Rural healthcare has unique challenges – mayors
By David Hill, Local Democracy Reporter
The health needs of rural communities must not be forgotten amid the latest healthcare sector changes, North Canterbury's mayors say.
Te Whatu Ora Health NZ recently announced the appointment of four regional deputy executive directors, including one based in Christchurch, in a move back towards regional decision making.
Hurunui mayor Marie Black and Waimakariri mayor Dan Gordon have been calling for local accountability since district health boards were replaced by Health NZ two years ago.
Martin Keogh has been appointed deputy executive director for the South Island.
Black said while she welcomed some decision making closer to home, she questioned how much understanding there would be of rural community needs.
‘‘The South Island is a big area to cover with a lot of different issues and knowing what it is actually like to provide a service in Cheviot, for example, might be difficult,’’ Black said.
‘‘Attraction and retention of staff in a rural setting remains a challenge.
‘‘It is a fairly tiresome role in a rural district, because you are always on call, even when you are not.’’
Providing services to help older people in their homes is more challenging in a rural community, she said.
This is because home help services often become ‘‘fragmented and fragile’’ due to the distances involved, Black said.
‘‘We need to keep an eye on that and on providing care for end of life and respite care.’’
The use of Telehealth technology has been talked about in the media as it is increasingly used to cover for a lack medical professionals, particularly in rural areas.
The increased reliance on Telehealth might work for some people, but can be challenging for older people, Black said.
But rural communities had ‘‘magnificent’’ volunteers services such as St John and Meals on Wheels, she said.
Gordon said it had been difficult to get answers about health issues impacting on Waimakariri residents since district health boards were abolished.
Appointing a South Island-based director is ‘‘a great first step’’ towards local accountability, he said.
‘‘This is something I advocated for because I know that having a local voice close to the issues is vital for our communities.
‘‘The old DHB system was not ideal, but at least we knew who was accountable and who to call when issues arose.’’
Health NZ has been contacted for comment.
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
Poll: Should drivers retake the theory test every 10 years?
Drivers get where they need to go, but sometimes it seems that we are all abiding by different road rules (for example, the varying ways drivers indicate around a roundabout).
Do you think drivers should be required to take a quick driving theory test every 10 years?
Vote in the poll and share any road rules that you've seen bent! 😱
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49.7% Yes
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48.4% No
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1.9% Other - I'll share below
Education changes: Area schools ‘copping it from all directions’
By David Hill, Local Democracy Reporter
A North Canterbury principal says area schools are ‘‘copping it from all directions’’ with Government changes to education.
Amuri Area School principal Matt Barlow has written to Education Minister Erica Stanford to ask whether the pace of change can be slowed down.
Area schools cover all year levels from new entrants to year 13, tend to be smaller and are based in rural areas, meaning they face pressures to implement curriculum changes across the board.
‘‘Schools like Rangiora High School don’t have to worry about year 1 to 3 literacy and numeracy, and primary schools don’t have to worry about changes to NCEA.
‘‘We are a bit of an afterthought. Area schools are like an airport and principals are like air traffic controllers, with planes coming from all directions.’’
While some rural school rolls are falling, Amuri Area School is managing a growing roll.
The roll has jumped from 335 to 380 students since the start of 2023, which includes its largest roll of year 7s (50) and year 13s (22).
Barlow said the school is working with the Ministry of Education to design a new building for science, technology and arts classes.
No budget or timeframe has been decided.
Amuri Area School is in Culverden, on the way to Hanmer Springs, and the relative isolation adds to the challenges.
The relief teacher pool is limited, meaning Barlow and his two deputy principals have had to step into the classroom several times this year.
Roger Hornblow became principal at Cheviot Area School in term four last year, having been a long serving primary school principal.
‘‘Area schools are very complex and I don’t think it is appreciated by everybody.
‘‘We are dealing with the NCEA changes and the year 0 to 8 changes. It is really complex.
‘‘But that is part and parcel of the beast and we need to make sure we do it in a way which give students the best outcomes.’’
It means professional development is constant, and Hornblow is pleased with how his staff are stepping up.
He would like to see ‘‘a unified education policy’’ which did not change every time there is a change of Government.
The New Zealand Education Institute Te Riu Roa and the New Zealand Principals' Federation also called on the Government last week to slow down the implementation of new structured math and English curriculum.
New NCEA literacy and numeracy online tests have also come under fire from secondary school principals around the country.
Education Minister Erica Stanford said extra support is being provided to area schools in North Canterbury, with curriculum advisors visiting schools, assisting with teacher only days and providing webinars.
The schools also have the support of the ministry's area school leadership advisor Stephen Beck, who is taking a year out from his role as principal at Hurunui College.
"Support will be ongoing as the local team looks to ensure our rural area schools have the assistance they require to implement and embed these changes."
But she said introducing structured literacy and numeracy will take time, especially for schools teaching it for the first time.
"Embedding a curriculum refresh, running professional development and responding to our sector feedback are things we will work on together over the coming years."
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
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