Hawke’s Bay – East Coast Community Report – Work in Progress 31 March 2011

1. Hawke’s Bay – East Coast Community Report – Work in Progress 31 March 2011

2. Contents Introduction………………………………………………………………………………….3 Executive Summary………………………………………………………………………..4 Region……………………………………………………………………………………….7 Family & Community Services Funding Information……………………………………8 Where we have been………………………………………………………………………13 What we were told………………………………………………………………………….14 Existing Information & Resources…………………………………………………………30 Engagement Timelines……………………………………………………………………..30 Emerging Themes ………………………………………………………………………….31

3. Introduction • Introducing the Hawke's Bay & East Coast CRM Forum • The Forum currently has eight members: • Community Representatives • Caren Rangi (Co-Chairperson / Media Spokesperson) • Molly Pardoe • Laine Higham • Allan Tolley • Raewynne Jacobs • Government Agency Representatives • Mere Pohatu, Te Puni Kokiri • Rhonda Taylor, Child Youth & Family • Jane Hopkinson, Family & Community Services (Chairperson) • The Forum has made recommendations for two extra members to join the Forum. These people will be from Wairoa and Central Hawke’s Bay as the rural nature of these communities and high deprivation amounting to some critical issues are prevalent especially in the Wairoa community.

4. Executive Summary • The Hawke's Bay & East Coast Community Response Forum is pleased to submit their first report on the progress they have achieved to date. • The Region is characterised with five District Councils, with three provincial cities of Gisborne, Napier and Hastings and three rural communities including Central Hawke's Bay, Wairoa and the East Coast. The East Coast community is a part of the Gisborne District however has always been viewed as a distinct community in its own right. Wairoa and the Coast share many issues because they both experience high deprivation. • The Forum Members have met regularly since coming together, a total of nine times. Our activities have been as follows: • 27 October 2010 Central South Region Orientation Workshop for all members across four forums • 23 November 2010 Forum meeting • 08 December 2010 Forum meeting • 09 December 2010 Results Based Accountability Workshop with Mark Friedman • 03 February 2011 Forum meeting • 23 February 2011 Hastings & Napier Public Meeting- Chair & Co-Chairperson met with Hastings Mayor Advisor and Council Staff • 28 February 2011 Central Hawke's Bay Public Meeting – Co-Chairperson met with CHB Mayor and Council Staff • 01 March 2011 Forum meeting • 02 March 2011 Co-Chairperson met with Napier Mayor and Council staff

5. Executive Summary • 17 March 2011 Wairoa Public Meeting – Chairperson and other forum members met with Wairoa Mayor and Council staff • 17 March 2011 Gisborne Public Meeting – Chairperson and other forum members met with Gisborne Mayor and Council staff • 18 March 2011 East Coast Public meeting held in Te Araroa • All forums meetings have focused on getting to know each other and building a working relationship together, planning community • engagement along with becoming familiar with their roles and responsibilities and the social sector’s current funding structures. • Members have felt both overwhelmed and anxious about the enormity of the task of transforming social services across their region • and excited at the prospect of making a difference through their contributions and recommendations for achieving transformation. We • often encourage each other to look forward to the potential outcomes of the Forum’s activitieswith positive anticipation. • The first tier of engagement planned was meeting with Mayors in each district to discuss and agree on ways of working together, • acknowledging the synergies of the work each other is doing. The Forum is looking to leverage off existing consultations and findings • completed by Councils and adding value to each others work going forward. Meetings with Mayors and Council Staff have been • coupled with public meetings which have been held in each of the five districts to introduce Forum Members and explain their role • around the transformation of social services in communities. At these meetings the forum took the opportunity to begin conversations • and collect feedback from participants . • Emerging themes and ideas for better ways of working in communities • Service hubs where families could go to address a range of issues across health and social supports • Development of community charters, shared vision, and outcomes, ,joint planning for social service provision • Shared Information Technology, Strategic Planning, Training, HR functions across organisations

6. Executive Summary • Common issues that have been identified through this first tier engagement have been: • All rural communities identify issues around transport and accessibility to services for some families • Lack of connectivity between services • Lack of local/resident services in rural communities • Organisations contracted to deliver services from outside of the community are not visible providing these services • Many organisations struggle with the viability of delivering services • Short term contracts result in organisations not being able to plan and deliver services efficiently • Difficulty in securing and maintaining the tenure for qualified and competent staff • Good networking in communities but still need to encourage more collaboration across community and government agencies • Alongside the planning for an in-depth engagement, review and analysis of each community , the Forum will look to invite organisations to meet with them who have structure that supports multiple organisations to deliver supports across many communities. We want to explore how sharing of governance, strategic and administrative functions can benefit families and build more capability in communities. • The forum have proposed the following timelines for the In-depth Review, Analysis and Engagement across the Hawke's Bay & East Coast Communities • Planning has already begun in the CHB community to hold a free sausage sizzle at the community pools so the forum can hear from families themselves. The planning of engagement for each of the five communities will be completed by: • 30 April 2011………………Central Hawke's Bay • 30 September 2011………Wairoa & Gisborne • 31 March 2012…………….Hastings & Napier

7. The Region • The region has five District Councils: • Gisborne District Council – the Gisborne and Coast communities have issues of high deprivation • Wairoa District Council – Issues of high deprivation • Napier City Council • Hastings District Council • Central Hawke's Bay District Council

8. Family and Community Services Funding Information Total Funding Distributed by Service Group for 2011

9. Family and Community Services Funding Information … Total Funding Distributed in Central Hawke’sBay, Gisborne, Hastings, Napier and Wairoa for 2011 Please Note: Funding by territorial authority shows only where the service is delivered, not the location of the service provider. Also where the service is delivered across territorial authorities the funding has been apportioned across those areas

10. Family and Community Services Funding Information … Percentage of Total Funding Distributed in Central Hawke’sBay, Gisborne, Hastings, Napier and Wairoa for 2011

11. Family and Community Services Funding Information … Total Funding in Central Hawke’sBay, Gisborne, Hastings, Napier and Wairoa for 2011 by Service for 2011

12. Family and Community Services Funding Information … Percentage of Funding by Programme for 2011

13. Where we have been The Forum has engaged with the following communities: • Central Hawke’s Bay • Hastings Napier • Wairoa • Gisborne • Te Araroa – East Coast The first tier of engagement within the above communities was planned to include visits to district Mayors and Council staff to introduce and discuss the Community Response Model forums and the tasks and responsibilities they have undertaken. The conversations have also included agreements to work together through the second tier of engagement in their respective districts for in-depth review, analysis and engagement in their communities and to share information about community needs that will add value to each other’s work going forward. At the same time public meetings have been also been held across the above districts to also introduce and explain the responsibilities of the forum. These meetings have also offered an opportunity to workshop with attendees around the most pressing issues and gaps they perceive exist in their community, also looking to what works well or not in their communities. We have also invited public feedback at these meetings on how they see engagement with them and any other information/research that we as a forum may need to know about as we undertake this work with them. The Forum decided a blanket approach to introduce themselves across all communities was necessary to show their desire to begin building an open and transparent working relationship within communities. The meetings in the main have been received well with a sense of positive anticipation.

14. Napier/Hastings • Competitive funding environment • Lacking services for care and protection of children with disabilities • NETS needs to improve tracking and re-engaging youth in education • Youth as young as 8 years of age disengaged from education, need better supports • Lack of supports for young mothers sent home early from hospital i.e. Vulnerable Women’s Group • Too many providers of services • Central Hawke’s Bay (CHB) • Parents As First Teachers for rural communities • Transport, access to services and activities • Limited training options for youth • Youth finishing school with no qualifications • Youth transitioning to employment • Youth suicide rates • Teen and sole parents • Staff retention • Depression • Literacy issues within families Gisborne • Viability • Sustainability • Whanau driven services, reporting needs, needs analysis • Too many services, too little direction • Local ownership • Government agency non-collaboration i.e. MSD arms • Random targets without logic • Individual focuses one-on-one type contracts • Too many deliverables in short time spans • Rural considerations/cost i.e. travel • Not enough skill based/professionals to do the work • Gaps in service delivery – Cant get people to deliver service e.g. Drug and alcohol counseling • Parents unable to control their children • Constraints by time, perception by management • Huge accountability requirements • Short-term contracts • Organisations providing services but not funded • Over-burdened organisations What We Were Told: Biggest Issues and Critical Gaps

15. Wairoa • Need more resources to Maori • Tertiary education opportunities • Good employment opportunities to retain working aged people • Drug and alcohol education, counselling and support • Youth counselling services • Suitable public transport • Coping mechanisms for vulnerable families • More support for whole whanau • Young mums, parenting, child care centre's, life skills and budgeting • More support for elderly people experiencing abuse and isolation issues • Apprenticeships • Quality housing • Professional skilled services • Increase social workers in schools • Effective alternative education programmes that offer practical experience and social skills • Locally owned enterprises • Teacher/need ratio rather than teacher/numbers ratio Wairoa Continued…. • Suicide prevention and counselling support • Access to services • Family advocacy activities • Sound budget advice and mentoring • Support person to assist those travelling to services outside of Wairoa • Commitment from providers/ funders • Geographical issues – Service provision split between Tairawhiti and Hawke’s Bay • Fragmentation, services delivered from different regions • Access to specialist services that feel safe and offer confidentiality • Wairoa families are disadvantaged by lack of specialist services • Intergenerational impacts. Break generational issues. • Good information and knowledge • Good education policy influence • No Family violence services locally, people have to leave town to be safe Biggest issues and critical gaps

16. Biggest issues and critical gaps East Coast • Access to activities for youth • Transport issues • Local facilities for youth to engage in sport/activities, have to travel 2 + hours • GP twenty minutes drive from Te Araroa • Cost of fuel higher in rural areas therefore cost to access services expensive • Don’t always have the resources to respond to government requests • Most IT based in schools, some have access at home • Everything across the coast is more costly • Elder Abuse Awareness missing, a lot of abuse is happening, people are ignorant to what they are doing to their elders • Low employment opportunities locally • No local physio, causes issues for elderly • No physical help for stroke victims • Many parents aren’t getting involved with youth • No programmes for pakeke • No courses for young mothers • Drug and alcohol abuse issues across all communities • State of housing a huge concern • Generational issues • Alcohol abuse biggest issue • Some service providers feel constrained by contractual obligations

17. Napier/Hastings • Healthy homes initiative using measures from DHB’s • Age Concern works collaboratively across agencies and service providers • Self sustaining providers • Napier Family Centre providing a range of services and collaborating across divisions • Shared outcomes, collaboration, goodwill, consistent messages across groups • Bi-monthly network, attendance is increasing • Providers working well to re-engage youth in education • Central Hawke’s Bay (CHB) • Panda Bus, transport for elderly living in rural communities (non funded) • EPIC Ministries youth programmes and mentoring (partially non funded) • Mobile nursing team works well • Creative arts and kappa haka strong within the community • High Trust Contracts – contracting for outcomes • Overall existing services work well, established relationships • “Christine’s good because she’s connected” • Pharmacy deliveries Gisborne • Good voluntary services • Goodwill • Street by street initiative, police, age concern, child advocates, aged advocates • Collaboration, strengthening families and TAIN • Services delivered in homes • Collaboration potential at NGO level • Pockets of energy with well trained people across several groups • Youth voice – MYD funded • Experienced personnel • Child advocates and their role with education • Suburban organisations, KPK/ETE/KKM • Local leadership • Very good people going beyond the call of duty • Personal touch • Marae youth justice • Teen parents – Te Whare Whaihia • Some parts of Alternative Education programmes work well i.e. consultation and collaboration with other agencies What works well and why

18. What works well and why Wairoa • Wairoa College cactus programme keeps youth occupied • Age Concern and Wairoa YNOT for teens work well together • Local freezing works – largest employer • Incredible years • Wairoa youth service after school programmes • Aged Concern Wairoa shows strong commitment to supporting elderly • Kura Kaupapa alternative to college has 50% Maori male • Community Max programmes offer youth an opportunity to develop employment skills and build relationships • RTLBs • Good health and education collaborative network, safe information sharing • Pol400s, good across agency involvement, needs to be increased. • Local people within services know whanau well • Integrated health centre starting at hospital • Strengthening families when families engage • When town goes together we do go well • Parents as first teachers works well • Plunket Nurses 4 days per week works well • Wairoa people have innovation • Te Ataarangi works well, maximise on success. East Coast • Fishing programmes level 2 or 3. Some high school students get involved • Kaupapa driven • Pakeke van available to take people to city • Boxing programmes – youth engaged and participating • 50% of tamariki at Kura learn Te Reo Maori • Community Max works well, keeps people engaged and contributing

19. Changes to be made to improve support to families • Central Hawke’s Bay (CHB) • Strengthen relationships, improve collaboration • Information provision , ensure community know who is doing what and what’s available to them • Competitive funding model, Ministry targets need to be driven by community need • Breakdown barriers in organisations, work with and not against each other • Non contestable funding/not competing • Streamlined and long term contracts • Contracts that allow for follow up not short term interventions (band aide) • Stop assuming that you know what people need and start listening to them • Emphasis currently on business outcomes not outcomes for clients • We need integrated, collaborative and cohesive services • Integrated shared client services • Better collaboration, focus on community need • Stronger communication across providers and feedback loops to local government and government partners • Being responsive to cultural need • Change perception on who actually needs help • Bridge the gap between this environment and private sector • Involve families in decision making, their outcomes/ownership/empowerment • Be real about what we are good at and trust each other • SWISS/MAS • Need for capacity building • Advocate – a voice for families

20. Changes to be made to improve support to families … • Wairoa • Bring back apprenticeships and trade training especially Maori programmes • Improved health services based locally • Access to services • Advocacy Support • Strengthen volunteer base • Whanau approach and choices, people need relevant options • Improved social wellness, e.g. suitable employment opportunities • Youth mentoring and positive male role models • Strong male leadership • Parenting programmes • Suicide prevention • Family Violence prevention programmes • Local service provision • Increase number of youth workers and social workers • Young mothers have the option to stay in hospital longer following birth of a child and are well supported in hospital and at home • Strengthen relationships across community agencies • Access to safe and confidential services • Stock take social capital (skills) • Community Service monthly hui • Safe and affordable access to recreational activities, such as: community centre pools and gym.

21. Changes to be made to improve support to families … • Wairoa Continued… • Capitalise on Te Reo Maori programmes – whanau, hapu, Iwi development. • Marae based Whakapapa and Tikanga • Transportation • Invest in skills • Population based funding changed to needs based funding • Needs improved accountability for money invested here • Health and education need to work with whanau effectively • Inconsistent children still slipping through gaps • Increase CYF social workers in Wairoa only 1 permanent worker • Break down patch protection • Work more closely with whole whanau • Drug and alcohol education • Engage families • Instill core values in tamariki • Plan beyond the training and toward employment • Service provider sustainability. Long term contracts • Attract research funding • Planning shared vision together • We need expertise • Access to “something” or “someone” • Outcomes focused/outcomes still important

22. Changes to be made to improve support to families … • Wairoa Continued… • Lift expectations, everyone can! • Put downs to put ups! • One contract across multi-funds and programmes • Providers (NGO’s) planning with FACS for outcomes • Build more resilient families who are able to cope • Good knowledge, policy information and advice • Need “breaking of silence” applied CRF but did not meet criteria • Change funding silo’s – bring it all together, health, education and social wellbeing. All areas impact on other areas. • East Coast • Let the ownership belong to the people • Skills audit across whanau, utilise the expertise within families • Programmes for pakeke, facilities available • Good information and advice services • Appropriate courses for young mothers, budgeting, cooking etc

23. Changes to be made to improve support to families … • Gisborne • Flexible contract management, we should be into transportation not trains • Confidence quality insurance mechanisms • Awareness of available services • Sustainability • Build capacity, volunteers • Innovative strategic collaboration • Communities select their own champions • More robust post referral/placement support • Age restrictions on contracts • Collaboration across providers • Out with contestability • In with local decision making and planning • Saying “NO!” to six cars up the drive way • Add compulsions to solutions • Improve education opportunities and employment chances • Valuing kids early and ongoing • Ban low expectations • Ensure mums matter • Exciting prospects future thinking • Something to come/happen out of this consultation

24. Changes to be made to improve support to families … Gisborne continued.. • Stop changing what works well, leave it alone • Get rid of what’s not working • More in-depth engagement • Change the way we provide information and advice so more people know whats available • More information awareness of individuals in our community/early intervention e.g. aged concern and youth • Get rid of all our alcohol outlets • Provide free bus service to school e.g. Kaiti to across town • Need locally lead initiatives • Bring training to Gisborne – Too costly to go out of town • Affordable housing • Other ECE options • Emergency housing • Empowering people to manage themselves and want to make change • Joined-up funding streams • Build self-esteem of young people and families • Agencies need to talk to each other • Realism, role models, life skills • Access to good employment, housing, education and health • Integrated contracts • Sustainable services

25. How can resources be applied more effectively Central Hawke’s Bay (CHB) • Pool workers so they can be deployed to where the need is • Hub for all services to improve relationships, coordinator working across agencies • Joint planning - Develop a community funding plan, do things differently. Shared vision, shared goals. • Go back to programmes that worked in the past, i.e. Abbotsford family approach • Identify high risk families – all agency involvement • Early Intervention/prevention • Hospital services only for acute and crisis care, shift power to communities • Providers have flexibility and are contracted to provide full wrap around services • Napier/Hastings • Invest more in early Cut down on the number of organisations • Agreed shared outcomes and agreed measures for funding model • Draw on intergenerational knowledge • Work with people in their homes • Reduce the number of people going to jail, reduce ripple on effects to families • Mobilise communities • More FaCS resource locally • intervention rather than crisis management

26. How can resources be applied more effectively Wairoa • One stop shop – new location for Heartlands, build us an empire, raise income, share resources and aim for sustainability • Fluid services/sharing resources and supporting each other • Gisborne • Central referral hub • If you are going to change families you need funding for families • Local plan • Identify priorities • Local accountability • Neighbourhood meetings East Coast • Build on heartland services, available only ½ day per month and under utilised

27. Does funding need to be refocused and why • Central Hawke’s Bay (CHB) • Mobile nursing services – take services out to rural communities • Napier/Hastings • Invest more in early intervention rather than crisis management • Wairoa • Maori children focus • Gisborne • Focus on children being excluded from school • Ways to engage with community • Central Hawke’s Bay • Go to communities • East Coast • Maori like entertainment/sports. Create an environment that brings people in. • Engage families (everyone) • People here will engage for different reasons

28. Does funding need to be refocused and why Wairoa - Families are important - Iwi identities are important - Congratulate minister for putting social workers into hospitals, part-time employee based in Napier. Wairoa needs a full-time social employee to manage work load Gisborne - Proven programmes working well should be maintained - Men’s health programmes cut - Ensure services like TAIN supported so communities continue to work together - Support collaborative networks e.g. other sectors, health, social service, education and housing East Coast - Treasure our elderly not abuse them - Community find it difficult to report crime due to lack of trust in Police - Elderly afraid they are going to lose their land due to expensive rates - Community share a common dream, currently working in our own little boxes – Bring the boxes together “what an awesome power

29. Existing Information and Resources • Community Outcomes Process for each Territorial Authority • Community Demographics and Indicators (Information sourced from other central government agencies and statistics NZ) • Hawke’s Bay Social Sector Forum Result Cards • Hawke's Bay Parenting Research project • CHB Solutions Project • Contract Mapping Tool • FaCS Funding information • Common High Level Priorities Across Government Agencies Summary Report (FaCS)

30. Emerging Themes to the Minister • As the Forum has completed the first tier of engagement across all of its communities they do not believe they could make any recommendations for funding of QS& I proposals, however there were themes that came out of the many conversations we held in the public meetings which will enable us to focus the second tier of engagement. • Some of these themes include: • All rural communities identify issues around transport and accessibility to services for some families • Lack of connectivity between services • Lack of local/resident services in their community • Organisation from outside of the community funded to provide services do not show • Organisations struggle with viability to deliver services • The short term nature of contract which result in organisation not being able to plan and deliver services efficiently • Difficulty in securing and maintaining the tenure for qualified and competent staff • There were also conversations that suggested different arrangements for service delivery which included: • Service hubs where families could go to address a range of issues across health and social supports • Joint planning - Develop a community funding plan, do things differently. Shared vision, shared goals • Shared Information Technology, Strategic Planning, Training, HR functions across a number of organisations • Quality Services & Innovation Funding • The Forum has not made any plans for recommendation for the above fund as they believe it is too early to engage the community in any forward planning until they are confident as to what actual transformation will look like across these communities. Once conclusions have been drawn and assumptions tested they will them begin to invite discussion in communities to support change.

31. Signatory 31st March 2011Caren RangiCo-Chairperson/Media SpokespersonOn behalf of the Hawke's Bay & East CoastCRM Forum Member Date