Managing Chronic Disease

Getting ahead of the problem

Wherever possible we try to prevent health problems and stop them from progressing.  Stepping in early benefits the individual and allows us to achieve more with limited resources.

We do this in three ways:

  • through educating the community about healthy lifestyles and choices
  • early detection
  • targeted primary care.
Read more about chronic disease management in our District Annual Plan page 45.
Read about ways we are getting ahead of the problem
Pathways to Health
Healthy Homes
Smoke free contacts
HEHA Nutrition Fund
Baby Friendly Hospitals
Feeding our Futures
Fruit in Schools
Well Child

Recent achievements

About 45% of New Zealand homes have moisture-related problems.

Poor indoor air quality is contributing to ill health particularly in older people, young children and Māori.

Healthy homes programme

220 Bay of Plenty homes were insulated and improved (year ending June 2008) to make them warmer and drier.

See the NZ Energy Efficiency and conservation website to learn about other programmes to help you safeguard your home.


Improving people’s health by making their homes warm and dry.

Diabetes affects about 140,000 people in New Zealand.

Maori in the Bay of Plenty have high rates of heart disease and diabetes compared with non-Maori

Diabetes screening and management
  • We have reworked funding for diabetes screening to spread timing and improve uptake.
  • Funding to expand Maori provider diabetes management and education program
  • Appointment of a Diabetes Nurse Specialist to work alongside GPs for the Western Bay of Plenty Primary Health Organisation (PHO).

Helping people to remain independent by managing their condition before it becomes severe.

  • New Community Diabetes Service supports GPs and private health providers to develop their skills in diabetes care and management

Nga Kakano Diabetes service sharing healthy eating tips.

  • Diabetes Technical Advisory Group established.
    Read more about the Technical Advisory Groups .
  • All PHOs (representing GPs)have signed on to carry out diabetes annual reviews.
  • A stocktake of diabetes services is underway and should help point the way towards future investment in 2008/09.

Improving information flow and sharing population health technical expertise

8000 to 9000 deaths a year in New Zealand, are attributed to diet and 2000 to 3000 due to insufficient exercise.

Read more

Appointment of a Healthy Eating Healthy Action District Coordinator

The Coordinator works with schools, early childhood education services and related agencies to improve students’ food options and choices.

Fun food lessons.

Schools and early childhood services are taking advantage of funds to help children learn about fresh food.

Read about the latest projects


District Coordinator, Jessica Burke

Doing our part towards making the National HEHA plan happen in Bay of Plenty.

Almost one third of NZ children are physically inactive.

Obesity is a risk factor for many diseases such as diabetes, heart disease, hypertension and stroke, gallstones and some cancers.

Mission on strategy
  • We support Mission On with promotions and teacher workshops.
  • See the Misson On website.  Aimed at five to twelve year olds it encourages healthy nutrition and gives ideas about fun ways to get active at home and outdoors.
    Read more


Read about our
Healthy Eating Healthy Action/Nutrition Fund.

Cancer is the second leading cause of death (29 percent) and a major cause of hospitalisation (7 percent) in New Zealand.

Read more

Advanced Cancer Control
  • New Cancer Centres opened in Tauranga and Whakatane. This will reduce the need for people to travel to get treatment.
  • Appointment of a specialist oncologist means we are providing more cancer services locally. Read more in our May edition of Health Matters.
  • A Cancer care Coordinator position has been set up to ‘smooth’ the patient’s journey through the healthcare system.
  • Membership of the Midland Cancer Control Network and strong ties with Waikato PHO ensures fair access to tertiary cancer services.
See our progress towards the national targets

Reducing cancer waiting times improves patient outcomes.

32% or around 233,000 young people and 32% or 878,000 adults in NZ do no physical activity or less than 2.5 hours per week.

Read more

Working across sectors to get people active
Read about Pathways 2 health

Working with Councils and other agencies to develop programmes to promote physical activity in the Eastern Bay

Tobacco smoking remains the single biggest cause of preventable ill health and death in the Bay of Plenty.

Rates of smoking are higher amongst Maori (particularly young women) and Pacific peoples.

Promoting smokefree living
  • We have strengthened the Smokefree workplace message at the District Health Board.
  • We completed our Tobacco Control Plan and appointed a Tobacco Control Project Manager to implement it. See page three in the May edition of Health Matters
  • Developed the Toi Te Ora- Public Health Smokefree Outdoor Spaces Policy (pdf)
  • Developed smokefree cars and homes projects. Read more (600kb pdf)
  • Worked with marae committees so that marae are smokefree.
  • Quit smoking programmes offered to patients at hospitals and GP practices.

Spreading the message that smoke is not OK where children and adults live, work and play.

In the Bay of Plenty cardiovascular disease is the overall leading cause of death (41%) and hospitalisation (13%).

More pacemaker operations
will be carried out locally in 2008/09.

Quality Improvement Plan for cardiovascular disease will establish new quality measures in 2008/09. Download the plan (pdf)

See also the Careplus initiative.

Improving the length and quality of life for people with cardiovascular disease.