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Better Sooner More Convenient Primary Care - New Zealand Doctor

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Appendix Thirteen: IFHCs - Facilities<br />

1. Aspirational statement:<br />

Facilities are renovated and/or created that best progress and support the new models of care,<br />

so as to improve the health of West Coasters.<br />

2 Problem definition<br />

<strong>Primary</strong> care facilities across the Coast vary enormously. In Greymouth and Westport, in<br />

particular, the location and/or nature of the buildings that house the primary services and<br />

workforce are problematic for delivering the desired model of care. In Greymouth, the three<br />

medical centres and other private providers including pharmacies are in different parts of town<br />

(and none is connected to the hospital). No medical centres have on-site or adjacent diagnostics<br />

or pharmacy. In Westport, the medical centre is located in old hospital buildings, with other<br />

community based services on the same campus, but widely separated by long corridors - the<br />

layout/location of services is a barrier to communication between services. Some individual<br />

centres are cramped for space. A number of facilties are old and don't comply with seismic<br />

regulations (Westport in particular).<br />

3 Objectives:<br />

<br />

<br />

<br />

To integrate a variety of services alongside traditional general practice service, in line<br />

with the revised model of care and other workstreams<br />

To adapt facilities to best fit with the new ways of working, where this is feasible<br />

To purpose-build future-proofed facilities optimised for the new model of care where<br />

this is the best option and/or necessary<br />

4 Benefits and gains<br />

Output measures<br />

Indicator Baseline Target – Yr 1 Year 2 Year 3<br />

No. of IFHCs 0 Embryonic 1 2<br />

Business case appendices V12 AC 25Feb2010 Page 119

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