Well Child Tamariki Ora South Island Quality Improvement Project
Issue 3                                                                                                 December 2016

Talofa lava, kia ora and welcome to the third issue of the South Island Well Child Tamariki Ora (WCTO) quality improvement (QI) newsletter. This quarterly publication is designed to keep you up to date with the latest news and information on the QI project for the South Island. 

This edition includes an update on the Nelson and Blenheim QI workshops, an overview of the child health education sessions at South Island midwifery schools
, as well as district updates from around the South Island.

This project aims to enhance and support the national WCTO programme – and we need your help to make lasting improvements. Please visit our page on the South Island Alliance website to see how you can get involved. 

In my role, I am available to support you to make quality improvements. I am always open to any ideas, issues or feedback you wish to provide. Please feel free to contact me:

Anna Foaese 
South Island Alliance Programme Office
Ph: 027 359 905

In this Issue
WCTO QI steering group membership expanded
• Child health information session for midwifery students

 Baby Teeth Matter campaign

District updates 
In agreeing to a collaborative regional direction, the South Island DHBs have committed to a 'best for people, best for system' alliance framework to negotiate a way into the future. The WCTO QI project works within this framework to improve child health and wellbeing across the South Island.
Steering group membership expanded

The governance group for the South Island Well Child Tamariki Ora (WCTO) quality improvement steering group has now expanded its membership, with the addition of three new members: Kerry Marshall (Communities Team Manager at Community and Public Health), Andrew Kelly (Southern DHB paediatrician) and Teresa Back (South Canterbury DHB Maternal Child and Youth Manager). Inclusion of these members has improved geographical spread and clinical expertise.

The purpose of the WCTO QI steering group is to support WCTO providers, DHBs, primary healthcare, lead maternity carers (LMCs) and other health and social services to improve the health outcomes of children. The group also provides advice and feedback around the WCTO quality improvement initiatives across the South Island.
Photo of midwifery students
Additional Well Child information for midwifery students' curriculum
Well Child Tamariki Ora (WCTO) services is now a part of third year midwifery students’ curriculum across the South Island, to provide them with additional education on the programme before entering the workforce. The initiative was led by WCTO Quality Improvement South Island Project Manager Anna Foaese, in conjunction with Ara Institute of Canterbury and Otago Polytechnic. 

Building on the need for greater integration between maternity and WCTO services, the four-hour workshops provide soon-to-be registered midwives with the information and resources needed to advise women and their families about Well Child services.

Read more about the child health and midwifery initiative >>
Image of children playing
Collaborating to improve child health services

Education and networking sessions were held in Nelson and Blenheim recently, as part of a South Island-wide initiative to update and inform local child health services. The Maternity and Child Health Quality Improvement workshops were facilitated by Well Child Tamariki Ora Quality Improvement project manager, Anna Foaese, and midwifery educator, Kerensa Leadbetter.
Read more about the quality improvement workshops >>
Baby Teeth Matter

Oral health campaign developed for children

The Health Promotion Agency and Ministry of Health have developed a national campaign that aims to increase twice daily tooth brushing with fluoride toothpaste in children under five years. A funny video with a serious message, featuring a re-imagined tooth fairy, has been developed to help promote this message to parents and caregivers. You can see it on social media now, and on TV in February next year. To view the video, click here: 

What you need to know

  • Baby teeth are important and necessary for the health of permanent teeth.
  • Under five-year-olds need to have their teeth brushed by an adult.
  • Everyone should be using fluoride toothpaste.

How you can help

Share the video (using the link above) with families and other providers in your community. Have a conversation with parents and caregivers about the things they can do to protect their children’s teeth.

If you have any questions about the messages or want more information about the campaign, email:

All improvement requires change, but not all change results in improvement. It is important to measure what parts of the system are working well and what is not. Follow the link to 'Get Involved' and learn more about quality improvement.
World Congress on Integrated Care logo

Well Child Tamariki Ora at the 4th World Congress on Integrated Care 

An abstract about the South Island Well Child Tamariki Ora Quality Improvement project was accepted for an oral presentation at the 4th World Congress on Integrated Care.

Held on 23-25 November in Wellington, the presentation provided an overview about the regional project and identified the outcomes achieved for children and their whā
nau. Findings from the consumer experience project were used to present how parents/caregivers navigate and stay connected to WCTO services, as well as identify improvements that have been made across the maternity and child health sector.

The voices of consumers can be a powerful and effective tool. They give parents/caregivers and children an opportunity to share their 'stories' about how they experience healthcare. The regional consumer engagement project involved interviewing families from Canterbury, Kaikoura and the West Coast about their WCTO experience. The six key themes identified in the stories include:
  • levels of understanding and knowledge about WCTO programme/services
  • choice and referral process to WCTO services
  • access and engagement
  • support networks
  • health literacy
  • service quality- acceptability and appropriateness.
For further information about sharing these stories for educational/training purposes, please contact

South Island district updatesMidwife

Nelson Marlborough
WCTO and child health quality improvement workshops were recently offered in Nelson and Blenheim, with the aim to include as an annual update. The Nelson WCTO forum has been re-established following the Maternal and Child Health Integration project. The first meeting was held on Thursday 10 November. Kerensa Leadbetter (Midwifery Educator) will lead this group in the new year. This group will support raising the profile of WCTO/child health services and improve collaboration between maternity and child Health services.

West Coast
The WCTO operational group re-convened in December. A process map of the newborn multi-enrolment form has been initiated to identify opportunities for improvement and increase the number of forms received. Interviews were conducted with lead maternity carers, DHB maternity managers, public health nurses, primary health organisation, immunisation coordinator and Well Child providers to understand the process.

South Canterbury
New appointment of Teresa Back at South Canterbury DHB. Teresa will be supporting the WCTO work and is a new member of the South Island WCTO QI steering group.

The Raising Healthy Kids health target continues to be supported by the Canterbury Healthy Weight in Childhood implementation group. A virtual child health multi-enrolment process at birth will be implemented shortly. This process has been adapted from other regional and national DHBs to support newborn enrolment into all universal child health services. An opt-off service (0800 number) will also be available, as well as a coordination service that will provide follow-up for any children not engaged. An immunisation toolkit for lead maternity carers is being developed as a resource for clinicians.

The WCTO strategic forum in Southern includes wide representation across the child health, maternity and education sector. Next meeting scheduled in early 2017. The newborn multi-enrolment process is to be developed across the district. 

If you would like an update from your DHB or service in the next newsletter, please contact

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South Island Alliance · Level 1, Unit 2B, 585 Wairakei Road, Burnside · PO Box 639, Christchurch 8140 · Christchurch, Canterbury 8140 · New Zealand

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