Notice is hereby given that a Meeting of the Milford Community Trust will be held on:




Meeting Room:



Friday, 6 December 2019


Milford Sound Tourism
147-157 Milford Sound Highway
Milford Sound


Milford Community Trust Agenda - Late Items




Milford Community Trust

06 December 2019



ITEM                                                                                                                                                                                  PAGE



1.5         Medical services funding                                                                                                                               3  


Milford Community Trust

06 December 2019


Medical services funding

Record No:             R/19/12/27826

Author:                      Simon Moran, Community Partnership Leader

Approved by:         Rex Capil, Group Manager Community and Futures


  Decision                                        Recommendation                                  Information





1        The purpose of this report is to seek approval from the Milford Community Trust (the Trust) to contribute funding towards the prime nurse practitioner role for Milford Sound Piopiotahi.


2        The Trust has previously contributed funding for the Milford Emergency Response Team Leader (MERT Leader) role. Due to the skills of a number of the people employed in that role they were able to provide both emergency response leadership and clinical medical support for the Milford community.

3        More recently Fire and Emergency New Zealand have taken responsibility for the MERT but because they have a relatively narrow scope of operations that has meant that clinical medical support for the community is outside of the ambit of the type of work they will undertake. Previous analysis of the MERT Leader role has shown that emergency response, whilst critically important, is a smaller part of the job than non-emergency medical work.

4        In discussions to date it has been noted that the cost of sickness in Milford Sound Piopiotahi is disproportionately higher than if you are in Te Anau. That is in large part because of the need to travel for essentially 2 hours each way to get to an appointment which generally means a whole day off work for what might turn out to be something relatively minor.

5        Trustees Kremer and Holland have been in discussions with a potential prime nurse candidate and the following proposal is the result of that.

The Proposal

6        The prime nurse will be employed and accommodated by Milford Sound Tourism Limited (MST). The Trust will contribute a grant to MST for up to 50% of the remuneration (subject to agreement of the Trust) upon the provision of an invoice on a quarterly basis

7        The proposal is that the prime nurse will

•   Work a 4 day on and 4 day off roster

•   Provide clinical services, within their scope of practice to the Milford community and visitors

•   Develop appropriate policy and clinical practice guidelines for a prime nurse working in Milford

•   Work with MST and the Trust to develop a position description for the prime nurse position in Milford

•   Work with FENZ where appropriate

•   Work closely with MERT including assisting in training where appropriate

•   Work within the guidance and clinical support provided by the Fiordland Medical Practice

•   Work within the guidance and support of the Fiordland Pharmacy


8        The Trust can choose to contribute grant funding to the role or not

9        If it does choose to contribute funding then the Trust is assisting in meetings the objects of the Trust Deed, specifically - 

To manage and carry out services and undertake leadership, planning and advocacy for the general benefit of the Milford community so as to ensure as far as possible that the infrastructure of the community and its sense of identity, viability and wellbeing are maintained.




That the Milford Community Trust:

a)            Receives the report titled “Medical services funding” dated 2 December 2019.


b)           That the Milford Community Trust agrees/does not agree to provide a grant of up to $40,000 for the 2019/20 financial year (on a pro rata basis from when a contract starts) from its reserves to Milford Sound Tourism Limited as a contribution toward the provision of medical services in Milford Sound Piopiotahi.




There are no attachments for this report.