Better Sooner More Convenient Primary Care - New Zealand Doctor

Year two
Maintain and continue the initiatives from year one and also:
implement the Single Shared Patient record
implement a restorative model of homecare, with greater allied health and nursing
input, stronger connection to the primary health team, more skilled carers and services
tailored flexibly to the needs of clients and their carers
set up training in the restorative goal-based approach for all people working in health
and support services for older people, linked to what Canterbury and Nelson are doing
reconfigure allied health services to enable greater input to primary health teams,
community services and residential care facilities
establish step-down beds
implement the Carer Support Action Plan
extend medical an specialist nurse rotation to residential care facilities.
Year three
Maintain and continue the initiatives from year one and also:
co-locate Care Link with the other primary and community services in the IFHC
plan to move to a case-mix model of funding long term support services, based on work
done by Canterbury and Auckland DHBs.
6 Capability and capacity
These changes are more to do with how people work and changes of treatment model than actual
increase in numbers.
There is a need for further upskilling of the home care workforce.
7 Effect on inequalities
West Coast older people will gain access to home-based and specialist health of older people
services that are more similar to that available in most other areas of NZ.
These changes are based on a proactive and preventive model of care for older people and their
families/carers. This is highly likely to reduce the rate of illness, injury and disability, thereby
reducing the rate of hospital admission and long term residential care. West Coast older
people, like the rest of the West Coast population, have a higher rate of illness and injury than
the NZ average, so any improvement will reduce inequalities.
Business case appendices V12 AC 25Feb2010 Page 106