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Ōtara clinic launches 24/7 urgent care to ease pressure on hospital

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A long-serving Ōtara medical clinic has begun offering round-the-clock urgent care, a move health leaders say will improve access for South Auckland families and help ease pressure on Middlemore Hospital’s emergency department.

By Taelegalolo’u Mary Afemata of Local Democracy Reporting

The 24/7 service, launched on Monday, January 19 at the Watford Rd clinic, marks the first time overnight urgent care has been available at the site, addressing long-standing gaps in after-hours healthcare access across South Auckland.

Dr Sivakumar Vallipuram, a clinic director and urgent care physician who joined Local Doctors in 2002, said the service was long overdue.

“We feel that it should have been done a long, long time ago. But finally, we achieved this for our community.”

From left: Dr Selva Ponnampalam, Dr Sivakumar Villipuram and Dr Uruba Khalil, long-serving doctors at Local Doctors Ōtara who say the new 24/7 service is long overdue. (Source: PMN News / Taelegalolo'u Mary Afemata)

Dr Uruba Khalil, also a director and doctor at Local Doctors who has worked at the clinic since 1998, said staff made the decision after seeing ongoing pressure on hospital services.

“When you see the discharge letters from the hospital for flu and colds, you feel like the patient had a long night, and you feel like it’s a waste of resources when we could have done that during the night,” Khalil said.

She said staff often stayed well beyond the clinic’s previous 11pm closing time because they did not turn patients away.

“Sometimes we will stay till one in the morning,” she said. “Now there is another team that will come and take over and help us.”

Health Minister Simeon Brown with Local Doctors Ōtara clinicians, staff and health leaders at the opening of the clinic’s first-ever 24-hour urgent care service. (Source: PMN News / Taelegalolo'u Mary Afemata)

The doctors said they regularly saw patients return from Middlemore Hospital after waiting hours in the emergency department.

“They come back from the ED because they waited six to seven hours. No one saw them,” she said.

Dr Selva Ponnampalam, who has worked at the clinic since 2003, said discharge summaries showed the same pattern.

“We get the discharge summaries, waited for long and left without seeing the doctor,” Ponnampalam said. “So that won’t happen. They can come here.”

Clinicians also pointed to cost and transport barriers that pushed some patients towards hospital emergency departments.

“Sometimes some people don’t have $5 for petrol or parking to go to Middlemore Hospital,” Khalil said. “Here, it is closer.”

Vallipuram said after-hours fees would remain unchanged, and the clinic would accept walk-in patients, including those who were not enrolled.

“Yes, anyone can come, even the casual patients, visitors, they are all welcome,” he said.

‘Care closer to home’

Health Minister Simeon Brown at the launch of Local Doctors Ōtara’s new 24/7 urgent care service. (Source: PMN News / Taelegalolo'u Mary Afemata)

Health Minister Simeon Brown said the opening addressed a long-standing service gap, with South Auckland the only part of Auckland without a 24/7 urgent after-hours care service since around 2020.

“This is about care closer to home, more options for people, and a close partnership with Middlemore Hospital to take pressure off the emergency department.”

He said last year’s Budget set aside funding to expand urgent after-hours services nationwide, with Counties Manukau prioritised due to population size and demand. Health New Zealand selected the Ōtara site through a procurement process.

Brown said officials would assess the service by monitoring patient numbers and demand.

“We’ll be looking at the numbers coming through and how many people are being seen,” he said.

Addressing affordability, Brown said children under 14 will be treated free of charge, and people with community services cards receive additional subsidies.

Mark Vella, Total Healthcare’s CEO, said cost differences between hospital and community care showed why lower-acuity patients should be treated outside emergency departments.

“In 2014 it cost around $375 for every person that walks into ED,” Vella said.

Reflecting the level of need

Total Healthcare chief executive Mark Vella, left, and board chairman Willie Ropata at the Ōtara clinic launch. (Source: PMN News / Taelegalolo'u Mary Afemata)

Willie Ropata, chairman of the Total Healthcare Board, said the service reflected the level of need in the Ōtara community.

“They deserve to be cared for, acknowledged, and recognised through initiatives [like this]. To be acknowledged as a high-needs community that must be served as well as possible is something we’re absolutely excited about on behalf of the community,” Ropata said.

Apulu Reece Autagavaia, Ōtara-Papatoetoe Local Board member, welcomed the opening of the clinic but said it did not address deeper structural issues in the health system.

“We have seen this government cut funding to many social services, including in health,” Apulu said. “So it is welcome news to see the Local Doctors in Ōtara opening 24/7 urgent care.”

He said many residents struggled to access GP appointments, sometimes waiting weeks, due to limited hours and difficulty taking time off work.

“Our people struggle to find available doctor appointments, sometimes having to wait weeks,” he said.

Apulu believed the health system faced fundamental structural issues that the Government had not addressed.

He said two major issues were an ageing GP workforce and the 15-minute capitation model.

“GP clinics don’t have enough younger doctors coming through, with many clinics predicted to close in the coming years, and 15-minute consultations are often too short for doctors to delve into the health issues of patients in a community with high complex health needs.”

“So this 24/7 urgent care clinic is much needed, but the government needs to do more,” Apulu said.

~ 1 News

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Trump administration denounces CNN for airing Iranian leaders’ messages

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The Trump administration denounced CNN on Thursday (local time) for airing a portion of the new Iranian supreme leader’s public statement, the second time in three days the network has been targeted for reporting on how the regime is responding to the American attacks.

The attack illustrated the care news outlets must take in reporting during wartime, and the responsibilities of American journalists to report the perspective of countries its government views as enemies. It also exposed inconsistencies.

The message of Supreme Leader Ayatollah Mojtaba Khamenei during his first public statement since he succeeded his father, who was killed in an Israeli airstrike, was widely available elsewhere.

The White House said on social media that “fake news CNN just aired four straight minutes of uninterrupted Iranian state TV, run by the same psychotic and murderous regime that prided itself on brutally slaughtering Americans for 47 years”.

Earlier CNN interview criticised by Trump’s communications leader

Two days earlier, White House communications director Steven Cheung took issue with CNN anchor Erin Burnett’s interview with Hossein Mousavian, a former Iranian nuclear negotiator. Burnett asked Mousavian what he had been hearing about the Iranian government’s interest in having talks with the United States. There wasn’t much, he said.

“Ever notice how CNN just regurgitates quotes and unverified information from Iranian terrorists?” Cheung wrote on X.

“Total disgrace. They have become the murderous Iranian Regime’s version of Pravda,” he said, referring to the official newspaper of the former Soviet Union.

CNN did not address Cheung’s statement but did respond to the White House attack on Thursday. It noted that CNN, Sky News and Al Jazeera also showed portions of the ayatollah’s statement live.

“The world is watching with anticipation which direction this war will take,” CNN said. “Purported remarks from Iran’s new supreme leader are a critical component in helping audiences understand where this conflict is heading and were aired for their obvious news value.”

Other news outlets, including The Associated Press, sent out alerts on what Khamenei said. His vow to keep up attacks on other Arab countries in the region and plans to choke off the world’s oil supply were headlines.

Mojtaba Khamenei, the son of Iran's Supreme Leader, Ayatollah Ali Khamenei, center, attends the annual Quds, or Jerusalem Day, rally in Tehran, Iran, May 31, 2019.

The New York Times led its website with a story on the speech in its immediate aftermath, later writing that the speech “was an early indication of how the new supreme leader would approach the war, as well as how he would lead the country”.

CNN has long been a favoured target of President Donald Trump, dating back to his first term. It’s a particularly vulnerable time for the network with Paramount Global’s agreement to purchase CNN’s parent company, Warner Bros Discovery, raising questions about its future editorial independence.

CNN showed a news anchor reading a portion of Khameini’s remarks in Farsi, with an English translation. It did not air them in full. After the speech, correspondent Nick Paton Walsh gave a debrief to anchor Kate Bolduan, noting how the non-appearance of the leader — reportedly injured in an air attack — was as important as what he said.

“We were waiting to see the face of the man to have proof of his health and survival,” Walsh said, “and they’ve not met that moment. Instead, a handwritten message, it seems, that mostly reiterates things we kind of already knew.”

A social media message board for Iran’s point of view

The Tech Transparency Project has reported that several Iranian leaders and institutions maintain verified accounts on X, formerly Twitter, owned by Trump ally Elon Musk. CNBC said Thursday that Khamenei has one of them, and an X account with his portrait posted the text of his remarks, available in Farsi and in an English translation.

Even though Khamenei’s father is dead, an account with his portrait was active on Thursday, mainly reposting messages from his son. “The revenge we have in mind is not just because of the martyrdom of the illustrious Leader of the Revolution,” read one message posted Thursday. “Every member of the nation martyred by the enemy is a separate case that demands we seek revenge.”

X is officially blocked in Iran, although many use a virtual private network to bypass restrictions. A message sent to the platform on Thursday was not immediately returned.

There’s a long history of journalists seeking interviews with world leaders, even when they are regarded as enemies of the United States. Most notable was 60 Minutes correspondent Mike Wallace’s interview with Iran’s Ayatollah Ruhollah Khomeini in 1979, when that country was holding Americans hostage.

Thursday’s remarks by Iran’s new supreme leader were absolutely newsworthy and legitimate for CNN to air them, said Jane Ferguson, a veteran international correspondent and founder of the journalism platform Noosphere. It’s not the job of government leaders to pick apart what CNN is reporting, she said.

“We’ve always faced this,” she said, about when reporters interview leaders or other figures hostile to American interests. “This has been a bit of low-hanging fruit for a while.”

Historian Douglas Brinkley of Rice University said that it’s unfair for CNN to be singled out in this instance. He, too, believes it is newsworthy to learn what leaders of an adversary are thinking, but it’s important to make sure that journalists are careful.

“You have to be leery of being used as a propaganda tool by the Iranian regime,” he said. “On the other hand, knowing what the enemy is saying and looking for a sign of a peace offering or a nuance is important … It’s a difficult balance.”

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University of Auckland building on fire

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A fire at the University of Auckland law school building has now been extinguished.

A Fire and Emergency spokesperson said there had been a fire at the University and six fire trucks were at the scene on Short Street. The call to 111 came through at about 2.40pm.

FENZ said the fire was now extinguished but crews will stay near the building this afternoon.

Staff and students were seen going in floor by floor, starting with level 6, to retrieve any belongings left behind

A student who was evacuated from the fourth floor of the building said it seemed the fire started on level two.

Police were at the scene talking to students who have been evacuated.

Student Talisha Lal said when the fire alarm went off she, and other students, thought it was a drill.

Lal said once she was out of the building, she could see smoke.

More to come…

~ RNZ 

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Teacher struck off after filming explicit videos at school

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An Auckland teacher has had her registration cancelled after recording explicit videos of herself urinating on the floor of a classroom and on a student’s belongings.

The New Zealand Teachers Disciplinary Tribunal found Lisa Marie Edmondson had committed serious misconduct.

The school was alerted to the content after the deputy principal of the school was approached by a member of the public who had come across a video on TikTok and recognised the setting. A search for the username led to a pornographic account.

The account contained more than 30 explicit videos which had been recorded at various locations over a period of two-and-a-half years.

In one of the videos, Edmondson appeared to urinate on the floor of a classroom with genitalia clearly visible. A second video showed the teacher urinating on a hat with a student’s name clearly visible in a lost property box.

The summary of facts stated there was an “ongoing urine smell” in some classrooms during the time of her employment which had been attributed to rats and mice. Bait stations had been set up during the school holidays but no rodent activity was noted. The tribunal said her students were “likely to have been adversely affected” due to evidence of an “unpleasant smell that required deep cleaning”.

While she was not visible in the videos, the teacher was recognised due to her voice and clothing.

Edmondson resigned in May 2023 after receiving notice of a formal investigation.

Following her resignation, Edmondson worked as a relief teacher at a second school before being invited to apply for a fixed-term position.

The tribunal found that Edmondson had failed to disclose her full employment history when applying for – and subsequently working at – a new school in 2023 and failing to inform her employer that she was the subject of a mandatory report and current investigation by the Teaching Council.

In her reflective statement, Edmondson acknowledged that she had let her students down and “was not the role model that I should have been for them”.

“I have accepted that the likelihood of returning as a teacher has ended. This has been a very difficult concept to accept because I loved teaching, loved being in the classroom and loved my students and their whānau.”

The tribunal noted Edmondson failed to address the conduct head on or express concern for her former students and colleagues.

Edmondson’s registration was cancelled and the former teacher was issued a formal censure. She was ordered to pay $3,255.87 towards the Complaints Assessment Committee’s costs and $582 to the Teaching Council.

‘I have let down so many people’

In a statement to Stuff, Edmondson said she had no choice but to accept the ruling, but regretted her actions.

“During a two-year period which covers this time I was suffering from extreme anxiety, I can’t explain why I did it other than self sabotage and treating myself badly for things that had happened. By the time it was reported, I really did not even remember and hadn’t done anything else.”

Her actions had impacted her children and her ability to provide for them.

“I can’t change what I have done, but can make sure it never happens again.”

~ RNZ

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