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I started here in January 1972. Tony Reeve had done an amazing job keeping the Paediatric service going for several years prior to this and stayed on giving sterling support for years afterward . Our most important job was to improve the newborn services and thus assist the Obstetricians in improving the appalling perinatal death rate we had in Hawke’s Bay at that time. It was an exciting and challenging time. Ted Ward played a major role in setting up the newborn ventilation service and initiated the excellent relationship we continue to enjoy with the ICU team
David Easton arrived from the UK 3 to 4yrs later and gaye five years of excellent service here before returning to the UK to work in Basildon . We missed his wit and vitality.
Oliver Smales and Libby arrived from Nottingham about a year before David Easton left. Most of you will have known Oliver and will recall his quiet charm intellectual honesty, Gentlemanly manner and mischievious wit. We have not yet recovered from losing him.
Robert Evans came to us from the Valleys and for five years improved the standard of Hospital cricket tremendously as well as doing excellent Paediatric work He went back to Merthyr Twydvill! !
And so to the youngsters: Moira Campbell, Jenny Corban, Philip Moore, Russell Wills and Kai Steinmann the talent just gets better and better.
A few words about organisational structures
HBHb I00yrs
HB Area HB
Health Care HB
HBDHB
My experience is that improvements in Health care in Paediatrics has been due to the implementation of new knowledge by well trained clinicians. As long as management supports clinicians, structures and processes are not that relevant . The idea that clever management can reduce health costs is true but the savings are never going to be great. Complex health problems are very costly always have been and always will be. I have been very grateful for the support I have had from Hospital management in the various guises I have mentioned over the last 34 yrs. My experiences with some National Health Organisations have not been so congenial.
Paediatric practice has changed markedly over the last 34 yrs. Earlier the accent had to be on the Newborn and acute serious illness followed by Children with long term illnesses like diabetes, CP and CF. More recently the divisions between Child Healthdowner, Social Welfare and Education have become less distinct as all groups try to help children with psychological disorders, behaviour disorders, slow development .
There has been a big change in the way we work. We work as teams now and it is wonderful to have formal input from our Nursing Colleagues in the management of our patients. So much for work
I have had a charmed life. People have always helped me at critical times.
After I graduated I did not have a job. Ted Ward found me one in Napier.
When I was thinking about returning to NZ from London Colin Watson arranged it all.
When I needed to get a ventilation service going for the Newborn Ted Ward turned Trumps again.
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