Better Sooner More Convenient Primary Care - New Zealand Doctor

12 Organisational accountabilities
There are two levels of change proposed.
Within each IFHC, co-located services will sign up to an Integration Charter that sits alongside
their tenancy/lease agreement. This Charter will commit those services that co-locate to the
service integration objectives of the IFHC and to involvement in the 'service integration
management team' that is likely to operate in each facility.
Subject to decisions made in relation to the overall ownership and operation of various services
(see the Ownership, Governance & Management work stream) it may be that services currently
operated by the DHB will come under the auspices of the PHO. The PHO, suitably revised or
replaced, would then become the operator of a larger proportion of the community and primary
health care service infrastructure, with service integration, management and development of
the whole primary and community health service, its core role and responsibility.
13 Costs
No change to ownership of services is proposed initially. Each service owner will continue to be
responsible for their services own revenue & costs.
Achieving the early goal of change to, and integration of, clinical services will, however, require
dedicated project & change management resource as described in the Business Case.
Business case appendices V12 AC 25Feb2010 Page 62