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Ngā mihi o te wā ki a koutou katoa. 
Welcome to another edition of Toitū te Oranga
In this pānui you will find the following:
  • He Karere (Recent updates)
  • Tai Hauora (Clinical Round-up)
  • Tai Pūkenga (Education, Training & Events)
  • Pae Hono (Helpful Links)
  • Meet the Practice Support Team
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NEW Hauraki PHO Claiming System
Our new Hauraki PHO Claiming Portal launched on Monday 6th July is now live. To support your teams, please click here to access the user manual for guidance on using the new system.
This portal was developed in partnership with practices, and we thank everyone who attended the trainings and shared feedback to help create a simpler and more efficient claiming experience.
For support, please contact the Practice Support team.
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Reminder: COVID vaccination claiming changes
From 1 July, COVID vaccination administration claiming for GP practice providers will be paid under the PHO services agreement. COVID administration payments will continue to be made via AIR.
That means in order to submit claims, from 1 July practices will need to update the agreement number they use to record vaccinations to the relevant PHO services agreement number.
 
Immunisation Claiming updates
• Health NZ has worked with PMS vendors and PHOs throughout 2025 and 2026 to support a coordinated release of updated immunisation claiming and recording functionality across PMS systems, including new electronic claiming codes for vaccine coadministration fees (following the 1 July 2025 PHOSA uplift) and the removal of reliance on manual Health NZ backpayment processes currently used to support some claims.
• Health NZ released the updated ELECTRONIC claiming codes on 24 June 2026. This means practices need to be using updated PMS versions to ensure correct payment for immunisations delivered from 1 July 2026.
• If practices are seeing any immunisation claims being rejected, they should cease claiming and contact their PMS vendors to confirm if any further actions are required to update their systems. Once the updates are completed, they can resubmit any rejected claims for payment and submit any outstanding claims.
 
Capitation Reweighting Uplift – 1 July 2026
From 1 July, your practice's capitation funding will receive a significant boost. This capitation 'reweighting' adjustment better recognises the real needs of your population, with payments now adjusted for patient complexity, deprivation and rurality. Please check your latest KARO Register Spreadsheet for details specific to your clinics. 
 
Expressions of Interest to host a registrar in 2027
Reminder for teaching practices to submit an Expression of Interest to host a registrar in 2027. Please click here to complete an EOI Form by Friday 10th of July 2026.
 
Medtech Evolution Version 9.0 Release Notes
Click here for the Medtech Evolution Version 9.0 upgrade release notes.
In this release:
 
Aotearoa Immunisation Register
  • Co-administration fee support – automatic generation of the correct fee codes when multiple vaccines are given at the same visit
  • Vaccine antigen updates aligned with the current AIR vaccine list, including RSV and new AIR/non-standard vaccine flags
  • Improved overseas vaccination recording
  • Data quality enhancements – mandatory Site/Route fields, NHI validation, batch expiry warnings, and more
GP2GP
  • Automatic splitting of GP2GP messages
  • Ability for increased message size (at the request of Health New Zealand)
Shared Digital Health Record
  • Updates to the Sector Services integration layer supporting Health New Zealand’s Shared Digital Health Repository (SDHR).
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Highly Pathogenic Avian Influenza (HPAI) H5N1 detected
• A highly pathogenic strain of avian influenza (HPAI H5N1, clade 2.3.4.4b) has been spreading around the globe since 2020, impacting poultry and wildlife.
• Australian authorities confirmed detection of this strain of HPAI H5N1 in three migratory wild birds in southern Western Australia and South Australia.
• The risk of H5N1 in NZ remains low. 
 
HPV Vaccination delivery update from 1 July 2026
Health New Zealand I Te Whatu Ora has announced an important change to how human papillomavirus (HPV) vaccination will be delivered through the School Based Immunisation Programme from this month.
 
From 27 July 2026, children will be offered one dose of the HPV vaccine (Gardasil9) at school, with parent or caregiver consent. HPV dose 2 will no longer be offered in schools from this date.
 
The approved HPV vaccination course in New Zealand is currently two doses for children aged 9 to 14 years. However, international studies show that a single dose provides 97-98% protection against HPV infection and HPV-related cancers.
 
Based on this evidence, the World Health Organization now recommends a single-dose HPV vaccination schedule. Many countries, including Australia and the United Kingdom, have already adopted this approach.
 
Note, a second HPV dose remains free and available through GPs, pharmacies and community health providers at least six months after the first dose, should it be requested by whānau.
 
This change will enable schools to prioritise increasing the uptake of HPV dose 1 (which is currently low) and other catch-up immunisations to address existing immunity gaps and maximise the impact of the programme.
 
Click here for more information, including the role of primary care in the HPV programme change.
 
IMAC runs an HPV course for health professionals. Click here for more information and to register.
 
HbA1c diagnostic thresholds for prediabetes and diabetes have changed
Click here to view the special report by diabetologist Dr Ryan Paul that outlines the new HbA1c diagnostic thresholds for prediabetes and diabetes that came into effect on 1 July 2026. These changes support the earlier detection and treatment of type 2 diabetes and align New Zealand with international standards.
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Health Information Privacy Code (HIPC) Rule 3A Webinar
Thursday 23 July I 12.30-1.30pm 
 
GP26 - Conference for General Practice 2026
30 July - 1 August | Tāmaki Makaurau Auckland
 
B4 School Refresher Course (1hr) Waikato
Wednesday 13 August 2026 10:30am - 11:30am: Speech development
 
B4 School Check training (2day) for RN's - Waikato
Location: Pinnacle Office - Ground flour, River Room, 711 Victoria street. Hamilton
29 July 2026, 8:30am - 30 July 2026, 4:30pm
17 November 2026, 8:30am - 18 November 2026, 4:30pm
 
Nurse Practitioner Training Support Scheme (NPTSS)
Applications are open to registered nurses ready to undertake their Nurse  
Practitioner practicum year.
To support prospective applicants, webinars will be held between 21-30 July 2026,  
providing guidance on eligibility, application processes, programme expectations and  
employer and clinical supervisor information.
For more information on the scheme, webinars and how to apply visit:  
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Hauraki Primary Healthcare Organisation
 
Health Updates & Information
 
Transport, Roading and Weather
What is Toitū te Oranga?
Toitū te Oranga is our e-pānui, designed to strengthen communication and better support our practices with timely clinical updates, practical tools, and opportunities for shared learning. Each edition reflects our collective commitment to working together to strengthen care, build workforce capability, and improve outcomes for all - hei oranga mō te katoa.
 
Thank you for continuing to support your communities through the recent challenges. We’re here to support you and your teams, please let us know how we can help.
 
If you require any further information, please contact Practice Support: practicesupport@haurakipho.org.nz
 
Ngā manaakitanga,
Practice Support
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Ngaa mihi - Practice Support.
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