Topcare Shortlisted for Customer Service Award


Topcare, the south Auckland kindergarten group has made the shortlist for Excellence in Customer Service Delivery in the Westpac Auckland Business Awards 2015 – South.

Topcare founder Jackie Hui says: `We’re thrilled that the hard work of our dedicated team has been recognised. Our aim at Topcare is to make a real difference to our children’s lives by providing top quality care and education in the finest facilities anywhere in South Auckland.’

Christine Yi and Jackie Hui pleased to be on the shortlist
The Early Childhood Learning specialist, has recently opened a new centre providing pre-school care and education for children age two – five years of age at state of the art premises in Portage Road, Papatoetoe, South Auckland.

The new centre is modelled on the highly popular Topcare Early Childhood Learning Centre at Evelyn Street, Papatoetoe and will cater for up to 55 children.

Topcare founder, Jackie Hui has over 20 years of international experience in early childhood education. She studied for the Diploma of Early Childhood Education at the Manukau Institute of Technology and later graduated with a Bachelor of Education from the University of Auckland.  

In 2008 she opened the first of the Topcare Early Childhood Learning Centres, which has been highly successful with parents and shortlisted for a number of awards. This year Jackie gained her Masters of Educational Leadership.

Jackie says: `What we are building at Topcare is a new model of excellence in New Zealand early childhood education. My educational philosophy is founded on the strength of the relationships between the children, parents and staff built on Trust, Security, Respect, Caring and having fun. I really believe that children learn best when the teachers and parents work together and the children are engaged in experiences that are stimulating and interesting.

‘Topcare practices reflect the multicultural heritage of New Zealand’s community. Topcare’s mission is to educate our children to be the leaders of the future. We treat our tamariki with passion, love and knowledge.’

Topcare, 99 Portage Rd, Papatoetoe, Auckland, 
Description: http://www.devol.co.nz/topcare/wp-content/themes/kindergarten/images/sep2.png+Tel: 09- 278 2733

Topcare, 14 Evelyn Street, Papatoetoe, Auckland,
Description: http://topcare.co.nz/wp-content/themes/kindergarten/images/sep2.png+Tel: 09-2782788 

Description: http://www.devol.co.nz/topcare/wp-content/themes/kindergarten/images/sep3.png contact@topcare.co.nz 




Chiropractic Care – Contributing to a Safer, More Clinically Sustainable New Zealand Health Service


Chiropractors are poised to play a vital part in the country’s primary health care system, according to the New Zealand Chiropractors’ Association (NZCA). In its submission to the Government’s New Zealand Health Strategy Update, the NZCA says that chiropractors are well placed to deliver high quality, evidence-based, natural and non-surgical care to manage neuromusculoskeletal dysfunction. 
Dr Hayden Thomas, chiropractor and spokesperson for the NZCA explains: `A key premise of chiropractic care is to promote health and wellbeing. As such the chiropractic profession is ideally placed to support New Zealanders to “live well, get well and stay well” also a key objective of the New Zealand Government’s Health Strategy Update. 
`Neuromusculoskeletal (NMSK) disorders (problems with nerves, muscles and skeletal structure of the body, primarily of the spine) place a heavy burden on the New Zealand health service and have become increasingly costly. This cost goes well beyond the healthcare sector, placing a strain on industry due to lost productivity (presenteeism) and days away from work (absenteeism), and for the individual, a reduction in ability to perform activities of daily living and ultimately their quality of life.’


      UK figures estimate that up to 30% of all GP consultations are about musculoskeletal complaints and British GPs have reported that it is the top clinical reason for visits (with musculoskeletal pain the most common presenting symptom) (Department of Health, 2006. Musculoskeletal Services Framework)
      NMSK conditions have a significant social and economic impact, with up to 60% of people who are on long-term sick leave citing NMSK problems as the reason and patients with NMSK forming the second largest group (22%) receiving incapacity benefits. (CBI, in association with AXA, 2005. ‘Who care wins: absence and labour turnover 2005’)
      Furthermore, it is recognised that whilst prevalent in all age groups the incidence of NMSK disorders generally rises with age. As such the age and proportion of older ages in the population will further increase the demand for NMSK services on an already overloaded public system.

Traditionally, public funded treatment for these disorders has been confined to hospital outpatient departments, however the NZCA believes that broadening the choice of provider of NMSK services for spinal dysfunction (including back and neck pain), to fully incorporate chiropractic care will drive up quality, reduce cost and enable innovation. Chiropractic care has routinely been shown to be safe, effective and has a very high patient satisfaction rate.1-13

The current New Zealand Health Strategy was published in 2000 and much has changed since then, especially growing research into the role of chiropractic care in the management of spinal dysfunction. The updated strategy will set a new vision and a road map for the next three to five years for the health sector.

Dr Thomas says: `We know we can contribute to a high quality health system that integrates across the social sector and is sustainable in the long term. Chiropractic in New Zealand is increasingly focused on providing a foundation for a safer and more clinically and financially sustainable health sector.’

New Zealand has a world renown chiropractic training facility, The New Zealand College of Chiropractic. The college also has a growing internationally acclaimed research centre that is performing and publishing cutting edge studies into the beneficial effect chiropractic care is having on the NMSK system and positive outcomes for the restoration and preservation of health, function and general wellbeing.

NZCA chiropractors provide care with a patient centred, whole person and functional outcome focus. The care is tailored to the individual including a recognition of various biopsychosocial factors that may be involved. They support their hands-on care with cognitive interventions such as individual counselling and advice about the patient's lifestyle, work, and exercise, in order to help manage the condition and prevent it from recurring. Chiropractors have a proud history and grounding in the advantages of a maintenance, prevention and wellness based approach.
For further information on the New Zealand Chiropractors’ Association visit www.chiropractic.org.nz. 
-Ends-


Further Information:

Dr Hayden Thomas, Chiropractor 027 299 9939 or hayden@chiropractic.org.nz

Peter Boyes 027 554 0500 or peter@boyespr.co.nz


References:

1.     Rubinstein SM. Adverse events following chiropractic care for subjects with neck or low-back pain: do the benefits outweigh the risks? J Manipulative Physiol Ther. Jul-Aug 2008;31(6):461-464.
2.     Carnes D, Mars TS, Mullinger B, Froud R, Underwood M. Adverse events and manual therapy: A systematic review. Man Ther. 2010;15(4):355-363.
3.     Bronfort G, Haas M, Evans RL, Bouter LM. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. Spine Journal: Official Journal of the North American Spine Society. May-Jun 2004;4(3):335-356.
4.     Gaumer G. Factors associated with patient satisfaction with chiropractic care: survey and review of the literature. J Manipulative Physiol Ther. Jul-Aug 2006;29(6):455-462.
5.     Walker BF, French SD, Grant W, Green S. A Cochrane review of combined chiropractic interventions for low-back pain. Spine (Phila Pa 1976). Feb 1 2011;36(3):230-242.
6.     Haas M, Sharma R, Stano M. Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain. J Manipulative Physiol Ther. Oct 2005;28(8):555-563.
7.     Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. Jul 29 2014.
8.      "Spinal manipulation epidemiology: Systematic review of cost effectiveness studies". J Electromyogr Kinesiol 22 (5): 655–62.doi:10.1016/j.jelekin.2012.02.011. PMID 22429823.).  
10.   (Mootz RD, Hansen DT, Breen A, Killinger LZ, Nelson C (2006). "Health services research related to chiropractic: review and recommendations for research prioritization by the chiropractic profession". J Manipulative Physiol Ther 29 (9): 707–25. doi:10.1016/j.jmpt.2006.09.001.PMID 17142165)
11.    (Phelan SP, Armstrong RC, Knox DG, Hubka MJ, Ainbinder DA. An evaluation of medical and chiropractic provider utilization and costs: treating injured workers in North Carolina. J Manipulative Physiol Ther. Sep 2004;27(7):442-448).

13.   http://www.nhsalliance.org/press-releases/article/date/2009/10/nhs-allianceannounces-the-2009-acorn-award-winners/ and has subsequently been used as a case study by the Department of Health http://healthandcare.dh.gov.uk/backand-neck-pain-services/

Support for start up businesses

Business mentoring is a long established volunteer-based programme in New Zealand. Since 1991 around 70,000 small to medium sized businesses have taken advantage of BMNZ’s unique network of business expertise in New Zealand and over 1,000 businesses across 10 Pacific Islands have been helped since 2010. The not for profit organisation has about 2,000 experienced volunteer business mentors and business trainers on its books, many with invaluable industry specific expertise.

But until recently, the criteria for business mentoring required an applicant to be currently trading, which ruled out start-ups from the process. That has now changed with the introduction of a new programme, which is designed for people who have a business idea and and sometimes not a lot more.

As BNZ’s chief executive, Ray Schofield explains: `Where do you go if you are a budding entrepreneur? What do you do if you’ve got a great business idea, want to know how to turn it into a fully fledged business, and don't know where to start? What do you do if need a business plan for funding, and need confidential one to one feedback?’

The BMNZ startup programme has been designed for people wo want to explore their business idea in a confidential environment, want to know where to start and who to talk to. It aims to help them put the right foundations in place for their business through planning, preparing the necessary information and documents to present to potential investors to make the idea float and enable people to understand their legal obligations.

Ray Schofield adds: `The programme will help identify easily avoidable mistakes and provide much needed motivation, confidence and focus at a crucial point in setting up a business. Start-ups require a different approach from a business that is already trading - and we at Business Mentors understand this.  For that reason, our Start-up Business Mentoring Programme differs from our standard mentoring offering.  The Start-up programme provides six months of accelerated mentoring for a $300 + gst registration fee, which helps with the cost of administration. Up to March, with just four months since we launched this programme, we have helped over 100 new businesses find their way.’

Mentors with experience in business start-ups offer guidance, act as a sounding board, test the new business owners’ thinking, and support them in the development of a robust business plan.

Nick Sterling has been a business mentor for six years and was involved with the Pacific mentoring programme before he got involved with the Start-up initiative.

He says: ``I have done quite a bit of research on New Zealand and international businesses looking at the reasons for start-up failures. Depending on the research studies conducted by economic development agencies and business schools across most industry sectors, both in NZ and internationally, the Start-up failure rate is far too high, well-over 50% on average, and as high as 80% in some that do not make it past the two to three year period. It is a very high risk venture wherever one chooses to start a new business, and most entrepreneurs starting out fail to fully appreciate this until it is too late.'

Nick points out: `Most entrepreneurs start their own businesses to provide for their families, to build security for their retirement, to secure the future of their children, to have a better lifestyle and to make a greater contribution to their world. They have the deep inner passion and conviction to believe that they can do it. They believe in it so strongly that they either spend their redundancy money, their savings, take loans from friends and family, re-mortgage their homes, get seed funding, or a mixture of these options, to fund that dream.

`But I have found that many entrepreneurs, although very passionate and professional, have serious capability gaps to bridge in order to even undertake the business planning process properly.’

He explains that the ability to consistently focus effort and time on the new business is also essential in both adapting to a new process as a new discipline and in producing quality deliverables in a timely manner.

Nick adds: ‘Planning for and starting a business is said to be arguably harder than doing an MBA. The amount of time and effort required, in addition to the other existing commitments like work, family, leisure and other time constraints, cannot be realistically underestimated.  There is also a serious risk of burn-out to be aware of.

BMNZ’s research has identified a number of other common factors involved in Start-Up Failure. These include

Knowledge, experience and general capability gaps in business and Management

Planning, launching, managing, improving and growing a business, year-on-year, every year

The need to source specialised skills and resources for specific functions within the business

Not enough capital to support the business set-up, launch and get to break-even point
Too much pride – and to realise that it is better to fail early, at minimal cost and impact then start again wiser, than to persist with a losing battle and fall harder down the line

Going into business for the wrong reasons

Wrong advice from friends and family

Design too many concepts without proper commercial and market feasibility
 Lack of experience to negotiate with and to manage suppliers
No knowledge of pricing and / or emotional pricing

Nick met his first Start up client fortnightly at a 24-hr MacDonald’s from 6 – 9pm, covering half business training and half business planning.  He has found that most Start-Ups hit a big ‘realisation brick wall’ within a couple of weeks after the initial planning meeting when it dawns on them how much they do not know, how much they need to learn and apply, how much time and effort they actually need to invest in the business planning process, how much professional development they are required to do to get themselves to the skills standard needed, how much money they need to set-up and  launch, how uncertain the business success still is despite all this.

He says: ‘It is useful for them to work on the ‘Why I want to start my own business’ element at this point, where the passion they feel for their business concept aligns with the reality of what is required to properly validate and to make the business concept successful (or not).

‘Getting the business owner to be commercially aware can prove to be a lengthy exercise and a tough mind-set shift to achieve. I support the client through some business training and professional development through online and reference material which helps achieve this as well as building the capability required to conduct the planning process and eventually manage a business in real life.’

Nick explains there is a range of benefits from the business planning process. The business plan produced can assist the entrepreneur in exploring seed funding as it provides a solid basis for the business concept to be comprehensively analysed.

Even if the initial concept is found to be commercially unviable, this is discovered early, at minimal cost, effort and risk. As a result of the market and financial feasibility studies, the original business concept may well alter to a more commercially viable one that has a better chance to succeed.

He says: `The Start-Up Programme supports entrepreneurs to learn about a professional business planning process, to enhance their existing business skills and management experience and for them to acquire new skills in all areas of their business, enabling them to be in a much better position to take their business off the ground and to make it success on-going.’

Ray Schofield is pleased with the early results of the programme: `Few other organisations in NZ, even in the private sector, come close to what BMNZ can offer in terms of support like this. For an entrepreneur looking at starting a new business, this should provide a degree of confidence and trust to the level of business and management support that they will receive through this Programme.

‘The Startup programme supports the entrepreneur to do all the required planning, identify and resolve most of the risks that would cause the business to potentially fail, before the business ‘goes live. The actual professional services costs to the business owner if the same support services were to be sourced privately would be in the order of tens of thousands of dollars over the lifetime of the business mentoring support offered by BMNZ.’