Council’s Mount Maunganui landslide review to consider ‘all relevant matters’ – Drysdale

Source: Radio New Zealand

The slip at Mauao, Mount Maunganui as seen from the air. Screengrab / Amy Till

Tauranga mayor Mahé Drysdale says all relevant matters relating to the lead-up to the fatal Mount Maunganui landslide will be considered as part of an independent review.

It comes after a camper who contacted emergency services on the morning of the landslide told RNZ she saw a local council representative drove through the Mount Maunganui campground and directly past three slips about two hours before the deadly landslide.

The victims of the landslide have been named as Lisa Anne Maclennan, 50, Måns Loke Bernhardsson, 20, Jacqualine Suzanne Wheeler, 71, Susan Doreen Knowles, 71, Sharon Maccanico, 15, and Max Furse-Kee, 15.

A woman, who was woken by Maclennan, spoke with RNZ on Monday about efforts to raise emergency services earlier that morning, including her own call to police three hours before the landslide.

Do you know more? Email sam.sherwood@rnz.co.nz

She told RNZ that about 7.45am she saw what she described as a ute that was sign-written with Tauranga City Council. The ute stopped and the woman says she called out, “Look, I don’t know if you can see them from where you are, but there’s these slips up here, I think, you know, someone should look at them.”

The woman was unsure the man heard her. The woman said the ute then drove through the Pilot Bay side of the campground slowly past the slips that she had filmed directly in front of several campsites.

“I figured, well, everything will be fine. Someone from the council’s come, they’ve seen the slips, he’s driven past them, he’s driven through the water that was coming down from that corner that collapsed. So I had no worries after that.”

RNZ asked Drysdale for comment on the woman’s account.

In a statement sent via the council’s media team, Drysdale said “all relevant matters relating to the lead-up to this tragic event will be considered as part of the independent review we are currently initiating”.

“This will be reported back to the community as quickly as possible.

Tauranga mayor Mahé Drysdale says details of the review are being worked through. Calvin Samuel / RNZ

“The detailed scope, timeframes and personnel involved in this independent review process are currently being worked through and will be communicated publicly as soon as finalised.”

It comes after Prime Minister Christopher Luxon said there was a “strong case” for a government inquiry into the landslide.

He announced the possibility during a media conference on Tuesday afternoon, and said many questions about last Thursday’s slip were being asked, including whether there was a missed opportunity to evacuate people sooner.

“Six families are grieving the unimaginable loss of their loved ones, and they deserve answers. I acknowledge that the Tauranga City Council has ordered its own inquiry into the events leading up to the landslide at the campground.

“However, I do believe there is a strong case for an independent government inquiry, and we’ll be talking to Tauranga City Council about that.”

Luxon said it would be important not only for the grieving families but for helping to ensure lessons were learned to prevent similar tragedies in the future.

While an independent inquiry had already been announced by local council, Luxon said there were concerns it would not be impartial if it was conducted by the council.

“There’s a potentially an inherent conflict between the ownership of the campground and the council, but it’s also coming from conversations directly with the families that Mark and I had in the last 48 hours with people in Tauranga at the Mount, and their big desires to actually understand what did happen here.

“I think doing that dispassionately, being able to do that very objectively, through an independent government inquiry would be the way forward.”

RNZ approached the Tauranga City Council and police for comment on Monday evening on the woman’s account.

“Once the recovery efforts are completed, we have secured the site and have geotechnical assessments that the landslide area is stable, there will be a process undertaken to examine the events that took place before and during this tragic event,” the council’s controller Tom McEntyre said.

“It would not be appropriate to make any comment now that could affect that process or pre-empt the outcome.”

In response to earlier questions from RNZ, deputy national commander Megan Stiffler confirmed FENZ received a 111 call at 5.48am on Thursday, 22 January, from a person reporting a slip near the Mount Maunganui Beachside Holiday Park.

“Our call takers made contact with the Tauranga City Council, the landowners of the camping ground, and notified them of this information at 5.51am.

“The landslip that was referenced in the 111 call received at 5.48am did not impact life or property and therefore Fire and Emergency did not respond firefighters to attend, instead we notified Tauranga City Council as the landowner responsible.”

Speaking to the New Zealand Herald, Tauranga City Council chief executive Marty Grenfell said there was no record of a 111 call being referred to the council.

However, a council statement released only hours later backtracked on this version of events.

“After further enquiries, we can confirm that the Tauranga City Council’s main Contact Centre received a call from Fire and Emergency New Zealand at around 5.50am on Thursday, 22 January.”

The council said the chief executive’s earlier comments referred specifically to information logged in the council’s Emergency Operations Centre, which did not receive a call.

At about 9.30am a slip came down at the Beachside Holiday Park at Mount Maunganui, smashing into campervans, tents, vehicles and an ablution block near the Mount Hot Pools.

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Rotorua’s live firefighting training containers to be replaced after reports of toxic smoke leaks

Source: Radio New Zealand

NZ army firefighters in live fire exercises at FENZ’s national training centre. Supplied / NZDF

Shipping containers in Rotorua that provide some of the only live firefighting training for new recruits are being replaced, after they were boycotted and shut on safety grounds months ago.

This week Fire and Emergency evaluated responses to a tender to replace the containers, saying this was better than trying to fix them, and until it had chosen a contractor it could not give a cost and timeframe.

Recruits have been shuttled to Auckland Airport’s live training site since trainers slapped a safety notice on the containers last September.

At the time, the acting manager who is also the union president, said the containers had warped over the years so were leaking toxic smoke during exercises that was a threat to recruits not kitted up outside.

FENZ said recruits had still been able to use two other live-fire facilities (compartments, and one to do with gas).

Live fire training at FENZ’s national training centre in Rotorua. Supplied / FENZ

The Professional Firefighters’ Union said not having the container facilities “is currently hindering these safe systems of work for firefighters” and fixing them must be a priority.

“The fact that FENZ has allowed the current live fire training facilities to deteriorate so much, to the state that they are not working is yet another sign of the organisation failure to spend money on frontline services,” said national vice-president Martin Campbell.

The containers had been expected to last 15 years and were 13 years old “and are now approaching the end of their practical asset life”, said FENZ.

Design had been done to get new ones that balanced “functionality, safety, and durability”.

The union has regularly criticised the state of FENZ’s fire trucks, stations, pay and conditions in an industrial dispute stretching on for months.

The Rotorua national training centre set up almost 20 years ago, houses the containers in a bigger building meant to contain the smoke and make it cleaner in a ‘reburner’, though the acting manager in November said the reburner had never worked well.

Live fire training at FENZ’s Woolston training centre, Christchurch. Supplied / FENZ

The tender said other parts of the training centre, which includes classrooms, must be able to keep operating while the work went on.

FENZ had struggled not just with Rotorua but with trying to fix leaking smoke at its South Island live-fire training centre at Woolston in Christchurch.

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Family mourn ‘treasured son’ and ‘beloved Nai Nai’ killed in Welcome Bay landslide

Source: Radio New Zealand

Austen Keith Richardson and his grandmother Yao Fang. Supplied / Police

The family of a child and grandmother killed when a landslide hit a house in Pāpāmoa say they’re “absolutely devastated” by the loss of a “treasured son” and his “beloved Nai Nai”.

Two bodies were recovered by police at the home on Welcome Bay Rd on Thursday.

On Tuesday, police named the pair as 10-year-old Austen Keith Richardson and his grandmother, 71-year-old Yao Fang.

Their deaths have been referred to the Coroner.

In a statement Austen’s parents, Keith and Angel, said he was the “much-loved” only child of the couple, and Fang’s only grandchild. Angel was Fang’s only child.

“Austen and his grandmother had an incredibly close relationship – with Austen affectionately calling her Nai Nai.”

Austen was born in Shanghai, China, and the family moved back to New Zealand with him when he was about eight months old.

Since Austen was born Fang had spent “extended periods” of time with the family in New Zealand.

“Austen had just finished at Arataki School where he thrived in the Montessori class. It perfectly suited his personality.”

Austen had been accepted to Bethlehem College and was due to start as a Year 7.

“A gifted musician, Austen loved piano, was extremely mechanically minded, loved building Lego, riding motorbikes, Pokémon and solving math equations.

“The weekend before the tragedy, we visited the Kumeu Classic Car and Hot Rod Festival before surprising him with his dream motocross bike from a mate on the way home.

“This will forever be a treasured memory.”

The family recently attended the Annual Honda Kids Camp at Lake Rotoiti.

“Austen spoke Mandarin fluently, was proud of his Chinese heritage and loved visiting China on our trips back.”

The family said they were “lucky” to have Fang spend so much time with them.

Ten-year-old Austen Keith Richardson and his grandmother, 71-year-old Yao Fang. Supplied / Police

“She was a beautiful mother and grandmother, deeply caring, so generous and always prioritising looking after others ahead of herself.

“Fang worked as an architect in China while raising Angel as a solo parent.

“She loved the nature in New Zealand, helped us grow an incredible vegetable garden, looked after our chickens, and joined us at Chinese Methodist Church in Greerton.”

The family was grateful for the “amazing support” they had received.

“We are absolutely devastated by the loss of our treasured son and his beloved Nai Nai.

“Our thoughts are also with the other families impacted by the Mount Maunganui tragedy and what they are going through.”

‘Bright’, talented musician

St Peter’s Anglican Church director of music Chalium Poppy earlier told RNZ the boy was due to come to a piano lesson at the Mt Maunganui church on Thursday.

Poppy said he was contacted by a friend of the family to say the boy was missing in one of the slips.

“I’d been teaching all morning, so I hadn’t heard the news about the slips yet, and so I was a little bit caught off guard and on the back foot, but it became obvious during the day that it was a lot more serious,” he said.

“Then I found out again from a friend of the family, whose son also takes piano from me, that it was confirmed today that he was one of the two victims.”

Poppy said the boy had recently started taking piano lessons with him.

“He had only sort of just started, so he had a few lessons… but like with all my students, I always sort of do a meet and greet first and make sure that it’s going to be a right fit for the student and the parents and everything and so I got to know him through sort of the meet and greet more than his lessons, but he was just really bright and incredibly talkative… asked lots of really great questions, like a really cool, sort of inquisitive mind, and obviously talented

musically.”

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Luxon’s invite to Trump’s Board of Peace for Gaza needs ‘measured look’ – Winston Peters

Source: Radio New Zealand

RNZ / Mark Papalii

The Foreign Affairs Minister says the US President’s invitation for Christopher Luxon to join the Board of Peace for Gaza is a “multi-faceted” issue and requires a “measured look”.

No decision has been made yet regarding the invite, but Winston Peters says advice from his ministry is being prepared “as we speak”.

A spokesperson for the Prime Minister said last week he welcomed the beginning of the next phase of the peace plan for Gaza and would give the invite “due consideration”.

Speaking to reporters on the first day of Parliament, Peters said there hadn’t been a chance yet for him to discuss the invite with Luxon.

But he said the government was going to sit down and “dispassionately discuss” the issue in its entirety and what it might mean.

“Because it’s not just a small issue, it’s a multi-faceted issue, and we need to take a quite measured look at it.”

Asked whether he’d requested advice from the Ministry of Foreign Affairs, Peters said “of course, they’re busy working on it as we speak”.

“I’ve asked them for a comprehensive paper covering all issues they can imagine.”

A draft charter for the organisation, which will be chaired by Trump, has been sent to a number of world leaders – including Canada’s Mark Carney, Australia’s Anthony Albanese, Saudi Arabia’s Mohammed bin Salman and Russia’s Vladimir Putin.

Opposition leaders have condemned the invite, with Labour leader Chris Hipkins labelling the government’s so-far refusal to rule out joining the Board an “absolute disgrace”.

He said the fact Luxon was leaving the possibility open was “embarrassing for New Zealand”.

Greens-co-leader Chlöe Swarbrick had written to the Prime Minister on Monday, urging Luxon to “publicly and unequivocally reject this invitation”.

“It is critical that New Zealand joins like-minded nations, such as France, in rejecting the Board and defending the United Nations framework,” the letter read.

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Coromandel’s ongoing recovery as state of emergency comes to an end

Source: Radio New Zealand

An upturned car and water tank were amongst the debris from the large slip on Motuhoa Road last week. RNZ/Calvin Samuel

Thames Coromandel’s local State of Emergency ends at noon tomorrow, and the mayor told RNZ at this point it is unlikely to be extended.

However, as the district tried to dry out it had challenges ahead, including two major slips on its main state highway and 63 storm-damaged homes.

Claire Steer, chair of Pāuanui Neighbourhood Support said the sun was shining today and things were getting back to normal after the recent storm.

“During the weather event last week we had a tremendous amount of rain, in fact probably more rain than we had at Gabrielle, but we were very very lucky we didn’t have the wind that accompanied Gabrielle, so the amount of damage wasn’t as bad initially,” she said.

Pāuanui was flooded in for a time, and three houses had been red stickered.

Steer said being a sandspit the water had drained away easily, roads were now open, and locals had shown up for each other.

“The community’s been amazing in that we’ve had just huge amounts of offers for temporary accommodation to help the local people,” she said.

Across the river mouth from Pāuanui, Mt Paku faced a bigger clean up with a major landslip taking out a home and cutting the main water pipe into the community.

One of many slips on Tairua Whitianga Road. RNZ/Calvin Samuel

Resident John Drummond lived two houses away and had been keeping a close eye on the slip.

“Over the last few days, the slip has pretty much remained where it was – although a few smaller bits of trees and land have slipped down the face,” he said.

Drummond said the council was very quick to get the water back on, clear a way through the road and make sure the community was ok.

“The road down below has been cleared, the neighbouring properties are busily tidying up their properties and with the sun coming out it’s all starting to look a whole lot better,” he said.

Higher up the Peninsula at Cooks Beach, water was still ponding and smaller slips were being cleared.

Mercury Bay South Residents and Ratepayers Association chair, Paul Hopkins, said he would like to see small communities given more authority and agency to clean up after events.

“I think every small centre should have a designated group that actually gets in and can help out, it should be communities that fix problems not necessarily relying on your local council,” he said.

Hopkins said what might seem like a small low-priority slip to council can really affect locals who currently were discouraged from clearing these themselves.

Thames Coromandel District mayor Peter Revell said all local roads were open and no community was still cut off.

But two major slips on the main road, Highway 25, remain and one was particularly challenging.

“The one south of Whangamata blocking the road between Whangamata and Waihi is massive and is going to take longer and at this stage I’m not sure NZTA is even putting an estimated date on when that might be cleared,” he said.

SH25 between Hikuai and Tairua was severely damaged in some parts. RNZ/Calvin Samuel

These slips would be causing problems for local residents who were no longer trapped but were inconvenienced.

“If you live in Whangamata and you were wanting to go for instance to Tauranga you can’t just drop down and go through Waihi you need to come up and go across State Highway 25A and then head your way back down,” he said.

Revell said it could take the rest of the week to complete rapid building inspections, checking in on storm-damaged homes.

As of today, nine homes had been red stickered (no one should enter), 24 yellow stickered (residents have limited supervised access only), and 30 white (safe to occupy).

He said everyone was out of those homes and were safe.

“The places which are being placarded are a mix of permanent residences and holiday homes, the impact would not be the same as if they were all residential properties,” said Revell.

Today, Prime Minister Chris Luxon announced the government was adding $1.2 million to the five mayoral relief funds in affected regions.

Revell encouraged people affected by the storm to look into applying.

“That fund is for people to be able to apply and just get a little bit of financial help that they might need at this stage,” he said.

As people take stock and the clean up continues, local MP Scott Simpson said everyone is hoping for a few dry weeks ahead.

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Name release and family statement, Welcome Bay deaths

Source: New Zealand Police

Police can now confirm the names of the two people who died during a landslide on Welcome Bay Rd, Papamoa on Thursday.

Ten-year-old Austen Keith Richardson and his grandmother, 71-year-old Yao Fang (pronounced Fung), died after the house they were in was extensively damaged by a landslide.

Police continue to support the family through this extremely difficult time.

Their deaths have been referred to the Coroner.

The following is a statement released on behalf of Keith and Angel:

Austen was the much-loved only child of Keith and Angel, and Fang’s only grandchild. Angel is also the only child of Fang.

Austen and his grandmother had an incredibly close relationship – with Austen affectionately calling her Nai Nai.

Austen was born in Shanghai, China, and we moved back to New Zealand with him when he was about eight months old. Since Austen was born, Fang has spent extended periods of time with us in New Zealand.

Austen had just finished at Arataki School where he thrived in the Montessori class. It perfectly suited his personality. He had been accepted to Bethlehem College and was due to start as a Year 7 at the school shortly.

A gifted musician, Austen loved piano, was extremely mechanically minded, loved building Lego, riding motorbikes, Pokémon and solving math equations.

The weekend before the tragedy, we visited the Kumeu Classic Car and Hot Rod Festival before surprising him with his dream motocross bike from a mate on the way home. This will forever be a treasured memory.

We also recently attended the Annual Honda Kids Camp at Lake Rotoiti where he always loved meeting his mates from previous years and making new friendships.

Austen spoke Mandarin fluently, was proud of his Chinese heritage and loved visiting China on our trips back.

We were lucky to have Fang spend so much time with us as a family. She was a beautiful mother and grandmother, deeply caring, so generous and always prioritising looking after others ahead of herself.

Fang worked as an architect in China while raising Angel as a solo parent. She loved the nature in New Zealand, helped us grow an incredible vegetable garden, looked after our chickens, and joined us at Chinese Methodist Church in Greerton.

We are grateful for the amazing support we have received from family and friends, the wider community as well as the emergency services and support agencies who have wrapped around us as we come to terms with this.

We are absolutely devastated by the loss of our treasured son and his beloved Nai Nai.

Our thoughts are also with the other families impacted by the Mount Maunganui tragedy and what they are going through.

Note to media: The family will not be providing further comment and ask that their privacy be respected as they grieve.

ENDS

Issued by Police Media Centre

NZ Warriors coach Andrew Webster lays down simple recipe for NRL title quest

Source: Radio New Zealand

Coach Andrew Webster calls the shots at Warriors training. Andrew Cornaga/Photosport

If this is to finally be the NZ Warriors’ year, the recipe for success seems simple enough.

“If you’re asking me what needs to happen, we need to do what we do better for longer,” coach Andrew Webster teased, as he addressed media for the first time in 2026.

“That’s a pretty similar response from me for a long time now. When we do it well, we do it really well – that’s why we’ve made the playoffs twice in the last three years – but we’re not here to do that.

“We’re here to win the whole thing.”

Last sighted, Webster painted a forlorn picture, reflecting on his team’s one-and-done exit from the NRL playoffs against four-time defending champions Penrith Panthers.

“I just feel we’ve built some great stuff, but that last piece is missing.” he lamented last September. “I feel like we’ve handled adversity and stayed really tight, but there’s a piece missing.

“We could launch, if we take those lessons and go to the next step, or we could stay exactly where we are, which is just a top-six team. I just think we can be better.”

With the benefit of four months to review last year’s effort, Webster isn’t making any bold predictions about the upcoming campaign, which begins with a pre-season trial against Manly Sea Eagles at Napier on 14 February.

Warriors co-captain Mitch Barnett in pre-season training. Andrew Cornaga/Photosport

His response to the ‘how’ question acknowledges that his Warriors were one of the form teams early in the 2025 competition, when they came out of the blocks 8-2 and sat second on the table after Round 11.

Injuries and fatigue inevitably eroded their performance, as they lost co-captain Mitch Barnett and star half Luke Metcalf in quick succession mid-season, and never really recovered.

“We’ve got to improve what we do and do it for longer,” emphasises Webster. “We can’t have those periods where there are big momentum shifts and we give teams those opportunities.”

Barnett and Metcalf still aren’t up to full speed, as they continue to nurse their respective knee injuries, although they are back out on the training field. Both seem likely to miss the pre-season.

“Barney is expected around Rounds 0-4, anywhere in that range,” estimated Webster. “Luke would be Rounds 7-10.

“In the last month, they can start doing a lot, but they can’t give everything, so you have to see how they progress in that period. It looks like they’re flying up to this point, but this is the point where you actually see how they go.

Warriors halfback Luke Metcalf in pre-season training. Andrew Cornaga/Photosport

“Luke definitely won’t be in pre-season trials or early rounds, that’s for sure.”

Centre Rocco Berry was another who could not stay on the field through a series of niggly injuries and he will again miss early rounds, after more off-season shoulder surgery.

Back-up fullback Taine Tuaupiki, whom many expect to press hard for the starting jersey this season, also suffered a leg injury during “an incident on his farm” and made a later start to training. He’ll be touch and go for the opening round.

Bolstering the squad are the additions of newcomers Morgan Gannon (second row/lock), Jye Linnane (half), Haizyn Mellars and Alofiano Khan-Pereira (wings), whom Webster expects to push for first-grade spots this season.

Meanwhile, the Warriors coach is not a fan of proposed rule changes designed to enhance the competitiveness of games.

One would give teams the option of either kicking off or receiving the ball, after conceding a try. The current format sees the conceding team kicking the ball back to their opponents.

“Whatever they give us, we’ll take it,” Webster said. “I thought it’s pretty good how it is, really.

“I think they’re trying to stop that big momentum, where someone can score three tries in a row, but if you’re conceding those, you’re probably not good enough.

“One of the most frustrating things, as a coach and player, is to be conceding off a kickoff, but if you’re getting scored against, the good teams make sure they stop the bleeding right there and then.

“I’m happy with the current rule, but if they change it, we’ll come up with ways to use it tactically to our advantage.”

Another change could see the interchange bench expand from four to six players, although the number of substitutions would stay at eight each game. Most coaches wrestle with the composition of their four-man benches, either carrying a utility player or relocating forwards out of position to cover injuries among the backs.

This amendment would allow them to cater for all contingencies.

Roger Tuivasa-Sheck and Kurt Capewell lead the Warriors onto the training field. Andrew Cornaga/Photosport

“Any of the 19 could play and that would give clarity to the fans early in the week,” said Webster, who is renowned for making late changes to his gameday squad. “You guys are laughing at me, I can tell.

“I’m frustrated by this rule – I think it’s going to be hard to give guys gametime in reserve grade, because you’re carrying an extra two players.

“The beauty of our game is resilience and the ability to adapt, so if you’ve got particular players on the bench and someone goes down, that changes quick.

“I think now you’re always going to carry two hookers and a half, and a fullback/outside back on the bench, plus your forward rotation, which won’t change.

“If you lose the halfback and put him on, someone else doesn’t get a game. Come 10-12-16 games into the season, you could find these guys aren’t getting gametime in reserve grade and aren’t getting any better.”

Webster argues, if the rule change is designed to cater for concussions, this could be covered by activating the ’18th man’ quicker.

Current rules require three players failing head injury assessments or a match-ending injury caused by foul play, before the extra reserve can take the field.

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More yellow-legged hornet queens found in Auckland

Source: Radio New Zealand

Yellow-legged hornets are an invasive species, and a danger to local honey and wild bees. Biosecurity NZ

The number of yellow-legged hornet queens found in Auckland has risen to 45 – 32 of them with nests.

Biosecurity New Zealand said it had an excellent response from the public, with 10,270 notifications of suspected sightings.

Even though only a small number of them were actually hornets, the organisation urged Aucklanders to stay on the lookout.

It expected to find more this summer and there were dozens of traps around the city, mostly on the North Shore.

Biosecurity teams were also attaching tiny trackers onto worker hornets to try to lead them to nests.

The hornets had only been found in Auckland.

Biosecurity NZ believed it was unlikely they were outside of the city.

The hornets were a risk to bee populations – they eat them but could also compete with them food if they became established.

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SH25 between Kūaotunu and Kūaotunu West/Matarangi expected to reopen on Thursday 29 January

Source: New Zealand Transport Agency

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NZ Transport Agency Waka Kotahi (NZTA) is aiming to re-open SH25 between Kūaotunu and Kūaotunu West/Matarangi on Thursday 29 January.

Contractors have made excellent progress clearing the slip over the past several days, allowing geotechnical specialists to safely access and inspect the site tomorrow (Wednesday 28 January).

In order to ensure the safety of road users, a thorough geotechnical assessment of the site will be undertaken from above and below the carriageway. Once the stability and safety of the site has been confirmed, it will be cleared to reopen.

If you are planning to travel, please delay your journey until SH25 has reopened.

While the road remains closed, we ask that people avoid the Kūaotunu area where possible to allow crews to safely continue their essential work.

We will update our Journey Planner website as soon as the road is open:

Journey Planner – highway conditions(external link)

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Woman dies after Christchurch Hospital staff missed signs of sepsis, HDC report says

Source: Radio New Zealand

Christchurch hospital. RNZ / Nate McKinnon

A woman who arrived at Christchurch Hospital’s emergency department in acute pain died the next day after staff missed signs she had sepsis.

The 65-year-old patient died of urosepsis, a life-threatening complication of a urinary tract infection, in January 2022.

In a report released on Tuesday, deputy Health and Disability Commissioner Carolyn Cooper said the hospital failed to provide reasonable care, making “severe departures from standard practice”.

“I concur that there was a failure to recognise urosepsis in a timely way, which subsequently led to a lack of appropriate treatment being provided to [the woman],” she said.

Health NZ completed an adverse event review (AER) into the woman’s care and also found delays in the recognition and treatment of urosepsis.

The report said the woman had a history of high blood pressure and Crohn’s disease, with a previous bowel resection, small bowel obstructions and a kidney stone.

The woman was diagnosed with renal colic after being assessed in the ED and given pain relief.

She was then transferred to the hospital’s urology unit.

The report said the woman was experiencing prolonged hypotension by the next morning.

“Throughout the day, [the woman] received intravenous fluid boluses as the primary intervention for her hypotension. However, her [blood pressure] did not respond to this adequately,” the report said.

“The AER found that a lack of response or improvement from the fluid should have triggered a challenge of the diagnosis and consideration of other possible differential diagnoses or causes. However, this did not occur.”

Medical reviews at the time suggested the woman’s hypotension may have been due to the effects of the pain relief.

Clinicians noted the woman was “chirpy and chatty” throughout the day and that she did not have a fever but clinical notes also recorded instances of the woman shivering, a symptom of sepsis, the report said.

“The AER found that clinical staff exhibited anchoring bias – that is, there was an over-reliance on the absence of a fever, which normally is present in urosepsis, despite the lack of improvement over the day,” the report said.

“While the nurse in charge, the house officer, and the registrar were informed of [the woman’s] deterioration, there is no evidence of a senior medical officer consultation (after the initial ward round at 8am), consideration of involvement of the Intensive Care Unit (ICU) team, or a rapid response call being made when [the woman’s] observations were in the red and blue zone, as required by the mandatory escalation pathway.”

The deputy commissioner found an “early warning score” chart had several incomplete observations throughout the day, with the total score also not recorded, which was not in line with Health NZ policy.

Cooper criticised Health NZ’s failure to follow its mandatory escalation and urosepsis policies and the renal colic protocol.

“Had these policies been adhered to, the delay in the diagnosis of urosepsis may have been avoided,” she said.

Cooper recommended Health NZ Waitaha Canterbury apologise to the woman’s family.

She also recommended developing an education and training plan for staff around diagnosing urosepsis and the importance of medical documentation.

Health NZ told the commissioner it had changed its renal colic protocols to highlight the need to consider an alternative diagnosis, run an education refresher on sepsis and run an education session for urology nurses.

In a statement, Health New Zealand chief medical officer Te Waipounamu Alan Pithie said patient safety and quality of care was a top priority.

“On behalf of Health New Zealand, we would like to say how sorry we are for what happened and extend our sincerest condolences to the patient’s family and friends for the loss of their loved one. We are deeply sorry for the distress caused and recognise that the patient’s death in 2022 has had, and continues to have, a profound and long-lasting impact,” he said.

“We acknowledge the deputy commissioner’s findings and have provided the family with a written apology. We have also implemented changes to improve our services including amending the renal colic clinical pathway for care, rolling out a national sepsis action plan, and updating processes for recording clinical information on deteriorating patients.

“Work is also underway to implement refresher education for urology nursing staff on early warning scores (EWS) and adding more functionality to the digital adult EWS pathway.”

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– Published by EveningReport.nz and AsiaPacificReport.nz, see: MIL OSI in partnership with Radio New Zealand