighbours and communities, a community psychologist
says. Psychological first aid - the initial assistance involving
practical and emotional support - was a powerful tool, according to
Christchurch Polytechnic Institute of Technology applied psychology
lecturer Libby Gawith…read more
Jojo's Place gives quake kids a lift
Virginia McMillan
Canterbury children have been finding an online friend to soothe
the emotional wounds of earthquakes, aftershocks and disrupted
family life. The website Jojo's Place is getting 120 to 150 visits
a day and received a "spike" in hits after the 13 June quake, says
one of the site's instigators, Auckland public health registrar
Suneela Mehta…read more
10 August 2011
Why sudden rush of blood kills
Amanda Cameron
Mike Ardagh has a theory about severe crush injury syndrome. The
phenomenon of a person suddenly dying from their crush injuries
once they are freed is due to an anaphylactoid reaction, suggests
the Christchurch emergency medicine specialist. Dr Ardagh saw his
fair share of crush injuries during the February earthquake…read more
T-shirt fundraiser honours Clinic GP
Katie Marriner
The daughter of a GP killed in The Clinic in Christchurch's
February earthquake is raising money to help restart the youth
health centre that formerly employed her father. Westlake Girls'
High School student Haya Al-Ani, 18, hopes to raise $12,000 by
selling custom-designed t-shirts online and at the school…read more
'Pathways' site aims at patients
Liane Topham-Kindley
Following success of the Health Pathways website for Canterbury
GPs, a similar site has been developed for patients. "[I]t's quite
difficult to find out information as a patient," says Christchurch
GP and member of the Canterbury Initiative development team Graham
McGeoch…read more
ChCh practice faces crisis over consents
Katie Marriner
Staff of a Christchurch practice are at their wits' end after
delays with the council consent process stalled relocation to new
premises. The Christchurch Doctors, a merger of GPs from the High
Street Medical Centre and Salisbury Health Centre, is due to sign a
lease on a Colombo Street building…read more
27 July 2011
Canty adds $1.5m for mental health
Katie Marriner
Canterbury DHB is channelling $1.5 million into mental health
services to help Christchurch residents cope with the ongoing
trauma of the September, February and June earthquakes. The money
is coming from existing funding made available, for example, by
re-prioritising after some initiatives could not go ahead following
the 22 February earthquake…read more
Pink boots for a pink princess
Gerrard Verkaaik
A story from the frontline of caring for those displaced by the
Christchurch earthquakes…Mum was obviously tired, apprehensive,
barely holding together, on the verge of tears. Daughter, aged
about seven, wore a too-large but pretty, pink polar-fleeced jacket
from which protruded the pert face of a fuzzy white teddy, nuzzled
close to her heart. The bear was a gift from the mobile team van,
which had sent them to the centre…read more
Adopt-a-practice gains momentum
Liane Topham-Kindley
Helping out general practice in Christchurch has been a family
affair for Nelson GP Eloise Fry. Dr Fry and her GP husband, Mark,
answered General Practice New Zealand's call for assistance in
earthquake-stricken Christchurch last month. They were so moved by
what they saw during their week in the garden city, they encouraged
Dr Fry's parents - Whangarei GP and practice manager couple, Bruce
and Enid Cottee - to do the same…read more
13 July 2011
Zoning threatens practice viability
Liane Topham-Kindley
Medical centres in some parts of Christchurch may find their
populations decimated once residents respond to the latest zoning
of their properties. The likelihood of people leaving
earthquake-damaged areas because they cannot rebuild is a major
concern, according to long-time New Brighton GP John Cook…read more
Plans for integrated centres fast tracked
Liane Topham-Kindley
Plans for integrated family health centres and services in
Christchurch have been sped up and scaled up. Five to six
integrated family health centres (IFHC) and networks are likely to
be developed in the city to replace damaged infrastructure. Pegasus
Health chief exec-utive Vince Barry says, since the February
earthquakes, a number of GPs have expressed interest in working on
a model for IFHCs or integrated health networks, where a group of
practices regard their population as one…read
more
ChCh: new leases, new partnerships
Liane Topham-Kindley
Just before the devastating February earthquake in Christchurch, GP
Tim Wilson spotted empty premises in a Chinese supermarket down the
road from where he lives. "I used to wander down and buy wontons
and the owner said, about two weeks before the February earthquake,
he was looking to lease it," Dr Wilson says…read more
Canterbury DHB working quick and smart post
quakes
Liane Topham-Kindley
A focus on looking after people in the community is reaping
benefits for Canterbury DHB, where hospital admissions and
occupancy have declined in spite of earthquakes and cold
temperatures. The DHB has revamped its acute demand project with
incentive payments to general practices to help them better monitor
patients and keep them out of hospital…read
more
Almost half of ChCh practices lose income
Liane Topham-Kindley
Almost half of Christchurch's general practices have lost income
since February's earthquakes. About 40 per cent of practices across
the city have lost capitation funding as a result of having fewer
enrolled patients, Canterbury Primary Response Group coordinator
Phil Schroeder says…read more
29 June 2011
Never too late to plan for emergencies
Virginia McMillan
DHBs could soon start requiring emergency preparedness in their
primary care contracts. The boards are pushing strongly for general
practice to plan for business disruption and have discussed
introducing a contractual requirement, says northern region primary
care emergency planner Andy Wisheart…read more
Back to 'square one' as ChCh shakes again
Liane Topham-Kindley
Christchurch's general practice leaders are looking for measures to
support practice viability as the city reels from another heavy
series of earthquake aftershocks. Suburban practices were hit just
as hard by this month's magnitude 5.7 and 6.3 quakes (>>nzdoctor.co.nz,
'News', 13, 14,15,16 June) as they were by February's
devastating quake, Canterbury Primary Response Group coordinator
Phil Schroeder says…read more
15 June 2011
Subsidy withdrawn as losses mount
Amanda Cameron
Christchurch GP Jacques Marchand has his fingers crossed that
patient numbers will soon return to normal after a government wage
subsidy ended last month. Dr Marchand had relied on the Employer
Support Subsidy to keep paying staff at Doctors on Cashel since
February's earthquake forced the relocation of the inner-city
practice. The subsidy for quake-affected businesses ended on 31 May
after 16 weeks…read more
'Phenomenal effort' following quake
Virginia McMillan
Coordinating care for about 1500 Christchurch earthquake evacuees
in the capital earned Compass Health's Chris Kerr an award for
outstanding leadership. The award was made for "phenomenal efforts"
by Ms Kerr, Compass Health's clinical director of primary care
services, says Kerrie Hayes, Capital & Coast DHB director of
nursing and midwifery, and was presented on International Nurses
Day last month…read more
18 May 2011
Gazing through the (broken) looking glass
Rosie Laing
Two weeks ago the bulldozers finally arrived at Christchurch GP
Rose Laing's Lyttelton house It is hard to convey how strange life
is in Christchurch these days. It is probably impossible for anyone
who hasn't lived through the last seven months here to "get it" and
I hope other Kiwis never have a chance to find out how things
change when your world has been both shaken and stirred…read more
Add another 3900 patients to that...
Liane Topham-Kindley
There has been no ordinary day at the office for Moorhouse Medical
Centre ever since it acquired the 3900 patients of central
Christchurch's The Clinic, destroyed in the February earthquake.
Within a fortnight of the quake flattening the building where The
Clinic was based, agreement had been reached between the two
businesses that Moorhouse would take on the patients' care, with
immediate effect…read more
4 May 2011
Home closures cut jobs
Jen de Montalk
Damage caused by the 22 February earthquake in Canterbury has put
hundreds of aged-care workers out of work. Between 800 and 1000
jobs have been affected by the closure of eight aged-care
facilities, Service and Food Workers Union national secretary John
Ryall says. More jobs hang in the balance with severe structural
damage threatening to close Radius residential care home St Ives,
according to Mr Ryall…read more
Hanmers's medical team steps up
Liane Topham-Kindley
Christchurch's earthquake has highlighted the strengths of the
rural general practice team at Hanmer Springs. No pharmacy,
nor hospital in the town, the practice team had little option but
to just get on with it when the town's population increased
five-fold in the days following the 22 February quake…read more
Chch practices in 'no-man's land'
Liane Topham-Kindley
Christchurch practice owners feel their businesses are on shifting
sands financially, more than two months since the 6.3-magnitude
earthquake. While business has picked up in many city practices,
owners are unsure whether things will return to pre-quake norms or
whether they will have to lay off staff, Canterbury Primary
Response Group spokesperson Phil Schroeder says…read more
20 April 2011
Remembering the 'dream team'
Southern Correspondent Liane Topham-Kindley brings together
recollections about the staff of The Clinic who died in the 22
February earthquake - Dr Maysoon Mahdi Abbas (61), Dominic Joseph
Gerard Bell (45), Allan Alexander Sinclair (45): Practice manager
Beverley Faye Kennedy (60) Receptionist Dian Mary Falconer (54):
Nurse Elizabeth Jane Grant (51): Nurse Teresa McLean (40): Nurse
Christine Patricia Stephenson (61): Osteopath Janet Dawn Meller
(58) Psychologist Susan Lyn Selway (50), Kyle Jack-Midgley (27) …read
more
Quake's huge cost burden on DHB
Liane Topham-Kindley
Canterbury DHB is heading towards a $16 million deficit as costs
mount for new projects keeping health services going in
quake-stricken Christchurch. At last count there were 140 projects
in the post-quake recovery plan, DHB general manager of planning
and funding Carolyn Gullery says. There's not one part of the
health system that does not need some sort of fix, she says…read more
[More stories to be uploaded]