Our priorities

Developing national standards and models of care is our key priority, to address variation in service quality and outcomes. This requires innovative, efficient, evidence-based solutions that can be applied nationally.

The network has established workstreams that are led by one of the co-leads, with governance group membership and external subject matter experts as required.

Initial areas of focus are:

  • Regional Cardiac Networks​
  • Standardise National KPIs​
  • Determine Placement of Cardiac Surgery Within Networks​
  • Address Inequities of Heart Failure Management ​
  • Determine National Barriers to ECHO Access​
  • Review Triage and Follow Up Criteria​
  • Review Aortic Stenosis Guidance​
  • National Stocktake of Cardiovascular Services​
  • Update CVD Risk Assessment and Treatment Guidance.

Governance Group members

Cara Wasywich Co-Lead/Cardiologist Auckland
Lia Shanks Co-Lead/Nurse Practitioner Palmerston North
Prof Alex Sasse Central Region Cardiac Network Lead / Cardiologist Wellington
Anna Rolleston Māori Academic / Senior Research Fellow The Centre for Health Tauranga
Daniel Chan ANZAC-QI/Cardiologist Northland
Gerry Devlin Heart Foundation/Cardiologist Northland
Jackson Cutting General Manager Cardiology Auckland
Jim Kriechbaum GP Auckland
John Edmond Cardiologist/Te Waipounamu Cardiac Network Lead Dunedin
Josh Agnew Pacific Guidance/Paediatrician Tauranga
Kerryanne Johnson Cardiologist Waikato
Prof Malcolm Underwood Cardiac Surgeon/Director Cardiovascular Services Auckland
A/Prof Martin Stiles Chair CSANZ/Cardiologist Waikato
Matt O'Connor Cardiologist/Electrophysiologist Auckland
Paul Bridgman Cardiologist Christchurch
Rebecca Eddington Clinical Nurse Specialist Nelson/Marlborough
Rory Miller Cardiology Lead Rural Health Sector Thames Hospital
Sandra Hanchard Pacific Guidance/Researcher Auckland
Prof Sean Galvin Cardiothoracic Surgeon Wellington
Stacey Neilson Cardiac Sonographer Rotorua
TV Liew Interventional Cardiologist/Te Manawa Taki Cardiac Network Lead Te Manawa Taki Region
Timothy Sutton Cardiologist/Northern Region Cardiac Network Lead Middlemore Hospital
Will Harrison Interventional Cardiologist/ANZACS-QI Middlemore Hospital
Wing Cheuk Chan Public Health Physician Population Health Gain Middlemore Hospital

Guiding principles

Equity is at the forefront of all decisions. All work is evidence-based and reflects the voices of whānau and consumers. The network is focused on what can be achieved in the current environment, is clinician-informed, respects Te Tiriti o Waitangi and values regional network engagement to implement service improvements.

Meet our Co-Leads

Lia Shanks (Ngāti Raukawa)

Lia Shanks (Ngāti Raukawa)

Lia is a nurse practitioner with significant experience in primary, hospital and palliative care.

She currently practises in the cardiology service at Health New Zealand | Te Whatu Ora – Te Pae Hauora o Ruahine o Tararua | MidCentral where she is responsible for the assessment, diagnosis, planning, implementation, coordination and evaluation of care for people with cardiac disorders.

Her role includes facilitating care for patients and their whānau across the care continuum including improving access to primary, secondary and palliative services. She also supports those providing health services, by mentoring registered nurses who are on a pathway to undertake or complete post graduate study.

Lia, who has a Master of Nursing from Massey University, is passionate about improving health outcomes for people and has a particular interest in supporting equity and access to health services for Māori.

Lia’s approach to nursing is influenced through both her worked and lived experience, as a Māori accessing health services.

She has a strong commitment to quality and service improvement. She completed a term as co-chair of the Cardiac Society of Australia and New Zealand Heart Failure Working Group.

She is the current palliative care interface cardiology representative and is involved with the integration of cardiology specialist services within primary care.

Cara Wasywich

Cara Wasywich

Cara is a respected cardiologist and the current Service Clinical Director of the Te Toka Tumai Auckland Cardiology Department.

Cara brings a unique lens to clinical leadership, equity and access to health services in New Zealand having grown up living off the grid in the Coromandel.

Cara completed medical school in Auckland before moving on to cardiology training at Greenlane Hospital. She then spent two years as a research and transplant fellow in Auckland before undertaking a transplant and heart failure fellowship in Vancouver, Canada.

Now a fellow of the Cardiac Society of Australia and New Zealand, Cara’s work as a cardiologist has covered the breadth of general cardiology, with particular expertise in advanced heart failure management and transplant.

Throughout her career, Cara has focused on making systems and services better and has a good understanding of how improving process leads to better experiences and outcomes for patients.

Cara aims to always enable those around her to stretch to their maximum professional potential and firmly believes in the strength of people working together to bring about positive change.

She is passionate about the opportunity to improve equitable access to excellent cardiac care across the whole country and contribute to better healthcare for all New Zealanders.

Cardiac co-leads Cara Wasywich and Lia Shanks (Ngāti Raukawa) seen here with other co-leads and members of the networks oversight group and project support team.

Cardiac co-leads Cara Wasywich and Lia Shanks (Ngāti Raukawa) seen here with other co-leads and members of the networks oversight group and project support team.

Contact us

If you have any questions about the Cardiac National Clinical Network, please email nationalcardiacnetwork@tewhatuora.govt.nz