Presenters
Dr Evan Cameron
Evan Cameron is an Emergency Physician from the Christchurch Emergency Department. Having heard the stories from the 2011 Christchurch Earthquake and being involved in the 2019 Mosque Shootings, he has developed a strong interest in emergent phenomena during mass casualty incidents. The ability of individuals to solve unpredictable problems in dire circumstances is a consistent feature of such events. Evan will expand on this theme during the panel discussion.
Professor Caroline Orchiston
Caroline Orchiston is Director of the Centre for Sustainability, University of Otago. She has a background in earth science, and her research focusses on disaster risk reduction, earthquake response planning, risk communication and societal resilience to disruptive events. She co-developed the AF8 programme in collaboration with Civil Defence and Emergency Management and the science community, which has built response capability for a future South Island earthquake over the last 8 years. She is passionate about supporting communities to improve their risk awareness and preparedness for disasters. Caroline lives in Dunedin with her husband and three children, and is interested in permaculture and music.
Sonya Smith
Ko Sonya Smith tenei
Ko Ngāti Rakaipaaka, Rongomaiwahine, Ngāti Kahungunu ki te Wairoa, Whakatohea o nga Iwi
My role is Director of Health for Ngāti Porou Oranga. Ngati Porou have the only Iwi owned Hospital in Aotearoa. My background is in Nursing, Community health and Hospital Management. I am a Sheep and Beef farmer in the Waimata Valley in Te Tairawhiti. I am dedicated to Māori Rural Health.
In August 2024 NPO launched PRIME from our farthest clinic - Matakaoa. There hasn’t been a PRIME service on the East Coast for over a decade and neither has a new PRIME contract been drafted Nationally during that time.
Chris Brooker
Chris is an emergency management advisor for Dunedin City (Emergency Management Otago), with a background in emergency management studies. Their journey into the field began as a guide in Fiordland, where the challenging and remote environment significantly shaped their approach to emergency preparedness and response. This formative experience ignited a strong commitment to disaster risk reduction and community resilience. Today, Chris is dedicated to enhancing disaster preparedness and response strategies, particularly in rural and vulnerable areas. They work closely with various stakeholders—including communities, responders, and organisations—to build robust relationships and improve emergency readiness throughout the district.
Dan Spearing
Dan is the System Design Manager - Integrated Rural Health, National Rural Health, Living Well, National Commissioning, Te Whatu Ora Ɩ Health New Zealand.
He is leading the re-design of rural unplanned and urgent care, including Primary Response in Medical Emergencies (PRIME) to provide more equitable access. To enable PRIME responders to keep updated on this re-design work, Te Whatu Ora have a Rural Unplanned Urgent Care (RUUC) re-design webpage on how this work is being undertaken: Rural Unplanned Urgent Care re-design – Health New Zealand | Te Whatu Ora.
The RUUC working group meets monthly and details on progress with their identification of service viability challenges for PRIME providers, and work on proposed models/future options to improve rural unplanned urgent care are on target to have a final decision document published by February 2025. Use the website link above, to keep up to date with progress on this review.
Kate Stark
Kate works at West Otago Health (WOH) in Tapanui in the role of Nurse Practitioner and PRIME.
Prior to returning to WOH in 2022 (where she started her rural nursing journey in 2006), Kate worked across a number of rural practices in some challenging rural areas enabling her to gain good insight into the challenges faced by PRIME Practitioners regardless of discipline.
After experiencing burnout first hand, she decided to capitalise on her experience and trained to become a Professional Supervisor in order to share her learnings with other health professionals.
Kate currently spends 3 days a week meeting with health professionals using the skills she has learned through her formal training in mentorship and professional supervision with the College of Nurses NZ combining her experience with her formal training.
These skills extend to PRIME Practitioners, includes debriefing 1:1 or in groups, using a structured, sensible, but gentle approach with clinician wellbeing at the forefront. Having a safe place to discuss experiences is beneficial to clinician wellbing and workforce longevity.
Kate is also on the National PRIME Committee and the National ANTS Review Committee and has been involved recently in the review of Rural Health in the Southern Region which resulted in a robust report advocating for improved services for rural communities.
Kate lives on a sheep, beef and arable farm in West Otago, so lives and works the rural life. She is going to share in her presentation some pearls and pitfalls of professional supervision applying this to the PRIME role, and will discuss the evidence to support debrief and supervision for health care professionals.
Jonathon Keats FACEM DPH
MBChB from Otago University, graduated 2012.
FACEM 2021
Working in Dunedin ED as the Mass Casualty planner, Orthopaedics, Radiology and Paediatric Liaison.
Working in Middlemore ED when the White Island eruption occurred and took part in the resuscitation of some of the victims transported to Middlemore. Apart from this and the usual multi-vehicle pile ups that come through ED, I have no mass casualty experience.
I became interested in mass casualty planning when I was given the portfolio shortly after becoming a FACEM, and since then have worked closely with Sophie Paker and others to formulate the Dunedin Hospital Mass Casualty plan.
Kirsty Deans
Kirsty is a Nurse Practitioner living in Christchurch. She currently works in the Emergency Department at Christchurch Hospital and also Primary Care/PRIME. She is a co-convenor at Otago University in the Post Grad Nursing Department working specifically with the Nurse Practitioner Candidates and RN Prescribing papers. She grew up rurally on a farm in Central Otago and has spent many years working rurally including as a PRIME Responder in the Maniototo, Roxburgh and Stewart Island. She also sits on the National PRIME Committee.
A lot of her nursing career has been Emergency/ICU with a five-year stint as a flight nurse in California where she first came across the value of professional supervision.