Better Sooner More Convenient Primary Care - New Zealand Doctor

5 Grey/Greymouth IFHC
An interim step towards the development of the Greymouth IFHC, is the construction of an
academic/rural training practice (an outpost of one of the three existing medical centres in
Greymouth), in a re-locatable building, on the Grey Hospital site, adjacent to the Emergency
Department. The floor plan is below, and opening date is scheduled for 1 Jul 2010.
Work has begun on bringing the three medical centres in Greymouth together into a single
facility, that might also contain other private providers (e.g., physiotherapy) and pharmacy, and
that would allow the community nursing and allied health workforces currently operated by the
DHB to work in an integrated way with the medical centres.
The PHO led a process of engagement during Feb '10 with private provider in Greymouth around
the possibility of a one-stop shop for primary care services. All three practices have indicated
a significant level of interest, including providing detailed information around their current and
likely future level of service delivery and space requirements. Private pharmacists have asked
for space in the IFHC, though there are some limitations on their ability to relocate entirely in
the short term, given their current investment in, & commitment to, existing retail premises.
Physiotherapists, dentists, opticians, chiropractors, massage therapists and acupuncturists in
town were all also invited to participate, as were various NGO/disability support providers. It is
from this process that the following facilities proposals and options have arisen.
Specifically, the proposal is that the facility be constructed such that the non-hospital, nondomiciliary,
clinic-based patient contact work of the community nursing and allied health
workforce, be conducted in the clinic rooms of the co-located medical centres. Whether, the
facility might also contain the office bases of the community nursing and allied health
workforce is being explored.
Business case appendices V12 AC 25Feb2010 Page 120