Waitemata DHB allied health staff (such as dietitians, occupational therapists, physiotherapists, social workers and speech-language therapists) provide a fundamental service to patients in the community.

Some of the issues faced by community staff include:

  • not having immediate access to patient’s medical history
  • having to return to their work place to complete their paperwork and to update a patient’s clinical record
  • limited access to current technology including new education and therapy tools for their patients
  • lack of alternative methods to interact with their patients

Enabling Allied Health staff to provide a service to patients in the community while accessing systems with mobile devices

  • Introduce new ways of interacting with our patients and our patients’ information
  • Provide patients and staff with access to the patient’s medical records in real-time in the patient’s home to improve the clinical interaction
  • Reduce time our staff spend travelling and writing notes
  • We provided 122 clinicians from 7 teams across adult and paediatric services with an iPad mobile device
  • Clinicians represent 10 professions including
    • dietetics
    • psychology
    • physiotherapy
    • occupational therapy
    • neurodevelopmental therapy
  • Devices are connected on a mobile device management platform to maintain security and governance
  • Devices provide six tools listed in the graphic below


Approximately 95% of our community allied health clinicians are using their iPad daily as part of their work. The iPads are used for a variety of activities including:

  • managing emails, calendars and appointments
  • writing patient notes
  • using Facetime to communicate with other clinicians or with patients
  • downloading images to support discussions with patients, eg therapy equipment


  • Clinicians were generally optimistic about mobile devices
  • They told us using a mobile device could increase job satisfaction and make their job easier
  • Ratings increased following training and six months of mobile device use
  • This shows clinicians still felt the mobile device was valuable after using it for six months


The graph below compares pre-(orange) and post-(grey) agreement with the statements lists



  • Each clinician saved an average 15 minutes per day on administration and completed an average 1.5 extra patient visits per week after six months of mobile device use
  • Clinicians, patients and allied health leaders told us the devices are important for administration and education


Executive Sponsors

  • Dale Bramley, CEO (Leapfrog Programme)
  • Penny Andrew, Director of i3
  • Robyn Whittaker, i3 Clinical Director of Innovation

Team Members

  • Kelly Bohot, i3 Innovation + Improvement Project Manager


Kelly Bohot

Innovation + Improvement Care Redesign Team Leader

Dr Penny Andrew

Director of i3

Dr Robyn Whittaker

Clinical Director of Innovation