hospice new zealand | 2009

annual review

01 The results of our intensive and strategic lobbying work were realised by all member hospices during 2009. An additional $15M was awarded to member hospices bringing their Government funding to 70% of the revenue needed to cover operational expenses.

In 2009 it cost over $73M to provide hospice services throughout the country.

The announcement sent a strong message regarding the value the Government places on hospice care and their commitment to ensuring our members ability to continue to provide this free to our communities.

As well as the additional $15M awarded to increase funding across the country, we worked with the Ministry of Health to allocate $1.3M to address specific difficulties accessing palliative care services.

This was the first time an NGO had worked on a joint funding proposal with the Ministry of Health for the approval of the Minister of Health. This was a wonderful opportunity and experience for Hospice NZ and has contributed positively to the close working relationship we share with the Ministry moving forward.

Warm regards

Mary SchumacherChief Executive

hospice new zealand

Hospice is not a building it is a philosophy of care. Our goal is to help people make the most of their lives. We care for the whole person, not just their physical needs but also their emotional, spiritual, and social needs too.

We care for families and friends as well, both before and after a death. Irrespective of where they are, this philosophy of care does not change and everything we provide is free of charge.

Hospice NZ is the national organisation whose primary goal is to give voice to the interests, view and concerns of our member hospices.

Mary SchumacherChief Executive, Hospice NZ

02In 2009, as in previous years, education & training of hospice staff and volunteers, and the wider health care community is a priority for us.Working alongside our member hospices we provided a range of training opportunities from the monthly breakfast lecture series to care assistants training in residential care settings.

We continue to work to our goal of supporting a high performing hospice palliative care workforce.

Highlights from our work:Genesis Oncology Trust Breakfast Lecture SeriesFor the sixth year Genesis Oncology Trust provided us with funding to deliver these teleconferenced lectures. Over 2500 participants listened to the lectures, representing a 20% increase in overall participation from 2008. An average of 40 sites connected to each lecture representing an increase of 15% on 2008.

Post Graduate Certificate in Hospice Palliative CareOnce again the Certificate was delivered through three sites in the North and South Islands. 148 people were enrolled in the course with 39 eligible for graduation.

Hospice NZ Education CoursesFollowing the change in syringe drivers used throughout the sector, we reviewed and updated the content of our Syringe Driver Education Training Programme. Hospice members then provided this training to 487 health care professionals. 322 people completed a training update during 2009.In addition to this, 503 people completed the Palliative Care Education for Care Assistants Programme. This training covers the principles and practical skills involved in palliative care.

Hospice NZ workshops and forumsWe provided a range of special interest group meetings for our members during 2009. We brought together representatives from fundraising,

management, education, allied health, trustees, quality coordinators and managers of volunteer services.

BNI Palliative Care Scholarship ProgrammeFor the third year national partner BNI provided funds to enable us to provide scholarships to various courses of study and conferences for member hospice staff. A total of 17 people attended a variety of professional development opportunities and conferences.

A Guide for Carers’Building on the 2008 revision and reprint of this valuable resource, we continued to provide over 5000 copies of the publication free of charge. Thanks again to the VMD Collier Charitable Trust for their continued support of this project.

hospice new zealand

education & training highlights

“I was awarded a BNI Scholarship to attend the ANZSPM Meeting in Auckland. The meeting provided me with many opportunities for broadening my knowledge, slipping into the New Zealand palliative care community and getting an insight into my new professional and private environment. And it’s not only about professional development; it is also about meeting friendly people and liaising with them.

As a new medical director from abroad I need an impression as comprehensive as possible about the way the palliative networks in New Zealand and Australia work – thanks to BNI and Hospice NZ I was given a great opportunity to do that.”

Dr Christian Robold, Medical Director, Hospice Southland

03 Hospice NZ exists to support our member hospices in their work caring for people with life limiting illness. We give voice to the interests, views and concerns of our members at a national and international level.

Highlights from our work:New associate memberWe were delighted to welcome Hospice Wairarapa as an associate member of Hospice NZ.

Visits with our member hospicesDuring 2009 Hospice NZ CEO & Chairman presented to 26 of our member hospices, meeting with the Board of Trustee’s and management teams around our work.

Representation and involvement in various groups/working partiesDuring 2009 various team members at Hospice NZ had an involvement in:• Palliative Care Advisory Group• Palliative Care Council • Liverpool Care Pathway National Office• Palliative Care Nurses New Zealand• Fundraising Institute of New Zealand• Post Graduate Certificate Palliative Care Advisory Group• Cancer Control Council• CANGO

Hospice CEO Remuneration SurveyHospice NZ facilitated a piece of nationwide research into CEO Remuneration for members.

Discounted rates for services for membersHospice NZ continued to negotiate reduced rates/membership to various services on behalf of our members – including EMA, Palliative Care Australia Conference, and telecommunications services.

hospice new zealand

working together

“Over the past decade we have seen huge growth in the involvement of hospice in the care provided to New Zealanders in the final months of their lives. Palliative Care in New Zealand as a result of this involvement has grown in both visibility and impact within the health service. The organisation of hospices’ within a member organisation such as Hospice NZ has been a vital part of these developments and we are seeing real fruit to the hard work put in by both hospices and Hospice NZ. Hospice NZ harnesses the strengths of its members to key projects and tasks to assist in the development of palliative care services for all New Zealanders.

As I look forward to future years and the projects currently underway and planned, I am really excited about the impact Hospice NZ can have on all those requiring palliative care services.”

Dr Richard Thurlow, Chief Executive Officer, Waipuna Hospice

04As the national voice for hospice we use every opportunity to communicate with the public around key messages, values and vision. Helping to raise awareness of what hospices offers that is uniquely ours. One of our key principles when it comes to fundraising is never to compromise or compete with our member hospices for funds. We focus on areas not open to them, or even better we work to establish long term partnerships that have benefits to us both.

Highlights from our work:Living Every Moment CampaignIn May 2009 we launched an online campaign encouraging people to visit the website (hospice.org.nz) and select a moment to send to someone they care about. Thanks to fantastic support from our national partners and wider networks over 1000 moments were sent and there were more than 20,000 visits to our website during that month.

Dilmah NZFor the 11th year Dilmah donated over $24,000 worth of tea to our member hospices. This represents about 400,000 cups. In addition to this Dilmah also ran an onpack promotion to raise funds for Hospice NZ awareness work, $30,000 was donated.

JR McKenzie TrustFor the 12 year the Trust gave a donation of $17,500 to assist us with bringing together management and trustee representatives from all our member hospices.

Lottery Grants BoardFor the sixth year running we received a very generous donation of $27,000 from the Lottery Grants Board.

VMD Collier Charitable TrustOnce again this private trust provided us with funding to support our work as well as continuing to fund the valuable Guide for Carers’ resource.

Genesis Oncology TrustA grant of $31,860 enabled us to provide the ongoing Breakfast Lecture Series to our members and the wider palliative care/healthcare community.

MundipharmaOur association with this company continued during 2009 with a $10,000 donation to support our work.

Donations through www.hospice.org.nz We provide an online donation service that all our member hospices can benefit from, 100% of all donations received on their behalf are passed directly onto the hospice nominated by the donor. During 2009 more than $53,000 was donated, with $51,150 being passed onto member hospices. Hospice NZ was the grateful recipient of the remaining $2505.

We are very grateful to the individuals, businesses and groups who choose to make donations.A selection of supporters include:• Gemtime Jewellers - $1,450 proceeds from a Christmas promotion• Southern Cross - $740 nominated for hospice from a promotion to customers• Phoenix Trading Company - $2,000 proceeds from the sales of a Christmas card range• ANZ Bank - $4,500 nominated by customers for hospice during a Christmas promotion• Buzz Channel - $1,893 nominated by participants of their online research panels• HB Media - $1,539.66 proceeds from the sale of Good Magazine in August

Thank you to everyone who made a donation during 2009.

hospice new zealand

partnerships & awareness

BNI owes its success to the concept of businesses helping each other through the ‘Givers Gain’ philosophy, and giving back to the community is a natural extension of that philosophy.

“Every week our more than 2,600 SME members combine their resources to grow each other’s businesses through giving referrals, while also recognising that we are part of the community and that the power of reciprocity is only released when you give without the expectation of getting something back – as we do with hospice,” Graham Southwell, National Director, BNI.

Pictured at the handover of the BNI cheque for funds raised by chapters for hospices throughout the country are from left, BNI Marketing Director Colin Kennedy, BNI Financial Director Sue Redknap,

BNI National Director Graham Southwell and Hospice New Zealand Chairman Wilf Marley.

This is the fourth year that Hospice & House of Travel have been in partnership. Since the creation of this very first national partnership for Hospice, a lot has been achieved for the benefit of people living with a life-limiting illness, their families and friends.At a national level we were delighted to once again give the HOT Volunteer Award to two very deserving hospice volunteers. Two people chosen at random from over 80 nominations received a holiday package for two to their choice of destination, thanks to House of Travel. In 2009 the winners were Meg Hartfield from Hospice Wanganui and Pat Harrison a volunteer at Hospice Taranaki’s shop in Hawera.

Some highlights from the hospice/House of Travel partnerships include:

Thanks to each and every House of Travel outlet team who are so committed to their partnership with hospice, we are extremely grateful for your support.

House of Travel Stephen Gillingham’s in Whangarei

volunteered as hosts/hostesses for the mid winter and Christmas volunteer functions held by North Haven Hospice. The HOT team

also donate many prizes throughout the year to raise funds. An exciting

new initiative is to include a visit to North Haven Hospice for local high school students as part of a

“Historic Northland Tour” giving the hospice an opportunity to speak about services and they role they

play in the community and the importance of volunteering.

During 2009 House of Travel Dunedin continued their support of Otago Community Hospice in a

number of ways, they organised a fundraising lunch on a cruise ship, a golf tournament, volunteered on street day and the Christmas Remembrance Trees, supported the trailer raffle and also working bees,

cleaning and gardening.

House of Travel Rotorua continued their support for

Rotorua Community Hospice in 09 in a variety of ways – providing volunteers for the Hospice Shop, fundraising, selling tickets, sponsoring

Friends of Hospice fundraisers, providing morning tea for the day stay programme, advice

around accounting procedures, marketing advice, business advice and riding a bike up and down the main street

of Rotorua at 6am!

House of Travel Lakersin Invercargill built on their previous commitment to

Hospice Southland once again organising Southland’s Largest

Quiz Extravaganza which raised $12,000. Plus they continued to

volunteer for street day, continued their role grooming the community nurse vehicles

and also assisted with the newsletter and hospice

run events. They continued to donate supplies for “Alf’s Trolley” and donated various raffle prizes.

House of Travel Christchurch Cityraised over $8,000 from a luncheon

and tour onboard a five star cruise liner. They also sponsor a community car and held a Mediterranean evening to raise funds for

Nurse Maude Hospice.

05 Thank you to all our national partners

During the second year of our partnership Craigs Investment Partners branches continued working with their local hospice, building on the successful events established during 2008.

Some highlights include:

“As a national partner of Hospice New Zealand, each of our 17 branches has partnered with a hospice in their region to raise much-needed funds and awareness of the services that they provide to their local community. Hospice is a hard working, community focused charity that helps to enrich the lives of people in a time of need, and we are proud to be associated with such a great cause”

Frank Aldridge, Managing Director, Craigs Investment Partners.

We are extremely grateful to everyone at Craigs Investment Partners for their continued support of hospice nationally and enjoy the relationship immensely.

60 people in Wanganui attended a one day golf tournament

organised by the local branch, $6000 was raised for Hospice

Wanganui.

11 teams of 4 people played in a golf tournament organised by the Gisborne Branch and impressive $2,200 was donated to Gisborne

Palliative Care. Beyond this event, the local branch manager is now

working in a regular voluntary capacity assisting the service

with its fundraising.

The Whangarei Branch of Craigs Investment Partners lead

a group of local businesses, including fellow national partner House of Travel, to organise a

golf tournament for North Haven Hospice. 100 people attended a very enjoyable day and $6790

was raised.

Hospice Waikato continues to enjoy the partnership with the

Hamilton branch. Building on the initial event they supported in 08,

the Craigs team attended the annual Chef’s Night Out and were sponsors of this event which raised

over $10,000 for the hospice.

The Craigs Investment Partners team based in Dunedin worked

with the Otago Community Hospice in a range of ways during 2009.

An ongoing series of raffles is held in the Craigs office, staff members

volunteer in various ways to support hospice, the team also attended

the Melbourne Cup day event and continues to support the Hospice

Bequest Club. Through a series of local connections one of the Craigs Directors organised for the hospice

to be a beneficiary to a golf tournament, raising over $3000.

The Tauranga team continues their long association with Waipuna Hospice, being volunteers, selling tickets, sponsoring the newsletter,

organising a movie premier, sponsoring the Wine & Food

Festival – the list is extensive. Overall a marvellous partnership enjoyed by everyone involved.

Hospice Marlborough was the beneficiary of the second golf tournament organised by the

Craigs Investment Partners team. $5000 was raised from a field

of 204 players, an increase on the 08 participants. They plan to

continue to build on the success of this event into the future.

The Palmerston North team donated a massive $12,000 from their golf tournament to Arohanui Hospice in 2009. The branch also

brought a table at the Hospice Black Tie Dinner and supported the Chamber of Commerce Mufti Day.

The Auckland team have volunteered at the Hospice Street

Collection and Strawberry Festival, as well as donating two cricket bats

signed by Daniel Vettori for a hospice event. They also supported

the Mercy Hospice Auckland awareness week activities and held

a “cup of tea” moment.

In 2009 the Head Office Fundraising project beneficiary

was Hospice Eastern Bay of Plenty in Whakatane. An auction of ABN AMRO Craigs historical items and a Super 12 competition raised in excess of $3000 to enable the

hospice to purchase new syringe driver devices for patients.

The Wellington & Lower Hutt branches once again worked

alongside Te Omanga Hospice & Mary Potter Hospice with the

extremely successful Strawberry Festival fundraising event.

06 During 2009 BNI donated over $107,000 to hospice. Chapters throughout the country organised a range of activities to raise funds. Nationally, $12,000 was provided for the BNI Scholarship Programme and $21,000 was distributed through Hospice NZ to celebrate BNI’s 10th Birthday. A national golf tournament was held in Rotorua for the benefit of Rotorua & Lake Taupo Hospices’.A selection of ways in which Chapters raised funds for hospice during 2009:

Rangitoto Chapter held a Comedy & Cocktails evening for Amitabha HospicePalmerston North Chapter donated the proceeds from their Christmas function to Arohanui HospiceHastings/Hawkes Bay/Wine Country Chapters held a Quiz night for Cranford HospiceBNI Business People Chapter ran a monthly collection for Eastern Bays HospiceBNI Japa Chapter ran a golf tournament for Eastern Bays HospiceNewton Chapter made a donation from Joker Poker to Eastern Bays HospiceFranklin Chapter held a Las Vegas Night for Franklin HospiceSuccess like No Other Chapter held several quiz nights & BBQ events for Hospice TaranakiHarbour City Chapter held a raffle for Mary Potter HospiceKapiti Coast Chapter gave funds from fines, a sausage sizzle, auction and raffle to Mary Potter HospicePositively Wellington Chapter ran a Trademe auction for Mary Potter HospiceBNI The Mob Chapter made gold coin donations for Mercy Hospice AucklandHigh Flyers Chapter donated the cost of their breakfasts over the summer holidays to Mercy Hospice AucklandNelson Lunchtime/Nelson Originals/BNI In Rich’d Chapters had a gold coin collection at the local Race Day for Nelson Region HospiceNorthland Chapter ran an auction & gave donations to North Haven HospiceAlbany Commercial Chapter held a Trivial Pursuits fundraiser for North Shore HospiceMillennium Chapter participated in and helped organise the SANZ Golf Day for North Shore HospiceCentral City Chapter ran a 12 Week Fitness Challenge with proceeds donated to Nurse Maude HospiceThe Exchange Chapter made a donation from Joker Poker to Nurse Maude HospiceBNI Business Builders Chapter ran raffles and had a weekly collection for Hospice South AucklandHowick Chapter supported Hospice South Auckland by sponsoring the Pakuranga Country Club Golf Day and purchasing a paver for the hospice memorial gardenHutt Business Catalysts Chapter had a gold coin collection, movie night and auction for Te Omanga HospiceOceanside Chapter donated to Waipuna Hospice a portion of their fees received from referrals givenTauranga Harbour Chapter held a charity auction for Waipuna HospiceWarkworth Chapter assisted with the set up, the website, and the printing at the Catwalk Arts Show for Warkworth Wellsford HospiceWaitakere City Chapter held an auction, made a donation from Joker Poker and participated in a golf tournament for West Auckland HospiceWest is Best sponsored a Christmas tree at West Auckland Hospice

As mentioned, this is a selection, we are sorry we can’t detail the full list here, but space simply doesn’t allow because the list is so extensive! Thank you to everyone involved in BNI who has done such a magnificent job supporting hospice.

31-Dec-09 Notes 31-Dec-08Operations

Subscriptions 402,362 243,331

Conference (1) 243,549

Other Income 26,427 47,802

Total Operating Income 428,789 534,682

Wages & Salaries 352,707 301,259

Conference Costs 195,232

Membership Costs 186,923 181,231

Overheads/Administration 101,454 114,517

Total Operating Expenditure 641,084 792,239

Operating Surplus / (Defecit) Before Fundraising (212,295 ) (257,557 )

Fundraising Income

National Appeal (3) 1,380 (2) 272,056

(less expenses) 289,224

National Appeal Surplus/(Deficit) 1,380 (17,168 )

Donations 32,979 41,910

Grants 222,177 256,623

Grants from Gaming Trusts 24,592

Net Fundraising Income 255,156 323,125

Net Surplus/(Deficit) for the year $44,241 $48,400

Notes(1) The Biennuel conference was held in October 2008. There was no conference in 2009(2) Residual income from 2008 Time to Remember campaign, returned to Hospice NZ in 2009 financial year.(3) Following consultation with member hospices, the focus changed from raising funds to raising awareness. Resulting in no National Appeal activity in 2009

Subscriptions59%

4%Other

income

Fundraising37%

Admin16%

Membership 29%

Wages & Salaries

55%

Subscriptions59%

4%Other

income

Fundraising37%

Admin16%

Membership 29%

Wages & Salaries

55%

Income

Expenditure

hospice new zealand

financial information

07Once again I cannot believe how much time has passed so quickly. Looking back over the year, my diary shows me that I have been busier than ever in my voluntary role as Hospice Ambassador, spreading the word and trying to help in whatever way I can. General Interviews and Guest Speaker Roles for Hospice (guest speaker interviews usually have a pre-requisite of a donation to hospice)

Feb. 21st.......................Guest speaker – Elim ChurchMarch 3rd .....................Australian Women’s Weekly InterviewMarch 28th....................Guest speaker - Nurses Reunion – ChristchurchApril 7th ........................Newstalk ZB Waikato – InterviewMay 3rd.........................Guest speaker – House of Travel/Ballantynes – ChristchurchMay 16th/17th ...............Filming ‘My God’ programmeMay 29th .......................NZ Broadcasting School – Documentary on HospiceAugust 7th ....................Guest speaker – BNI Group (morning), Christchurch Club (afternoon)August 26th ..................Guest speaker – HER Business NetworkNov. 1st ........................Umbrian Cooking Demo – House of Travel – ChristchurchNov. 26th ......................Guest speaker – HER Business Network DinnerDec. 11th ......................Guest speaker – Canterbury Primary Principals Assn

Hospice functionsApril 16th-19th .............Hospice Waikato/Hamilton Chamber of Commerce – Guest speaker, radio interview, demo’s and lunchApril 24th ......................Southland Hospice/Mossburn Lions Group – English High Tea and auction.June 27th .....................Marlborough Hospice/ Beavertown Lions/House of Travel – Dinner and auctionJuly 15th-17th ..............Otago Hospice/Cadburys – Luncheon, Choc Demo, TTR Dinner, auctionAugust 17th .................Mary Potter Hospice – TTR luncheonSeptember 3rd -18th.....House of Travel Italian Cooking Tour to UmbriaNovember 6th-8th ........Rotorua Hospice/House of Travel – demo’s, dinner and auctionNovember 12th-15th .....Taranaki Hospice/House of Travel – private morning tea, book signing, dinner and auction

hospice new zealand

ambassadors report

“As hospice continues to touch the lives of so many, it provides an opportunity for groups and individuals to return the love and support that they or their families have experienced.

One of the many positive outcomes of my talks, demo’s and visits is the increasing circle of friends that I have. I know that my life has been enriched by my contact with them and I thank each and every one of them.

Again, I wish to touch on the role that House of Travel play in the work of fundraising. Without their generosity in providing travel, much of my work for Hospice would not happen. My gratitude and thanks is extended to all of their staff.”

Jo SeagarHospice Ambassador

08Following consultation with our member hospices, Hospice NZ increased our capacity and expertise in the area of quality and standards of hospice palliative care.The objective of our work in this area is to promote consistent delivery of defined standards of hospice care throughout our membership.

During 2009 with collaboration and support from our member hospices and the wider palliative care sector we identified several opportunities to implement best practice & quality improvement.

Highlights from our work:We conducted a review of international hospice standards covering clinical and management areas of the organisation.

Hospice NZ facilitated a national workshop with Quality Health New Zealand around clinical governance.

We completed a national stock take of policies held by our member hospices. The Quality Network aims to increase the sharing of information and reduce duplication by sharing resources.

We spent considerable time working with Quality Performance Systems (QPS) an Australian based benchmarking company, working with member hospices developing key benchmarking indicators that are now ready for pilot.

Bi-monthly teleconferences, facilitated by Hospice NZ enabled the Quality Coordinators at member hospices to discuss relevant issues and share information. A day long workshop was held with 28 representatives from all member hospices attending, Health & Disability Commission Ron Paterson addressed the group.

Hospice NZ provided expert support to a Ministry of Health led GAP analysis project with the goal of identifying areas for future support and development in the sector of specialist PC Service Specifications.

hospice new zealand

quality & standards

A key piece of work in 09 was the full review of HNZ standards for quality hospice palliative care. This extensive piece of work included an international review of standards in palliative care and consultation with members regarding setting key criteria for quality palliative care.

Standards set out what a person at end of life and his/her family can reasonably expect from hospice in terms of service provision, support and quality care.

They outline how training and support for hospice staff should be delivered in order to enhance care. They also show how hospice systems should function to ensure that the best possible care is delivered in a coordinated way to patients as they approach end of life.

09During 2009 we have seen a greater acceptance by Government and Ministry of Health for the need to “lift the bar” in the provision of palliative care, and to improve access for all sectors of our community. We are currently working with the Ministry of Health to determine service specifications for hospice palliative care and consequently an effective funding model.

Hospices throughout New Zealand have readily embraced their role in supporting other health care providers around palliative care to also “lift their bar” this contributes to the accepted need to improve the quality and delivery of palliative care throughout New Zealand.

Looking Forward2009 also contained a major strategic planning initiative from Hospice New Zealand and its members. Through a series of meetings, teleconferences, and feedback, Hospice NZ has been able to set its road map for the next three years.

The key areas of which are: Standards – Improved quality and consistency in the delivery of hospice care through a single set of standards across New Zealand’s Hospices.

Education – to support a high performing hospice palliative care workforce, continued development of education and training programmes for our members

Awareness – increased overall awareness of hospice in New Zealand. A high number of New Zealanders are unaware of the unique care and services offered by hospice.

Advocacy – advocating for the provision of hospice palliative care for all New Zealanders by providing central leadership and direction.

hospice new zealand

from the chairman

“Undoubtedly the confirmation and rolling out of additional Government funding of $15M was the highlight of the year. This brought national funding for hospices to $51M being approximately 70% of annual operating costs.

It is very clear however that New Zealand’s communities will continue to play an important and vital role in financial and volunteer support of hospice to ensure that their local service is able to meet the demands of the future.”

Wilf Marley, Chairman, Hospice NZ