Better Sooner More Convenient Primary Care - New Zealand Doctor

Year one:
Co-ordinator role:
three co-ordinators appointed and based in Buller, Greymouth and Westland
two monthly review steering group sessions to review and refine processes and roles.
Discharge planning process:
set up mental health discharge planning process, levering off the generic project
develop a plan for change
consult widely among primary and secondary care providers and consumers
revise plan
put new processes in place
review six months later.
Shared care:
establish a planning group that includes consumer, whanau and Māori representation
review current contracts and funding models
develop model and processes for shared care, ie. reviews; agreed role boundaries; clinical
accountability and responsibilities
consult widely among primary and secondary care providers and consumers
revise plan
pilot processes in one region
review and revise
pilot processes
transition of support workers to primary care.
Brief intervention:
review age group covered by primary care youth counsellor (14 – 18).
Improving integration:
allocate a secondary mental health team member liaison person for each practice/IFHC
where facilities allow co-locate secondary mental health team in IFHCs.
Addressing physical health needs:
develop and implement annual health checks for long term mental health patients at
their IFHC
fund and encourage flu vaccinations for long term mental health patients.
Extending kaupapa Māori Mental Health service:
kaupapa Māori mental health services include service provision for Māori clients in
primary health settings.
Business case appendices V12 AC 25Feb2010 Page 96