Mihi nui ki a koe

Total Healthcare PHO advocates for a large high-needs patient population, including Māori and Pasifika, and we are proud of our contribution towards improving their health and wellbeing.

We acknowledge that treating health issues in isolation of other needs is not the best way to ensure wellness for our patients. So, addressing the psychological and social determinants of health goes hand-in-hand with our work in these communities.

Support for the best start 

That’s why we initiated a programme in January 2019 to support vulnerable young mothers under 22 years and their newborns.

Best Start to Life is an innovative project offering support from when women test positive for pregnancy through to the early years of their child’s development.

Total Healthcare also successfully advocated for collaboration among PHOs to support these mums and kids – so we can literally offer the best start to life for new generations.

Through our sponsorship of the Gandhi Nivas programme, we also acknowledge the need for early intervention for those experiencing family violence.

Funding new health initiatives

We take pride in the fact we have spent $5 million over the past five years on mental wellness staff and initiatives.

Total Healthcare has supported a new model of team-based primary care supporting mental wellness that makes it easier for people to get free help quickly. It has proven successful in prompting youth, Māori and Pasifika patients who have never accessed psychological support services before to get help. 

This model of team-based care has been piloted in seven Tāmaki Health (our healthcare provider) and ProCare practices in Auckland. Its success has been due to the partnerships with PHOs, Auckland and Counties Manukau DHBs, and NGOs including Emerge Aotearoa and Pathways.

Welcome support for high needs communities

Government support for existing programmes like this is welcomed and it’s great that more long-term funding will be provided so the new free frontline mental wellness services can be rolled out throughout the country.

We look forward to this model of care becoming the norm, particularly in clinics that support higher needs communities with large youth, Māori and Pasifika populations like ours.

Total Healthcare has about 115,000 Māori and Pasifika registered patients, so it is particularly heartening to see this model of care supported by the Government. 

Recognition across Auckland as a PHO

Another big leap forward for Total Healthcare has been its success in negotiating recognition as a PHO across two more DHBs: Auckland and Waitematā. We were already a PHO in Counties Manukau. This will mean we can put more money directly into services to support our patients.

Our push for official recognition as a Pasifika healthcare provider continues. Despite our patient population – about 80,000 of our 220,000 patients are Pasifika – we aren’t considered a Pasifika provider by DHBs or the Ministry of Health. In Counties Manukau we are the largest PHO provider of healthcare to Pasifika.

You can read more about Total Healthcare's work in our 2018–2019 Annual Report.

Meri Kirihimete me te Hape Nū Ia!

Mark Vella

Launchpad for mental health announcement

It's been an exciting year for us with our healthcare provider's Local Doctors Dawson clinic chosen as the location for the Government's announcement on spending to support mental wellness services in medical centres.

The South Auckland clinic is among 22 clinics that have been trialing adding a mental health clinician and peer health coach to GP teams, along with providing access to peer and community support. This helps people get help quickly and at no cost.

The visit was a great chance to catch up with Health Minister David Clark, pictured with me above, and Prime Minister Jacinda Ardern about our work to support our inhouse mental wellness team and their innovative models of care involving peer support.

Pictured below are the Prime Minister and Health Minister with Dawson clinic staff and some of our Wellness Support Team staff.


Tindall Foundation supports Gandhi Nivas

We are grateful for the support of the Tindall Foundation as Gandhi Nivas expands its services that help keep women and children safer from family harm.

Pictured above are foundation representatives, including founders Stephen and Margaret Tindall, during a visit to the Gandhi Nivas Papakura house.

The foundation's $100,000 donation helps with the running of the Papakura house and we are equally thankful for their ongoing lobbying in support of Gandhi Nivas's work.

See for more information about its work.

A warm talofa to our new community manager

Earlier this year we welcomed the arrival of our new community liaison manager Lorenzo Kaisara, pictured, who has been busy supporting our work to reduce health inequalities and break down barriers to accessing healthcare.

His background is in health promotion and he has worked at Counties Manukau Health and Auckland District Health Board. Lorenzo's previous role was with Counties Manukau as a Pacific community coordinator for the bowel screening programme. 

Samoan born Lorenzo sits on 25 advisory boards, steering groups, community networks and business associations. These roles provide important connections and assist with uncovering health and social needs in the diverse communities the PHO serves.

Our healthcare provider rebranded this year

From April 2019 Total Healthcare PHO’s healthcare provider changed its name from Nirvana Health Group to Tāmaki Health.

Tāmaki Health is also rebranding many of its clinics to Local Doctors. Ōtara was the first clinic to be rebranded after it moved premises from Bairds Road into a modern new clinic nearby. 

Pictured above are, from left, Local Doctors Ȱtara clinical director Dr Oruba Khalil, first patient through the door, Heu Afemui, the healthcare group’s co-founder, Dr Kantilal Patel, and Ōtara clinical director Dr Sivakumar Vallipuram.

Visit the Tāmaki Health website for more information.

Working together to improve health outcomes

Total Healthcare PHO contracts Tāmaki Health as its management support organisation to provide medical and management services required in the PHO/DHB contracts across Auckland. Tāmaki Health providers include Local Doctors and White Cross clinics.
Copyright © 2019 Total Healthcare Charitable Trust, All rights reserved.