Better Sooner More Convenient Primary Care - New Zealand Doctor

Nurse practitioner positions have been added to the output targets below but not yet included
in the modeling; while there is a commitment to move to including nurse practitioners in IFHCs,
our ability to attract nurse practitioners to the Coast, and their roles and responsibilities within
the core general practice team have yet to be determined.
4 Objectives:
To recruit sufficient GPs and nurses to provide better, sooner, more convenient care.
To retain GPs and nurses so as to provide continuity and consistency of care.
To provide a professionally fulfilling work environment.
To provide or assist access to the professional development activities required to
maintain competence.
To support quality improvement activities.
To develop the multidisciplinary team.
To broaden the above activities to support all members of the multidisciplinary team.
5 Benefits and gains
Output measures
Indicator Baseline Target – Yr 1 Year 2 Year 3
No. patients per practice/rural 1140 1000 900 900
nurse*
No. patients per permanent GP* 2000 2000 2000 2000
No. primary care nurse
practitioners
Number Māori practice team
members
0 1 2 3
3 nurses, 1
manager
5 6 7
Shared recruitment agency est. No Yes Yes Yes
*These ratios depend on a full complement of postgraduate students, and locum cover for holidays. They
do not include teaching time. Remote areas need higher Dr/nurse: patient ratios.
Outcome measures
Indicator Baseline Target – Yr 1 Year 2 Year 3
% of PHO Performance Programme
targets met
Number of practices cornerstone
accredited
79% >80% >90% >90%
3 6 7 7
Business case appendices V12 AC 25Feb2010 Page 112