The NZRGPN National Rural Health Conference 2016 has been endorsed by The Royal New Zealand College of General Practitioners (RNZCGP) and has been approved for up to 15.20 credits CME for the General Practice Educational Programme (GPEP) and Maintenance of Professional Standards (MOPS) purposes.

Certificates of attendance will be provided for all nurses at the conference for professional development hours.



Pre conference

8.00am - 5.30pm Conference registration desk open


8.30am - 1.30pm  Rural Hospital Medicine Forum and AGM
Rural hospital medicines update 
Division of Rural Hospital Medicine AGM

Venue: Fullwood room, Dunedin Centre
12.30pm - 5.00pm RHAANZ Council Meeting

Venue: The Terrace, Dunedin Centre

Kaumaatua Hui

Venue: Fullwood room, Dunedin Centre
 5.30pm - 7.30pm NZRGPN Board Meeting followed by dinner at 7.30pm
Venue: The Terrace, Dunedin Centre


 1.30pm Workshop one
Trying to avoid it and then dealing with the consequences 
Contraception, mirena, and pipelle 
Helen Paterson with support from Bayer

First antenatal consult
Dr Celia Devenish  

Essential information required by both woman and doctor will be covered in this interactive presentation. The topics covered  will range of models of  maternity care available to pregnant women,  Best Practice  at this consultation, including  newer  fetal  and maternal screening options in pregnancy, risk assessment  of a pregnancy, dietary and lifestyle choices, and management of common presenting  problems.

Case histories  will be used to illustrate  the optimal individualisation of   woman's care in  the context of  their needs, with the opportunity for interactive discussion.

Rationale of medical involvement in this important milestone in a  woman's and future family's  health will be  also be discussed, and recognition of  pregnancies at risk.

Obstetric emergencies 
Dr Celia Devenish

Venue: Conference room one, Dunedin Centre
 1.30pm - 4.30pm Workshop two
Education for rural practice in rural practice
Under grads and post grads / research  
Roger Strasser 

When compared to their metropolitan counterparts, rural practitioners may be described as "extended generalists". They provide a wider range of services, sustain a heavier workload, and carry a higher level of clinical responsibility in relative professional isolation. Research evidence shows that the three factors most strongly associated with entering rural practice are: 1. a rural background; 2. positive clinical and educational experiences in rural settings as part of undergraduate medical education; 3. targeted training for rural practice after graduation. Drawing on this evidence, rural education pathways have been developed to maximize potential recruitment into rural practice.

Evaluation of rural clinical attachments has demonstrated that the rural setting provides a high-quality clinical learning environment which is of potential value to all medical students. Specifically, rural clinical education provides more "hands on" experience for students such that they are exposed to a wide range of common health problems and develop a high level of clinical competence. 

This workshop will explore models of rural based medical education at both the undergraduate and postgraduate levels to provide a context for interactive discussions which explore the principles and practice of education for rural practice in rural practice. The workshop will conclude with a summary of the important enablers of success in implementing rural education pathways.

Venue: Conference room two, Dunedin Centre
 9.00am - 5.30pm Workshop three
Nurses/multidisciplinary training session
Jean Ross
Otago Polytechnic School of Nursing invites you to a free symposium for rural nurses, learning in the 21st Century.
Come and see new ways, up skill, meet and share with colleagues and friends.

For more information please click here

Note: this is to be held at Otago Polytechnic School of Nursing
Refreshments and lunch are provided
Free of charge

Venue: Otago Polytechnic School of Nursing, Forth Street, Dunedin
 1.30pm - 3.30pm Workshop four
Taking a sample patient on a journey through heart disease
Facilitated by Fraser Hamilton, The Heart Foundation
Note: Case based workshop open to all GPs

There will be significant changes to the landscape this year with the removal of More Heart and Diabetes Checks as a Health Target.  How can we build on the work done making CVRA sustainable?

The current calculator is overestimating risk and will likely be replaced this year. We will discuss the background of these changes and how it will impact practice, plus look at the current worldwide recommendations for treatment decisions based on risk and discuss whether New Zealand guidelines need addressing.

The importance of early diagnosis, and early reperfusion.

Nearly half of the admissions this year with a cardiac event will occur in people who have previously had an event.  We know that a significant proportion of patients do not maintain medication and positive health behaviours a few months after heart attack.
What is the current best practice for Secondary prevention?

What does Cardiac Rehab look like? 
What can rural General Practice be expected to provide?

Roughly a third of patients with AF are on appropriate anti-coagulation.  Is Atrial fibrillation being undertreated?  What is the place of the Novel Non Vit K anticoagulants?

Tools for diagnosis, and emerging therapies.

Venue: Fullwood room, Dunedin Centre
 1.30pm Workshop five
Making health and safety simple on the farm
Facilitated by Al McCone, WorkSafeNZ Agriculture Programme Manager

Each year, around 20 people die in on-farm work related incidents.  Thousands more (about 1 in 6) have medical attention leading to an accepted ACC claim.  In addition, an estimated 60-90 persons die of illness related to agricultural workplace activity.  This does not count those who attempt self-harm. The impact on families, communities, and the sector as a whole is significant. 

WorkSafeNZ, along with ACC, have designed and implemented the 'Safer Farms' programme to introduce a suite of interventions designed to reduce the injury toll on farms.  These interventions are being introduced over a period of several years.  During 2016, the emphasis will be on building awareness, building leadership across the sector, and building capability within the sector.  

2016 also marks the introduction of the Health and Safety at Work Act 2015, which aims to be more accessible than previous legislation.  WorkSafe believes health and safety on the farm is not an onerous task and can be met through a number of simple steps.  The requirements of farmers when implemented will have a positive effect on both injury rate and business productivity.  

This interactive workshop covers the scope of health and safety damage in the agricultural sector, the nature of planned interventions, and seeks answers to questions on further interventions, building capability and supporting and encouraging rural community leaders to stand up.  We aim to bust a few myths, and to encourage and support health professionals who are willing to stand up and lead the way in lowering the toll. 

Venue: Chesters Lounge, Dunedin Centre
7.00pm Doctors' and nurses' dinner

Day one 

7.30am – 6.00pm
Registration desk open
Official conference opening
Mihi Whakatau
Keynote address
Distributed community engaged learning: Social accountable education in Canada's rural north
Roger Strasser  
Morning tea 
10.30am Minister of Health 
Keynote address 
The Importance of Simple Steps in Complex Times
Nigel Latta
Concurrent session 1

Think not what you can do for Work and Income, but rather what can Work and Income do for your patients?

David Bratt, Ministry of Social Development
Freetown 2015: Social response and direct care provision during the Ebola pandemic

Ryan McLane, Ministry of Health
TeleHealth - Enabling better access to HealthCare services

Kyle Ford and Dr Jon Garrett, WellSouth Primary Health Network, Joe Cain, Philips Healthcare

Surge Capacity Demands – '0-100km in 60 seconds'

Rhonda Johnson and Debi Lawry

Avoiding pitfalls: Diagnostic difficulties and dilemmas in acute maternity presentations

Dr Celia Devenish

Diabetes workshop part 1: Starting insulin in primary care

Patrick Manning



Concurrent session 2
2A 2B 2C 2E 2F 2G
What's new on offer? Ambulatory services, day case procedures and HPV  screening into the future

Dr Celia Devenish and Rachael McConnell 
Inflammatory, irritable or malignant (the bowel not the speaker)

Jason Hill, Southern DHB
Foundation standards

Kaylene Holland, WellSouth Primary Health Network
Myth busting and midwifery: the lived experience of providing remote rural maternity care in a changed maternity environment

Emma Bilous, School of Midwifery, Otago Polytechnic
Entry to exit - the succession planning conversation 

Richard Adamson, Bank of New Zealand  
Diabetes workshop part 2: Diabetes complications

Patrick Manning

RNZCGP Rural General Practitioners' Chapter AGM
Glenroy auditorium
Concurrent session 3

Renal function

Rob Walker
Challenges of dermatitis

Dr David Young
Career Planning for students: Future possibilities in rural health

Panel discussion 
Panelists: Brendan Marshall, Gemma Hutton, Margo Roxburgh
What happens when you delegate the distribution of rural funding to Clinicians? 

Paul Rowe and Bridget-Mary McGown
What is the role of rural general practice in reducing avoidable perinatal and maternal mortality? Lessons from the Perinatal and Maternal Mortality Review Committee

Alison Eddy, New Zealand College of Midwives
A new model of care for General Practice - A Nurse Practitioner and a Primary Health Care Nurse... it works!!

Tania KempPleasant Point Medical Center

Chris Chamberlain

Concurrent session 4

Reconfiguring the doctor-patient environment in musculoskeletal pain; what you say, matters

Dr John Petrie
Results of a primary care based, nurse-delivered, cardiovascular disease medication health literacy intervention trial for Maori people with cardiovascular disease

Dr Sue Crengle
Lost in Translation? Developing a rural integrated health centre in Golden Bay

Struan Clark, Golden Bay Community Health
When is an ED not an ED?

Buzz Burell, Renwick Medical Centre
Smoking Cessation – an integrated model of care

Christine Brears, Piki Taiaroa, Toni-ann Beekmans, Vida Tangihaere, Taumarunui Community Kokiri Trust

Improving Outcomes in Diabetes Care in Rural New Zealand

Sharon Sandilands, Central Otago Health Services Ltd

Patrick Manning

3.10pm Afternoon tea
 3.10pm  Rural nursing discussion- rural pilot research project
Extended Glenroy Foyer
3.45pm  Keynote address
Midwifery- providing an integrated maternity service
Norma Campbell, Midwifery & Maternity Provider Organisation Ltd
4.30pm Keynote address
Unlearning our privilege as a loss: from integration to Whanau Ora 
Donna Matahaere-Atariki
5.15pm  Awards Ceremony
Presentation from Gemma Hutton 
6.00pm - 7.00pm Welcome reception 
7.30pm  Student dinner

Day two 

8.00am - 5.30pm Registration desk open
6.30am - 8.00am Pat Farry Trust fun run and walk (race briefing at 6.30am)
Starting/finishing at the Railway Station, Anzac Ave
Register here 
8.30am - 9.25am Breakfast sessions
Aortic Stenosis; diagnosis, treatment options and the need to refer early
Dr. David Smyth, Clinical Director of Cardiology at Christchurch Hospital
Hosted by Edwards Transcatheter Heart Valves, New Zealand

Implementing virtual consults (video) in general practice
Sanjeewa Samaraweera
Hosted by Medtech Global
9.30am  Keynote address
One World: One Health: One Life: One Chance
Alison Dewes
10.15am  Keynote address
Family violence in a rural setting

Lesley Elliott
11.00am Morning tea 
Concurrent session 5
5A 5B 5C 5D 5E  5F
Mental health

Acute Coronary Syndromes diagnosis and management

Belinda Green

Investing Ideas for a Healthy Portfolio

Sue Stewart, MFAS
Structure, Organisation, and Services of Rural and Urban General Practices 

Susan Dovey, University of Otago
Models of care as it applies to South Westland

Gemma Hutton


Dr Jo Scott-Jones
Concurrent session 6

Registered nurse prescribing

Pam Doole, Nursing Council of New Zealand
Nausea & Vomiting: managing a common symptom without becoming sick to your stomach

Amanda Sommerfeldt, Southland Hospice
Transport problems and solutions 

Mike Hunter
Patient portals and e-therapy in rural health

Sanjeewa Samaraweera, Medtech Global
Abstract presentations - Rural inequalities            

Presentations from Dave Fearnley, Jenn Keys and Steve Hoskin 
Animals, humans, environment: All roads intersect in rural health

Dr Mark Bryan, New Zealand Veterinary Association
12.50pm  Lunch 
1.00pm  RHN AGM - Lunch
Conference room 1

2.00pm  Keynote address
Aid in dying in New Zealand

Matt Vickers 
Concurrent session 7
7C 7D
7E 7F

Managing alcohol and drug addiction in a rural area

Marian Scanlan and Greville Wood, West Coast District Health Board
Community based attachments in prevocational training

Prof Felicity Goodyear-Smith and Mr Elwyn Eastlake 
Education/ up-skilling for nurses and registrars

Garry Nixon, University of Otago and Tracey Reid
Cxbladder: New tools to aid in the diagnosis and management of bladder cancer

Brent Pownall, Pacific Edge Diagnostics
Models of care

Dr Pragati Gautama
End of life care panel discussion

Chair: John Ayling
Panelists: Matt Vickers, Helen Sawyer and Grant Gillett
3.25pm Afternoon tea
4.00pm  Keynote address 
Telehealth and rural broadband – what's been achieved and the next big things
Craig Young, TUANZ and Andrew Slater, Homecare Medical
4.45pm  Keynote address
Hot issues in rural

'The Dunedin Declaration' 
Chair: Bill Nathan  
5.30pm Conference close
6.00pm  NZRGPN AGM
7.30pm  Medtech conference dinner combined with the wine, adventure and art auction
Sponsored by Medtech Global and in association with the Pat Farry Rural Health Education Trust

Day three - Kingsgate Hotel

 9.00am - 12.00pm Network breakfast forum
10.00am - 12.00pm Student breakfast forum