MenzShed sheds save lives - but we need more of them
MenzShed sheds improve member's emotional and pyhsical wellbeing, and provide men with a positive sense of belonging and purpose. A new report issued by MenzShed and conducted by The Selwyn Foundation highlights their impact - and is out today. The report paints a picture of sheds offering our ageing men health by stealth through connection with others. MenzShed chairman David Broadhead says the charity needs more land, buildings and funding to cater for the future need. He joins Jesse.
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RNZ News
6 hours ago
- RNZ News
Doctors call for NZ to ditch 'outdated' endometriosis guidelines
Endometriosis affects about one in 10 women and girls in New Zealand. Photo: 123rf New Zealand's "outdated" guidelines for treating the pelvic inflammatory disease endometriosis are delaying diagnosis and treatment for sufferers, warns an advocacy group. Endometriosis New Zealand spokesperson Dr Michael Wynn-Williams said new guidelines developed by the the Royal Australian and New Zealand College of Obstetricians and Gynaecologists were already being implemented in Australia for the painful condition, which affects about one in 10 women and girls. "This new guideline represents the gold standard in evidence-based care and is already being implemented across Australia," said Wynn-Williams, who chairs the clinical advisory committee. It recommends the use of non-invasive imaging, such as pelvic ultrasound, as a first-line diagnostic tool, moving away from reliance on diagnostic laparoscopy, which has contributed to long wait times for diagnosis. The current 2020 Ministry of Health document was no longer fit for purpose and needed to be urgently replaced with the new Australian Living Evidence Guideline, he said. "Our current guideline is now outdated, and out of step with modern diagnostic and treatment practices. "By contrast, RANZCOG's new guideline reflects the latest evidence and provides clear recommendations for early diagnosis, as well as first-line hormonal treatment to be run in parallel with diagnostic investigations. These are crucial to reducing the delays in diagnosis and treatment that too many patients still experience." Endometriosis New Zealand chief executive Tanya Cooke said adopting the new guideline would bring New Zealand into line with global best practice, and ensure patients received faster, less invasive and more equitable care. "We have written to the ministry and Te Whatu Ora, urging them to adopt the new guideline as soon as possible," she said. "It's also really important that they work with RANZCOG and others to support application of it across the sector, and for the benefit of the 120,000 New Zealanders living with endometriosis." A Health Ministry spokesperson said it was "grateful for the important work that RANZCOG has undertaken in developing these guidelines to support clinical care in this important aspect of women's health". "These guidelines represent a valuable resource, informing clinicians of evidence regarding diagnosis, management and care of people living with endometriosis. "Health New Zealand has established processes, through clinical networks and health pathways, to consider clinical guidelines and how they might influence on clinical service delivery to achieve better outcomes for New Zealanders." Health NZ national chief medical officer Professor Dame Helen Stokes-Lampard said clinical guidelines and health pathways were reviewed regularly. "Our immediate focus is on urgent patients and those who have been waiting the longest for treatment," she said. "We continue to work hard to put in place systems and processes, so improvements to waiting times are made." Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

RNZ News
a day ago
- RNZ News
Iwi Māori Partnership Boards concerned their role minimised under Pae Ora Act changes
The two-day National Iwi Māori Partnership Board hui was held at the Devon Hotel in Ngāmotu Photo: supplied / Sarah Sparks Iwi Māori Partnership Boards are concerned changes to the Pae Ora Act minimises their role. A national hui hosted by Te Punanga Ora in Taranaki brought all 15 Iwi Māori Partnership Boards (IMPBs) together for the first time since their establishment in 2022. The gathering followed the first reading of the Pae Ora (Healthy Futures) Amendment Bill which is set to 'rebuild the health system'. There are four things within the proposed changes that Hingatu Thompson from Te Taura Ora o Waiariki IMPB wants the government to reconsider. "One is we don't agree that te Tiriti should be removed out of all legislation. The second thing is, there is a Hauora Māori Advisory Committee (HMAC), we support them having a national role, but we think they should be accountable to iwi and we can provide that channel. "The third thing is there's a Māori health strategy still within the Act, and we just want to endorse that. There's no way New Zealand is going to achieve improvement in Māori health without having a plan." His fourth concern was the role of IMPBs . Thompson said if their roles were taken away, it would be harder for Māori health to improve. Hingatu Thompson from Te Taura Ora o Waiariki IMPB Photo: supplied / Sarah Sparks "It's about the Treaty relationship, te Tiriti o Waitangi, how Māori engage with the Crown to ensure Māori are well and to make sure there is a difference for all of the inequity that we see because Māori do die younger. We do have access to the same services, but the outcomes are worse." It was announced last week that life expectancy for Māori had increased more than any other ethnic group in New Zealand, but the 3.1 year increase still kept Māori at the bottom of the rung. "It would be interesting to see where those statistics are generated from," Te Pununga Ora deputy chair Mitchell Ritai said. From heart conditions to gout, Ritai said certain medical conditions contributed to Māori dying earlier than non-Māori. "These are all historical issues and we need a system that helps to ensure that these inequities that we're experiencing as Māori are addressed in the correct way." Te Pununga Ora Deputy Chair Mitchell Ritai Photo: supplied / Sarah Sparks He believed it should be up to local people in communities who should lead the way. "Interventions, programmes, initiatives to help improve health statistics should be led locally. The change to the Pae Ora Act stops that and that's one of our concerns is that our voice, and the voice of our whānau, may potentially be silenced with these amendments." It was through the Tino Rangatiratanga clause under article two of te Tiriti o Waitangi that got IMPBs off the ground, Ritai said, it was an ability for Māori to have a direct connection to decision makers at a local level around addressing health inequities for Māori. Te Pāti Māori co-leader Debbie Ngarewa-Packer said the Pae Ora legislation was the last of the changes that the "government has made to strip out te Tiriti, to strip out equity approaches to Māori health". "It's gutting for a lot of entities that have been around forever and tried the mainstream health way and seen how it's failing Māori. "The sadness is that we're tangata whenua. We're the indigenous peoples of Aotearoa. And the government doesn't think that we're worth protecting. It's quite heartbreaking when you look at the level of commitment that iwi have given." Debbie Ngarewa-Packer and Elijah Pue Photo: supplied / Sarah Sparks With the backing of whakapapa and mana, IMPBs are iwi-led and iwi-appointed, therefore they hold aspirations within each of the regional iwi, Ngarewa-Packer said. "What we've been trying to do is go out to create health services in a regional bespoke way that makes sure that you can either go out to marae or go to the kaumātua wānanga, be where rangatahi are and deal with it as best suits for those communities in a regional sense. "And that's what the Iwi Māori Partnership Boards are mandated to do... advise and determine where investment should be." Public submissions on the Healthy Futures (Pae Ora) Amendment Bill close Monday, 18 August. Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.

RNZ News
2 days ago
- RNZ News
Why is sleep sometimes not restful?
Photo: Unsplash Sleep should be restful, but sometimes it is not. So why is that? New research from the University of Otago has found that stress-controlling brain cells - called corticotropin-releasing hormone neurons - switch on and off in a steady rhythm about once every hour while we are asleep - even when nothing stressful is happening. It is world-first research that could reveal how these patterns affect health, mood, and sleep. Senior author Associate Professor Karl Iremonger, of Otago's Department of Physiology and Centre for Neuroendocrinology, told Saturday Morning that these bursts of brain cell activity seem to act like a natural 'wake-up' signal, and often lead to a rise in stress hormones, or cortisol. He said there were a lot of things that can disrupt the circuitry in our brain that controls the release and response of stress hormones - such as chronic stress, which is associated with negative health consequences. "So now we're really interested in trying to come up with treatments and drugs that can dampen down the activity of these stress neurons in these states where they're too active," Iremonger said. The study was conducted with rates and mice, as the stress-controlling brain cells are too deep down in humans to be recorded, Iremonger added. It was found that these brain cells were not only controlling our stress, but also our arousal or wakefulness state too, which can both affect the quality of our sleep as well as cause disorders like insomnia. "Knowing how these brain signals work will help us understand the links between stress hormone levels, alertness, and mental health." Sign up for Ngā Pitopito Kōrero , a daily newsletter curated by our editors and delivered straight to your inbox every weekday.