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Te Kaika Caversham

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    Te Kāika is a ‘one stop shop’ for family wellbeing, providing a range of affordable healthcare and free outreach social services. We are a kaupapa Māori organisation that supports a broad section of the community, including Māori, Pasifika and low-income communities. 

    Located in the heart of the Caversham community in Dunedin, our Wellbeing Hub is a collaboration driven by the understanding and the knowledge that whānau experience optimal outcomes when healthcare is accessible from within the community.

    Our Team:

    Practice Manager: Dora Apineru

    GPs: Dr Lily Fraser (Clinical Director), Dr Rachael Wright, Dr Giulia Ottaviano, Dr Asheer Singh, Dr Joshua Campbell, Dr Jo Quigley and Dr Jermayne Maika

    Nurse Team: Ashleigh, Theresa, Jessica, Julie

    Admin Lead: Faiumu Taele-Pavihi

    Reception Team: Anita, Siloma, Romy, Sarah

    Health Care Assistants: Janell, Kelsea, Tane

    Health Improvement Practitioner: Kararina Willis

    Health Coach: Sarah Scanlan

    Clinical Pharmacists: Angela, Sandy

    Dental: Faculty of Dentistry (University of Otago)

    Podiatrist: Terry Ruwhiu

    Physio: Owen Draper (University of Otago)

    Manaaki Ora (Outreach nurses): Leanne Stewart and Monnie Pitts

    Tamariki Ora/Well Child (Outreach nurses): Ruth Broughton and Barbara Warren

     

    Services Provided

    Dental Care

    We have low-cost dental services on-site for registered Te Kāika patients. This service is run through the University of Otago, Faculty of Dentistry department. 

    Physiotherapy
    We provide low-cost physiotherapy for registered Te Kāika patients based in Dunedin. This is run through the University of Otago, School of Physiotherapy. 
    Cervical Screening

    All women and people with a cervix aged 25 – 69 who have ever had intimate skin-to-skin contact or been sexually active should have regular cervical screening. This includes women who have been immunised against HPV. Together, regular screening and HPV immunisation provide the best protection against cervical cancer.

    There are now more options for how you have cervical screening done:

    • a simple vaginal swab test for HPV, either done yourself or with help from a healthcare professional
    • a cervical sample taken by a healthcare professional (used to be known as a smear test).

    Talk with your healthcare provider to decide which option is best for you.

    If HPV is found, you may need to have a follow-up test or be referred directly for colposcopy.

    If you’ve not yet had HPV testing, you should be screened 3 years after your last test (or 1 year if immune deficient). Once you have had an HPV test, and providing HPV is not found, your next screening will be in 5 years (or 3 years if immune deficient).

    For more information: Cervical screening | Time to Screen - National Screening Unit

    Long Acting Reversible Contraception (LARC)

    LARC methods are very effective at preventing unplanned pregnancy and are “fit and forget” forms of contraception – you don’t need to remember them every day or every month. LARC methods:

    • Intrauterine Contraceptive Devices (IUCD or IUD) are inserted through the cervix into a woman’s uterus. IUCDs may be either hormonal (Mirena® or Jaydess® ) or non-hormonal (copper IUCD).
    • Jadelle® is a hormone-releasing implant that is inserted just under the skin of the upper arm.

    Depending on the type of device, it will need to be changed after between three and ten years.

    Read more about LARC methods here

    Service types

    • Implant (Jadelle) inserts
    • IUD inserts
    • Free or subsidised contraception services (enquire for eligibility and details)
    • Implant (Jadelle) removal
    • IUD removals
    Minor Surgery

    Minor surgery is commonly provided in primary care practices, providing fast, competent removal and biopsies of skin lesions. Other services include cosmetic work such as removal of benign moles and skin tags. Ingrown toenail surgery is also commonly provided. 
    These conditions do not need to be referred to a hospital, perhaps saving you a long wait or a cancelled appointment when a more serious case takes priority.

    Liquid Nitrogen

    Liquid nitrogen is a fast, effective treatment provided in many practices to treat viral warts, sun damaged skin, skin tags and many benign cosmetic lesions. It comes in a container with a nozzle and is usually applied by swab or spray. Often one treatment is all that is needed but sometimes it may need repeating after two weeks.
    Because it cannot be stored for too long, you will often find that your GP will treat a number of patients one after the other. 

    For more information click here.

    Immunisation

    Immunisation is the safest and most effective way to provide protection for you and your tamariki’s health. For more information view the NZ immunisation schedule.

    Service types

    • Pregnancy vaccinations
    • Childhood immunisation programme
    • 45 year old vaccinations
    • Catch-up missed vaccinations
    • 65 year old vaccinations
    • Adult flu vaccine
    • Diphtheria / Tetanus / Pertussis (whooping cough) vaccine
    • Measles / Mumps / Rubella (MMR) vaccine
    • Shingles vaccine
    • Privately funded vaccinations
    • Travel vaccinations
    • Meningococcal vaccine
    • Human Papillomavirus (HPV) vaccine
    • Child flu vaccine
    Well Child/Tamariki Ora Health Checks – Birth to Three Years

    All New Zealand children are entitled to 11 free health checks from birth to three years. The checks aim to ensure that children are growing and developing as well as possible. Included in the checks are clinical assessment, health education and family/whanau support.

    Baby checks are at birth and then at 24 hours, five days and around 2-4 weeks. Babies are weighed and measured to ensure that they are developing correctly. These sessions provide a great opportunity for parents to ask questions from an expert and have any problem addressed; difficulties with breastfeeding or sleep for example. They can also be used to discuss immunisations and vaccinations. These checks will be carried out by your lead maternity carer (LMC).

    Between the ages of 4-6 weeks and three years, there are seven core health checks available, typically these are around 4-6 weeks, 8-10 weeks, 3-4 months, 5-7 months, 9-12 months, 15-18 months and 2-3 years. These checks may be carried out by a Well Child Provider of your choice e.g. Plunket, Maori health provider, community nurse, a general practice team (doctor and practice nurse). Your LMC will be able to give you a list of Well Child Providers in your area.

    More information about Well Child services is available on the Ministry of Health website.
     

    Tōku Oranga/Access and Choice

    What is Tōku Oranga?

    Tōku Oranga means 'My Wellbeing' and is also known as Access and Choice. The team consists of Health Improvement Practitioners, Health Coaches and Community Support Workers (see service descriptions below).

    Tōku Oranga places qualified mental health practitioners in general practices, making it faster and easier to access care. They provide free and timely support for patients and clients wanting help to improve self-management and provide guidance with behaviour change - including addressing stress, addictions, social issues, or long-term physical health struggles.

    Health Improvement Practitioner (HIP)

    The Health Improvement Practitioner provides free 20-30 minute consultations to Te Kāika Dunedin Medical Practice patients. HIPs collaborate with nurses and general practitioners to provide behavioural health strategies when stress and life problems begin to impair health. HIPs visit people at all ages for any condition, no matter the issue. Clients may achieve their objectives in a single visit, while others may return to acquire new skills. There is no restriction to how many times someone can visit our HIPs.

    Stress, sleep, healthy weight, grief, anxiety, low mood, relationship difficulties, alcohol/drugs/smoking, fatigue, pain, high blood pressure, and child/youth development concerns are some of the reasons for which individuals seek help from a HIP. You can schedule an appointment through reception or ask your doctor or nurse to refer you. Appointments are usually available on the same day. HIPs will frequently provide group sessions; for example, this year we ran several 'Breathing for Wellness' workshops which teach breathing techniques to increase wellness, as well as gardening workshops to encourage movement, and improve mental health.

    Health Coach

    Like HIPs, Health Coaches accept same-day, ‘warm handovers’ from GP staff or clients and patients needing their help. They come from a range of health and wellbeing backgrounds, supporting people to take positive steps forward for improving their health. This includes:

    • Empowers you to take control of your health and wellbeing;
    • Helping you develop realistic goals;  
    • Encouraging good management of various health issues that you want addressed;
    • Discuss how to be more active by doing things you enjoy;

    Community Support Workers

    Community Support Workers support those with anything that is non-clinical, but having a large impact on people's wellbeing and ability to make progress. The key word is “support” as CSW walk alongside people, supporting them to achieve their goals. This can include:

    • Providing support to you and your whānau in your own community;
    • Supporting your independence;
    • Connecting you to services in the community;
    • Working with you towards your health and wellbeing goals.

    Participants must be registered at Te Kāika Dunedin or Te Kāika Ōamaru.

    Cancer Pathways

    This service provides support for Māori who are either at risk of cancer or with cancer, and their whānau. We can advocate, provide a support network, and help with accurate information and treatment options.

    This service allows self-referrals, referrals by friends and whānau, or by other health providers.

    Manaaki Ora Nursing
    A mobile nursing service for people aged 18+ focusing on diabetes, respiratory and cardiac conditions.

    The Manaaki Ora nursing service uses Māori models of health to provide a service that can be delivered out into the community. Our overall aim is Māori health gain through improved access to quality health services that meet Māori need for clinical and cultural competency. The service is not restricted to Māori whānau and can also be accessed by those in the community who fit the health criteria.

    The Manaaki Ora service is provided by qualified registered nurses who are appropriately trained. Adults with heart disease, respiratory conditions and diabetes who require advice and support to self-manage their illness can either self-refer into the service or be referred by their health professionals. Whānau and other sources are also encouraged to access our service. The nurses initially will meet with the clients either in their home, at a clinic or another venue. Dependent upon client and whānau need we can offer a twelve-month intensive support program.

    Community Health
    A free space that offers group fitness and exercise equipment to encourage healthier lifestyles for all ages. Take a look at our gym program below!

    Gym Hours:‍ ‍
    MONDAY:                     8:30am - 6PM
    TUESDAY:                    8:30am - 4PM
    WEDNESDAY:             8:30am - 6PM
    THURSDAY:                 8:30am - 4PM
    FRIDAY:                         8:30am - 6PM
    SATURDAY/SUNDAY:             Closed ‍

    ‍ Mauri Ora Gym Program Information:

    Mondays: Women’s Group/hour 1:30pm to 2:30pm (gym closed for this class)
    Exclusively for our women only, a time for women to have the gym for themselves, working with our female kaimahi, curtains closed, doors locked and we also honor the privacy and respect of our Middle Eastern Whanau at this time.

    Strictly “NO MEN” allowed.
    A rotation between Zumba and Circuit training

    Tuesdays: Taurite Tu 10am to 12pm (gym closed for this class)
    Maori Kaumatua over 55yrs old (must be of Maori Heritage, Bloodline) Balance class, involves stretching and movement accompanied by Maori Cultural waiata. We offer some kai for our Kaumatua afterwards.

    Please contact our Gym Co-ordinator to enquire about enrolling as there is a waiting list.

    ‍Wednesdays: Walking Group 11am to 12pm
    Every Wednesday walking group will start from the various venues decided upon prior to the day, John Wilson’s Drive, Logan Park/University Oval, Tomahawk beach and other suitable locations.

    Meet us at the decided location for the walk or If you need a ride let our kaimahi know, and you will be asked to meet us at the gym for a 10:30am set off or we can pick you up from your whare if you are close by.

    Let us know if you want to get your walk on and let’s get moving.

    Thursdays: Physio Class x2 10am to 11am, then 11am to 12pm (gym closed for the classes)
    Open to all, it is a matter of turning up before the hour and getting stuck into some strength and balance exercise run in a group setting.

    Work hard and get the treats after each class with some nutritional morning tea.

    Please contact our Gym Co-Ordinator to enquire about coming along to this class.

    Fridays: YOGA 10:30am to 11:30am
    Led by our Health Coach, come along and test your flexibility and breathing skills.

    Please contact our Gym Co-Ordinator to enquire about coming along to this class as our numbers are limited.

    Alcohol and other Drug Addiction Service
    Provision of AOD services within an integrated site of health, social and educational services.

    KO WAI TĀTOU? WHO ARE WE?

    Te Kāika Community-Based Alcohol and Other Drug and Addictions Service.

    Te Kaika Community-Based Alcohol and Other Drug and Addictions Service is located at Te Whare, 15 A Playfair Street, Caversham, Dunedin which is across the road from our main hub on 25 College Street.

    We offer the provision of alcohol and other drug addictions services within/alongside an integrated site of health, social and educational services (Te Kāika) in Dunedin for all people.

    Our services are designed and delivered from a Te Ao Māori worldview and include one-to-one counselling and whānau support.

    Our approach is inclusionary harm reduction within Māori centred models of relational care for tāngata whaiora with moderate to severe substance use issues and their whānau. We are not a crisis intervention centre.

    Whānau wellbeing is enhanced through an integrated workforce, whakawhanungatanga and whakapapa connection. We support whānau to identify resiliency and protective factors that enhance their wellbeing.

    Our range of roles are unique to Kaupapa Māori and include kaimahi who have lived experience, are clinically competent and culturally safe.

    The services are at no cost and are available from 9am – 4pm Monday – Friday.

    Fee comment

    GP Consults
     Casual/Non Enrolled Patients $70
      Nurse Consults
     Under 14 years old Free
     Over 14 years old $10
      ACC GP Surcharge
    Under 14 years old Free
    14 - 17 years $13
    18 years old and over  $19.50

    Other costs available at reception

    Age groups

    • Child / Tamariki
    • Youth / Rangatahi
    • Adult / Pakeke
    • Older adult / Kaumātua

    Disability Assistance

    • Provision for wheelchair access
    • Provision of wheelchair accessible toilet
    • Provision of mobility parking space
    • Provision for New Zealand sign language interpreter service
    • Provision for longer appointment time
    • Assistance with mobility
    • Provision of spacious environment for mobility