Health Matters

Inviting Expressions of Interest!  Flinders Program

Healthmatters (HMNZ) provides GPs, nurses and allied health & community workers with an opportunity to become proficient in providing effective one-on-one self-management support to people with long-term health conditions (e.g. diabetes, arthritis, cancer, depression, anxiety, pain, ME, etc.). This can be achieved by individuals attending a two-day workshop at you facility. We have been involved in delivering Flinders training across New Zealand since 2005. Please contact us for a training proposal. Minimum of 4 participants required to deliver the training.

The Flinders Integrated Program (including Flinders Tools) is ideal for providing a structured approach for long-term condition management.

The evidence-based Flinders Program consists of a generic set of tools and processes. It is grounded in psychological principles and enables providers to work collaboratively with their patients/clients to assess self-management behaviours, identify problems, set goals and formulate individualised care plans. This Flinders program is useful for improving health outcomes for patients with long-term conditions, those with moderate to complex conditions, or supporting ‘at risk’ patients/clients to make positive changes. It is now being used extensively in Australia, Canada and the USA.

The Flinders Program is designed to enable participants to gain competencies to:

  • understand a structural framework for better long-term condition management
  • understand the theory and evidence for self-management
  • assess self-management capacity, client problems, and formulate a personalised care plan
  • use skills and tools to more effectively implement chronic care management
  • understand the theory and practice behind goal setting, care planning, motivational techniques, and outcome measurement
  • gain a ’Certificate of Competence - Flinders Program‘ from Flinders University
  • gain credit points towards nursing post-graduate certificate
  • gain 14 CME points for GPs
  • gain a Certificate of Attendance for professional portfolios.

For more general information about the Flinders Programme, please see,

Please email Charlene for a registration form or more information


"The process has changed my focus to what I don’t know about the patient rather than what I think I know" (GP)

"A relatively quick and simple system for care planning" (GP)


Responses to Flinders Assessment

What I thought was unacceptable pain, patient had long accepted and tolerated. Don't make assumptions" (Nurse)

"The usefulness of the PIH and C&R forms highlighted gaps in knowledge which I assumed client knew" (Nurse)

"Great training, thank you, Kia ora Charlene, excellent facilitator" (Participants)

Responses to Flinders Assessment

"I like the way patients have to use their own words - it often allows far more to come out than my previous experience of assessments has unveiled. It does still allow for my knowledge, training and experience to advise, suggest possible directions, steps and solutions" (Physiotherapist)

"I felt increased confidence in applying it to my work, it was an enjoyable experience & and being able to hear what the client felt" (Dietitian)



 Patient/Client Response to Flinders Assessment

"The interview helped me look in more detail how my chronic back pain affects my life and helped me find solutions" (Mr T, 62y, chronic back pain for 16y, Type 2 Diabetes)

"I found the process great, it made me stop and think and become more serious about improving my health, I can take little steps to achieve positive outcomes" (Mrs M, 47, Pre-diabetic, Obesity, Arthritis (knee), Hypertension)


 Flinders Program Training - Arrange a training now!

preview Flinders Two-Day Workshop
 When  By arrangement (4 participants min)
 Time  9am to 5.00pm
 Venue  TBC -  at your facility
Trainer  Charlene Pretorius

For more information & registration form please email

We can come to you!

For organisations wishing to contract HMNZ to provide Flinders training to staff or providers, please contact Charlene for a training proposal Charlene



SMRC (Stanford) Self-Management Programs

Healthmatters (HMNZ) provides health professionals and non-health professionals (peers) with an opportunity to become proficient in providing effective group self-management support to people with long-term health conditions (e.g. diabetes, arthritis, cancer, depression, anxiety, chronic pain, ME, etc.).  This can be achieved by individuals attending a 4.5 day Master training in the core SMRC (previous Stanford University) Chronic Disease Self-Management Program (CDSMP). This training can also take the format of a combo-training where Master Trainers and Leaders are trained. The Leader training is 4 days.

We can be contracted to provide the either training for your organisation or health care facility. Please contact us for a training proposal.

CDSMP was developed at Stanford University Patient Education Research Centre as a collaborative research project between Stanford University and the Northern California Kaiser Permanente Medical Care Programme. The primary developers were Emeritus Prof Kate Lorig, Virginia Gonzalez, and Diana Laurent, all of whom were at Stanford University in Palo Alto, California, now transitioned to SRMC.

Several assumptions underlie CDSMP, that

  • People with long-term conditions have similar concerns, challenges and problems
  • People with long-term conditions must deal not only with their condition/disease(s), but also with the impact these have on their everyday living and their emotions
  • Lay people with long-term conditions, when given a detailed leaders manual, can teach the programme as effectively, if not more effectively, than health professionals can
  • The process or way by which the program is taught is as important, if not more important, than the subject matter that is taught.

Classes are participative, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.


In a five year research project, the CDSMP program was evaluated in a randomised study involving more than a 1000 participants. This study found that people who participated in the program, when compared with people who did not take the program, improved their healthful behaviours (exercise, cognitive symptom management, coping, and communications with doctors), improved their health status (self reported health, fatigue, disability, social/role activities, and health distress), and decreased their days in hospital.

The program is a 6 week course for 2 and ½ hours a week. It is delivered in community settings such as senior centres, churches, libraries, clinics, on marae or  in hospitals. People with long-term health conditions and/or their carers, whanau, support people attend together. Program are facilitated by two trained leaders, one or both of whom are non-health professionals with long-term conditions themselves.

Leader training is available in the generic CDSMP program, in New Zealand called The Healthy Living Course, My Health, Our LIFE (MHOL), Whakamana Hauora,  Manage Better, or Living a Healthy Life. Leaders who have completed the core CDSMP training, and maintain their certification are able to attend cross-training in the Chronic Pain (CPSMP) program or Diabetes program (CDSMP).

The Positive Self-Management program for HIV (PSMP) is community-based and is delivered over a 7 week period. Please contact Charlene for more information.

Master Training, Leader Training, Refresher and Cross-Training Available




CDSMP Self-Management for Long-Term Conditions 



The course has been designed to help people with long-term health conditions such as asthma, respiratory disease, kidney disease, heart disease, depression, anxiety and many more manage better. Over six weeks a range of “self-management tools” are introduced so that increased confidence are gained to manage long-term conditions, live a healthy life, have more energy, less fatigue and to keep well.

Topics include for example:

  • Techniques to deal with frustration, fatigue, pain and isolation
  • Physical activity for maintaining and improving strength, flexibility, and endurance
  • Medication usage and evaluate new treatments
  • Effective communication with family, friends, and health professionals
  • Making healthy food choices
  • Dealing with negative emotions
  • Making decisions
  • Weight management
  • Getting a good night’s sleep
  • Preventing falls
  • Goal setting and problem solving
  • Planning for the future


 CPSMP Chronic Pain Self-Management Course - ACC approved course



The course has been designed for people with persistent pain where getting through a normal day seems difficult and managing simple tasks become overwhelming, for example those with low back pain, neck pain, complex pain, repetitive strain injury, fibromyalgia, or phantom limb pain. The program was created with these challenges in mind and aims to provide individuals with self-management skills to gain more vitality, independence and confidence to manage their on-going pain day to day.

Topics include for example:

  • Strategies for handling frustration, fatigue, pain, isolation, and poor sleep
  • Physical activity for strength, flexibility and endurance
  • Mind/body strategies for managing pain, including pacing and rest
  • Understanding and appropriate use of pain medication
  • Effective communication
  • How to evaluate new treatments.



 DSMP Diabetes Self-Management Course


The Diabetes course has been designed for people with diabetes and/or their care givers. The Diabetes program helps participants to develop “self-management skills” to deal with the challenges of living well with diabetes, gain a better understanding of the condition, and take care of their health.

Topics include for example:

  • Healthy eating
  • Preventing complications, fatigue, pain, low blood sugar, stress
  • Skin and foot care
  • How to deal with difficult emotions such as depression, frustration
  • Physical activity
  • Monitoring blood sugar levels
  • Appropriate use of medication, working more effectively with health care providers, sick days


 PSMP Positive Self-Management for HIV Course



The Positive Self-Management course is for people with HIV and/or their care givers. The course provides participants with tips, skills, tools, ideas and resources how to become effective self-managers, live a healthy life and overcome the physical, emotional and social problems caused by the long-term condition.

Topics include for example:

  • How to best integrate medication treatment into every-day life
  • Techniques to deal with frustration, fear, fatigue, pain and isolation
  • Physical activity, healthy eating
  • Effective communication
  • Evaluating symptoms, new or alternative treatments
  • Planning for the future

 Licensing Requirements

Any organisation providing a SMRC community based program (as outlined above) must purchase a license. A schedule of training and licensing fees can be found on the SMRC licensing and fees page  This license must be obtained from SMRC prior to the training.

The Auckland region is covered by a multiple license held by the three DHBs, in other parts of New Zealand various DHBs, PHOs or NGOs hold individual licenses. 

Types of Licenses available

SMRC offers various licenses for their self-management programs, e.g. a single-program license or a multiple-program license. If an organisation plans to offer one program, such as CDSMP only, then a single-programme license is the most economical. However a multiple-program license can be purchased for a flat fee from SMRC if an organisation wishes to offer other programs such as Diabetes, Chronic Pain or others. 



Master Training in SMRC CDSMP 2021 - Registrations now invited!

We are currently inviting registrations for the CDSMP Master/Leader Combo Training and Diabetes Cross-Training to be held 5th July 2021 to 9th July 2021; Diabetes Cross-Training 10th July 2021

Master Trainers have the ability to:

  • facilitate the CDSMP programs in their community
  • train Leaders for the CDSMP to build capacity for long-term conditions self-management
  • maintain program fidelity to ensure program outcomes
  • coach, mentor and monitor leaders
  • optimise self-management support in the community for people with long-term conditions

Master Trainer certification requirements

  • Note: There is an expectation that by attending this training organisations and master trainers would work together so that Master Trainer certification can be attained, certification can be maintained, and the program be sustained as per SMRC guidelines.

    Master Trainers serve as the organisations own on-site trainers for the future.

                 Master/Combo Training in CDSMP 2021
 When 5th-9th July
Time Day 1
8.30am to 4:45pm
Time Day 2-4 9:00am to 4.45pm
Time Day 5 9.00am to 12.30pm
 Venue                      TBC
 T-Trainers Charlene Pretorius
  Pam Antill
The programs are designed to help people increase their confidence to manage their health, carry out normal activities and manage emotional changes brought about by the health conditions, leading to improved health and quality of life. CDSMP continues to meet the triple aims of health care i.e. better care, better health and lower costs!
Register for the CDSMP only or attend both trainings! If you are already trained in CDSMP then you are eligble to attend a chronic pain or diabetes cross training!  Contact us for more information

Diabetes Cross-Training for Master Trainers - Registrations now invited

Master Trainers

  • Learn how to conduct the Chronic Pain or Diabetes Self-Management program with one other trained co-leader
  • Use the Chronic Pain Self-Management Leaders Manual and accompanying book "Living a Healthy Life with Chronic Pain"  or Living a Healthy Life with Chronic Conditions (5th ed)
  • For CPSMP deliver the Moving Easy Program consisting of 26 motion and flexibility movements as part of an exercise routine

Note: Depending on the number of registrations received the pain or diabetes cross-trainings may be opened to Leaders previously trained in CDSMP. 

Join us for learning, fun and meeting others!

Chronic Pain Cross-Training available 2022


We can come to you!

For a training proposal or information about the SMRC programs (CDSMP, Chronic Pain, Diabetes or PSMP) please email

Diabetes Cross-Training 2021

When 10th July


One Day

9.00am- 5.00pm
 Venue TBC
 T-Trainers Charlene Pretorius
  Pam Antill


To register interest in the cross-trainings please contact Charlene or Pam