Clinical Council Members

Dr Keith Reid - Chair

A Scot, Keith graduated with a BSc(Hons) in Medical Sciences from St Andrews University and then undertook clinical studies at Manchester University.  Following house jobs he resumed a medical research pathway holding a Wellcome Trust research training fellowship while completing a Ph.D in gastrointestinal physiology at Sheffield University.  He then worked for the Ministry of Defence as a Research Medical Officer before returning to hospital medicine briefly.

Keith entered public health in 2000, working initially at Croydon Health Authority in South London before being accepted on to the London Public Health Training Scheme.  He completed a MSc in Public Health at St Georges Medical School in London and worked as a Registrar in the London Regional Office of the Department of Health and at Camden Primary Care Trust.

For family reasons Keith relocated to the South West of England while still training in Public Health and undertook further training at Bath & North East Somerset Primary Care Trust and at the Avon Health Protection Unit in Bristol.  On completion of his training he worked as a Consultant in Public Health in Somerset and in Swindon before taking up a post as a population health adviser in the Specialised Commissioning Group for the South West of England.

He was the Regional Quality Assurance Public Health Adviser for Cervical Cancer Screening programmes and had on-going interests in public health aspects of cancer, emergency planning, long term conditions, alcohol, and health service re-design.

Keith was an active member of the British Medical Association for over 25 years.  He was the first medical student elected to the BMA Council and was then a national representative of junior doctors and of public health physicians within the Association.  He chaired the Public Health Committee of the BMA and was an active lobbyist, advocate and opponent of the most recent NHS reforms in England.

Keith left the NHS in late 2012 to take up his present post as a Public Health Physician with the Southern District Health Board, based in Dunedin.

 

Keith was designated as a Medical Officer of Health in January 2014 and as the Clinical Leader for the Public Health Unit later that year.  He is also a member of ‘Alliance South’ and of the Southern DHB Clinical Council.

Jo Krysa

Jo is a Clinical Senior Lecturer and a Vascular Surgeon.

She has been a Clinical leader for General Surgery for the last 3 years.

She has graduated from University College London and completed her surgical training in the UK. She moved from the UK with her husband and two children in 2011 and has been based in Dunedin since.

She has been involved in running training sessions for the district nurses and GPs across the region and continues to be involved in graduate and postgraduate teaching.

Jo has a strong interest in vascular research and is an active member of the Vascular Society of NZ.

Jo_Krysa

Nadine Goldsmith

I’m Nadine Goldsmith and I whakapapa to Ngai Tahu and Ngati Kahungunu ki Wairoa.  I graduated from Southland Polytechnic as a comprehensive RN in 2000 and completed a clinical masters in 2009. Currently, I work as a nurse practitioner candidate (area of practice is Whanau Ora) with Awarua Whanau Services in Invercargill.

I returned home to Invercargill in 2006 after spending the early part of my career nursing overseas in acute paediatric settings. Since returning home I have been energised and motivated most when working amongst our Maori community.  In my current position I provide marae based nurse-led clinics throughout Southland.

Work related interests include vaccination and nursing workforce development. Outside of work I enjoy tramping and diving for our local delicacies. I am grateful of the endless support I receive from my husband, daughter and work colleagues as I progress my nurse practitioner goal.

Associate Professor Jim Reid

Jim graduated at the University of Otago Medical School in Dunedin New Zealand. He had previously trained as a pharmacist. He undertook postgraduate work at the University of Miami in Florida. He was Acting Dean of the Dunedin School of Medicine, University of Otago and is currently the deputy dean. He has a private family medicine practice at the Caversham Medical Centre, Dunedin, New Zealand. Jim is the Primary Care Advisor for Southern DHB. He is a Distinguished Fellow of the Royal New Zealand College of General Practitioners and is also a Fellow of the American College of Chest Physicians.

Adell Cox

Adell has joined the Clinical Council as the representative for Allied Health, Scientific and Technical. 

Adell works in the role of Professional Leader, Clinical Psychology.  This is a district wide role which involves working with clinical colleagues and management in the mental health and medical sectors.  In her clinical role, Adell also works in the Child Health/Paediatric services.  This is also a district wide role and Adell travels regularly so, although she is based in Dunedin, she also works in Central Otago and Invercargill.   

Adell also belongs to a national network of DHB Professional Leaders in Clinical Psychology which provides a broader perspective of developments and initiatives across DHBs.  Adell also liaises closely with the Clinical Psychology Training Programme at the University of Otago.

Adell’s research interests include obesity in childhood and she has recently participated in an HRC funded intervention study in this area.

Leanne Samuel RN RM MHSM

I am a nurse and midwife with a passion for safe quality nursing and midwifery service delivery. I have held nursing leadership roles from Duty Manager and Charge nurse positions through to Chief Operating Officer and Executive Director Nursing and Midwifery roles over the last 20 years. In 2001, I completed a Masters in Health Service Management when I worked in the Australian Health system.

I am passionate about public health care and thrive in the highly pressurised and challenging health setting that is Southern DHB. We have over a 3000 nurses and midwives working in many different parts of the health sector and are on an exciting integration journey supporting growing capacity and capability of our workforce in our community settings going forward.

Nurses and midwives have so much more to offer the overall health and wellbeing of New Zealanders and areas relative to advanced practice opportunities and primary care in particular will be areas of great advancement for professional nursing practice.

I am privileged to support and lead a great team of Southern Nurses and Midwives.

Professor Barry Taylor MBChB, FRACP

Born to New Zealand missionary parents in the African Democratic Republic of the Congo, Professor Taylor was taught by his mother using correspondence lessons from New Zealand until the age of 11 years.  He returned to New Zealand and attended Medical School at the University of Otago and resident training in Christchurch, NZ and Oxford, UK.  

He was subsequently a Research Fellow in Paediatric Endocrinology at The Middlesex Hospital in London for four years, and then Senior Lecturer in Paediatrics and Child Health at Otago University Medical School in 1985, and 14 years later was appointed as Professor of Paediatrics and Child Health in the same department. He was appointed Dean of the Dunedin School of Medicine in January 2014.

Professor Taylor is best known for his research into sudden infant death syndrome (SIDS), also known as cot death. He was among three principal investigators of the New Zealand National Cot Death Study, one of the first major scientific investigations in the world to influence the care of all babies at risk from SIDS. His research continues in this area as well as expanding into research aimed at preventing excessive weight gain in infants and young children. He was a co-author of the NZ guidelines on management of obesity in children. He has published more than 150 peer-reviewed papers, and several chapters in standard text-books.

Whilst President of the Paediatric Society of NZ (1997 – 2001), he organised the change in its constitution which led to this society becoming an organisation to represent ALL health professionals who were primarily involved in looking after children, whatever their professional training.

Professor Taylor was asked to be the first chair of the NZ Child and Youth Mortality Review Committee (CYMRC), a ministerial committee reviewing and reporting directly to the Minister of Health on all deaths in NZ between the age of 4 weeks and 24 years.  He held this post for 7 years and established the current structure and function of the CYMRC, a structure that emphasises local engagement and “ownership” of the need to prevent deaths in this age group.  Central to this structure was setting up a data system that integrated information from multiple sources – coronial, health, education, birth death and marriages, as well as Social Welfare, feeding this information to the local review process.

Several periods filling in as chief advisor on child health at the ministry of health, as well as membership of several quality improvement committees with the Health Quality and Safety commission, have led Professor Taylor to be a passionate advocate for integrated systems – especially information systems that are integrated across primary to quaternary care. 

His clinical work has included newborn intensive care, sleep disorders in children as well as working as a specialist in children’s endocrine and diabetes services.

Mr Mike Hunter

Mike Hunter is a Consultant General Surgeon, Consultant Intensivist, and from March 2006 to 1 April 2015 was the Clinical Leader in Intensive Care at Dunedin Hospital. He is also Professional Practice Fellow in Surgery at the Dunedin School of Medicine of the University of Otago and convener of Critical Care Learning. He is also the Medical Director for the Otago Rescue Helicopter Trust, the chair of the Southern Region Emergency Care Co-ordination Team and a champion within the Southern DHB for Quality Improvement and Lean Methodology in health care. He is currently leading the drive to establish a robust Trauma Service in the Southern District.

He also served in the NZ Army for 35 years as a Field Surgeon. He is actively involved in both the Early Management of Severe Trauma Course programme and the Care of the Critically Ill Surgical Patient Course programme of the Royal Australasian College of Surgeons.

Dr Roland Meyer MD (Heidelberg / Germany)  FRACP

Originating from Belgium, medical training at the University of Heidelberg / Germany, post-graduate and specialist training in the United Kingdom and New Zealand.

Physician in Respiratory and General Medicine at Christchurch Hospital between 1997and 2009, Clinical Director of the Respiratory Services after 2006. Appointed as the 1. NZ Community Respiratory Specialist in the process of setting up HealthPathways and the Canterbury Initiative, working towards an integrated respiratory service for the Canterbury region.

Respiratory and General Physician for the Southern DHB, based at Southland Hospital since 2010.

Formerly member of the Canterbury DHB Clinical Board, the Southern DHB Clinical Advisory Committee and Strategic Advisory Group, I have a strong interest in clinical systems design, a strong belief that integrated services are the basis for good patient outcomes and a more efficient and sustainable health system.

Victoria (May) Turner

Charge Nurse Manager in Respiratory, Cardiothoracic and Coronary Care at Dunedin Hospital.

I consider myself as a young and dynamic nurse who loves to encourage innovation and has high standards of patient focussed care. I believe I will be a valuable voice and an advocate for the nursing perspective on Clinical Council. I am originally from a farming background in South Otago and maintain strong personal links in the rural community. I have travelled extensively and have a multicultural extended family.

After completing Bachelor of Nursing training at Otago Polytechnic in 2000 and I went on to undertake further postgraduate qualifications in Acute Care and Mentorship in Practice. I worked in a variety of acute and critical care settings in New Zealand, Australia and the UK before completing a Charge Nurse Development Programme at Imperial College NHS Trust in London in 2008.

I returned to Dunedin in 2010 to take up a position of CNM on Ward 7A and currently manage Ward 7A & 7B and the Specialist Respiratory Nursing Service at Dunedin Hospital.

Lynda McCutcheon

I am currently the Executive Director for the Allied Health, Scientific & Technical professions at Southern DHB and am privileged to represent 24% of our workforce that includes 30 discrete professions each having their own professional identity, codes of ethics, practice competencies, workforce training and development needs. These workforces cover a range of health professions including regulated, self-regulated and unregulated staff.


My background is as a Physiotherapist and I have worked within the public health system and educational sector in clinical practice, operational management, and governance. I was a member of the Physiotherapy Board of NZ for a nine year term where my interest in clinical governance evolved. Currently I represent the DHB and the allied, scientific and technical professions on regional and national committees related to workforce within the health sector. I am committed to professional governance, leadership with a strong clinical quality focus to support the Southern Health Strategic Plan.

Dr Tim Mackay BDS MCOMDENT FRACDS

Tim is the Clinical Leader for Oral Health Services and is a Dental Public Health Specialist.

Based in Invercargill, Tim has worked for the last 17 years in community, outpatient and Inpatient settings, and has a broad view of publicly funded health services. He has had the opportunity to undertake the Advanced programme in Dental Public Health Leadership training in Boston which was run by Kings College London and Harvard School of Dental Medicine.

Tim has strong interest in health systems, clinical governance, quality and consumer engagement he is the South Island Clinician representative for Consumer Engagement Steering Group for the Health Quality and Safety Commission, and he regularly attends the international IHI quality forums.

Currently Tim holds the following national positions

Executive NZ Society of Hospital and Community Dentistry

Executive NZ Oral Health Clinical Leaders Network

Southland President ASMS

Board member NZ Dental Association

Previously Tim has had the opportunity to work at the Ministry of Health for 12 months as Acting Chief Dental Officer. He has also worked for the defence force and in dental private practice.

Wendy Findlay

After completing my nursing training I was employed in General Practice as full time Practice Nurse. Throughout my nursing career I have worked in nursing education, professional development roles and strategic leadership and governance roles.  In 2006, I completed my Master of Nursing and strongly support nurses enhancing their clinical practice through continuing education.

I have strong commitment to primary care and believe that quality primary care will lead to the biggest health gains for our population. Quality primary care will occur in an environment that is supportive, based on best practice principles and all the different practitioners' skills and potential are realised."

Robin Gauld

Robin sits on the Clinical Council in his role as Independent Chair of Alliance South, which is the alliance between the Southern DHB and WellSouth Primary Health Network. Alliance South’s focus is on ‘whole of system’ planning and service integration, with patients at the centre of this. Alliance South’s Service Level Alliance Teams are entirely composed of health care professionals from the DHB and primary care, and clinical leadership is pivotal to Alliance South’s approach.

Robin is also Professor of Health Policy and Head of the Department of Preventive and Social Medicine, University of Otago, Dunedin. He is also Director of the Centre for Health Systems in the same department. In Oct-Dec 2014, he was NZ-UK Link Foundation Visiting Professor at the School of Advanced Study, University of London. He was a Commonwealth Fund Harkness Fellow in 2008-09 at Boston and Harvard universities. Robin has authored over 115 peer-reviewed journal articles and several books including The New Health Policy (Open University Press, 2009) which was awarded First Prize in category at the 2010 British Medical Association Medical Book Awards.

Nigel Millar

Current Role: Chief Medical Officer, Southern District Health Board.

Previously, Nigel was CMO for the Canterbury District Health Board for just over ten years.

During this time he participated in a transformational change to an integrated and connected health system.

A Geriatrician and Internal Medicine Physician by training – Newcastle UK – he came to Christchurch in 1992.

During ten years as Clinical Director of the Older Persons Health Service he participated in the Elder Care Canterbury initiative which created a unified and coordinated aged care community plus a series of successful improvement initiatives.

Nigel has led from the front in championing the implementation of clinical information systems – most lately a common shared record across the health service.  The need for which was highlighted after the 2011 Christchurch earthquake.

As part of his work in aged care, Nigel has promoted the implementation of a standardised comprehensive assessment.  Consequently the InterRAI assessment protocol is standard across the country in the community and currently being rolled out in residential care.

Nigel is a member of the National Health IT Board, an advisor to the Health Quality and Safety Commission.  He is also the InterRAI Fellow for New Zealand and a director of the Health Round Table.

He continues clinical practice in Internal Medicine and Geriatrics. 

He is a committed lifelong cyclist and an advocate for active transport.

   

Chris Fleming

Chris was appointed as Chief Executive Officer (CEO) of Southern DHB on 31 January 2017 following a secondment to the role of Interim CEO from mid-September 2016.

Chris has worked in the health sector for the past 24 years, and has worked in a wide variety of roles including Chief Executive Officer (Nelson Marlborough and South Canterbury DHBs), Chief Financial Officer, General Manager Planning & Funding, General Manager Surgical & Ambulatory, and Director of Population Health, Planning & Performance.   These roles have spanned across New Zealand, Australia and Canada.

On top of Chris’ role he is also the South Island representative on the National DHB Executive, and the Employment Relations Strategy Group.  Chris is the Lead Chief Executive Officer nationally for Health of Older People, and the Lead CE for the South Island Child Health SLA and the South Island Palliative Care Workstream.

Chris was the co-sponsor for the National Aged Residential Care Service Review and for the current roll out of InterRAI into all Aged Residential Care facilities over the next four years. 

Professionally Chris is a member of the New Zealand Institute of Chartered Accountants and the New Zealand Institute of Directors.

Chris Fleming 2