O u r Year in Annual Review - Year to June 2019 - Mary Potter Hospice
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Our vision That people in our communities who need palliative care have access to compassionate and quality care, when and where they need it. Our approach Taking a whole person approach, we will provide and promote high quality specialist palliative care, grief support, education and care planning services. Working alongside our health partners, we aim to make a difference in the communities we serve. Our values Respect Compassion Dignity Hospitality Stewardship Front cover: Te Whare Rānui – the Home of Light and Warmth. Mary Potter Hospice is creating a Hospice Hub - our commitment to communities in the heart of our region, from Khandallah to Pukerua Bay
Mary Potter Hospice Board 1 July 2018 – 30 June 2019 Patron: Contents Our vision Chair’s message 2 Dame Kerry Prendergast From the Chief Executive 3 Ingenious schemes funded our world-class hospice service 4 Our service: Community care is stronger than ever 5 New community hub opens in Porirua 6 Enhanced Hospice@Home expands 6 Inpatient services vital to community care 7 Medical Director strengthens medical team 7 Bereavement service 7 Māori Liaison 9 Kaiārahi 9 From left seated: Sister Margaret Lancaster, Martin Lenart, Sumati Govind Pasifika Liaison 9 Standing: Stephanie Dyhrberg, Chair Andrea McCance, Tui Te Hau, Education and training 9 outgoing chair Mark Cassidy. Our people 10 Absent: Deputy chair Malcolm Bruce, Dr Grant Pidgeon, Dr David Werry Buildings: Our future investments 11 Quality – ‘the best professionalism, skill and care’ 12 Our communities – 40 years of incredible support 13 Mary Potter Hospice Executive Team Hospice shops play a key role in recycling 16 1 July 2018 – 30 June 2019 Volunteers are the lifeblood of the Hospice 18 Financial reporting 19 Hospice supporters 22 Contacts 23 Martin Weekes, Director Retail Transformation (from August 2019) From left: Devon Diggle, Strategy Manager; Dr Astrid Adams, Medical Director; Frances Robinson, Acting Director Support Services; Philippa Sellens, Director of Fundraising, Marketing and Communications; Brent Alderton, Chief Executive; Diana Pryde, Director Infrastructure and Development; Donna Gray, Director of Clinical Services Mary Potter Hospice Annual Review 2019 1
Chair’s message From the Chief Executive Tēnā koutou We have worked closely with Capital and Coast Excellent progress on our strategic direction has District Health Board (CCDHB) and the Ministry of been made during the year ended 30 June 2019. This year is our 40th Health to make the case for increased funding. The strategy addresses the pressing need to birthday and it’s There has been some success, with additional change the way we do things if we are to survive timely to money coming from CCDHB to help fund part of to meet the future needs of our diverse acknowledge the past the increases in our costs. However, with the communities. It is called Me aho mai ngā whetu as we look forward to predicted increase in demand for our services, and – let the glowing stars light our way. a very bright future. despite fundraising, generous donations from our The overall goal of the strategy is that everyone Much has changed in communities and the MPA project, much more is has access to compassionate, quality palliative 40 years, but a key needed. Limiting access to our services is a route care when and where they need it. constant has been that we will need to consider if no significant Mary Potter Hospice’s unswerving commitment government funding increase is forthcoming. Brent A key part of realising the strategy has been the to our values of compassion, dignity, respect, Alderton is working closely with the government evolution of comprehensive community services, hospitality and stewardship. Over the past 40 and Hospice New Zealand to secure better funding with after-hours visits, more care available at The key challenge we face continues to be our years, the Wellington, Porirua and Kāpiti for hospice services across New Zealand. home, and day services providing support to funding. In the year to June 2020 it will cost communities have generously supported our patients and carers. around $14 million to run Mary Potter Hospice. We have also had some good fun during the year, work. We could not provide high quality and We receive around $6.5 million from the with a very successful Wellington Good Sports This has meant our multi-disciplinary services compassionate palliative care services free of government, leaving a gap of $7.5 million. This event in June, the usual popular Strawberry have adapted to new ways of working. I am charge, without the support of hundreds of gap is widening. In response, we have worked Festivals and a Flares for 40 Years community particularly pleased at the results achieved for volunteers and donors. We do not take this for hard to get the apartment project underway. fundraising campaign where many a mullet patients and whānau with the introduction of our granted. Our heartfelt thanks and gratitude go out During the year the Hospice’s three houses on hairstyle and brightly coloured bell bottom pants enhanced Hospice@Home programme. This to you all. Mein Street were extensively renovated and are were spotted. programme extends the hours that our patients now returning revenue to the hospice. It was a great privilege for me to be part of the are visited at home to late in the evening and the During the year we welcomed two new Board opening and naming of our new Porirua weekends. Our staff have shown great The building of the main apartment complex will members, Tui Te Hau and Sumati Govind. Their community base. The name Te Whare Rānui has commitment and passion for this work and the take until mid 2021. fresh eyes and insights are already making a been gifted to us by Ngāti Toa and we are pleased additional support it brings to patients. difference to the Board discussions. I would also During the year we undertook a review of our to strengthen our relationship with them. Te Whare like to sincerely thank all Board members for their One of the biggest and most exciting changes retail arm, which includes eight second-hand Rānui will ensure our palliative care service is more valuable contribution, wisdom and enormous has been the purchase and partial-renovation of shops, online operations and a truck delivery accessible and meets the needs of the local voluntary gift of time over the past year. Special Te Whare Rānui, our new community hospice infrastructure. Over the next two years we will communities. There is still a great deal of work to thanks to Mark Cassidy who stepped down as hub in Porirua. Our Porirua-based staff look after be investing in our retail services to ensure they do at Te Whare Rānui but the future is exciting. Chair during the year. He led the Board at a patients from Khandallah to Pukerua Bay. They continue to provide the returns necessary to The purchase and renovation of Te Whare Rānui critically important time, as we established services have had to contend with moving out of our support hospice operations, while providing supports a shift in our resourcing from inpatient that required us to shift our focus as an rented Prosser Street building, moving into excellent service and products to our generous care to community care. This shift has been made organisation toward greater community based temporary facilities and now they have a new shoppers. because this is what our patients, whānau and care. Some hard decisions were made, and Mark home. Te Whare Rānui symbolises our I would like to take this opportunity to thank the families tell us they want. They want to be at home, led the Board with courage, conviction and clarity. commitment to the heart of our region. We are Mary Potter Hospice staff, volunteers and where possible, supported and surrounded by the urgently fundraising to pay for the major part of I would also like to acknowledge and thank Brent Executive Team. It is their dedication and people and the things they love. The feedback the renovation of this exciting facility, the cost of and the Executive Team, the clinical and non- commitment to the values and mission of the from the enhanced Hospice@Home programme which is more than $1 million. clinical staff and our wonderful volunteers for their Hospice that ensures we can serve our patients pilot has been positive with further roll outs across hard work and commitment to Mary Potter All of the changes across Mary Potter Hospice and families across our region. our communities now in progress. Hospice and its values. It is an absolute privilege have been made while providing excellent, high It has been a busy year. The Mary Potter and pleasure to work with you all. quality care to patients and their whānau. The Apartments (MPA) project is well underway. The feedback from them is overwhelmingly positive, Brent Alderton Noho ora mai apartments will provide a much needed source of and helps provide the enthusiasm and impetus Chief Executive income to help sustain and fund Hospice services Andrea McCance we need to keep up the pace in the face of into the future years. Chair many challenges. 2 Mary Potter Hospice Annual Review 2019 3
Ingenious schemes funded our Our service: Community world-class hospice service care is stronger than ever In its 40 years of operation Mary Potter At Mary Potter Hospice our vision is that Activity 2018/19 2017/18 2016/17 Hospice has raised impossible amounts people have equitable access to Patients in service1 832 902 837 of money from ingenious schemes all compassionate, quality palliative care Inpatient Unit while making sure the palliative care when and where they need it, with the admissions1 298 448 454 offered to dying patients is world class. focus being the person, not their illness. Bereavement The Hospice’s history is about all the generous We care for people and their families when their counselling 2,245 1,849 1,665 and courageous people who have been illness is incurable and they need specialist New referrals 837 849 842 determined that patients with terminal illnesses support to manage their symptoms. We provide should have the best care we can give them. a number of services that support the needs of those in the Hospice service. We care for the ¹ IPU admissions decreased with the reduction of The Sisters of the Little Company of Mary first IPU beds and shift of services to community On the phones for the Hospice: from left David Jones, whole person: their physical as well as their saw the need and established a hospice ward at Gloria Grattan, Lindsay Yeo and Kitty Hilton. emotional, spiritual and social needs. We also Calvary Hospital in Newtown in 1974. When they Our services continue to evolve to meet the support their family/whānau, carers and friends, could no longer carry on they gifted the Hospice needs of people in our diverse communities. opened in 2002 at Kenepuru Hospital. This year to make the most of their time together. to the people of Wellington in 1979 and that was This year we consulted with an additional 91 it moved to new premises in Awatea Street – the the beginning of a special partnership with the Our staff work to affirm life, to help people patients in the community, providing short-term site of a major new community hub, Te Whare community. accept death and provide support for people in advice and support without the need for a full Rānui, that will support patients from Khandallah their homes and in aged residential care admission to the Hospice. The Mary Potter Hospice Inpatient Unit opened to Pukerua Bay. facilities. Most of our patients stay in their own in Newtown in 1989 after Wellingtonians got This kind of consultation service is likely to In 1979 it cost around $600,000 to run Mary homes. Sometimes, however, patients may behind a huge effort to raise $6.3 million – increase as we work to support more people Potter Hospice for 200 patients. This year it will benefit from some time at our specialist including the volunteers who rang their way with our finite resources. For instance, the way cost about $14 million to provide services to Inpatient Unit in Newtown. We work in through the Wellington phonebook to raise we provide specialist palliative care support to around 900 patients with terminal illnesses – or partnership with patients, families and other $800,000. our partners in primary health care may in future $38,000 a day. Government funding pays just healthcare providers to develop an individual be episodic or shared, rather than intensive. In Kāpiti the support was also strong, and the under half of this cost. We are not only bigger, care plan to meet each patient’s needs. A Warrimoo Street community base opened in we provide a broader range of services, partnership approach helps us to use the Most patients in our services are cared for at 1996 with a $364,000 contribution from the including our Hospice@Home nursing service, resources we have most efficiently. home, either in a private residence or aged community. In Porirua, a community base social work, cultural support and biography and residential care facility. Every day we support, on The Hospice supports people from many bereavement services. average, 250 patients and their families through cultures and we are always very conscious in our bases in Wellington, Porirua and Kāpiti. Each Six hundred volunteers, boosted by more than planning and practice to be aware of the beliefs community base has a team of nurses, doctors, 1000 street appeal collectors, provide vital and customs that are important to the person occupational therapists, counsellors, social support. Edna Cooke was the first person to and their extended family. We practice ‘aroha ki workers, Māori and Pasifika liaison staff, volunteer. She arrived at the Mary Potter Ward at te tangata’ – respect, empathy and regard for administrators and volunteers. Our Day Services Calvary Hospital in 1976 and asked what she others. team provides bereavement programmes, could do to help. Charge Nurse Sister Margaret We are committed to ensuring that the Hospice legacy work and companionship. Specialist Lancaster suggested she take around the can continue to meet the needs of the palliative care nurses and social workers support morning tea trolley. Volunteers still take charge Wellington, Porirua and Kāpiti communities patients in aged care facilities and assist staff by of the tea trolley – and the drinks trolley – and a free-of-charge and for decades to come. coaching, mentoring and education. huge range of other tasks. This year we saw a small decrease in patient We work with other providers in a shared-care This year our loyal volunteers and supporters will numbers to 832, from 902 the previous year and model. Our community partners include primary again step up to raise the millions of dollars As the Majestic Centre in central Wellington was being 837 the year before. health care, district nursing services, community constructed, the Hospice was fundraising for a new needed for our operations and we will rely on Inpatient Unit in Newtown. the community to help us out once more. 4 Mary Potter Hospice Annual Review 2019 5
cancer nurses, Wellington Free Ambulance, Ora Enhanced Hospice@Home Inpatient services vital Medical Director strengthens Toa (local iwi health service) and home-support provides vital support to community care medical team agencies. The Newtown Inpatient Unit (IPU) is a vital part Dr Astrid Adams started as our new Medical New community hub of our community services. Patients from the Director in January 2019. Astrid trained in opens in Porirua community and from hospital may be admitted palliative medicine in Oxford and has been to the unit for short-term stays. working as a consultant since 2010. She moved In April 2018 the Porirua team moved to with her family to New Zealand in August 2015 temporary facilities after a flood in the former IPU admissions decreased this year to 298 (448 for a fixed term contract and we are delighted Porirua and North Wellington Community Base. last year) with the reduction of IPU beds from 18 that we now have her permanently. to 12 to support a shift of resources into In April 2019 we moved into Te Whare Rānui, the new home for our Porirua team in what will be a community services. Bereavement service major new community hub to support patients The role of the IPU team is to help to manage We have redesigned aspects of our bereavement from Khandallah to Pukerua Bay. We believe this difficult symptoms, help patients adapt to programmes to provide a more culturally new base demonstrates our commitment to changes before moving home or into an aged responsive bereavement service for Māori and Hospice@Home nurse Diane Evans, packed and ready to go continuing the very best specialist palliative care care facility, provide care and support at the Pasifika family, whānau and aiga. A review this to people in North Wellington and Porirua. It In its first full year of operation our Enhanced end of life, and offer carer relief through short- year identified a need to support children, and also means our Porirua-based team has a Hospice@Home clinical service made 367 home term respite or for a planned treatment. The several initiatives have started in response. permanent and safe environment to work in, visits to 197 patients. The out-of-hours service team also offers support to the family and A five-week creative arts therapy programme after a difficult period in temporary and less was launched in May last year as a pilot, first in carers of patients. The team includes nurses, was piloted in Porirua, with four bereaved suitable accommodation. Wellington and then extended to Porirua a doctors, occupational therapists, social Pasifika children and caregivers. The objective month later. workers, spiritual care staff, hospitality, We are in the process of turning Te Whare Rānui was to create a safe and therapeutic space for physiotherapists, occupational therapists, the children to express their feelings, create, into a fit-for-purpose community base. We have In two new developments, the H@H service will cultural liaison staff, counsellors and volunteers. connect, play and explore their experiences with refurbished one wing of the building to provide be extended to Kāpiti later in 2019 and expanded It also works closely with our partners at other children. The programme was created by the community multi-disciplinary team with a to facilitate rapid discharge from Wellington Wellington Regional Hospital, including the Day Unit Coordinator Olivia Marsden, working doctor’s clinic, counselling room, meeting and Regional Hospital for end-of-life care. The service Hospital Palliative Care Team. with Pasifika Liaison Tiumalu Sialava’a and office space. The second phase of the revamp, supports patients with complex physical, planned for late 2019 and 2020, will include a emotional and psychological symptoms, who Counsellor Viviana Fon. Day Unit, clinic space and an area for choose to remain in their own home. H@H community groups and gatherings. augments the existing seven-day nursing service. ‘The hospice treated me like a living person’ After coming out of hospital Mareta “The thing I loved the most was that they didn’t was shocked to get a call from Mary treat you like a sick person. When you’re sick, you don’t want sympathy, you just want to live Potter Hospice. your life to the fullest. “When I heard ‘hospice’ I thought I didn’t have “How do I start to describe what the Hospice long to live. I was pretty shocked. Then I met has done for me? There aren’t words. Everyone them and they told me the things that they are there is always smiling. The Hospice treated me there for and what they can do for me.” like a living person, not a dying person.” Mareta, who is from the Cook Islands, has a large family, including 17 grandchildren. When she dies, she wants to be at home. “I want my family to come in and out. I want to be surrounded with all the people who are important to me and I’ve told the Hospice that.” Mareta spent a few days at the Hospice in Newtown to have a rest and get her pain under control. The team at Te Whare Rānui Mareta (left) with Pasifika Liaison Tiumalu Sialava’a 6 Mary Potter Hospice Annual Review 2019 7
A Children’s Remembrance afternoon provided practical skills involved in living alone after loss Māori Liaison connects the Hospice with external advisors an opportunity for bereaved families to take of a loved one. Lining up the Ducks workshops working in Pasifika Health. Achievements this year This year we farewelled Elizabeth Munday and part in creative activities, have a safe space to held in Newtown, Porirua and Paraparaumu, included: welcomed our new Māori Liaison, Rena Johnson. share their feelings and to remember the were another new initiative. They covered Rena is working closely with Māori patients and • an increase in the number of referrals of person who had died. There was positive end-of-life planning including wills, enduring their whānau alongside clinical staff to ensure our Pasifika patients to the Hospice service feedback from the families who took part: powers of attorney, rental agreements and palliative care meets their needs. insurances, funeral planning and advance care • development of a communication plan and “It was also lovely to hear the children being planning. These sessions were free to the Our Māori Advisory Group: Te Pou Tautoko has increasing online presence through sharing of asked who they were making crafts for and public and had good uptake. recently completed a translation of the Hospice’s stories on social media listening to them open up about their loved values – respect, dignity, compassion, • translation of brochures, which are being ones who passed on. It’s important for the Hazel joined the Hospice in 2018 and brings a stewardship and hospitality – into Te Reo Māori. It shared nationally with other hospices and children to share their grief.” strong understanding of loss, grief and will be launched later in 2019. Other highlights service providers “Yes, it was helpful. It was comforting to be psychosocial care from her work with funeral this year included: around families who have been through the directors, the Cancer Society, University of • an increase in community partnerships and Otago and teaching a loss and grief module • participating in Te Pae Herenga Research presence in Pasifika communities same thing.” with WelTec. She has also delivered community Project with Tess Moeke-Maxwell, involving • presentation at the Hospice New Zealand Several initiatives during 2019 have aimed to grief workshops to professional and community interviews with Hospice patients conference. increase connection and support to people groups in the lower North Island. With Skylight, • Day Services Manager Vanessa Eldridge giving grieving. Living Solo, a new series of Hazel co-authored the book ‘Death without a snapshot of palliative care activity in Education and training workshops, were held in Newtown and warning: Information and support after a Aotearoa to the International Congress on As the primary provider of specialist palliative care Paraparaumu. Led by the Hospice Bereavement sudden death’. Palliative Care in Montreal in October. She in the region, Mary Potter Hospice delivers Coordinator Hazel Neser, they covered participated on a panel discussing initiatives high-quality education to a range of health care with First Nations, Métis and Inuit people providers. • development of a Māori staff wānanga. The We ensure that there are processes to support “I’ve had a fantastic life…” hui, involving eight staff members, included clinicians, and we work in partnership with discussing aspirations for their roles, their gifts, Russell became a professional in the sun with a cup of tea or a coffee or education providers to offer student placements their hopes and cultural safety. The hui are footballer at the age of 16 and whatever. I’m making time to see my son and in nursing, radiotherapy, physiotherapy, medicine, held quarterly and two weeks before each Te the granddaughter. social work and massage. Education and training thought his life was over when he Pou Tautoko meeting. Feedback will help are provided by our community and Inpatient was diagnosed with cancer. “My life now consists of making the most of inform the Māori Service Plan. Unit teams. every moment. The Hospice looked after me “Football has been part of my life for 41 years, and made me feel good again.” Kaiārahi We have also built strong partnerships with other as a player and a coach. When I was really sick last year and I knew I won’t be able to coach, I We have strengthened our Māori cultural services health professionals. We have been working with nearly broke down. I wanted to die. by appointing Kaiārahi Christine Pihema. Christine Wellington Free Ambulance to support student is providing provide cultural support and and qualified paramedics with palliative care “The Hospice has been amazing. If I won Lotto education for staff and a focus on building education. This year we provided training I’d give some to them because they looked external relationships. She will support us to sessions to 400 Wellington Free Ambulance staff after me. achieve our strategic goals to provide a culturally paramedics, and student paramedics will join us “I’ve been able to move in to a new flat and safe service for Māori by equipping our staff to next year on placements for the first time. the nurse comes round to see me at home. deliver appropriate services and by having During 2018/19 we have worked with the aged I’ve led a bloody good life. I’m 59 – all right it’s partnerships with iwi and Māori communities. residential care (ARC) sector, district nursing getting on – but I’m still young enough because I’m fit enough to enjoy what I’m Pasifika Liaison teams and primary care to revise the Hospice Pasifika Liaison Tiumalu Sialava’a has continued education programme. This is to develop future doing. to strengthen links with the Pasifika community. models of care to make sure all patients in the “I’ve had a fantastic life with my football, but region, not necessarily under Hospice service, Working alongside the Hospice multi-disciplinary the biggest game is fighting cancer. I’ll never receive the care they require. team, Tiumalu works with Pasifika people and get rid of it. What makes me happy now are their aiga, and educates staff and volunteers Along with symptom control and communication the little things in life. I walk down that street about Pasifika people’s needs. Tiumalu is skills, we are being asked to do more case-based supported by a Pasifika Advisory Group, which teaching. We are developing tailored programmes 8 Mary Potter Hospice Annual Review 2019 9
Buildings: Securing our future and short frequent sessions to make it easier for Author tackles the taboo subject staff to attend. We held masterclasses this year on Best-selling author Kathryn loss and grief, pain and symptom management, Mannix gave a spellbinding the vulnerable brain, tikanga, spirituality and ethics. lecture to a packed Te Whare Rānui connects the Hospice to the landscape and the Feedback from participants included: auditorium at the National people and iwi here. It’s a privilege to shelter Te Whare Rānui is the name of our exciting new “Things I will do differently include being more Library in March. Her book, Hospice community base in Porirua. We were beneath the korowai of Ngāti Toa at Rānui Heights. present with the person who is dying.” With The End in Mind, delighted to be gifted this beautiful name – The image for Te Whare Rānui was designed by explores patient stories she meaning the home of light and warmth – by “Conversations with patients and families take Pita Mei, the son of a member of the Hospice’s has encountered as a Ngāti Toa. courage sometimes.” staff. It combines Māori and Pasifika influences Palliative Care Consultant Dr Kathryn Mannix (left) with We moved here in April 2019 after completion of – the spearhead is a symbol of courage and the “Listen to hear, not to talk.” in the United Kingdom. Her Mary Potter Hospice Medical a small part of a planned significant plumeria flower is a beautiful Pasifika icon. talk focused on how we often Director Dr Astrid Adams Medical students reflect on death refurbishment. The premises were purchased deny our own mortality and Apartment development Each year Mary Potter Hospice partners with how to face death. The audience hung on from Health Care NZ and have been operating as a residential home for adults with disabilities. takes shape Otago School of Medicine to provide education Kathryn’s words as she described the normal When the last of the residents move, in October The apartment development is an exciting for fourth and fifth-year medical students. As part dying process. 2019, we will renovate the remainder of the strategic project for the Hospice that will provide of their placement, the students interview a patient and are then asked to reflect on the Our people 180 building. This will give us very workable space a permanent rental income to help meet the for our patients, their whānau and our staff. widening gap between what we receive in interview using a creative medium. Mary Potter Hospice encourages people 160 government funding and the cost to keep our of all ages to work with us. We have a 140 One student said: “I have never encountered an It is our vision that people will experience Te services free to the people who need us. mature workforce in general and enjoy 120 attitude towards death that has been so positive 100 Whare Rānui as the home of light and warmth all the accumulated wisdom this gives This year we have focused on refurbishing our to the point where the individual has planned 80 when they come to our whare. The name our patients and their whānau. Mein Street villas and on preparatory work for our their own funeral and does not mind when that 60 40 apartment project. Good things take time. We time comes. We are aware that a large component 20 have signed the building contract with McKee of the workforce may be considering The piece that I have created shows two aspects 0 Fehl and the banking arrangements. We have retirement in the next 10 years and the 2018 2019 – the duality of death as one entity. been very fortunate to receive some generous maturing workforce project, which People employed Full time equivalent donations that have allowed us to start this work The piece can be folded started in 2017, has been integrated into and we are hoping for more donations. The in half, showing one the way we work. This includes flexible working, a earthworks for this very significant building aspect of the two sides, focus on self-care and wellness and seminars on project will begin in October 2019. or can be viewed as a retirement finances. single image. It is an On 30 June 2019 we employed 165 people (107 Mein Street villas unsettling combination. full-time equivalents). This compares with 156 The Hospice has owned three villas on Mein It demonstrates the fear people (98 FTEs) in 2018. Increased demand for Street for some years, which have been rented of death, meshed with our services has meant a need to increase out to provide income for the Hospice. With the the peace and staffing to cover new roles such as Kaiārahi, decision to build the apartment block, the celebration of a fulfilled triage and rapid response and increased houses were taken off the rental market and we Creative piece by medical life coming to its community nursing and community medical contracted McKee Fehl to undertake a student: (Semester 2 2018) natural end. consultancy positions. significant renovation of the houses, including I believe everyone acknowledges both these removing lean-to additions on the back of all aspects of death but, truthfully, most only three properties to allow better access to the accept the fear aspect when regarding their own vacant land where the apartment complex is to life. I believe there comes a transition in those be built. with a terminal disease. A spotlight is shone on The houses are now looking stunning and your mortality. Forced to face the end of life provide an excellent standard of drawing near, along with the support of Mary Potter Hospice Apartments supporters, left to right: Brian Galt, donor; Maurice Clark, construction benefactor; accommodation for tenants. The work is just palliation, allows some people to change their finished and the houses are being commercially Dame Kerry Prendergast, Mary Potter Hospice Patron; and perspective to see the greater picture; able to Mike O’Sullivan, volunteer and donor. managed on the rental market. focus on the angelic features." Some of the team at Kāpiti during a meeting with local MPs: Wendy Adrichem, Michael Woodhouse (National Party Health Spokesperson), Yvonne Walden, Carol Simons, Sue Lodge, Debra Minty, Brent Alderton, Nathan Guy (National Party List MP) 10 Mary Potter Hospice Annual Review 2019 11
Quality – ‘the best Our communities professionalism, skill and care’ – 40 years of incredible support This year one of our top priorities has We value feedback from patients and families to Turning 40 was always going to be a good Getting sporty: Wellington monitor the quality of our services. Feedback Good Sports been to increase access to palliative excuse to celebrate, especially where includes interviews about their experiences, care in the community. We are there is so much to feel good about. We were excited to run our first Good Sports satisfaction surveys, comment cards, complaints fundraiser event. It was a night of sports determined to maintain our high quality and feedback and public engagement events. With government funding now covering less anecdotes, led by our amazing commentators of care no matter where our services are than 50% of the cost of running Mary Potter Grant Nisbett, Barry Guy and Keith Quinn. They We are constantly looking for ways to improve delivered and have been pleased at the our services. This year: Hospice, the support of the community is even interviewed Wellington sporting heroes feedback from patients and their more important. We are truly a community including Waimarama Taumaunu, Karin Burger, • We started a national Hospice New Zealand Hospice, owned by the community, run for the families and whānau. Dick Tayler, Melissa Moon and many more. We benchmarking pilot to measure clinical community and supported by the community. had tremendous support from a large number of outcomes in patient care. Data is being We take great pride in this connection. In its first full year, our Enhanced Hospice@Home businesses and individuals but special mention collated using international clinical measures (H@H) service made 367 home visits to 197 must go to these good sports: Wellington in Palliative Care. This includes the electronic There are too many events to acknowledge patients. None of these patients had to be Hospitality Group, AV Media, Cut the Mustard, patient-assessment tools ESAS and Karnofsky them all, but here is a small taste. admitted to hospital while seeing the H@H our local brewers – Fortune Favours, Double assessment tools. The pilot will be evaluated at nurses. Vision and Boneface. Thanks also to Dave Lintott the end of 2019 Photographer, our incredible sports stars and Comparing the H@H data for Wellington and • Our emergency and disaster plan was Darryl Harper our auctioneer. Porirua against the data from Kāpiti, where the reviewed. Learnings will enable us to refine service is not currently in place, shows that more policies and procedures people have been able to remain at home until the end of their lives. The percentage of home • Te Ara Whakapiri, a national end-of-life care deaths in Wellington and Porirua has increased framework, was launched with a successful from 31% in 2017 to 37% in Porirua and 42% in pilot at Malvina Major hospital. We are working Wellington during the last quarter of the year. with CCDHB to implement this across the wider aged-care sector Positive feedback includes comments from the • We have refined access and admission husband of one patient in the H@H programme: processes, including ambulance management “I am writing to thank your organisation and your plans, triage assessment and access to service wonderful nurses for caring for my late wife in policies to streamline services. This covers her last week and to offer my appreciation for the additional processes for H@H services and home-based service you provide. weekend/after-hour services “Words cannot express how deeply grateful our • We have worked with CCDHB to develop an family are for offering this community-based electronic referral form and system to replace care, which allowed her to spend her last week the current system of referrals by fax at home in an intimate environment surrounded • Dedicated nursing and social work roles linked by friends and family. I understand that it was a to new initiative funding are assisting a smooth pilot scheme running at the time and I hope for transition for patients discharged from the others that are in our situation that it continues. Inpatient Unit to aged residential care, with excellent feedback There were lots of good sports on the night “From the moment your nurses came into helping the Hospice to raise funds. our house – which incidentally was the first • The implementation of a staff wellness and Top left: A packed room at Harbourside Function Centre contact we'd had with Mary Potter, they acted maturing workforce programme continues Bottom left: Netball legend Waimarama Taumaunu and with several seminars being held on Silver Fern Karin Burger entertained the crowd in a way that combined the absolute best of Top right: Dick Tayler tells a tale with Grant Nisbett professionalism, skill, consideration and care mindfulness and financial management. and Keith Quinn looking on for my wife and everyone present.” Bottom right: Our amazing MCs from left Keith Quinn, Barry Guy and Grant Nisbett 12 Mary Potter Hospice Annual Review 2019 13
2018 Silver Ferns visit IPU Strawberry time Sports was a big theme throughout the year. Our Kāpiti community has long supported the The Silver Ferns visited the Inpatient Unit in Hospice. We were delighted when the organising Newtown last October to the delight of patients committee of the Kāpiti Coast Strawberry Festival and staff. We have a great relationship with was a much-deserved finalist in the Wellington House of Travel, who are also sponsors of the Airport Regional Community Awards. Silver Ferns, so those two relationships The Kāpiti Coast Strawberry Festival was again a coincided nicely. We thought a competition was great community event, well-attended and needed - a goal shooting contest was supported by the local community. Our considered, but we decided that a bed-making strawberry and icecream sundaes have also race would provide more of a level playing field. become an item at the Kāpiti Food Fair in When the Silver Ferns visited the We also had a Hospice team in the Wellington recent years. Inpatient Unit they were a great hit Round the Bays. The Midland Park Strawberry Festival attracted Camellia Heritage Club – the very best of the summer weather. With Chair Andrea McCance and Chief Executive Brent Alderton sacrificed pride and comfort for the future of the Hospice grateful thanks to Pak'nSave Kilbirnie for again the Mary Potter Hospice cause! sponsoring the strawberries and icecream for We were privileged to meet a number of our the event. We also receive generous support Flares for 40 years Camellia Heritage Club members at two events from Shott Beverages, Deliver Easy, Carrello de held during the year. Our Camellia Heritage To celebrate our 40th birthday we have been Gelato, Moore Wilson and the many, many Club is the group of supporters who have let us running a Flares for 40 Years campaign. Supporters volunteers who make the day possible. know they have left a gift in their Will to Mary can run their own event – fondue evening, Potter Hospice. corporate morning tea, potluck dinner – and raise funds. Sir Bill English and Jo Seagar helped out by A luncheon was held for more than 120 guests creating some special recipes from 1979 – the at the Rydges Hotel last October, and an spaghetti pizza and the Hospice Hedgehog. afternoon tea was held at the home of Rod and Carol Lingard in Paraparaumu in April with The staff social club dressed up in appropriate around 30 guests. 1979 gear to celebrate also. BNI – an amazing relationship We remain grateful to BNI chapters around our region for the generous support that they give to the Hospice. Quiz nights, movie nights, and even a Twilight Derby Race Meeting all contribute to Happy Feet for Hospice: a Mary Potter Hospice team keeping Hospice free for people in Wellington, took part in the Round the Bays 2019 Porirua and Kāpiti. Harking back to 1979 was a good reminder how fashions have changed! Sir Bill English made his family favourite Behind the scenes… a loyal team of counters recipe, and this video can be viewed on https://marypotter.org.nz/40years/flares/ Ever wondered what happens to the cash you put in the annual appeal collection buckets in Wellington city? A hard-working team of volunteers sorts and A big thank you counts it in a secret, secure location. Pictured are There are so many other fundraisers run by our (from left) Gloria Biggs and Mary Brown. Both have communities that we can’t possibly highlight been counting the coins and notes for over 20 years. them all here in this report. A big thank you also Mary was a street day driver and runner before to our volunteers who make it possible to do the becoming a money counter for the annual appeal. work we do. Without the support of the Gloria has been volunteering at the Hospice in various community we wouldn’t have Mary Potter It just gets bigger and better every year – the Hospice role since 1986 – a 33 year contribution. Strawberry Festivals are a great way to welcome summer Hospice – you make it possible. Thank you. 14 Mary Potter Hospice Annual Review 2019 15
Hospice shops play a Donations and volunteers The success of our retail operation is heavily attached. We are also fortunate to occasionally receive end-of line products from other retailers. key role in recycling dependent on the goodwill of the community to donate goods and volunteers to staff the stores. We are always grateful for donations, but Generally we have one paid manager and a group of volunteers at each store who sort donations, stock the shelves, help customers Our eight stores raised nearly $2 million sometimes must decline some items that are and keep the store looking attractive. These broken, unsafe, spoiled or for which there is no people are the lifeblood of our shops. Retail in sales again this year in what is a very clear market. On the other hand, we often Support volunteer Derek Perkins says for him challenging and competitive receive goods that are still in their original “volunteering is about returning something to marketplace. packages, or have the original prices still the community we live in”. This is a net contribution to the Hospice of more than $850,000. While we are very grateful for this, our sales have levelled off in recent years and we Electrical goods get Graeme’s tick of approval have been forced to examine our retail operations. Graeme Hansen takes a good look at Every electrical appliance sold in Mary Potter We know that there is much untapped potential the benchtop grill in front of him. At Hospice Shops is tested and tagged as safe to in our retail network. Second-hand stores first glance it looks fine – there are no use by a team of specially trained testers – all support our communities to care for the cracks, no exposed wires at the plug, volunteers. Graeme, who is a semi-retired environment – promoting the goals of re-use, insurance broker, has been a volunteer tester and no duct tape covering a break in recycle, re-purpose – and at the same time for four years. On Thursdays he works in the the power cord. helping many people to de-clutter their homes. Lots of community support for the new Porirua shop warehouse behind the Mary Potter Hospice But that’s only the first visual check. Graeme, Shop in Porirua. During 2018/19 we reviewed our retail network on that site and in August 2018 opened a new who tests electrical goods for Mary Potter His work follows the seasons and the fashions to look for ways to lift revenue. The Board has store and sorting area at 21 Kenepuru Drive. Hospice, will now plug it into a PAT (portable – the Christmas tree lights start selling from agreed to increase investment in retail staffing appliance tester) to check for any electrical Porirua Shop Manager David Evans says everyone November and the electric heaters once the and technology to get a greater return from the faults. Good news, the grill gets a pass – but is very happy with the new location. “Volunteers weather cools down. There are always plenty Hospice Shops. one of only about half the appliances this time and customers frequently comment on how of blenders and juicers – evidence Graeme – and it will be now be tagged and certified by We have already trialled some changes, with the much brighter, warmer and pleasant it is. One supposes of a health kick that didn’t last. Graeme for sale in Hospice Shops. Karori and Newlands stores opening on Sundays in customer came in and got such a good feel “There was a time when we couldn’t give the busy lead-up to Christmas. The success of this about the shop that she signed up to volunteer.” them away. Every store had a stockpile,” he trial gave us the confidence to open the Karori says. But the need for the basics doesn’t store on a Sunday during the 2019 winter period. Customers queued for change. “We could do with more irons, jugs Manners Street pop-up shop and toasters.” New Porirua shop In February we had a massively successful Graeme tests appliances small and big, In April 2018 we had to abandon our Prosser pop-up shop in Manners Street in Wellington including train sets and slot cars, and fridges Street premises after a flood. Those premises City. We were very fortunate to have the free use and washing machines. Sometimes, if the had housed our Porirua retail store and of a vacant shop over a weekend. We are trucks are short-handed, he will go out to warehouse facilities. We relinquished the lease grateful to real estate agency Harcourts collect goods. Wellington for connecting us with the owner of Mary Potter Hospice opened its first Hospice the retail space, who made it available. With a lot Shop in Kilbirnie in 2000. There are now eight of hard work from our dedicated retail staff and op shops located in Miramar, Kilbirnie, Karori, volunteers we sold more than $17,000 worth of Thorndon, Newlands, Tawa, Porirua and stock in three days, with people queueing to Paraparaumu. The stores offer a huge variety enter the store before opening hours. of quality pre-loved goods and are staffed by “It was great exposure for Mary Potter Hospice 300 retail volunteers, who pick up, test, sort Shops in the central city,” says Customer Experience and sell donated items instore or online. The Manager Monique Byres. She says customers were shops provide the Hospice with one of its extremely supportive and it indicates that future main sources of income. pop-up shops would be well received. 16 Mary Potter Hospice Annual Review 2019 17
Volunteers are the lifeblood Financial reporting of the Hospice Mary Potter Hospice finished the Investment performance The Hospice investment portfolio includes unit 2018/19 year with an operating deficit More than 600 volunteers played a critical This year our Volunteer Services Team expanded trusts which are managed by Mercer. Overall in of $172,000 before allowing for a gain on to include a second Volunteer Coordinator and 2018/19, the Hospice recognised a net gain of role this year in keeping Mary Potter revaluation of investments of $124,000, extra volunteers in human resource and $239,000 from its investment portfolio, Hospice free for everybody – and keeping administration support roles. This allows the giving a total comprehensive deficit for compared to $158,000 in 2017/18. us connected with our communities. team to offer better support to volunteer team the year of $48,000. Shop inventory leaders. Interactive learning sessions were As demand grows for more volunteers in the designed and delivered to some of the staff who This compares with the previous financial year’s The second hand nature of donated goods and community, our Companion Volunteers provide lead volunteers. operating deficit of $406,000 before recording a the practicalities of performing stock takes means friendship and support to patients at home while loss on revaluation of investments of $197,000. that the Hospice has applied a concession allowed carers take a break, they keep isolated people A project to develop a Volunteer Strategy started company or support people to complete in 2019. The consultation phase will involve a activities that are important to them. range of stakeholders over the coming months. The Volunteer Advisory Team, who represent the Volunteers provide transport to patients, art volunteer workforce, are a vital part of the Financial performance YE 30/06/19 YE 30/06/18 ($000) ($000) therapy and cook meals at the Hospice Day Volunteer Services Team. They have contributed Mary Potter Hospice Operations 12 months 12 months Units in Newtown, Porirua and Kāpiti. Trained to an Engagement Survey for Volunteers and a For the year ended 30 June 2019 Restated volunteer biographers provide a free biography Code of Conduct for Volunteers. service either with home visits or from one of OPERATIONS Orientation is important for new volunteers, and Income the Hospice bases. In the Inpatient Unit in Newtown volunteers serve meals and drinks, we have introduced tools to monitor volunteer Government 6,335 5,943 and supervisor satisfaction levels. All new Other 563 629 work on reception and administration, provide (non-retail) volunteers are contacted after they Total Operational Income 6,898 6,572 massage therapy and arrange the flowers. Expenditure have completed their first few shifts to see what Volunteers contribute more 60,000 hours a year Wages and Salaries 7,819 7,510 has gone well and what, if anything, would and their numbers are boosted by another 1000 Overheads 1,542 1,680 improve their volunteering experience. Staff volunteers who help collect money for the Administration 1,091 1,076 members who request the new volunteer are annual street appeal. They are vital to our entire Total Operational Expenditure 10,452 10,266 also asked to assess whether Volunteer Services fundraising effort, working in Hospice shops as Operational Deficit to be met by Funds Raised (3,554) (3,694) met their recruitment expectations. This allows retail assistants, electrical goods testers, valuers, FUNDS RAISED us to improve the recruitment and selection truck drivers and in administration support. Income process and give feedback to the volunteer’s Volunteer art curators arrange exhibitions in the Fundraising Income 3,521 3,501 supervisor. Inpatient Unit with artwork that is for sale in Volunteer Services 1,240 1,215 support of the Hospice. Retail Income 2,013 1,968 Total Funds Raised 6,774 6,684 Expenditure Fundraising Expenses 981 1,010 Sad farewell to Olive Stempa Volunteer Services 1,240 1,215 We sadly farewelled our longest-serving volunteer Retail Expenses 1,171 1,171 Ollie Stempa, who died at the end of May. Ollie had Total Funds Raised Expenditure 3,392 3,396 volunteered at Mary Potter Hospice for nearly 40 Net Funds Raised Contribution 3,382 3,288 years and she received an award at the annual Surplus/(Deficit) for the year (172) (406) meeting last year. She was a keen supporter, serving meals in the Inpatient Unit just a day before her Other comprehensive revenue and expenses death. She was much-loved and made a very big Revaluation of available for sale investments 124 (197) contribution to staff and patients. Ollie (second from Total comprehensive revenue and expenses (48) (603) right) was photographed at the annual meeting with Hospice Nurses Di Florance and Heather Bennett and Board member Sister Margaret Lancaster. 18 Mary Potter Hospice Annual Review 2019 19
Where the money comes from… Where the money goes… Income Audited financial statements CCDHB funding This summary financial information has not been Other Other Volunteer Expenses Following an investment proposal put forward audited. It has been extracted from the audited income Services Volunteer Services 2% to the CCDHB by the Hospice, funding was Group Financial Statements of the Mary Potter 9% 4% Shop increased by $255,000 during the 2018/19 Hospice Foundation. The summary financial 9% Expenses 8% financial year. This together with an earlier information does not include all the statements annual increase of 1%, our 2018/19 CCDHB and disclosures provided in the full financial Shop Income Government Fundraising Client/MDT funding was increased by 5.25%, to $6,335,000. statements and cannot be expected to provide 15% Expenses 7% Staff 46% 45% as complete an understanding as provided by However, the Hospice continues to face service the full financial statements. 6% Property & demand and cost pressures that are beyond the Equipment 8% scope of this CCDHB funding increase to Our audited Consolidated Financial Statements Fundraising Projects 13% manage. Government funding continues at for 2018/19 include the Mary Potter Hospice 5% Grants Service 3% 6% around 46% of total income for the year. Foundation, the Mary Potter Forever Foundation 5% Support 8% Education, and Mary Potter Hospice Apartments Limited Bequests Patient Donations Research and Care Bequests results as part of the Consolidated Mary Potter Quality Total bequests of $1,116,000 were received by Hospice Group. The Forever Foundation is a the Hospice during the year, of which $376,000 separate capital endowment fund that continues was transferred to the MPH Forever Foundation to provide an annual grant towards the Hospice in accordance with Hospice policy. operational costs. for by accounting standards that recognises Due to the investment nature of these revenue at the time of sale. A shop inventory properties, the expense of the renovation has Bequest income increased by 11% this year The auditor provided an unqualified audit balance has now been removed with an been recorded as Work in Progress in Mary and we are extremely grateful to the generosity opinion on the Consolidated Financial adjustment to Retained Earnings from July 2017. Potter Hospice Apartments Ltd and they have of individuals who left us a bequest. We Statements on 1 October 2019. been re-classified in the Hospice accounts as acknowledge the ongoing committed support Apartment development The audited financial statements are available investment rather than operational properties. from donors and sponsors, businesses, groups upon request from: Work continues on this project which will see a and individuals, across all communities of 39-unit residential development built within the The properties will be transferred to Mary Potter Wellington. Thank you. Mary Potter Hospice grounds of the Hospice's Newtown premises. Apartments Ltd later this year. PO Box 7442 Generous donors have contributed funding to Expenditure Newtown Bathroom refurbishments – Newtown ensure this project can go ahead. Work is Clinical and Allied Health staff costs increased Wellington 6242 As part of the Hospice long term maintenance by 2% from the previous year. This reflects new expected to start late October and will take plan, all bathrooms at the Newtown Inpatient positions and extended part time hours required mph@marypotter.org.nz around 18 months to complete. The project will Unit were upgraded at a cost of $270,000. This for the continued expansion of our community- be undertaken by the newly formed subsidiary project was completed with the help of funds based services teams. During this year the company, Mary Potter Hospice Apartments received from several grant providers. Hospice faced significant challenges in the Limited. Te Whare Rānui - Porirua recruitment of clinical staff. During the 2018/19 financial year Mary Potter Hospice Apartments Limited classified all Hospice staff moved into the new premises in Overall direct patient care/clinical staff development expenses as Work in Progress, April 2019, which is our new Porirua Community expenditure was 51% of total expenditure which while awaiting commencement of the build. base from where we can deliver palliative care is consistent with last year at 52%. This includes community services. the multi-disciplinary team, our expanding Mein St rental houses renovation community services and the Inpatient Unit that Substantial renovation and reconfiguration work A project to substantially upgrade the three operates 24 hours a day, 365 days of the year. was undertaken to the part of the building which properties on Mein St was completed during the is now in use, being Phase 1 of a project to year. The renovation and reconfiguration of the renovate the entire building. Phase 1 of the rental properties was undertaken in order to project was completed at a cost of $526,000. maximise rental returns and also allow room for the Apartment development to be situated Renovation of the rest of the building (Phase 2) behind the buildings. will commence late 2019 and a capital campaign to raise $1,000,000 is well underway. 20 Mary Potter Hospice Annual Review 2019 21
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