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Better Sooner More Convenient Primary Care - New Zealand Doctor

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support them. Help with understanding medications is available from pharmacists via medication<br />

reviews.<br />

Those with mental health problems are assessed by a mental health co-ordinator within the<br />

IFHC who will help them select the package of care they need to get well, ranging from<br />

community support, through brief intervention counseling, to admission to community mental<br />

health services. They receive their care in the IFHC and this lessens their sense of<br />

stigmatization. Their GP knows what care they are receiving and is able to provide support and<br />

ensure their physical needs are not neglected.<br />

The community knows that their health centre has been Cornerstone Accredited, has quality<br />

systems in place and is keen to receive feedback so that the services can be steadily improved.<br />

Community, business and iwi leaders meet regularly with senior clinicians and management to<br />

work together to improve health services and increase community understanding.<br />

If hospital based care is required, information flows electronically to and from specialists, and<br />

the care provided is consistent with, and a continuation of, that provided in the IFHC.<br />

And most of the time, for most people and their families, with most problems, whatever their<br />

age, their GP and nurse team will be there, helping them on their life journey.<br />

5.2 Goals for better, sooner more convenient<br />

The vision of <strong>Better</strong>, <strong>Sooner</strong>, <strong>More</strong> <strong>Convenient</strong> primary care is one that, if implemented well, will<br />

address the current issues with health care delivery on the West Coast.<br />

The following eight goals arise from this vision:<br />

1. Partnership with the community<br />

2. <strong>Sooner</strong>: improving access to primary care<br />

3. <strong>Better</strong>: improving continuity of primary care<br />

4. <strong>Better</strong>: improving consistency of care<br />

5. <strong>Better</strong>: improving co-ordination of care between general practices, hospitals and<br />

community providers<br />

6. <strong>More</strong> convenient: community based care in integrated family health centres<br />

7. Greater clinical leadership<br />

8. Living within the available funding.<br />

For each goal objectives and key activities were developed. Then as a tool to managing change<br />

towards the desired model of care, a number of working groups were established, each working<br />

towards the overall goals and objectives and developing a different aspect of the model of care.<br />

Clinical leaders from all disciplines, as well as PHO, DHB and provider arm managers were<br />

Business case EoI V38 AC 25Feb10 Page 25

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